Contrast Enhanced Harmonic Endoscopic Ultrasound (CEH-EUS) in Focal Pancreatic Masses

This study is currently recruiting participants.
Verified March 2012 by University of Medicine and Pharmacy Craiova
Sponsor:
Collaborators:
Copenhagen University Hospital, Denmark
Caritas-Krankenhaus, Bad Mergentheim, Germany
Institut Paoli-Calmettes
University of Witten/Herdecke
Hospital Meiningen Germany
Odense University Hospital
University of Santiago de Compostela
Università Vita-Salute San Raffaele
SRH Wald Klinikum Gera Germany
University of Bergen
Fundeni Clinical Institute of Digestive Diseases and Liver Transplant
Glasgow Royal Infirmary
University College, London
Information provided by (Responsible Party):
University of Medicine and Pharmacy Craiova
ClinicalTrials.gov Identifier:
NCT01315548
First received: March 13, 2011
Last updated: March 31, 2012
Last verified: March 2012
  Purpose

The aim of the study is to assess the accuracy of real-time perfusion imaging pattern of pancreatic focal lesions visualized by contrast-enhanced harmonic endoscopic ultrasound (CEH-EUS) for the differential diagnosis between chronic pseudotumoral pancreatitis and pancreatic cancer in a prospective multicenter design.

The study will include patients with focal pancreatic masses evaluated by CEH-EUS and EUS-FNA. The diagnosis is usually unknown in the moment of the initial evaluation, the patients being included based on a suspicion of focal pancreatic masses after transabdominal ultrasound, CT or MR examinations. However, after a complete evaluation, a final diagnosis will be reached based on the combination of EUS-FNA cytology/pathology, surgical pathology and minimum 12 months follow-up.


Condition
Adenocarcinoma Pancreas
Chronic Pancreatitis

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective
Official Title: Contrast Enhanced Harmonic Endoscopic Ultrasound (CEH-EUS) Used in the Differentiation of Focal Pancreatic Masses

Resource links provided by NLM:


Further study details as provided by University of Medicine and Pharmacy Craiova:

Primary Outcome Measures:
  • Contrast enhanced harmonic endoscopic ultrasound [ Time Frame: Every six months ] [ Designated as safety issue: No ]
    Value of contrast enhanced harmonic endoscopic ultrasound for the differential diagnoses of pancreatic masses.


Biospecimen Retention:   Samples With DNA

Pathology samples obtained from duodeno-pancreatectomies or caudal pancreatectomies done with curative intent, as well as microhistological fragments obtained through EUS-FNA biopsy processed by paraffin embedding


Estimated Enrollment: 210
Study Start Date: March 2011
Estimated Study Completion Date: December 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Groups/Cohorts
Pancreatic adenocarcinoma
Patients diagnosed with solid pancreatic adenocarcinoma masses, with cytological / histologicalconfirmation
Chronic pancreatitis
Patients diagnosed with solid pancreatic tumor masses with all the criteria fulfilled to exclude pancreatic cancer

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

The diagnosis of chronic pancreatitis will be based on the clinical information (history of alcohol abuse, previous diagnosis of chronic pancreatitis or diabetes mellitus), as well as a combination of imaging methods (ultrasound, CT and EUS). At least four criteria of chronic pancreatitis during EUS will be considered for the positive diagnosis.

A positive cytological diagnosis will be taken as a final proof of malignancy of the pancreas mass. The diagnoses obtained by EUS-FNA will be further verified either by surgery or during a clinical follow-up of at least 6 months.

Criteria

Inclusion Criteria:

  • Patients with suspicion of solid pancreatic tumor masses by previous cross-sectional imaging techniques (US, CT, MR)
  • Age 18 to 90 years old, men or women
  • Signed informed consent for EUS with contrast-enhancement, elastography and EUS-FNA

Exclusion Criteria:

  • Prior surgical treatment with curative intent or chemo-radiotherapy
  • Patients diagnosed with mucin producing tumors, pancreatic cystic tumors, etc.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01315548

Contacts
Contact: Adrian Saftoiu, Professor +40744823355 adriansaftoiu@netscape.net
Contact: Dan Gheonea, Teaching Assitant +40751268731 digheonea@gmail.com

