Intra-operative Pancreatoscopy in Patients With IPMN
Intra-operative Pancreatoscopy in Patients With Intraductal Papillary Mucinous Neoplasm (IPMN)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
-
Nanjing, China, 210029
- The First Affiliated Hospital of Nanjing Medical University
-
-
-
-
-
Hyderabad, India, 500-082
- Asian Institute of Gastroenterology
-
-
-
-
Osaka
-
Hirakata, Osaka, Japan, 573-1010
- Kansai Medical University
-
-
-
-
-
Amsterdam, Netherlands, 1105 AZ
- Academic Medical Center
-
-
-
-
-
Umeå, Sweden, 907 37
- University Hospital of Umeå
-
-
-
-
Colorado
-
Denver, Colorado, United States, 80045
- University Of Colorado Hospital
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Indiana University Health
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient scheduled for surgery for suspected MD-IPMN or Mixed IPMN within 4-6 weeks of enrollment
- Diameter of pancreatic main duct >5mm on pre-operative MRI or CT
- Written informed consent from patient to participate in the study, including compliance with study procedures
Exclusion Criteria:
- Contraindication for pancreatoscopy
- Age: less than 18 years
- Pregnant women, evaluated per local clinical standard
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Intraoperative Pancreatoscopy
All subjects will undergo the intraoperative pancreatoscopy with SpyGlass procedure.
|
Visualization of main pancreatic duct with SpyGlass catheter.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of detection of discontinuous (skip) lesions along the main pancreatic duct
Time Frame: During index procedure
|
Rate of detection of discontinuous (skip) lesions along the main pancreatic duct of patients with IPMN using intraoperative pancreatoscopy based on visual impression of IPMN and/or pancreatoscopy guided biopsies
|
During index procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Technical success
Time Frame: During index procedure
|
Ability to advance the pancreatoscope along the entire main pancreatic duct length or until clinically needed; to visualize the potential lesion(s); or to obtain a tissue sample with SpyBite where applicable
|
During index procedure
|
|
Adverse Event Evaluation
Time Frame: Five years
|
Evaluate all serious adverse events related to the intraoperative pancreatoscopy procedure and/or device
|
Five years
|
|
Recurrence
Time Frame: Five years
|
Recurrence of IPMN within 5 years post-surgery evaluated with regular MRI or alternative radiological method
|
Five years
|
|
Comparison of visual and biopsy diagnosis
Time Frame: During index procedure
|
Comparison based on exploration with Spy Glass of the resected specimen
|
During index procedure
|
|
Inter-observer correspondence of visual impression of IPMN
Time Frame: During index procedure
|
Based on intra-operative impression and on review of recorded pancreatoscopy images/videos
|
During index procedure
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: G.V. Rao, MD, Asian Institute of Gastroenterology
- Principal Investigator: Richard Burkhart, MD, Johns Hopkins University
- Principal Investigator: Marc Besselink, MD, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
- Principal Investigator: Yi Miao, MD, Nanjing Medical University
- Principal Investigator: Sohei Satoi, MD, Kansai Medical University
- Principal Investigator: Urban Arnelo, MD, University Hospital, Umeå
- Principal Investigator: Christian Schmidt, MD, Indiana University Health
- Principal Investigator: Marco Del Chiaro, MD, University of Colorado, Denver
Publications and helpful links
General Publications
- Grewal M, Habib JR, Paluszek O, Cohen SM, Wolfgang CL, Javed AA. The Role of Intraoperative Pancreatoscopy in the Surgical Management of Intraductal Papillary Mucinous Neoplasms: A Scoping Review. Pancreas. 2024 Mar 1;53(3):e280-e287. doi: 10.1097/MPA.0000000000002294. Epub 2024 Jan 26.
- Arnelo U, Valente R, Besselink MG, Schmidt CM, Sherman S, Rao GV, Burkhart RA, Miao Y, Satoi S, Voermans RP, Modak S, Edmundowicz S, Busch OR, Lafaro KJ, Wei J, Peetermans JA, Rousseau MJ, Del Chiaro M; Intraoperative Pancreatoscopy Study Group. Value of Intraoperative Pancreatoscopy in Patients Undergoing Resection for Main-Duct Intraductal Papillary Mucinous Neoplasm: Thirty-Day Follow-Up of a Prospective International Study. Ann Surg Open. 2026 Jan 2;7(1):e638. doi: 10.1097/AS9.0000000000000638. eCollection 2026 Mar.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- E7107
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.