UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061420
Receipt number R000070280
Scientific Title National Retrospective Survey on the Prevalence of Fatty Pancreas in Patients with Pancreatic Cancer
Date of disclosure of the study information 2026/05/27
Last modified on 2026/04/30 21:34:51

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Basic information

Public title

National Retrospective Survey on the Prevalence of Fatty Pancreas in Patients with Pancreatic Cancer

Acronym

Fatty Pancreas in Pancreatic Cancer: A Nationwide Retrospective Study

Scientific Title

National Retrospective Survey on the Prevalence of Fatty Pancreas in Patients with Pancreatic Cancer

Scientific Title:Acronym

Fatty Pancreas in Pancreatic Cancer: A Nationwide Retrospective Study

Region

Japan


Condition

Condition

Pancreatic cancer, Pancreatic neuroendocrine tumor

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Fatty pancreas (diffuse pancreatic steatosis) may induce intra-pancreatic inflammation and predispose to pancreatic cancer. The primary aim is to determine the prevalence (proportion) of fatty pancreas among patients with pancreatic cancer. Secondary aims include comparing clinical backgrounds, prognosis, and postoperative pancreatic fistula between fatty pancreas and non-fatty pancreas groups, and exploring risk factors for pancreatic fat accumulation, prognostic factors for pancreatic cancer, and pathological features of fatty pancreas.

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Prevalence (proportion) of fatty pancreas
Definition: Pancreatic CT attenuation < 30 HU on non-contrast CT (suggesting>10% fat accumulation)
Assessment timing: Preoperative CT images (surgical cases between January 2015 and December 2020) assessed by central review

Key secondary outcomes

1. Comparison of clinical backgrounds between fatty pancreas and non-fatty pancreas groups (age, sex, BMI, diabetes, smoking, alcohol, etc.)
2. Comparison of prognosis (overall survival) between the two groups
3. Comparison of postoperative pancreatic fistula (POPF) between the two groups
4. Exploration of prognostic factors for pancreatic cancer (Cox regression)
5. Exploration of risk factors for pancreatic fat accumulation (multiple regression, logistic regression, modified Poisson regression)
6. Pathological assessment of fatty pancreas (distribution pattern of pancreatic fat, presence of lipid droplets in acinar cells, etc.)


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

100 years-old >

Gender

Male and Female

Key inclusion criteria

All of the following criteria must be met:
1. Patients who underwent distal pancreatectomy for cancer of the pancreatic tail or neuroendocrine tumor of the pancreatic tail between January 2015 and December 2020, with pathologically confirmed pancreatic malignancy or pancreatic neuroendocrine tumor
2. Patients who underwent preoperative abdominal CT (both non-contrast and contrast-enhanced)
3. Patients treated at institutions designated as training hospitals by the Japan Pancreas Society

Key exclusion criteria

Any of the following:
1. Patients with acute pancreatitis or chronic pancreatitis (early chronic pancreatitis is not excluded)
2. Patients with extensive pancreatic atrophy
3. IPMN with worrisome features
4. Patients who had already undergone pancreatectomy or splenectomy prior to the pancreatic cancer diagnosis
5. Patients who received preoperative chemotherapy
6. Functional neuroendocrine tumors of the pancreas
7. Cases deemed unsuitable for fat measurement based on imaging
8. Others deemed inappropriate by the principal/sub-investigator

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name REIKO
Middle name
Last name ASHIDA

Organization

Wakayama Medical University

Division name

Second Department of Internal Medicine

Zip code

641-8509

Address

811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan

TEL

073-447-2300

Email

rashida@wakayama-med.ac.jp


Public contact

Name of contact person

1st name REIKO
Middle name
Last name ASHIDA

Organization

Wakayama Medical University

Division name

Second Department of Internal Medicine

Zip code

641-8509

Address

811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan

TEL

073-447-2300

Homepage URL


Email

fat-panc@wakayama-med.ac.jp


Sponsor or person

Institute

Wakayama Medical University

Institute

Department

Personal name



Funding Source

Organization

Project Research Grant, Japan Pancreas Society

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee, Wakayama Medical University

Address

811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan

Tel

073-447-2300

Email

wa-rinri@wakayama-med.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

2026 Year 05 Month 27 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

2025 Year 10 Month 01 Day

Date of IRB

2026 Year 03 Month 26 Day

Anticipated trial start date

2026 Year 05 Month 27 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

not available


Management information

Registered date

2026 Year 04 Month 30 Day

Last modified on

2026 Year 04 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070280