UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050540
Receipt number R000057557
Scientific Title Research on ingenious serial pancreatic juice aspiration cytological examination for abnormal pancreatic duct morphology and genetic analysis using pancreatic juice
Date of disclosure of the study information 2023/03/10
Last modified on 2023/03/08 23:45:04

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Basic information

Public title

Research on ingenious serial pancreatic juice aspiration cytological examination for abnormal pancreatic duct morphology and genetic analysis using pancreatic juice

Acronym

Research on ingenious serial pancreatic juice aspiration cytological examination for abnormal pancreatic duct morphology and genetic analysis using pancreatic juice

Scientific Title

Research on ingenious serial pancreatic juice aspiration cytological examination for abnormal pancreatic duct morphology and genetic analysis using pancreatic juice

Scientific Title:Acronym

Research on ingenious serial pancreatic juice aspiration cytological examination for abnormal pancreatic duct morphology and genetic analysis using pancreatic juice

Region

Japan


Condition

Condition

early-stage pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

We aim to improve the prognosis of pancreatic cancer by devising an evaluation method for pancreatic juice obtained from endoscopic nasopancreatic drainage tubes and analyzing genetic mutations in the pancreatic juice to improve the positive diagnosis rate of serial pancreatic juice aspiration cytological examination and lead to an appropriate diagnosis of early pancreatic cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Establish a method for evaluating pancreatic juice stored in the drainage bag by comparing the total pancreatic juice volume obtained from the ENPD tube and the number and quality of cells contained in it with the presence, type, and amount of cell-fixing solution or proteolytic enzyme inhibitor placed in the drainage bag.

Key secondary outcomes

Correlation between the degree of pancreatic endocrine function and/or evaluation of the pancreas by CT/MRI/ultrasound imaging and total pancreatic fluid volume obtained from the ENPD tube
Changes in total pancreatic fluid volume and volume of pancreatic fluid obtained by aspiration before and after resumption of oral intake, and examination of the volume of pancreatic fluid submitted to cytological examination and the number and quality of cells contained in these samples.
Contrasting mutant DNA, metabolites and proteins in pancreatic juice with final diagnosis and postoperative pathology specimens
The extent of pancreatic duct morphology abnormalities, pH and/or temperature of the gastrointestinal wall and pancreatic juice, and comparison of the final diagnosis with breath hydrogen and microflora.
Relationship between salivary and fecal microbiota, breath hydrogen and pancreatic duct morphology abnormalities, pancreatic exocrine function, and gastrointestinal mucosal microbiota.
Identification of bacterial species specific to early-stage pancreatic cancer and their distribution in tissues by in situ hybridization
The success rate of making organoids from pancreatic juice obtained from ENPD tubes, the relationship between morphology and expressed genes and final diagnosis, and the identification of factors involved in tumor growth.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Other

Interventions/Control_1

Scrape the mucosa of the gastrointestinal tract with a brush.

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

18 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

18 years or older adults with pancreatic duct morphology abnormalities suspected of early pancreatic cancer and undergoing SPACE with ENPD tube placement under ERCP in Nagoya univercity hospital.

Key exclusion criteria

Patients who are deemed ineligible for participation in this study by the principal investigator or a principal study investigator
Patients with difficulty in ENPD tube placement
Patients after pancreatic surgery

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Kentaro
Middle name
Last name Yamao

Organization

Nagoya University Hospital

Division name

Department of Endoscopy

Zip code

466-8560

Address

65, Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan

TEL

+81-52-741-2111

Email

k-yamao@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Kentaro
Middle name
Last name Yamao

Organization

Nagoya University Hospital

Division name

Department of Endoscopy

Zip code

4668560

Address

65, Tsurumai-cho, Showa-ku, Nagoya, Aichi Japan

TEL

+81-52-741-2111

Homepage URL


Email

k-yamao@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Hospital

Institute

Department

Personal name



Funding Source

Organization

self-financing

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee

Address

65, Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan

Tel

0527412111

Email

ytakada@med.nagoya-u.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

2023 Year 03 Month 10 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


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 03 Month 10 Day

Date of IRB


Anticipated trial start date

2023 Year 03 Month 10 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 03 Month 08 Day

Last modified on

2023 Year 03 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057557