UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040173
Receipt number R000045799
Scientific Title Evaluation of the clinical utility of shear wave elastography and dispersion slope measurement in pancreatic cancer
Date of disclosure of the study information 2020/04/15
Last modified on 2023/10/18 19:15:39

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Basic information

Public title

Evaluation of the clinical utility of shear wave elastography and dispersion slope measurement in pancreatic cancer

Acronym

Shear wave elastgraphy and dispersion in pancreatic cancer

Scientific Title

Evaluation of the clinical utility of shear wave elastography and dispersion slope measurement in pancreatic cancer

Scientific Title:Acronym

Shear wave elastgraphy and dispersion in pancreatic cancer

Region

Japan


Condition

Condition

pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery Laboratory medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the correlation between shear wave elastography and dispersion values in tumor and non-tumor sites in patients with pancreatic cancer, and their association with histopathological findings.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of shear wave dispersion slope values between pancreatic tumor sites and non-tumor sites before chemotherapy.

Key secondary outcomes

Comparison of shear wave dispersion slope values between pancreatic tumor sites and non-tumor sites before chemotherapy.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Pancreatic cancer patients planning to receive chemotherapy
2. Pancreatic cancer patients pathologically diagnosed as adenocarcinoma
3. Patients received sufficient explanations about the study and voluntary gave consent

Key exclusion criteria

1. Patients pathologically diagnosed as carcinomas other than adenocarcinoma
2. Patients who could not detect pancrease with abdominal echo or could not measure share wave imaging because of their figures or other reasons
3. Patients pregnant ,breast feeding patients, or possibly pregnant patients
4. Patients recognized as inappropriate

Target sample size

73


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Kuwatani

Organization

Hokkaido University Hospital

Division name

Division of Endoscopy

Zip code

060-8638

Address

Hokkaido University Hospital Kita15, Nishi7, Kita-Ku, Sapporo Hokkaido 060-8638, Japan

TEL

011-716-1161

Email

mkuwatan@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Yunosuke
Middle name
Last name Takishin

Organization

Hokkaido University Faculty of Medicine and Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code

060-8638

Address

Hokkaido University Hospital Kita15, Nishi7, Kita-Ku, Sapporo Hokkaido 060-8638, Japan

TEL

011-716-1161

Homepage URL


Email

ofmycloud@live.jp


Sponsor or person

Institute

Hokkaido University Faculty of Medicine and Graduate School of Medicine, Department of Gastroenterology and Hepatology

Institute

Department

Personal name



Funding Source

Organization

Hokkaido University Faculty of Medicine and Graduate School of Medicine, Department of Gastroenterology and Hepatology

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Hospital Division of Clinical Research Administration

Address

Hokkaido University Hospital Kita14, Nishi5, Kita-Ku, Sapporo Hokkaido 060-8648, Japan

Tel

0117067639

Email

crjimu@hump.hokudai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 04 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

71

Results

The median shear wave dispersion slope (SWD) was 12.20 m/sec/kHz [IQR: 2.87] in the pancreatic cancer site and 13.57 m/sec/kHz (IQR: 4.15) in the non-cancer site (p=0.005). The median shear wave elasticity (SWE) was 8.18 kPa in the pancreatic cancer site and 6.14 kPa in the non-cancer site (p<0.001).
The score of inflammation in histopathological evaluation was correlated with SWD(rs=0.42, p<0.001).
There were no significant changes in the SWD and SWE before and after chemotherapy.

Results date posted

2021 Year 11 Month 14 Day

Results Delayed

Delay expected

Results Delay Reason

Currently submitting to a journal.

Date of the first journal publication of results


Baseline Characteristics

56 patients were registered in the study.
The median age was 72 years, gender was 36 males and 22 females, and the median body mass index was 21.8 kg/m2.
Tumors were localized in the head of the pancreas in 35 cases and the tail of the pancreas in 23 cases, and distant metastasis was observed in 17 cases.
Laboratory findings included a serum total bilirubin level of 2.0 mg/dL or higher in 14 cases, a serum CEA level of 5 ng/ml or higher in 25 cases, and a serum CA19-9 level of 37 U/ml or higher in 48 cases.

Translated with www.DeepL.com/Translator (free version)

Participant flow

71 patients with suspected pancreatic cancer were provisionally enrolled in the study and first measurement of shear wave dispersion slopes and elasticities were underwent.
Of the 67 patients who could be measured without any problem, EUS-FNA was performed in 62 patients, and 56 patients who were diagnosed as pancreatic ductal carcinoma by histopathological examination were registered in this study.
31 patients underwent chemotherapy at our hospital, and 30 patients underwent the second measurement of shear wave dispersion slopes and elasticities.

Adverse events

None

Outcome measures

The primary endpoint is the change in dispersion slope values in pancreatic cancer patients before and after chemotherapy.
Secondary endpoints are to compare dispersion slope and elastography values of pancreatic cancer patients between pancreatic cancer and non-cancerous sites, and to correlate EUS-FNA with histopathological evaluation and clinical factors.

Plan to share IPD

None

IPD sharing Plan description

None


Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 09 Month 25 Day

Date of IRB

2019 Year 09 Month 25 Day

Anticipated trial start date

2019 Year 09 Month 25 Day

Last follow-up date

2021 Year 09 Month 30 Day

Date of closure to data entry

2021 Year 09 Month 30 Day

Date trial data considered complete

2021 Year 10 Month 31 Day

Date analysis concluded

2022 Year 08 Month 29 Day


Other

Other related information

The results of this study were published in the April 2023 Journal of Gastroenterology and Hepatology.


Management information

Registered date

2020 Year 04 Month 15 Day

Last modified on

2023 Year 10 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045799