Overview

This trial is active, not recruiting.

Condition pancreatic neoplasms
Treatments 19 gauge eus fna bnx, 22 gauge eus fna bnx
Phase phase 4
Sponsor Parkview Health
Start date February 2015
End date February 2017
Trial size 30 participants
Trial identifier NCT02376543, PRC14-1020 Pancreatic Fiducial

Summary

Comparison Study between 19 gauge EUS FNA BNX Needle vs. 22 gauge EUS FNA BNX Needle in Pancreatic Fiducial Placement To Treat Pancreatic Cancer

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose treatment
Arm
(Active Comparator)
Subjects receiving EUS and fluoroscopic guidance for placement of fiducial markers into the pancreas will have the 19 gauge technique (ARM 1) of EUS guided fiducial marker technique.
19 gauge eus fna bnx
There will be fiducials placed in the pancreas according to facility policy and procedure utilizing the 19 gauge needle.
(Active Comparator)
Subjects receiving EUS and fluoroscopic guidance for placement of fiducial markers into the pancreas will have the 22 gauge technique (ARM 2) of EUS guided fiducial marker technique.
22 gauge eus fna bnx
There will be fiducials placed in the pancreas according to facility policy and procedure utilizing the 22 gauge needle.

Primary Outcomes

Measure
Total Cost Comparison
time frame: Duration of Fiducial Placement Procedure; approx 30 minutes
Total Time Comparison
time frame: Duration of fiducial placement procedure; up to 30 minutes

Secondary Outcomes

Measure
Migration Comparison
time frame: Duration of SBRT treatment; up to 8 weeks.
Complication Comparison
time frame: Duration of SBRT treatment; Up to 8 weeks

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: 1. Subjects that plan to undergo CyberKnife treatment for pancreatic cancer 2. Subjects that are deemed physically able to undergo anesthesia (either Monitored Anesthesia Care (MAC) or general anesthesia) 3. Subjects (or the subjects Legally Authorized Representative [LAR]) that have agreed to participate in the study and have signed Informed Consent 4. Subjects 18 years of age or older 5. Subject must be able to hold anticoagulants as per institutional standard of care 6. Women of child bearing potential who are not pregnant as proven by a negative pregnancy test Exclusion Criteria: 1. Subjects that are unable to tolerate anesthesia for the procedure 2. Subjects 17 or under 3. Subjects that refuse treatment for pancreatic cancer d Subjects whose anticoagulants cannot be held e. Subjects who have distant metastatic disease f. Subjects who cannot or refuse EUS guided procedures. g Subjects who are pregnant

Additional Information

Official title Comparison Study in Pancreatic Fiducial Placement
Principal investigator Neil Sharma, MD
Description A prospective multicenter study to compare the cost, time, complications, and migrations rate of two commercially available FDA approved needles; 19 gauge endoscopic ultrasound (EUS) fine needle aspiration (FNA) BNX needles to 22 gauge EUS FNA BNX needles. There will be fiducials placed in the pancreas according to facility policy and procedure. This is a randomized prospective multicenter trial. A minimum of 14 patients and a maximum of 30 patients will be enrolled at up to ten participating sites. Enrollment is projected to be complete within approximately one year. Adult subjects with a diagnosis of pancreatic cancer who will receive SBRT for pancreatic cancer via Cyberknife or Tomotherapy will undergo EUS guided fiducial marker placement. Subjects will be randomized to receive fiducial marker placement with either a 19 gauge EUS, FNA BNX needle or a 22 gauge EUS, FNA BNX needle. For all patients, standard hospital protocol will be followed for EUS procedures and patient care management. The study duration will commence at the time of EUS guided fiducial marker placement and conclude at the time of last SBRT to the pancreas. Cost effectiveness will be evaluated by providing an itemized statement, including anesthesiologist, and endoscopist charges. Time of procedure will be evaluated at time point of first lead needle loaded to time of last marker placed. Time measurement will begin when Endoscopist inserts the echoendoscope into the patient. Thus the patient is under anesthesia, in position, and staff is ready for the case. The time ends once last fiducial marker is placed. Complications will be reported and may include but not limited to pain, bleeding, peritonitis, and pancreatitis. Migration will be reported during the timeframe from simulation to the last day of SBRT. The ability to receive SBRT from this EUS guided fiducial placement will be reported as simply a yes or no. Sites will provide a de-identified itemized statement for EUS guided fiducial placement procedure, prior to any discounted rate, including the endoscopist and anesthesiologist. Follow up evaluations and treatment for pancreatic cancer will be performed in accordance with standard of care procedures and procedures deemed necessary by the attending physician.
Trial information was received from ClinicalTrials.gov and was last updated in March 2016.
Information provided to ClinicalTrials.gov by Parkview Health.