- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07625189
EUS-Guided Ablation (RFA and MWA) for Pancreatic and Other Gastrointestinal Lesions Registry
30. května 2026 aktualizováno: Shailendra Singh, West Virginia University
Prospective Observational Registry of EUS-Guided Ablation (RFA and MWA) for Pancreatic and Other Gastrointestinal Lesions
This is a single-center, investigator-initiated, prospective observational registry that will collect longitudinal clinical data on adult patients (≥18 years) undergoing endoscopic ultrasound (EUS)-guided radiofrequency ablation (RFA) or microwave ablation (MWA) for pancreatic and other gastrointestinal/hepatobiliary lesions as part of routine clinical care.
The registry will not alter standard-of-care management.
Data will be abstracted from the medical record and routine clinical systems.
Primary outcomes include change in target lesion size on clinically obtained imaging and overall survival following ablation.
Secondary outcomes include changes in tumor biomarkers, adverse events, non-target lesion changes, and patient-reported symptoms.
Přehled studie
Postavení
Nábor
Typ studie
Pozorovací
Zápis (Odhadovaný)
50
Kontakty a umístění
Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.
Studijní kontakt
- Jméno: Zim Warda Hasan
- Telefonní číslo: 364-203-1900
- E-mail: zh00027@mix.wvu.edu
Studijní místa
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West Virginia
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Morgantown, West Virginia, Spojené státy, 26505
- Nábor
- West Virginia University
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Kritéria účasti
Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
N/A
Metoda odběru vzorků
Vzorek nepravděpodobnosti
Studijní populace
The purpose of this registry is to create a longitudinal clinical dataset describing patients who undergo EUS-guided RFA or MWA as part of routine care and to explore clinical outcomes and factors associated with those outcomes.
Popis
Inclusion Criteria:
- Adults ≥ 18 years of age.
- Diagnosis of a pancreatic premalignant lesion or malignancy, and other gastrointestinal or hepatobiliary lesion for which EUS-guided ablation is planned as part of standard clinical care.
- At least one clinically identified target lesion for which RFA or MWA is performed.
Exclusion Criteria:
- In the judgment of the treating clinician, inclusion in the registry would not be appropriate
- The individual is expected to be unable to complete routine clinical follow-up.
Studijní plán
Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.
Jak je studie koncipována?
Detaily designu
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change From Baseline to 1 Month in Target Lesion Size
Časové okno: Baseline to 1 month
|
Change in tumor size (cm) from baseline to 1 month, assessed by imaging.
|
Baseline to 1 month
|
|
Change From Baseline to 3 Months in Target Lesion Size
Časové okno: Baseline to 3 months
|
Change in tumor size (cm) from baseline to 3 months, assessed by imaging.
|
Baseline to 3 months
|
|
Change From Baseline to 6 Months in Target Lesion Size
Časové okno: Baseline to 6 months
|
Change in tumor size (cm) from baseline to 6 months, assessed by imaging.
|
Baseline to 6 months
|
|
Change From Baseline to 12 Months in Target Lesion Size
Časové okno: Baseline to 12 months
|
Change in tumor size (cm) from baseline to 12 months, assessed by imaging.
|
Baseline to 12 months
|
|
Overall Survival
Časové okno: From ablation to death or last follow-up, assessed up to 1 year
|
Overall survival defined as the time from ablation to death from any cause.
Participants still alive will be censored at last known follow-up.
|
From ablation to death or last follow-up, assessed up to 1 year
|
|
Overall Survival
Časové okno: From ablation to death or last follow-up, assessed up to 3 year
|
Overall survival defined as the time from ablation to death from any cause.
Participants still alive will be censored at last known follow-up.
|
From ablation to death or last follow-up, assessed up to 3 year
|
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change From Baseline to 1 Month in Serum CA 19-9 Concentration
Časové okno: Baseline to 1 month
|
Change in serum CA 19-9 concentration from baseline to 1 month.
|
Baseline to 1 month
|
|
Change From Baseline to 3 Month in Serum CA 19-9 Concentration
Časové okno: Baseline to 3 month
|
Change in serum CA 19-9 concentration from baseline to 3 month.
|
Baseline to 3 month
|
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Change From Baseline to 6 Month in Serum CA 19-9 Concentration
Časové okno: Baseline to 6 month
|
Change in serum CA 19-9 concentration from baseline to 6 month.
|
Baseline to 6 month
|
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Change From Baseline to 12 Month in Serum CA 19-9 Concentration
Časové okno: Baseline to 12 month
|
Change in serum CA 19-9 concentration from baseline to 12 month.
|
Baseline to 12 month
|
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Change From Baseline to 1 Month in Serum CEA Concentration
Časové okno: Baseline to 1 month
|
Change in serum carcinoembryonic antigen (CEA) concentration from baseline to 1 month.
