About this trial
Radiofrequency ablation has been used for treatment of solid neoplasms of the liver, lung, kidney and adrenal. Recently, EUS-guided RFA has become available and the device allows EUS-guided treatment of pancreatic neoplasms. The procedure has been shown to be feasible in the porcine pancreas and was used to treat small groups of patients that are not suitable for surgery suffering from pancreatic neoplasms.
The aim of the current study is to perform a multi-center prospective study on EUS-guided radiofrequency ablation (RFA) of solid pancreatic neoplasms. The hypothesis is that EUS-guided RFA is safe, feasible and effective for treating solid pancreatic neoplasms.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 18 years-old or above
Suffering from pancreatic neuroendocrine tumor or pancreatic ductal carcinoma (<5cm in largest diameter) that was confirmed by fine needle aspiration cytology
ASA score > II*
An alternative advanced malignancy
Disqualifiers
Coagulopathy (international normalized ratio >1.3, partial thromboplastin time greater than twice that of control), platelet count <50,000x103/uL
Pregnancy
Patients with a poor mental condition or mental retardation, unable to understand the nature and possible consequences of the study
Patients unwilling to undergo follow-up assessments
Trial design
Single group
Treatments tested in this trial
EUS-guided RFA
Procedure/SurgeryEUS-guided RFA would be performed using a 19-gauge RFA electrode and a generator
Treatment groups
Trial outcomes
Primary outcomes
Severe adverse events
Adverse events specific to RFA would be graded according to the lexicon of endoscopic adverse events 24. Potential adverse events specific to RFA include: post-RFA syndrome, pancreatitis, pancreatic leak, thermal injury
Secondary outcomes
Technical success rates
defined as successful puncture of the lesion with the RFA needle and completion of the ablation cycle.
Procedural times
Duration of the procedure
Hospital stay
Duration of hospital stay
Radiological response
Based on modified RECIST criterion
Sponsors and contacts
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