Locations
Denmark
Department of Surgical Gastroenterology, Gentofte & Herlev Hospital, University of Copenhagen Recruiting
Copenhagen, Denmark
Contact: Peter Vilmann         pevi@geh.regionh.dk    
Center for Surgical Ultrasound, Department of Surgery, Odense University Hospital Recruiting
Odense, Denmark
Contact: Claus Fristrup         claus@fristrup.net    
France
Paoli-Calmettes Institut Recruiting
Marseilles, France
Contact: Marc Giovannini         giovanninim@wanadoo.fr    
Germany
Caritas-Krankenhaus Bad Mergentheim Recruiting
Bad Mergentheim, Germany
Contact: Cristoph Dietrich         Christoph.Dietrich@ckbm.de    
SRH Wald-Klinikum Recruiting
Gera, Germany
Contact: Uwe Will         uwe.will@wkg.srh.de    
Department of Internal Medicine II, Hospital Meiningen Recruiting
Meiningen, Germany
Contact: Michael Hocke         Michael.hocke@klinikum-meiningen.de    
Helios Klinikum, University of Witten/Herdecke Recruiting
Wuppertal, Germany
Contact: Jan Janssen         jan.janssen@helios-kliniken.de    
Italy
Gastroenterology and Gastrointestinal Endoscopy Unit, Vita Salute San Raffaele University Recruiting
Milan, Italy
Contact: Paolo Arcidiacono         arcidiacono.paologiorgio@hsr.it    
Norway
Insitute of Medicine, University of Bergen and National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital Recruiting
Bergen, Norway
Contact: Roald Havre         roald.flesland.havre@helse-bergen.no    
Romania
Center of Gastroenterology and Hepatology, Fundeni Clinical Institute Recruiting
Bucharest, Romania
Contact: Cristian Gheorghe         drgheorghe@xnet.ro    
Gastroenterology Department, University of Medicine and Pharmacy Recruiting
Craiova, Romania
Contact: Dan Gheonea     +40751268731     digheonea@gmail.com    
Sub-Investigator: Costin Streba, PhD            
Spain
University Hospital, Santiago de Compostela Recruiting
Santiago de Compostela, Spain
Contact: Julio Iglesias-Garcia         Julio.Iglesias.Garcia@sergas.es    
United Kingdom
Hepatobiliary Surgery, Glasgow Royal Infirmary Recruiting
Glasgow, United Kingdom
Contact: Colin McKay         c.j.mckay@clinmed.gla.ac.uk    
Institute of Hepatology, University College London Recruiting
London, United Kingdom
Contact: Stephen Pereira         stephen.pereira@ucl.ac.uk    
Sponsors and Collaborators
University of Medicine and Pharmacy Craiova
Copenhagen University Hospital, Denmark
Caritas-Krankenhaus, Bad Mergentheim, Germany
Institut Paoli-Calmettes
University of Witten/Herdecke
Hospital Meiningen Germany
Odense University Hospital
University of Santiago de Compostela
Università Vita-Salute San Raffaele
SRH Wald Klinikum Gera Germany
University of Bergen
Fundeni Clinical Institute of Digestive Diseases and Liver Transplant
Glasgow Royal Infirmary
University College, London
Investigators
Study Director: Adrian Săftoiu, Professor University of Medicine and Pharmacy Craiova, Romania
  More Information

Additional Information:
Publications:

Responsible Party: University of Medicine and Pharmacy Craiova
ClinicalTrials.gov Identifier: NCT01315548     History of Changes
Other Study ID Numbers: CEH-EUS-001, CEH-EUS-UMFCV-RO
Study First Received: March 13, 2011
Last Updated: March 31, 2012
Health Authority: Romania: Ministry of Education, Research, Youth and Sport

Keywords provided by University of Medicine and Pharmacy Craiova:
Contrast enhanced harmonic endoscopic ultrasound
Pancreatic adenocarcinoma
Chronic pancreatitis

Additional relevant MeSH terms:
Adenocarcinoma
Adenocarcinoma, Mucinous
Pancreatitis
Pancreatitis, Chronic
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Neoplasms, Cystic, Mucinous, and Serous
Pancreatic Diseases
Digestive System Diseases

ClinicalTrials.gov processed this record on June 18, 2013