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Trial Title: Circulating Tumor DNA as Surgical Biomarker in Patients With PancrEatic Adenocarcinoma for Statement of Resectability

NCT ID: NCT05853198

Condition: PDAC - Pancreatic Ductal Adenocarcinoma

Conditions: Official terms:
Adenocarcinoma

Conditions: Keywords:
biomarker

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: ctDNA analysis
Description: ctDNA amount and mutations analysis
Arm group label: PDAC patients

Summary: The main objective is the evaluation of the prognostic value of ctDNA (circulating tumor DNA) as a marker of surgical futility in patients with operable PDAC.

Detailed description: In the era of personalized medicine and treatments guided by tumor biology, no specific tumor marker has real prognostic value. This is the reason why the search for a specific marker through a noninvasive blood test that can give indications on the usefulness of the resectability of pancreatic adenocarcinoma would be very valuable. Our project proposes the evaluation of ctDNA during various treatment courses of patients with PDAC in order to evaluate its efficacy as a prognostic and predictive marker of response to treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patients with PDAC with indication to surgical resection, including those undergoing upfront surgery or surgery following induction treatment. Non resectable patient defined as a patient with surgical indication at standard preoperative clinical, biological and morphological evaluation, but eventually not resected because of advanced disease or contraindications revealed during surgical exploration will be excluded 2. Non-metastatic status confirmed by an abdomen CT-scan (as our routine clinical practice). 3. Patients able to give a specific informed consent. 4. Age ≥ 18 years. Exclusion Criteria: 1. Non resectable patient defined as a patient with surgical indication at standard preoperative clinical, biological and morphological evaluation, but eventually not resected because of advanced disease or contraindications revealed during surgical exploration will be excluded (drop-out) 2. Non-controlled congestive heart failure. 3. Non-treated angina. 4. Recent myocardial infarction (in the previous year). 5. Non-controlled AHT (SBP >160 mm or DBP > 100 mm, despite optimal drug treatment). 6. Long QT. 7. Major non-controlled infection. 8. Severe liver failure. 9. Age < 18 years. 10. Informed consent not signed. 11. Pregnant or breastfeeding women and women of child-bearing age not using effective means of contraception.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: AOUI Verona

Address:
City: Verona
Zip: 37134
Country: Italy

Status: Recruiting

Contact:
Last name: Elisa Venturini

Phone: 0458124671
Email: elisa.venturini@univr.it

Start date: December 29, 2022

Completion date: May 31, 2026

Lead sponsor:
Agency: Azienda Ospedaliera Universitaria Integrata Verona
Agency class: Other

Source: Azienda Ospedaliera Universitaria Integrata Verona

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05853198

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