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Trial Comparing 19 and 25-gauge EUS-FNA Needles


2012-08


2013-01


2013-01


72

Study Overview

Trial Comparing 19 and 25-gauge EUS-FNA Needles

This study compares the 19G and 25G needles for procuring tissue samples from the pancreas during Endoscopic Ultrasound (EUS) procedures.

The study compares the median number of passes to establish a definitive diagnosis using the 19G or 25G needles. Also, the ability of both needles to procure a histological core tissue is assessed.

  • Cancer of Pancreas
  • Pancreatic Neoplasm
  • PROCEDURE: Pancreatic Biopsy
  • PROCEDURE: Histological Samples
  • 356077

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

2012-08-28  

2015-03-31  

2020-03-03  

2012-08-29  

2020-03-03  

2020-03-17  

2012-09-03  

2020-03-17  

2020-03  

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:
Diagnostic


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Single


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: 19G FNA needle

Evaluate median number of passes to diagnosis (Diagnostic accuracy) and ability to procure histological samples using a 19G FNA needle when performing pancreatic biopsy.

PROCEDURE: Pancreatic Biopsy

  • A FNA needle will be used to biopsy the pancreatic mass. The rates of diagnostic accuracy (%) will be assessed. Diagnostic accuracy is defined as the proportion of patients in whom a definitive diagnosis can be obtained within a predetermined number of FN

PROCEDURE: Histological Samples

  • The proportion of patients (%) in whom a histological tissue can be obtained when performing a biopsy of the pancreas using a specific needle will be assessed.
ACTIVE_COMPARATOR: 25G FNA needle

Evaluate median number of passes to diagnosis (Diagnostic accuracy) and ability to procure histological samples using a 25G FNA needle when performing pancreatic biopsy.

PROCEDURE: Pancreatic Biopsy

  • A FNA needle will be used to biopsy the pancreatic mass. The rates of diagnostic accuracy (%) will be assessed. Diagnostic accuracy is defined as the proportion of patients in whom a definitive diagnosis can be obtained within a predetermined number of FN

PROCEDURE: Histological Samples

  • The proportion of patients (%) in whom a histological tissue can be obtained when performing a biopsy of the pancreas using a specific needle will be assessed.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Median Number of Passes to Establish DiagnosisTo compare the median number of passes required to establish diagnosis using the 19G and 25G needles for FNA of solid pancreatic mass lesions. This will be measured by comparing the rates of diagnostic accuracy (%) between both needle types.5 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Procurement of Histological SamplesThe ability of the 19G and 25G needles to obtain core (histological) tissue will be compared and a significance will be determined.30 days
Needle DysfunctionThe percentage of cases in which needle dysfunction occurs will be compared between the 19G and 25G needle types. Needle dysfunction will be defined as the need to use more than one FNA needle per lesion in an individual patient.2 hours
ComplicationsThe safety profile of the 19 and 25G needles will be compared that includes bleeding, pancreatitis and perforation.30 days

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) Patients with solid pancreatic mass lesions.
    EXCLUSION CRITERIA:
    1. Age < 19 years 2. Unable to safely undergo EUS for any reason 3. Coagulopathy (INR > 1.6, Prothrombin Time > 18secs, Thrombocytopenia < 80,000 cells/ml) 4. Unable to consent 5. Non-English speaking patients

Collaborators and Investigators

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

  • University of Alabama at Birmingham

  • PRINCIPAL_INVESTIGATOR: shyam varadarajulu, MD, Florida Hospital Center for Interventional Endoscopy

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