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Endoscopic Ultrasound With Fine Needle Biopsy Versus Fine Needle Aspiration With On-Site Cytopathology in the Evaluation of Solid Pancreatic Masses: Randomized Single Blinded Clinical Trial
Sponsor study identifier
interventional
40
1 country
1
Study Start
April 12, 2018
Actual (reported)Primary Completion
July 26, 2023
Actual (reported)Study Completion
July 26, 2023
Actual (reported)The objective of this paired cohort study is to evaluate the diagnostic accuracy of Endoscopic Ultrasound-fine needle aspiration (EUS-FNA) with rapid onsite evaluation (ROSE) compared to EUS-fine needle biopsy (EUS-FNB) without ROSE. If EUS-FNB without ROSE is shown to be non-inferior to the current standard of care of EUS-FNA with ROSE in pancreatic lesions, this study has the potential to make EUS-guided tissue acquisition more economical (with elimination for the need for cytopathology staff onsite) as well as provide core histological specimen without sacrificing the overall diagnostic yield.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 26, 2023
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 26, 2018
Actual (reported)April 3, 2018
Actual (reported)April 12, 2018
Actual (reported)July 26, 2023
Actual (reported)July 26, 2023
Actual (reported)September 19, 2024
Actual (reported)The Diagnostic Accuracy of Fine-needle Biopsy (FNB) Sampling Without Rapid Onsite Evaluation (ROSE) and the Fine Needle Aspiration (FNA) With ROSE in Pancreatic Mass Lesions
Diagnostic accuracy will be defined as (true positive + true negative)/all participants in the arm.
6 months from the initial biopsy
Specimen Adequacy
Post-procedure one week
Number of Histology Cores Obtained
Post-procedure one week
Median Number of Passes
6 months from the initial biopsy
Number of Technical Failures
After the procedure, an average of 1 hour
EUS/FNA with ROSE will be performed using standard techniques via 22-g FNA needle (Cook Medical EchoTip Ultra or Boston Scientific Expect or Medtronic Beacon). Lesions will be identified using EUS and punctured with the FNA needle (10-15 back and forth movements per needle pass, fanning as appropriate). After the lesion is punctured, the stylet will be removed and 10cc suction will be applied. FNA specimens will be processed for ROSE using standard techniques with bedside smear slide evaluation and liquid-based cytology and cell-block preparation.
EUS/FNB without ROSE will be performed using similar techniques for tissue acquisition as FNA using 22-g FNB needle (Medtronic SharkCore or Boston Scientific Acquire). Lesions will be identified using EUS and punctured with the 22-g FNB needle (10-15 back and forth movements per needle pass, fanning as appropriate). After the lesion is punctured, the stylet will be removed and 10cc suction will be applied. FNB samples will be placed directly into formalin containers and sent to be processed by surgical pathology.
EUS-FNA with ROSE vs EUS-FNB without ROSE
EUS-FNA with ROSE vs EUS-FNB without ROSE
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Johns Hopkins
Baltimore, Maryland, 21205, United States
Mouen Khashab
Johns Hopkins University
40 participants (actual enrollment reported by the registry).
First Submitted
March 26, 2018
First Posted
April 3, 2018
Study Start
April 12, 2018
Actual (reported)Contact the study team to confirm eligibility.
Primary Completion
July 26, 2023
Actual (reported)Study Completion
July 26, 2023
Actual (reported)Last Updated
September 19, 2024
Results First Posted
September 19, 2024
Record last verified: 2024-08
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Source: ClinicalTrials.gov.
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