EUS-Guided Cryothermal Ablation in Patients With Stage III Pancreatic Adenocarcinoma (HybridTherm Study)
NCT02336672 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 66
Last updated 2023-09-28
Summary
In patients with locally advanced tumour, neoadjuvant treatment has been proposed in various modalities as a way to decrease size and downstage the tumour leading to a re-sectable disease. The HybridTherm probe (HTP), (ERBE Elektromedizin GmbH, Tübingen, Germany) combines bipolar RF-ablation with cryogenic induced cooling. A bipolar radiofrequency system creates ablation with less collateral thermal damage than standard monopolar systems but with the trade-off to lose overall efficiency.
Conditions
- Pancreatic Adenocarcinoma Non-resectable
Interventions
- DEVICE
-
Cryothermal ablation
Procedures are performed with patients sedated by anaesthesiologists. Device setting and application time are set and recorded on a computer, that analyzes the changes of the tissue's properties. The setting of the maximal application time is based on the results of our previously described ex-vivo and in-vivo studies and is adjusted to the tumour's size, thus ensuring a reduction of procedure-related complications. Application of Power Doppler makes the procedure safer. The HybridTherm probe is guided under real-time EUS into the tumour, and the success of its placement is an index of the treatment's feasibility. The system analyzes the effects on the tissue and EUS records the changes of the tissue, the growing edema around the treated area, and the tissue devitalization.
Sponsors & Collaborators
-
IRCCS San Raffaele
lead OTHER
Principal Investigators
-
Paolo Giorgio Arcidiacono, MF FASGE · IRCCS San Raffaele
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-11-11
- Primary Completion
- 2018-12-31
- Completion
- 2021-12-31
Countries
- Italy
Study Locations
More Related Trials
-
Study of Amplitude-Modulated Radiofrequency Electromagnetic Fields in Metastatic Pancreatic Cancer
NCT05776524 ·Status: RECRUITING ·Phase: PHASE2
-
Safety and Feasibility of imILT Locally Advanced Pancreatic Cancer (LAPC)
NCT02702986 ·Status: COMPLETED ·Phase: PHASE1
-
Alpha Radiation Emitters Device (DaRT) With Chemotherapy for the Treatment of Locally Advanced and Metastatic Pancreatic Cancer
NCT06698458 ·Status: RECRUITING ·Phase: NA
-
HIPEC as Neoadjuvant Treatment for Resectable Pancreatic Adenocarcinoma
NCT02850874 ·Status: WITHDRAWN ·Phase: PHASE2
-
Magnetic Resonance-guided High-intensity Focused Ultrasound Treatment of Locally Advanced Pancreatic Cancer
NCT01786850 ·Status: AVAILABLE
-
High Intensity Focused Ultrasound Tumor Treatment for Pancreatic Cancer Pain
NCT00637364 ·Status: SUSPENDED ·Phase: PHASE1/PHASE2
-
Irreversible Electroporation & Pembro Immunotherapy in Locally Advanced Pancreatic Cancer
NCT06378047 ·Status: COMPLETED ·Phase: PHASE1
-
Adjuvant Gemcitabine Versus Gemcitabine With Chemoradiation in Pancreatic Adenocarcinoma With R1 Resection and/or Positive Lymph Nodes
NCT02754180 ·Status: UNKNOWN ·Phase: PHASE2
-
Gemcitabine, Nab-paclitaxel Plus the TheraBionic P1 (an Amplitude-Modulated Radiofrequency Electromagnetic Fields) Device to Treat Metastatic Pancreatic Cancer
NCT06576115 ·Status: RECRUITING ·Phase: PHASE2
-
Study-group on Palliative ERCP And RFA-ablation in Metastatic and Inoperable Pancreatic Tumors
NCT07191418 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Hyperthermia Treatment Added to Chemotherapy Standard of Care for Pancreatic Tumors
NCT05959395 ·Status: UNKNOWN ·Phase: NA
-
Endoscopic Ultrasound Radiofrequency Ablation and Immunotherapy Pembrolizumab for Locally Advanced Unresectable and Metastatic Pancreatic Duct Adenocarcinoma
NCT06831136 ·Status: RECRUITING ·Phase: PHASE2
-
EUS-guided Intratumoral Gemcitabine in Locally Advanced Unresectable Pancreatic Cancer
NCT01834170 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of the Stereotactic MR-guided Adaptive Radiotherapy for Locally Advanced Pancreatic Cancers
NCT07097064 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
EUS-guided Laser Ablation in Pancreatic Adenocarcinoma
NCT03784417 ·Status: TERMINATED ·Phase: NA
-
Phase ǀ Study on Pancreatic Cancer Treated by CyberKnife
NCT02716207 ·Status: COMPLETED ·Phase: NA
-
Irreversible Electroporation Ablation Combined With Anti-PD(L)1 Therapy for Locally Advanced Pancreatic Cancer
NCT06677762 ·Status: NOT_YET_RECRUITING
-
Study on Hyperthermic Intraperitoneal Chemotherapy After Resection of Pancreascarcinoma
NCT02863471 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Irinotecan, Gemcitabine and Radiation Therapy for Pancreatic Cancer
NCT00192712 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Study of Low-Dose Fractionated Radiotherapy in Patients With Locally Advanced Metastatic Pancreatic Cancer
NCT00761345 ·Status: COMPLETED ·Phase: PHASE1
-
Cryoablation Combined With the Dual-Function Antibody PD-1/CTLA-4 for the Treatment of LAPC Following Failure of First-Line AG Therapy
NCT07306286 ·Status: RECRUITING ·Phase: PHASE2
-
Telemedicine in the Management of Pain in Patients With Advanced or Metastatic Pancreatic Cancer
NCT04667403 ·Status: UNKNOWN ·Phase: NA
-
A Study of High Dose Radiation Therapy for Locally Advanced Pancreatic Cancer That Responded to Initial Chemotherapy Treatment
NCT06453486 ·Status: RECRUITING ·Phase: PHASE2
-
SBRT Plus Pembrolizumab and Trametinib for Pancreatic Cancer
NCT02704156 ·Status: COMPLETED ·Phase: PHASE2
-
Neoadjuvant Treatment in Resectable Pancreatic Cancer
NCT01900327 ·Status: TERMINATED ·Phase: PHASE3