NCT03803930

Brief Summary

The purpose of this study is to compare the diagnosis accuracy of 22G EUS Procore fine needle biopsy (FNB)device and 20G EUS Procore fine needle biopsy device for solid pancreatic lesions.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,224

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2019

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 25, 2018

Completed
21 days until next milestone

First Posted

Study publicly available on registry

January 15, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

March 1, 2019

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2020

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2020

Completed
Last Updated

January 17, 2019

Status Verified

January 1, 2019

Enrollment Period

1.3 years

First QC Date

December 25, 2018

Last Update Submit

January 16, 2019

Conditions

Keywords

EUS-FNBslow pullmodified wet suction technique

Outcome Measures

Primary Outcomes (1)

  • The diagnostic yields

    The investigators' primary outcome measure is to compare the diagnostic yields of 22G FNB and 20G FNB to the solid pancreatic lesions.

    up to 15 months

Secondary Outcomes (1)

  • the tissue integrity

    up to 15 months

Study Arms (4)

Arm 22G+SP

OTHER

Using 22G FNB, the first pass is SP and the pass sequence is SP-MWST-SP-MWST.

Device: Using 22G FNB, the first pass is SP

Arm 22G+MWST

OTHER

Using 22G FNB, the first pass is MWST and the pass sequence is MWST-SP-MWST-SP.

Device: Using 22G FNB, the first pass is MWST

Arm 20G+SP

OTHER

Using 20G FNB, the first pass is SP and the pass sequence is SP-MWST-SP-MWST.

Device: Using 20G FNB, the first pass is SP

Arm 20G+MWST

OTHER

Using 20G FNB, the first pass is MWST and the pass sequence is MWST-SP-MWST-SP.

Device: Using 20G FNB, the first pass is MWST

Interventions

Using 22G FNB, the first pass is SP and the pass sequence is SP-MWST-SP-MWST.

Arm 22G+SP

Using 22G FNB, the first pass is MWST and the pass sequence is MWST-SP-MWST-SP.

Arm 22G+MWST

Using 20G FNB, the first pass is SP and the pass sequence is SP-MWST-SP-MWST.

Arm 20G+SP

Using 20G FNB, the first pass is MWST and the pass sequence is MWST-SP-MWST-SP.technique-slow pull.

Arm 20G+MWST

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \>18 years old,\<85 years old;
  • Gender: Male or Female;
  • Presence solid occupying pancreatic lesions (the diameter\>1cm);
  • Must be able to receive examinations in the research center;
  • Must be able to sign the informed consent.

You may not qualify if:

  • Hemoglobin≤8.0 g/dl;
  • Pregnant women;
  • Coagulation disorders;
  • Took anticoagulants such as aspirin, warfarin in the latest week;
  • Acute pancreatitis in the past two weeks;
  • Cardiopulmonary dysfunction;
  • Cannot sign the informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Bin Cheng

Wuhan, Hubei, 430030, China

Location

Related Publications (7)

  • DeWitt J, Jowell P, Leblanc J, McHenry L, McGreevy K, Cramer H, Volmar K, Sherman S, Gress F. EUS-guided FNA of pancreatic metastases: a multicenter experience. Gastrointest Endosc. 2005 May;61(6):689-96. doi: 10.1016/s0016-5107(05)00287-7.

  • Bang JY, Hebert-Magee S, Trevino J, Ramesh J, Varadarajulu S. Randomized trial comparing the 22-gauge aspiration and 22-gauge biopsy needles for EUS-guided sampling of solid pancreatic mass lesions. Gastrointest Endosc. 2012 Aug;76(2):321-7. doi: 10.1016/j.gie.2012.03.1392. Epub 2012 May 31.

  • Ge N, Zhang S, Jin Z, Sun S, Yang A, Wang B, Wang G, Xu G, Hao J, Zhong L, Zhong N, Li P, Zhu Q, Nian W, Li W, Zhang X, Zhou X, Yang X, Cui Y, Ding Z. Clinical use of endoscopic ultrasound-guided fine-needle aspiration: Guidelines and recommendations from Chinese Society of Digestive Endoscopy. Endosc Ultrasound. 2017 Mar-Apr;6(2):75-82. doi: 10.4103/eus.eus_20_17. No abstract available.

  • Gleeson FC, Kipp BR, Caudill JL, Clain JE, Clayton AC, Halling KC, Henry MR, Rajan E, Topazian MD, Wang KK, Wiersema MJ, Zhang J, Levy MJ. False positive endoscopic ultrasound fine needle aspiration cytology: incidence and risk factors. Gut. 2010 May;59(5):586-93. doi: 10.1136/gut.2009.187765.

  • Cheng B, Zhang Y, Chen Q, Sun B, Deng Z, Shan H, Dou L, Wang J, Li Y, Yang X, Jiang T, Xu G, Wang G. Analysis of Fine-Needle Biopsy vs Fine-Needle Aspiration in Diagnosis of Pancreatic and Abdominal Masses: A Prospective, Multicenter, Randomized Controlled Trial. Clin Gastroenterol Hepatol. 2018 Aug;16(8):1314-1321. doi: 10.1016/j.cgh.2017.07.010. Epub 2017 Jul 19.

  • Attam R, Arain MA, Bloechl SJ, Trikudanathan G, Munigala S, Bakman Y, Singh M, Wallace T, Henderson JB, Catalano MF, Guda NM. "Wet suction technique (WEST)": a novel way to enhance the quality of EUS-FNA aspirate. Results of a prospective, single-blind, randomized, controlled trial using a 22-gauge needle for EUS-FNA of solid lesions. Gastrointest Endosc. 2015;81(6):1401-7. doi: 10.1016/j.gie.2014.11.023. Epub 2015 Feb 27.

  • Villa NA, Berzosa M, Wallace MB, Raijman I. Endoscopic ultrasound-guided fine needle aspiration: The wet suction technique. Endosc Ultrasound. 2016 Jan-Feb;5(1):17-20. doi: 10.4103/2303-9027.175877.

MeSH Terms

Conditions

Pancreatic Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Study Officials

  • Bin Cheng

    Tongji Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
DIAGNOSTIC
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
professor

Study Record Dates

First Submitted

December 25, 2018

First Posted

January 15, 2019

Study Start

March 1, 2019

Primary Completion

June 1, 2020

Study Completion

August 1, 2020

Last Updated

January 17, 2019

Record last verified: 2019-01

Locations