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Endoscopic Ultrasound (EUS) Guided-Celiac Plexus Neurolysis (CPN) in Unresectable Pancreatic Cancer


2009-06


2013-03


2013-12


60

Study Overview

Endoscopic Ultrasound (EUS) Guided-Celiac Plexus Neurolysis (CPN) in Unresectable Pancreatic Cancer

The purpose of this study is to examine endoscopic ultrasound guided celiac plexus neurolysis (CPN) with analgesic therapy in patients with unresectable pancreatic cancer as it applies to decreasing the severity of abdominal pain when compared to analgesic therapy alone.

The specific primary aim of this study is to evaluate the efficacy of EUS-CPN + analgesic therapy (Group 1) in pain relief of patients with unresectable pancreatic cancer when compared with analgesic therapy (Group 2). The hypothesis will be tested by comparing the changes in reported pain severity between those who receive EUS-CPN in addition to analgesic therapy as compared to analgesic therapy alone. The secondary aims of this study are to evaluate the efficacy of EUS-CPN + analgesic therapy in improvement of quality of life (QOL) of patients with unresectable pancreatic cancer when compared to when compared with analgesic therapy alone, compare pain medication usage between Group 1 when compared to Group 2, and compare the referral for rescue block during the course of the study between Group 1 and Group 2

  • Pain
  • Pancreatic Cancer
  • PROCEDURE: Ultrasound guided celiac plexus neurolysis (CPN)
  • F090528002

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2009-08-26  

N/A  

2014-06-02  

2009-08-27  

N/A  

2014-06-04  

2009-08-28  

N/A  

2014-05  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Single


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Group 1: CPN + analgesic therapy

Receives ultrasound guided celiac plexus neurolysis (CPN) in addition to standard analgesic therapy

PROCEDURE: Ultrasound guided celiac plexus neurolysis (CPN)

  • Initial procedure and rescue procedure if applicable
NO_INTERVENTION: Analgesic therapy alone

Will not receive ultrasound guided celiac plexus neurolysis (CPN); only standard analgesic therapy for pain management

Primary Outcome MeasuresMeasure DescriptionTime Frame
The efficacy of EUS-CPN and analgesic therapy in pain relief of patients with unresectable pancreatic cancer when compared with analgesic therapy~ 2 year
Secondary Outcome MeasuresMeasure DescriptionTime Frame
To evaluate the efficacy of EUS-CPN and analgesic therapy in improvement of quality of life (QOL)~2 year

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
19 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Male or Female 2. Age ≥19 yrs old 3. Abdominal pain typical for pancreatic cancer ≥3/10 4. Abdominal CT radiologically consistent with the diagnosis of pancreatic cancer 5. Pancreatic cancer confirmed by FNA during EUS 6. Inoperability of pancreatic cancer as determined during EUS or prior CT
    Exclusion Criteria:
    1. Age < 19 yrs old 2. Unable to safely undergo EUS for any reason 3. Coagulopathy (prolongation of prothrombin time > 18 sec, thrombocytopenia <80,000 platelets/ml) 4. Previous CPN or other neurolytic block that could affect pancreatic cancer -related pain or had implanted epidural or intrathecal analgesic therapy 5. Another cause for abdominal pain such as pseudocyst, ulcer or other intra-abdominal disorder 6. Potential patient noncompliance (refusing to follow schedule of events) 7. Active alcohol or other drug use or significant psychiatric illness 8. Pregnant or breastfeeding 9. Unable to consent 10. Non-English speaking

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • AdventHealth

  • PRINCIPAL_INVESTIGATOR: Jayapal Ramesh, MD, University of Alabama at Birmingham

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available