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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02343692
Registration number
NCT02343692
Ethics application status
Date submitted
12/01/2015
Date registered
22/01/2015
Date last updated
2/10/2019
Titles & IDs
Public title
A Phase II Multicentre Trial of Endoscopic Ultrasound Guided Radiofrequency Ablation of Cystic Tumours of the Pancreas
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Scientific title
A Phase II Multicentre Trial of Endoscopic Ultrasound Guided Radiofrequency Ablation of Cystic Tumours of the Pancreas (RADIOCYST01)
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Secondary ID [1]
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13/0427
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Universal Trial Number (UTN)
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Trial acronym
RADIOCYST01
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pancreatic Cyst
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
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Pancreatic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - EUS guided RFA of cystic tumours of the pancreas
Experimental: Radiofrequency abalation - Intervention: Endoscopic Ultrasound (EUS) guided radiofrequency ablation (RFA) of cystic tumours of the pancreas
Device: An RFA generator (ERBE VIO 300D, Dolby medical products, Scotland)
Procedure: Delivery of sequential doses of electrical energy at 10W for a total of up to 4 minutes 30 seconds (3 x 90 second applications) to ablate the cystic lesion.
Ablation of cystic tumours of the pancreas
Treatment: Surgery: EUS guided RFA of cystic tumours of the pancreas
Endoscopic ultrasound guided radiofrequency ablation of pancreatic cysts
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Presence of pancreatic cyst
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Assessment method [1]
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To evaluate pancreatic cyst ablation at 12 months following EUSguided radiofrequency ablation therapy in patients with pre-diagnosed cystic tumours of the pancreas.
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Timepoint [1]
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One year
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Secondary outcome [1]
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Mortality
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Assessment method [1]
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0
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Timepoint [1]
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One year
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Secondary outcome [2]
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Morbidity
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Assessment method [2]
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0
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Timepoint [2]
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One year
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Secondary outcome [3]
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Progression following treatment
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Assessment method [3]
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Timepoint [3]
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One year
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Secondary outcome [4]
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Rate of surgical resection
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Assessment method [4]
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0
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Timepoint [4]
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One year
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Secondary outcome [5]
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Local complication rate
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Assessment method [5]
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0
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Timepoint [5]
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One year
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Secondary outcome [6]
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Evaluation of surrogate markers of response (Imaging (CT, MRI, EUS) and serum markers.)
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Assessment method [6]
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0
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Timepoint [6]
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One year
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Secondary outcome [7]
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Preliminary health economics analysis from questionnaires and cost diaries (Self-completed EQ-5D-5L questionnaire and cost diary.)
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Assessment method [7]
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Self-completed EQ-5D-5L questionnaire and cost diary.
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Timepoint [7]
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One year
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Eligibility
Key inclusion criteria
1. A diagnosis of a pancreatic cystic tumour based on multidisciplinary review of imaging, for which further surveillance with non-invasive imaging is indicated.
2. Pancreatic cystic tumour between 0.5 and 3cm in size. Cysts greater than 3cm or with mural nodules can be included only if patients are unsuitable for surgical resection.
3. ECOG performance status 0, 1 or 2.
4. Estimated life expectancy of at least 12 weeks.
5. Age >18 years.
6. Capable of giving written informed consent.
7. Women of child-bearing potential must have a negative pregnancy test (qualitative serum hCG) in the week before treatment, AND be using an adequate contraception method, which must be continued for at least 1 week after RF.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. A diagnosis of a pancreatic cystic tumour where surgical resection is indicated.
2. Pancreatic cysts greater than 3cm or less than 0.5cm in size.
3. Benign pancreatic cysts (e.g. pseudocyst).
4. Serous cystadenomas.
5. Pancreatic cysts with malignant transformation.
6. Cysts involving or in close proximity to vessels or the biliary tree where the zone of ablation is likely to compromise these structures.
7. Cysts arising from the main pancreatic duct.
8. History of active or prior malignancy that will interfere with the response evaluation (exceptions include in-situ carcinoma of the cervix treated by cone-biopsy/resection, nonmetastatic basal and/or squamous cell carcinomas of the skin, any early stage (stage l) malignancy adequately resected for cure greater than 5 years previously).
9. Acute pancreatitis within the previous 4 weeks.
10. Any evidence of severe or uncontrolled systemic diseases or laboratory finding that in the view of the investigator makes it undesirable for the patient to participate in the trial.
11. Any psychiatric disorder making reliable informed consent impossible.
12. Pregnancy or breast-feeding.
13. ECOG performance status 3 or 4
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/08/2020
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Actual
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Sample size
Target
97
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Melbourne Hospital, Epworth Richmond - Melbourne
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment outside Australia
Country [1]
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United Kingdom
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State/province [1]
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Birmingham
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Country [2]
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United Kingdom
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State/province [2]
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Glasgow
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Country [3]
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United Kingdom
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State/province [3]
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Leeds
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Country [4]
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United Kingdom
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State/province [4]
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London
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Country [5]
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United Kingdom
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State/province [5]
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Newcastle-Upon-Tyne
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Country [6]
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United Kingdom
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State/province [6]
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Nottingham
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Funding & Sponsors
Primary sponsor type
Other
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Name
University College, London
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Up to 13.5% of patients that undergo a magnetic resonance imaging (MRI) scan of their abdomen without pancreatic symptoms are found to have an incidental pancreatic cyst, with the frequency increasing with age. In a post-mortem series, 25% of patients had a pancreatic cyst, of which 32% were potentially premalignant and 3% malignant. Premalignant cysts are currently either observed or removed surgically according to international guidelines. Observation is associated with significant anxiety for patients and a growing cost to the National Health Service, while surgery for this usually benign condition is associated with not insignificant morbidity and mortality. Premalignant pancreatic cysts may be indolent for a number of years before malignant transformation, creating a window of opportunity for minimally invasive intervention and cure. New early treatment options for premalignant tumours are urgently required. This study will evaluate the safety and efficacy of a novel minimally invasive technique for the treatment of pancreatic cystic tumours; endoscopic ultrasound guided radiofrequency ablation (EUSRFA). If successful it will offer an alternative to long term observation or surgery for patients with this condition.
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Trial website
https://clinicaltrials.gov/study/NCT02343692
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Stephen P Pereira, MB BS, FRCP
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Address
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Royal Free London
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Bina Shah
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Address
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Country
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Phone
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02343692
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