UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062435
Receipt number R000071388
Scientific Title Evaluation of the clinical utility of a novel EUS-FNB needle for solid pancreatic lesions: a multicenter prospective observational study
Date of disclosure of the study information 2026/08/03
Last modified on 2026/08/01 16:13:54

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Basic information

Public title

An observational study of endoscopic ultrasound-guided tissue sampling for solid pancreatic lesion

Acronym

CC study

Scientific Title

Evaluation of the clinical utility of a novel EUS-FNB needle for solid pancreatic lesions: a multicenter prospective observational study

Scientific Title:Acronym

CC study

Region

Japan


Condition

Condition

solid pancreatic lesion

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To prospectively collect and analyze data on tissue acquisition and pathological diagnosis in patients undergoing EUS-FNA with a novel FNB needle as part of routine clinical care for solid pancreatic Lesions.

Basic objectives2

Others

Basic objectives -Others

Evaluation of diagnostic accuracy (the accuracy of the pathological diagnosis obtained by EUS-FNA using the novel FNB needle, assessed against the final diagnosis)

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Diagnostic accuracy of the histological diagnosis obtained by EUS-FNA using the novel FNB needle, assessed against the final diagnosis (surgical or autopsy pathology; or, when unavailable, the clinical diagnosis established after follow-up to 6 months or death after the procedure).

Key secondary outcomes

Technical success rate, defined as the proportion of patients in whom the two planned needle passes were completed (assessed at the end of the procedure)
Rate of adequate histological sampling, defined as the proportion of patients whose specimens scored 3 or higher on the Gerke scoring system (assessed at pathological evaluation)
Diagnostic accuracy of the cytological diagnosis, assessed against the final diagnosis within 6 months after the procedure
Rate of specimens adequate for comprehensive genomic profiling, defined as the proportion of patients whose specimens contained a tumor cell area of 5 mm2 or greater (assessed at pathological evaluation)
Association between the length of the white core specimen and diagnostic accuracy, including correlation analysis and determination of cut-off values by ROC analysis
Association between the length of the white core specimen and the rate of specimens adequate for comprehensive genomic profiling, including correlation analysis and determination of cut-off values by ROC analysis
Incidence of adverse events within 2 weeks after the procedure (pancreatitis, bleeding, perforation, fever, abdominal pain)


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Solid pancreatic lesion 10 mm or larger scheduled to undergo EUS-FNA as part of routine clinical care
Age 18 years or older
Written informed consent obtained from the patient

Key exclusion criteria

Ongoing anticoagulant or antiplatelet therapy that cannot be discontinued
Platelet count of 50,000/uL or below, or PT-INR of 1.5 or higher or PT-INR of 1.5 or higher on blood testing within the preceding month
Previous upper gastrointestinal surgery (except Billroth I reconstruction)
Possible pregnancy
Patients in whom the novel FNB needle was not used for any reason
Patients judged inappropriate for the study by the principal or sub-investigators

Target sample size

65


Research contact person

Name of lead principal investigator

1st name Takuji
Middle name
Last name Iwashita

Organization

Shiga university of medical science

Division name

Department of Gastroenterology

Zip code

520-2192

Address

Seta Tsukinowa-cho, Otsu, Shiga, JAPAN

TEL

0775482217

Email

hqmed2@belle.shiga-med.ac.jp


Public contact

Name of contact person

1st name Noriaki
Middle name
Last name Yamashita

Organization

Shiga university of medical science

Division name

Department of Gastroenterology

Zip code

520-2192

Address

Seta Tsukinowa-cho, Otsu, Shiga, JAPAN

TEL

0775482217

Homepage URL


Email

hqmed2@belle.shiga-med.ac.jp


Sponsor or person

Institute

Shiga university of medical science

Institute

Department

Personal name



Funding Source

Organization

Shiga university of medical science

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

Shiga University of Medical Science Research Ethics Committee

Address

Seta Tsukinowa-cho, Otsu, Shiga, JAPAN

Tel

077-548-3576

Email

hqrec@belle.shiga-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 08 Month 03 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

2026 Year 07 Month 22 Day

Date of IRB


Anticipated trial start date

2026 Year 08 Month 03 Day

Last follow-up date

2027 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is an observational study examining the associations between the following factors and outcomes.

Factors examined: length of the white core specimen, tumor size, tumor location, histological subtype (adenocarcinoma, benign lesions, etc.), and patient characteristics.

Outcomes: accuracy of the pathological diagnosis obtained by EUS-FNA compared with the final diagnosis; rate of adequate histological sampling (Gerke score of 3 or higher); and rate of specimens adequate for comprehensive genomic profiling (tumor cell area of 5 mm2 or greater).

These associations are analyzed using correlation analysis and ROC analysis to determine cut-off values, together with univariate and multivariate logistic regression analysis to identify independent associated factors.

The type of puncture needle is determined by the routine clinical practice of each institution and the judgment of the endoscopist, and is not influenced by this study.


Management information

Registered date

2026 Year 08 Month 01 Day

Last modified on

2026 Year 08 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071388