UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056746
Receipt number R000064851
Scientific Title Development of early diagnosis method for pancreatic cancer using extracellular vesicles derived from pancreatic juice, duodenal fluid, and plasma.
Date of disclosure of the study information 2025/03/01
Last modified on 2025/01/17 17:31:42

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Basic information

Public title

Development of early diagnosis method for pancreatic cancer using extracellular vesicles derived from pancreatic juice, duodenal fluid, and plasma.

Acronym

Development of early diagnosis method for pancreatic cancer using extracellular vesicles derived from pancreatic juice, duodenal fluid, and plasma.

Scientific Title

Development of early diagnosis method for pancreatic cancer using extracellular vesicles derived from pancreatic juice, duodenal fluid, and plasma.

Scientific Title:Acronym

Development of early diagnosis method for pancreatic cancer using extracellular vesicles derived from pancreatic juice, duodenal fluid, and plasma.

Region

Japan


Condition

Condition

pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

We aim to develop a screening test for early pancreatic cancer by analyzing proteins (S100P protein: S100 calcium binding protein P) and miRNAs in extracellular vesicles (EVs) derived from pancreatic juice, duodenal fluid, and blood collected during endoscopic retrograde cholangiopancreatography (ERCP).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

We aim to develop a new method for early diagnosis of pancreatic cancer by analyzing the expression of S100P protein and miRNA in extracellular vesicles derived from blood, pancreatic juice, and duodenal fluid collected from patients with pancreatic cancer and benign disease. We will create ROC curves and calculate AUC for S100P protein concentration and expression of miRNA to evaluate diagnostic ability. Cut-off values will be calculated using the Youden index. Sensitivity and specificity will be calculated based on the obtained cut-off values, and compared with the diagnostic ability of pancreatic juice cytology.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

Duodenal fluid is collected using a catheter during ERCP.

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

[Cases of pancreatic ductal carcinoma or suspected pancreatic ductal carcinoma]
1: The age at the time of consent is 18 years or older.
2: Patients with pancreatic ductal carcinoma or suspected pancreatic ductal carcinoma who are expected to undergo surgery and are scheduled to undergo ERCP for preoperative testing (excluding obvious stage IV pancreatic cancer).
3: The patient is given an explanation using an explanatory document, and written consent is obtained from the patient.

[Cases of benign pancreatic disease(chornic pancreatitis) or common bile duct stones(normal pancreas)]
-Cases of chronic pancreatitis-
1: The age at the time of consent is 18 years or older.
2: Prior imaging tests have confirmed that there are no findings suggestive of malignant pancreatic disease.
3: ERCP is scheduled for investigation of chronic pancreatitis
4: The patient is given an explanation using an explanatory document, and written consent is obtained from the patient.
*However, if a patient is diagnosed with a malignant disease through cytology, the patient will not be included in this study.

-Cases of common bile duct stones-
1: The age at the time of consent is 18 years or older.
2: Prior imaging tests have confirmed that there are no findings suggestive of pancreatic tumors or pancreatic diseases.
3: ERCP is scheduled for common bile duct stones.
4: The patient is given an explanation using an explanatory document, and written consent is obtained from the patient.

Key exclusion criteria

If any of the following applies to the patient, this patient will be excluded.
1: Those who have a history of malignant disease in the upper gastrointestinal tract (esophageal cancer, gastric cancer, duodenal papilla tumor, etc.)
2: Those who have a history of upper gastrointestinal surgery (gastrectomy, pancreaticoduodenectomy, upper gastrointestinal reconstruction, etc.)
3: There is obvious bile duct malignancy.
4: Those who have received preoperative chemotherapy for pancreatic ductal carcinoma at the time of registration or in the past.
5: Those who have a history of allergies to drugs used during endoscopic examinations.
6: Those who are judged by the attending physician to be ineligible for this study.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Masafumi
Middle name
Last name Nakamura

Organization

Kyushu university faculty of medical sciences

Division name

Department of surgery and oncology

Zip code

812-8582

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka

TEL

0926425441

Email

araki.tomoyuki.981@m.kyushu-u.ac.jp


Public contact

Name of contact person

1st name Tomoyuki
Middle name
Last name Araki

Organization

Kyushu university faculty of medical sciences

Division name

Department of surgery and oncology

Zip code

812-8582

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka

TEL

0926425444

Homepage URL


Email

araki.tomoyuki.981@m.kyushu-u.ac.jp


Sponsor or person

Institute

Kyushu university

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Boards / Ethics Committees of Kyushu University

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka

Tel

0926426254

Email

byskenkyu@jimu.kyushu-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

2025 Year 03 Month 01 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

Enrolling by invitation

Date of protocol fixation

2024 Year 12 Month 16 Day

Date of IRB

2024 Year 12 Month 16 Day

Anticipated trial start date

2025 Year 02 Month 01 Day

Last follow-up date

2026 Year 03 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

2025 Year 01 Month 17 Day

Last modified on

2025 Year 01 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064851