RecruitingNot ApplicableNCT03855800

Molecular Detection of Advanced Neoplasia in Pancreatic Cysts

Molecular Detection of Advanced Neoplasia in Pancreatic Cysts (IN-CYST)


Sponsor

Mayo Clinic

Enrollment

800 participants

Start Date

May 11, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

Researchers are trying to find out whether new tests ("biomarkers") of blood, stool, pancreas cyst fluid, or pancreas juice can be used to diagnose malignant or pre-malignant changes in pancreas cysts.


Eligibility

Min Age: 18 YearsMax Age: 120 Years

Inclusion Criteria3

  • Patients with pancreatic cystic lesions meeting Fukuoka worrisome or Fukuoka high-risk criteris
  • Patients with suspected cystic neoplasm of the pancreas
  • Able to provide written informed consent

Exclusion Criteria8

  • Pregnant and/or nursing
  • Incarceration
  • Imaging showing possible pancreatic cancer
  • Prior history of pancreatic cancer or pancreatic surgery
  • History of receiving systemic chemotherapy or abdominal radiation within the last 5 years
  • Previous therapy for a pancreatic cystic lesion
  • History of pancreatic necrosis
  • Diagnosis of cancer (other than non-melanoma skin cancer) within the last 5 years

Interventions

PROCEDUREPancreatic Surgery

Surgical resection of pancreatic cyst

PROCEDUREEndoscopy Exam

Clinically indicated endoscopic ultrasound

DIAGNOSTIC_TESTBlood, stool, pancreatic juice and cyst fluid collection

Blood and stool will be collected at baseline from all study participants. Those in the Immediate Surgery group may undergo endoscopic pancreatic juice collection before surgery, either at the time of a clinically indicated endoscopic ultrasound (EUS) exam or during an optional pre-operative research endoscopy. Pancreatic cyst fluid will also be obtained from all participants in the Immediate Surgery group, either at the time of surgery, or during a clinically indicated preoperative EUS FNA procedure, or both. Pancreatic juice and cyst fluid will be collected opportunistically from participants in the Clinical Follow-up group who undergo a clinically indicated EUS, EUS FNA, or endoscopy exam.


Locations(1)

Mayo Clinic

Rochester, Minnesota, United States

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NCT03855800


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