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EUS-RFA PANCARDINAL-1 Trial


2021-08-13


2026-12-01


2028-05-30


60

Study Overview

EUS-RFA PANCARDINAL-1 Trial

The objectives of this study are to determine the feasibility, tolerability, and treatment effect of endoscopic ultrasound (EUS) radiofrequency ablation (RFA) plus standard-of-care neoadjuvant chemotherapy (NAC) in the treatment of pancreatic ductal adenocarcinoma (PDAC). Endoscopic ultrasound (EUS) radiofrequency ablation (RFA) and neoadjuvant chemotherapy (NAC) will be performed before tumor resection surgery, with the goal of shrinking a tumor or stopping the spread of cancer so that surgery might be less invasive and more effective.

N/A

  • Pancreatic Ductal Adenocarcinoma (PDAC)
  • DEVICE: Endoscopic Ultrasound (EUS)-Guided Radiofrequency Ablation (RFA)
  • DRUG: Neoadjuvant Chemotherapy (NAC)
  • HSC-MS-21-0066
  • R01CA277161-01A1 (U.S. NIH Grant/Contract)

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

2021-02-02  

N/A  

2025-05-15  

2021-07-26  

N/A  

2025-05-21  

2021-08-04  

N/A  

2025-05  

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:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Neoadjuvant chemotherapy (NAC) plus endoscopic ultrasound (EUS) radiofrequency ablation (RFA)

DEVICE: Endoscopic Ultrasound (EUS)-Guided Radiofrequency Ablation (RFA)

  • Endoscopic ultrasound (EUS)-guided radiofrequency ablation (RFA) consists of the application of an alternating current with a frequency of 350-500 kilohertz (kHz) to the target tissue via a special electrode located at the tip of an echoendoscope. The alt

DRUG: Neoadjuvant Chemotherapy (NAC)

  • The NAC regimen will be determined clinically by the participant's physician [possible regimens are either mFOLFIRINOX or Gemcitabine Nab-Paclitaxel +/- Cisplatin (GemAbraxane)].
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of participants who are able to complete neoadjuvant chemotherapy plus EUS-RFA and later undergo surgical tumor resectionFrom the time of EUS-RFA NAC intervention to the time of surgical tumor resection (about 5-6 months)
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Radiographic treatment response as assessed by standard Response evaluation criteria in solid tumors (RECIST) criteriaUsing the RECIST criteria, treatment response is categorized as follows: * Complete response (CR): Disappearance of all target lesions * Partial response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD * Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started * Progressive disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions2 months after the initiation of chemotherapy
Radiographic treatment response as assessed by standard Response evaluation criteria in solid tumors (RECIST) criteriaUsing the RECIST criteria, treatment response is categorized as follows: * Complete response (CR): Disappearance of all target lesions * Partial response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD * Stable disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started * Progressive disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions4 months after the initiation of chemotherapy
Number of participants with post-operative complicationsfrom the time of surgical tumor resection to 90 days following surgical tumor resection
Disease-free survival timeDisease is defined as clinical evidence of local or distant recurrence.from the time of diagnosis to time of recurrence (or up to 5 years after diagnosis, whichever occurs first)

Contacts and Locations

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

Study Contact

Name: Sofia C Colon, BS

Phone Number: 713-500-6658

Email: Sofia.C.Colon@uth.tmc.edu

Study Contact Backup

Name: Nirav Thosani, MD

Phone Number: 713-486-1350

Email: pancreasresearch@uth.tmc.edu

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:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Diagnosed and histologically-confirmed PDAC by biopsy
  • Permanent street address
  • Consent to study participation
  • Axial CT scan consistent with PDAC
  • No prior chemotherapy or less than 2 months of pre-operative chemotherapy for PDAC
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

  • Exclusion Criteria:

  • Male or female patients < 18 years of age
  • No permanent street address or telephone number
  • Pregnant patients
  • Inmates or prisoners
  • Unable to provide informed consent

Collaborators and Investigators

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

  • National Cancer Institute (NCI)

  • PRINCIPAL_INVESTIGATOR: Nirav Thosani, MD, The University of Texas Health Science Center, Houston

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