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Trial Title:
The LINFU® U.S. Registry for the in the General Population Without Risk Factors
NCT ID:
NCT06276803
Condition:
Pancreatic Cancer
Pancreatic Ductal Adenocarcinoma
Pancreatic Dysplasia
Conditions: Official terms:
Adenocarcinoma
Study type:
Observational [Patient Registry]
Overall status:
Not yet recruiting
Study design:
Time perspective:
Prospective
Intervention:
Intervention type:
Diagnostic Test
Intervention name:
LINFU®
Description:
Patients will undergo low intensity non-focused ultrasound excitation of the pancreas for
a total of 15 minutes using a GE LOGIQ10 or other FDA approved, FDA cleared or FDA exempt
ultrasound insonation. A contrast agent will be administered IV during the ultrasound
insonation and the patient will also receive a dose of secretin. The pancreatic juice
will then be collected for a total of 15 minutes.
Arm group label:
Patients who have no risk factors for PDAC
Summary:
Adenocyte has developed LINFU®, (Low Intensity Non-Focused Ultrasound excitation of the
pancreas) as a method of identifying early, asymptomatic pancreatic cancer and its
noninvasive precancerous lesions.. In this study, LINFU® will be evaluated in the general
population with no risk factors and who exhibit no signs or symptoms of disease, This
study will help determine if LINFU® can be used to help identify early, asymptomatic
pancreatic ductal adenocarcinoma (PDAC) or their precursor lesions (PanIn-2, PanIn-3).
Detailed description:
Adenocyte has developed a proprietary pancreatic cancer detection method, LINFU®, (Low
Intensity Non-Focused Ultrasound excitation of the pancreas) to increase the sensitivity
of pancreatic juice cytology. LINFU® consists of analysis of pancreatic fluid collected
with the help of low intensity non-focused ultrasound excitation of the pancreas. A
contrast agent will be used to create bubbles and possibly increase the number of
pancreatic cell we collect for the study. Secretin is also used to increase the number of
pancreatic cell excretion to maximize the number of cells collected. A neural
network-based computer-assisted system may be used to enhance the analysis of specimens.
In this registry, LINFU® will be studied in patients with no risk factors and who exhibit
no signs or symptoms of disease. In this registry, a standardized Case Report Form will
be completed for every subject enrolled. Information obtained at baseline will include
patient history, clinical and demographic information. The results of all diagnostic
tests, surgeries, and biopsies performed after the LINFU® technique for a period of 5
years will be recorded and maintained as clinical registry data. This includes testing
and procedures received since enrollment including endoscopic ultrasound-fine-needle
aspiration (EUS- FNA),magnetic resonance imaging / magnetic resonance
cholangiopancreatography (MRI/MRCP), endoscopic retrograde cholangiopancreatography
(ERCP), computed tomography (CT), contrast-enhanced ultrasound (CEUS), treatments
performed, pathology results, and pancreatic disease history since enrollment.
The registry case report form is the primary data collection instrument for the registry.
All data requested on the form must be recorded and these forms will be monitored
carefully by the sponsor to ensure they are completely filled out properly.
Criteria for eligibility:
Study pop:
Patients who do not exhibit any symptoms of PDAC, do not have an abnormal imaging study
suggestive of PDAC and who do not have risk factors which increase the risk of developing
PDAC.
Sampling method:
Non-Probability Sample
Criteria:
Inclusion Criteria:
1. Both males and females will be enrolled and must be at least 18 years of age and
under age of 90
2. Patients, who in the opinion of the Investigator, do not exhibit any symptoms of
PDAC including jaundice, nausea and vomiting, weight loss, abdominal pain, bloating
or the feeling of fullness, itchy skin, lower back pain, light-colored, greasy
stools, sudden onset type 2 diabetes, etc.
3. Patients, who in the opinion of the Investigator, do not have an abnormal imaging
study suggestive of PDAC
4. Patients, who in the opinion of the Investigator, should not be ordinarily screened
for PDAC because they do not have risk factors including chronic pancreatitis,
family history of PDAC, or genetic cancer syndromes which increase the risk of
developing PDAC
5. Institutional Review Board (IRB)-approved consent must be signed by patients to
participate in this study.
Exclusion Criteria:
1. Patient under the age of 18 and over the age 90
2. Contraindications to LINFU®/EUS/ERCP as determined by study investigators:
1. Patient with uncorrectable coagulopathy
2. Patient that cannot undergo anesthesia due to cardiopulmonary contraindication
as deemed by the anesthesiologist
3. Unstable medically (cardiopulmonary, neurologic, or cardiovascular status)
3. Patients, who in the opinion of the Investigator, are at risk of PDAC because they
exhibit any of the following: clinical symptoms of PDAC, imaging abnormalities
suggestive of PDAC, genetic syndromes which increase the risk of PDAC, a first
degree relative with a history of pancreatic cancer, excessive exposure to
dry-cleaning and metalworking chemicals
4. Patients who consume alcohol (greater than 3 drinks/day >1 year or >15g/day for >1
year will be excluded
5. Patient with any history of adult-onset diabetes will be excluded
6. Patients who are obese (body mass index [BMI] of 30 or more) will be excluded
7. Patients who have consumed tobacco in the past for greater than 1 year or current
smokers will be excluded.
8. Patients with a history of any pancreatic disease, including chronic pancreatitis,
or any pancreatic imaging abnormality including intraductal papillary mucinous
neoplasm of the pancreas (IPMN)
9. Patients with baseline lipase levels that are abnormal
10. Pregnant females will be excluded
11. Patient that is unable to provide informed consent
12. Patient with known allergy to the microbubble contrast agent or secretin
Gender:
All
Minimum age:
18 Years
Maximum age:
90 Years
Healthy volunteers:
Accepts Healthy Volunteers
Start date:
September 15, 2024
Completion date:
December 15, 2034
Lead sponsor:
Agency:
Adenocyte, LLC
Agency class:
Industry
Source:
Adenocyte, LLC
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06276803