- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07625189
EUS-Guided Ablation (RFA and MWA) for Pancreatic and Other Gastrointestinal Lesions Registry
lauantai 30. toukokuuta 2026 päivittänyt: 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.
Tutkimuksen yleiskatsaus
Tila
Rekrytointi
Opintotyyppi
Havainnollistava
Ilmoittautuminen (Arvioitu)
50
Yhteystiedot ja paikat
Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.
Opiskeluyhteys
- Nimi: Zim Warda Hasan
- Puhelinnumero: 364-203-1900
- Sähköposti: zh00027@mix.wvu.edu
Opiskelupaikat
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West Virginia
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Morgantown, West Virginia, Yhdysvallat, 26505
- Rekrytointi
- West Virginia University
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Osallistumiskriteerit
Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Ei käytössä
Näytteenottomenetelmä
Ei-todennäköisyysnäyte
Tutkimusväestö
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.
Kuvaus
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.
Opintosuunnitelma
Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Change From Baseline to 1 Month in Target Lesion Size
Aikaikkuna: Baseline to 1 month
|
Change in tumor size (cm) 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 Target Lesion Size
Aikaikkuna: Baseline to 3 months
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Change in tumor size (cm) from baseline to 3 months, assessed by imaging.
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Baseline to 3 months
|
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Change From Baseline to 6 Months in Target Lesion Size
Aikaikkuna: Baseline to 6 months
|
Change in tumor size (cm) 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 Target Lesion Size
Aikaikkuna: Baseline to 12 months
|
Change in tumor size (cm) from baseline to 12 months, assessed by imaging.
|
Baseline to 12 months
|
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Overall Survival
Aikaikkuna: 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.
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From ablation to death or last follow-up, assessed up to 1 year
|
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Overall Survival
Aikaikkuna: 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
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Change From Baseline to 1 Month in Serum CA 19-9 Concentration
Aikaikkuna: Baseline to 1 month
|
Change in serum CA 19-9 concentration from baseline to 1 month.
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Baseline to 1 month
|
|
Change From Baseline to 3 Month in Serum CA 19-9 Concentration
Aikaikkuna: Baseline to 3 month
|
Change in serum CA 19-9 concentration from baseline to 3 month.
|
Baseline to 3 month
|
|
Change From Baseline to 6 Month in Serum CA 19-9 Concentration
Aikaikkuna: 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
Aikaikkuna: Baseline to 12 month
|
Change in serum CA 19-9 concentration from baseline to 12 month.
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Baseline to 12 month
|
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Change From Baseline to 1 Month in Serum CEA Concentration
Aikaikkuna: 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
Aikaikkuna: Baseline to 3 month
|
Change in serum carcinoembryonic antigen (CEA) concentration from baseline to 3 month.
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Baseline to 3 month
|
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Change From Baseline to 6 Month in Serum CEA Concentration
Aikaikkuna: 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
Aikaikkuna: Baseline to 12 month
|
Change in serum carcinoembryonic antigen (CEA) concentration from baseline to 12 month.
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Baseline to 12 month
|
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Change From Baseline to 1 Month in Size of Non-Target Lesions
Aikaikkuna: Baseline to 1 month
|
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
Aikaikkuna: 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
Aikaikkuna: Baseline to 6 months
|
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
Aikaikkuna: Baseline to 12 months
|
Change in size (cm) of non-target lesions from baseline to 12 months, assessed by imaging.
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Baseline to 12 months
|
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Number of Participants With Procedure-Related Adverse Events (1 Month)
Aikaikkuna: Up to 1 month after ablation procedure
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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.
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Up to 1 month after ablation procedure
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Number of Participants With Procedure-Related Adverse Events (3 Months)
Aikaikkuna: Up to 3 months after ablation procedure
|
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)
Aikaikkuna: 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)
Aikaikkuna: 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
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Change From Baseline to 1 Month in Quality of Life Score (EORTC QLQ-C30)
Aikaikkuna: 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
|
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Change From Baseline to 3 Month in Quality of Life Score (EORTC QLQ-C30)
Aikaikkuna: 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
|
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Change From Baseline to 6 Month in Quality of Life Score (EORTC QLQ-C30)
Aikaikkuna: 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)
Aikaikkuna: 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
|
Yhteistyökumppanit ja tutkijat
Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.
Sponsori
Tutkijat
- Päätutkija: Shailendra Singh, MD, West Virginia University
Julkaisuja ja hyödyllisiä linkkejä
Tutkimusta koskevien tietojen syöttämisestä vastaava henkilö toimittaa nämä julkaisut vapaaehtoisesti. Nämä voivat koskea mitä tahansa tutkimukseen liittyvää.
Yleiset julkaisut
- 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.
Opintojen ennätyspäivät
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Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muut tutkimustunnusnumerot
- STUDY00000041
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