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Baseline to 1 month
|
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Change From Baseline to 3 Month in Serum CEA Concentration
Časové okno: Baseline to 3 month
|
Change in serum carcinoembryonic antigen (CEA) concentration from baseline to 3 month.
|
Baseline to 3 month
|
|
Change From Baseline to 6 Month in Serum CEA Concentration
Časové okno: Baseline to 6 month
|
Change in serum carcinoembryonic antigen (CEA) concentration from baseline to 6 month.
|
Baseline to 6 month
|
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Change From Baseline to 12 Month in Serum CEA Concentration
Časové okno: Baseline to 12 month
|
Change in serum carcinoembryonic antigen (CEA) concentration from baseline to 12 month.
|
Baseline to 12 month
|
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Change From Baseline to 1 Month in Size of Non-Target Lesions
Časové okno: Baseline to 1 month
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Change in size (cm) of non-target lesions from baseline to 1 month, assessed by imaging.
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Baseline to 1 month
|
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Change From Baseline to 3 Months in Size of Non-Target Lesions
Časové okno: Baseline to 3 months
|
Change in size (cm) of non-target lesions from baseline to 3 months, assessed by imaging.
|
Baseline to 3 months
|
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Change From Baseline to 6 Months in Size of Non-Target Lesions
Časové okno: Baseline to 6 months
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Change in size (cm) of non-target lesions from baseline to 6 months, assessed by imaging.
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Baseline to 6 months
|
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Change From Baseline to 12 Months in Size of Non-Target Lesions
Časové okno: Baseline to 12 months
|
Change in size (cm) of non-target lesions from baseline to 12 months, assessed by imaging.
|
Baseline to 12 months
|
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Number of Participants With Procedure-Related Adverse Events (1 Month)
Časové okno: Up to 1 month after ablation procedure
|
Number of participants experiencing one or more procedure-related adverse events within 1 month after ablation.
Adverse events will be assessed according to standard criteria.
|
Up to 1 month after ablation procedure
|
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Number of Participants With Procedure-Related Adverse Events (3 Months)
Časové okno: Up to 3 months after ablation procedure
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Number of participants experiencing one or more procedure-related adverse events within 3 months after ablation.
Adverse events will be assessed according to standard criteria.
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Up to 3 months after ablation procedure
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Number of Participants With Procedure-Related Adverse Events (6 Months)
Časové okno: Up to 6 months after ablation procedure
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Number of participants experiencing one or more procedure-related adverse events within 6 months after ablation.
Adverse events will be assessed according to standard criteria.
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Up to 6 months after ablation procedure
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Number of Participants With Procedure-Related Adverse Events (12 Months)
Časové okno: Up to 12 months after ablation procedure
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Number of participants experiencing one or more procedure-related adverse events within 12 months after ablation.
Adverse events will be assessed according to standard criteria.
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Up to 12 months after ablation procedure
|
|
Change From Baseline to 1 Month in Quality of Life Score (EORTC QLQ-C30)
Časové okno: Baseline to 1 month
|
Change in overall quality of life score from baseline to 1 month as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).
Scores are calculated according to the instrument scoring manual, with higher scores indicating better quality of life.
|
Baseline to 1 month
|
|
Change From Baseline to 3 Month in Quality of Life Score (EORTC QLQ-C30)
Časové okno: Baseline to 3 month
|
Change in overall quality of life score from baseline to 3 month as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).
Scores are calculated according to the instrument scoring manual, with higher scores indicating better quality of life.
|
Baseline to 3 month
|
|
Change From Baseline to 6 Month in Quality of Life Score (EORTC QLQ-C30)
Časové okno: Baseline to 6 month
|
Change in overall quality of life score from baseline to 6 month as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).
Scores are calculated according to the instrument scoring manual, with higher scores indicating better quality of life.
|
Baseline to 6 month
|
|
Change From Baseline to 12 Month in Quality of Life Score (EORTC QLQ-C30)
Časové okno: Baseline to 12 month
|
Change in overall quality of life score from baseline to 12 month as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).
Scores are calculated according to the instrument scoring manual, with higher scores indicating better quality of life.
|
Baseline to 12 month
|
Spolupracovníci a vyšetřovatelé
Zde najdete lidi a organizace zapojené do této studie.
