| 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 |
An observational study of endoscopic ultrasound-guided tissue sampling for solid pancreatic lesion
CC study
Evaluation of the clinical utility of a novel EUS-FNB needle for solid pancreatic lesions: a multicenter prospective observational study
CC study
| Japan |
solid pancreatic lesion
| Hepato-biliary-pancreatic medicine |
Malignancy
NO
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.
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)
Exploratory
Pragmatic
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).
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)
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
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
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
65
| 1st name | Takuji |
| Middle name | |
| Last name | Iwashita |
Shiga university of medical science
Department of Gastroenterology
520-2192
Seta Tsukinowa-cho, Otsu, Shiga, JAPAN
0775482217
hqmed2@belle.shiga-med.ac.jp
| 1st name | Noriaki |
| Middle name | |
| Last name | Yamashita |
Shiga university of medical science
Department of Gastroenterology
520-2192
Seta Tsukinowa-cho, Otsu, Shiga, JAPAN
0775482217
hqmed2@belle.shiga-med.ac.jp
Shiga university of medical science
Shiga university of medical science
Self funding
Shiga University of Medical Science Research Ethics Committee
Seta Tsukinowa-cho, Otsu, Shiga, JAPAN
077-548-3576
hqrec@belle.shiga-med.ac.jp
NO
| 2026 | Year | 08 | Month | 03 | Day |
Unpublished
Preinitiation
| 2026 | Year | 07 | Month | 22 | Day |
| 2026 | Year | 08 | Month | 03 | Day |
| 2027 | Year | 09 | Month | 30 | Day |
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.
| 2026 | Year | 08 | Month | 01 | Day |
| 2026 | Year | 08 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071388