Computed Tomography in Diagnosing Patients With Pancreatic or Hepatobiliary Cancer
Imaging Biomarkers in Pancreatic and Hepatobiliary Cancers
2 other identifiers
interventional
259
1 country
1
Brief Summary
This trial studies how well computed tomography works in diagnosing patients with pancreatic or hepatobiliary cancer. Computed tomography may help researchers predict how patients with pancreatic or hepatobiliary cancer may respond to chemotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable pancreatic-cancer
Started Mar 2015
Longer than P75 for not_applicable pancreatic-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 4, 2015
CompletedFirst Posted
Study publicly available on registry
February 11, 2015
CompletedStudy Start
First participant enrolled
March 9, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 27, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 27, 2026
January 14, 2026
January 1, 2026
11.3 years
February 4, 2015
January 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Correlation Between Local Control and Changes in Mass Transport by Computed Tomography (CT)
Local tumor progression defined by clinical signs or symptoms of local pancreatic tumor growth (e.g., worsening back/abdominal pain, obstruction, jaundice, etc.) that are documented by the attending clinician and research data coordinator and/or diagnostic imaging evidence of tumor growth. Kaplan-Meier method used to estimate probabilities of LPFS for patients with a normalized AUC ratio \<1 and patients with a normalized AUC ratio \>/=1, respectively. Log rank test applied to compare the LPFS between these two patient groups. Multivariate Cox proportional hazards models fitted to compare the LPFS between the two comparison groups, adjusting for the effects of patients' characteristics and clinical factors.
4 months
Study Arms (1)
Computed Tomography Scans (CT)
EXPERIMENTALParticipants to receive 2 computed tomography (CT) scans that are part of their regular cancer care. One (1) scan performed before the start of chemotherapy, and the other at first restaging visit with oncologist. Participant to complete the MD Anderson Symptom Inventory for Gastrointestinal cancer (MDASI-GI) questionnaire at baseline visit, and follow up visit.
Interventions
Participants to receive 2 CT scans. One scan performed before the start of chemotherapy, and the other at first restaging visit with oncologist.
Participant to complete the MD Anderson Symptom Inventory for Gastrointestinal cancer (MDASI-GI) questionnaire at baseline visit, and follow up visit. Questionnaires should take about 10 minutes to complete.
Eligibility Criteria
You may qualify if:
- PANCREATIC CANCER: Histologically confirmed adenocarcinoma of the pancreas
- PANCREATIC CANCER: Non-distant metastatic pancreatic cancer that is either
- Unresectable locally advanced disease, defined as primary tumor that involves \> 180 degrees of the superior mesenteric artery, celiac axis or any of its branches on CT or MRI, primary tumor that occludes the superior mesenteric vein or portal vein, aorta or inferior vena cava invasion, or superior mesenteric vein invasion below the transverse mesocolon
- Borderline resectable disease, defined as primary tumor that involves =\< 180 degrees of the superior mesenteric artery, celiac axis or any of its branches on CT or MRI, primary tumor that involves the superior mesenteric vein causing vein deformity or segmental venous occlusion with a patent vessel above and below suitable for reconstruction, or primary tumor that abuts or encases (\>= 50% of the vessel circumference) a short segment of the common hepatic artery (typically at the gastroduodenal artery origin)
- PANCREATIC CANCER: Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1
- PANCREATIC CANCER: Women of childbearing potential (those who have not undergone a hysterectomy or who have not been postmenopausal for at least 24 consecutive months) must agree to practice adequate contraception and to refrain from breast feeding
- PANCREATIC CANCER: Patient who has been recommended chemotherapy treatment for pancreatic cancer
- PANCREATIC CANCER: Signed study-specific consent form
- HEPATOBILIARY CANCER: Diagnosis of
- Hepatocellular carcinoma: This may be diagnosed in the following ways:
- Pathologically (histologically or cytologically) proven diagnosis of hepatocellular carcinoma (HCC)
- At least one solid liver lesion with arterial enhancement and washout on a delayed phase of a multi-phasic CT or MRI in the setting of cirrhosis or chronic hepatitis B or C without cirrhosis
- Intrahepatic cholangiocarcinoma: Pathologically (histologically or cytologically) proven diagnosis of intrahepatic cholangiocarcinoma
- HEPATOBILIARY CANCER: Patients may have single or multinodular tumors
- HEPATOBILIARY CANCER: ECOG PS 0-1
- +6 more criteria
You may not qualify if:
- Presence of distant metastasis
- Patients whose tumors are defined as resectable
- Unstable angina or New York Heart Association grade II or greater congestive heart failure
- Evidence of fever or acute infection (chronic infection such as hepatitis virus is acceptable)
- Coexisting medical condition that would preclude chemotherapy, radiotherapy, or iodine-based contrast enhanced CT scan
- Pregnant women with a positive pregnancy test
- Inability to comply with study and/or follow-up procedures
- Patients with an active second malignancy with the exception of non-melanoma skin cancer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- M.D. Anderson Cancer Centerlead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
M D Anderson Cancer Center
Houston, Texas, 77030, United States
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eugene Koay
M.D. Anderson Cancer Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 4, 2015
First Posted
February 11, 2015
Study Start
March 9, 2015
Primary Completion (Estimated)
June 27, 2026
Study Completion (Estimated)
June 27, 2026
Last Updated
January 14, 2026
Record last verified: 2026-01