Sponzor
Vyšetřovatelé
- Vrchní vyšetřovatel: Shailendra Singh, MD, West Virginia University
Publikace a užitečné odkazy
Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.
Obecné publikace
- Robles-Medranda C, Arevalo-Mora M, Oleas R, Alcivar-Vasquez J, Del Valle R. Novel EUS-guided microwave ablation of an unresectable pancreatic neuroendocrine tumor. VideoGIE. 2022 Jan 19;7(2):74-76. doi: 10.1016/j.vgie.2021.10.009. eCollection 2022 Feb.
- Wood LD, Canto MI, Jaffee EM, Simeone DM. Pancreatic Cancer: Pathogenesis, Screening, Diagnosis, and Treatment. Gastroenterology. 2022 Aug;163(2):386-402.e1. doi: 10.1053/j.gastro.2022.03.056. Epub 2022 Apr 7.
- Wray CJ, O'Brien B, Cen P, Rowe JH, Faraoni EY, Bailey JM, Rubin E, Tammisetti VS, Thosani N. EUS-guided radiofrequency ablation for pancreatic adenocarcinoma. Gastrointest Endosc. 2024 Oct;100(4):759-766. doi: 10.1016/j.gie.2024.04.2926. Epub 2024 May 8.
- Kongkam P, Tantitanawat K, Kerr S, Lopimpisuth C, Tiankanon K, Angsuwatcharakon P, Ridtitid W, Mekaroonkamol P, Teeyapun N, Tanasanvimon S, Treeprasertsuk S, Kullavanijaya P, Sriuranpong V, Rerknimitr R, Luangsukrerk T. One-year survival rate of unresectable pancreatic cancer size 4 cm or smaller treated with or without EUS-radiofrequency ablation. Gastrointest Endosc. 2025 Dec;102(6):883-887. doi: 10.1016/j.gie.2025.06.008. Epub 2025 Jul 17.
- Bidani K, Marinovic AG, Moond V, Harne P, Broder A, Thosani N. Treatment of Pancreatic Neuroendocrine Tumors: Beyond Traditional Surgery and Targeted Therapy. J Clin Med. 2025 May 13;14(10):3389. doi: 10.3390/jcm14103389.
- Mohan A, Prasanth M, Saeed NA, Shehzadi T, Hasan ZW, Khan NN, Tanush D, Aminpoor H. Advancements in endoscopic closure techniques for gastrointestinal luminal defects comparative perspectives on OTSC, endo suturing, TTS clips, and X-Tack. Ann Med Surg (Lond). 2025 Jul 16;87(8):5077-5086. doi: 10.1097/MS9.0000000000003571. eCollection 2025 Aug.
- Hasan ZW, Shehzadi T, Mohan A, Rehman AU, Muskan F, Zia M, Lal PM, Aminpoor H, Karimi H, Kumar V, Tejwaney U, Kumar S. Percutaneous, transpapillary, and transmural drainage in acute cholecystitis: a comparative analysis of techniques, stent selection, and clinical. Ann Med Surg (Lond). 2025 Jul 30;87(8):5056-5061. doi: 10.1097/MS9.0000000000003527. eCollection 2025 Aug.
- Slodkowski M, Wronski M, Karkocha D, Kraj L, Smigielska K, Jachnis A. Current Approaches for the Curative-Intent Surgical Treatment of Pancreatic Ductal Adenocarcinoma. Cancers (Basel). 2023 Apr 30;15(9):2584. doi: 10.3390/cancers15092584.
- Rahib L, Coffin T, Kenner B. Factors Driving Pancreatic Cancer Survival Rates. Pancreas. 2025 Jul 1;54(6):e530-e536. doi: 10.1097/MPA.0000000000002489.
- Park W, Chawla A, O'Reilly EM. Pancreatic Cancer: A Review. JAMA. 2021 Sep 7;326(9):851-862. doi: 10.1001/jama.2021.13027.
Termíny studijních záznamů
Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.
Hlavní termíny studia
Začátek studia (Aktuální)
10. března 2026
Primární dokončení (Odhadovaný)
1. března 2028
Dokončení studie (Odhadovaný)
1. března 2028
Termíny zápisu do studia
První předloženo
2. dubna 2026
První předloženo, které splnilo kritéria kontroly kvality
30. května 2026
První zveřejněno (Aktuální)
4. června 2026
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
4. června 2026
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
30. května 2026
Naposledy ověřeno
1. května 2026
Více informací
Termíny související s touto studií
Další identifikační čísla studie
- STUDY00000041
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .
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