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Trial Title: EUS-FNI for Nonfunctional Pancreatic Neuroendocrine Tumors

NCT ID: NCT05566093

Condition: Nonfunctional Pancreatic Neuroendocrine Tumor
Pancreatic Neuroendocrine Tumor
Endoscopic Ultrasound

Conditions: Official terms:
Neoplasms
Neuroendocrine Tumors
Adenoma, Islet Cell
Pancreatic Neoplasms
Ethanol
Polidocanol

Conditions: Keywords:
Nonfunctional Pancreatic Neuroendocrine Tumor
Endoscopic ultrasonography-guided fine-needle injection
Ablation
Endoscopic ultrasonography

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: EUS-guided ethanol ablation
Description: After puncturing with the needle, 95% ethanol under the guidance of EUS was injected into the tumor. The injection volume of ethanol was estimated according to the following principles: (1) The injection volume was not larger than the tumor spherical volume. (2) Injection volume was reduced when the tumor was adjacent to the pancreatic duct or vessel. (3) Injection volume for the lesions with repeated EUS-FNI was reduced.
Arm group label: Nonfunctional pancreatic neuroendocrine tumors

Intervention type: Procedure
Intervention name: EUS-guided lauromacrogol ablation
Description: After puncturing with the needle, lauromacrogol under the guidance of EUS was injected into the tumor. The injection volume of lauromacrogol was estimated according to the following principles: (1) The injection volume was not larger than the tumor spherical volume. (2) Injection volume was reduced when the tumor was adjacent to the pancreatic duct or vessel. (3) Injection volume for the lesions with repeated EUS-FNI was reduced.
Arm group label: Nonfunctional pancreatic neuroendocrine tumors

Summary: The current study aims to access the feasibility, safety, and efficacy of EUS-FNI for nonfunctional pNETs

Detailed description: The management of nonfunctional pancreatic neuroendocrine tumors (NF-pNETs) remains controversial. In general, surgical resection is the standard treatment for NF-pNETs. However, the incidence of postoperative adverse events of surgical resection is relatively high. Recently, several studies have revealed that endoscopic ultrasonography (EUS)-guided fine-needle injection (EUS-FNI) with ethanol or lauromacrogol may offer an effective treatment for pNETs. Therefore, a multicenter prospective study is being conducted to further identify the efficacy and safety of EUS-FNI for NF-pNETs.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patients with NF-pNETs are evaluated by cytology or immunohistochemistry. 2. Patients who refuse surgery or observation. 3. Patients who have given their fully informed consent. Exclusion Criteria: 1. Patients who are not suitable for EUS-FNI. 2. Patients who have poor conditions including blood coagulation dysfunction, mental disorders, and mild or severe cardiorespiratory.

Gender: All

Minimum age: 18 Years

Maximum age: 85 Years

Healthy volunteers: No

Locations:

Facility:
Name: First Affiliated Hospital of Guangxi Medical University

Address:
City: Nanning
Zip: 530021
Country: China

Status: Recruiting

Contact:
Last name: Shanyu Qin, MD,Ph.D

Phone: 86-771-5356725
Email: qsy0511@163.com

Investigator:
Last name: Shanyu Qin, MD,Ph.D
Email: Principal Investigator

Start date: September 28, 2018

Completion date: December 31, 2025

Lead sponsor:
Agency: Guangxi Medical University
Agency class: Other

Source: Guangxi Medical University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05566093

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