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Ex-vivo Ultrasound Guided Radiofrequency Ablation on Pancreatic Solid Lesions


2019-09-12


2020-06-12


2020-06-12


45

Study Overview

Ex-vivo Ultrasound Guided Radiofrequency Ablation on Pancreatic Solid Lesions

The study investigates the feasibility and the efficacy to treat pancreatic solid lesions as pancreatic adenocarcinomas (PDAC) and neuroendocrine tumors (NET) with ex-vivo radiofrequency ablation (RFA) under ultrasound (US) control. The study intent is to define the optimal radiofrequency ablation POWER of the system in terms of maximum sizes (diameters) of histological coagulative necrosis obtained at pathological samples. Results will be useful to define the optimal settings to ablate pancreatic solid lesions (PDAC and neuroendocrine tumours).

A probe specifically designed for Endoscopic Ultrasound (EUS) in vivo treatment of human pancreatic solid masses will be used. The probe is connected to a radiofrequency generator on which the power can be set and the tip of the probe (on the tip is present the radiofrequency electrode) is continuously perfused by chilled solution. The generator can stop the power supply when the tissue impedance goes beyond the threshold value to prevent tissue carbonization

  • Pancreatic Cancer
  • Endoscopic Ultrasound
  • Radiofrequency Ablation
  • PROCEDURE: ex-vivo RFA under US control at 10 Watts (W) of power in 3 differents arms of lesions
  • PROCEDURE: ex-vivo RFA under US control at 30 Watts (W) of power in 3 differents arms of lesions
  • PROCEDURE: ex-vivo RFA under US control at 50 Watts (W) of power in 3 differents arms of lesions
  • EUS-RFA ex-vivo 2016

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

2024-03-25  

N/A  

2024-04-15  

2024-04-15  

N/A  

2024-04-17  

2024-04-17  

N/A  

2024-04  

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:
Non Randomized


Interventional Model:
Parallel


Masking:
Double


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: resected PDAC without neoadjuvant chemotherapy treatment

Subgroup A: 10 W (5 patients) Subgroup B: 30 W (5 patients) Subgroup C: 50 W (5 patients)

PROCEDURE: ex-vivo RFA under US control at 10 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy treated at 10 W with ex-vivo RFA 5 PDAC without previous neoadjuvant chemotherapy treated at 10 W with ex-vivo RFA 5 NET treated at 10 W with ex-vivo RFA

PROCEDURE: ex-vivo RFA under US control at 30 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy 5 PDAC without previous neoadjuvant chemotherapy 5 NETs

PROCEDURE: ex-vivo RFA under US control at 50 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy 5 PDAC without previous neoadjuvant chemotherapy 5 NETs
EXPERIMENTAL: resected PDAC with neoadjuvant chemotherapy treatment

Subgroup A: 10 W (5 patients) Subgroup B: 30 W (5 patients) Subgroup C: 50 W (5 patients)

PROCEDURE: ex-vivo RFA under US control at 10 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy treated at 10 W with ex-vivo RFA 5 PDAC without previous neoadjuvant chemotherapy treated at 10 W with ex-vivo RFA 5 NET treated at 10 W with ex-vivo RFA

PROCEDURE: ex-vivo RFA under US control at 30 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy 5 PDAC without previous neoadjuvant chemotherapy 5 NETs

PROCEDURE: ex-vivo RFA under US control at 50 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy 5 PDAC without previous neoadjuvant chemotherapy 5 NETs
EXPERIMENTAL: resected neuroendocrine tumors

Subgroup A: 10 W (5 patients) Subgroup B: 30 W (5 patients) Subgroup C: 50 W (5 patients)

PROCEDURE: ex-vivo RFA under US control at 10 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy treated at 10 W with ex-vivo RFA 5 PDAC without previous neoadjuvant chemotherapy treated at 10 W with ex-vivo RFA 5 NET treated at 10 W with ex-vivo RFA

PROCEDURE: ex-vivo RFA under US control at 30 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy 5 PDAC without previous neoadjuvant chemotherapy 5 NETs

PROCEDURE: ex-vivo RFA under US control at 50 Watts (W) of power in 3 differents arms of lesions

  • 5 PDAC with neoadjuvant chemotherapy 5 PDAC without previous neoadjuvant chemotherapy 5 NETs
Primary Outcome MeasuresMeasure DescriptionTime Frame
diameter (millimeters) of coagulative necrosis obtained by RadioFrequency Ablationassesses by two blinded pathologistswithin 15-20 days
Secondary Outcome MeasuresMeasure DescriptionTime Frame

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:

Accepts Healthy Volunteers:

    Inclusion Criteria: pancreatic solid lesion presence (pancreatic adenocarcinoma and neuroendocrine tumors) resected during pancreatic surgery -
    Exclusion Criteria: no signature on informed consent
    -

Collaborators and Investigators

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

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