Trial Outcomes & Findings for Electrochemotherapy of Posterior Resection Surface for Lowering Disease Recurrence Rate in Pancreatic Cancer (PanECT Study) (NCT NCT04281290)

NCT ID: NCT04281290

Last Updated: 2026-03-27

Results Overview

Every patient will be closely followed-up after operation with clinical examination and blood tests (hemogram, comprehensive metabolic panel, liver panel) according to the study protocol (day 1, 3, 7 after operation). In case of detected abnormalities additional imaging (US and/or CT) will take place. Findings will be noted and reported in line with Clavien-Dindo classification of surgical complications. The primary measure is to detect complications after surgery and to determine whether the complication is related to electrochemotherapy treatment or not.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

7 days after operation

Results posted on

2026-03-27

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Group
Cliniporator Vitae® and chemotherapy drug Bleomycin PHC 15 e. (United States Pharmacopeia - USP) Electrochemotherapy - electroporation with Cliniporator Vitae® and chemotherapy drug Bleomycin PHC 15 e. (United States Pharmacopeia - USP): Procedure: Electrochemotherapy Exploration, anesthesia, pancreatic cancer resection, bleomycin administration, electroporation, formation of all anastomoses. Device: Cliniporator Vitae® Positioning of plate electrodes according to landmarks, 8-28 min after administration of bleomycin application of electric pulses (8 pulses, duration 100 microseconds, frequency 8 Hz with amplitude adequate to cover the whole treated lesion with electric field necessary for reversible plasma membrane permeabilization, approximately 1000V/cm), removal of electrodes. The maximum duration of procedure is 90 minutes, after liver mobilization. Drug: Bleomycin PHC 15 e. (United States Pharmacopeia - USP) Intravenous bolus administration of bleomycin (15 mg/m2)
Overall Study
STARTED
10
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Group
Cliniporator Vitae® and chemotherapy drug Bleomycin PHC 15 e. (United States Pharmacopeia - USP) Electrochemotherapy - electroporation with Cliniporator Vitae® and chemotherapy drug Bleomycin PHC 15 e. (United States Pharmacopeia - USP): Procedure: Electrochemotherapy Exploration, anesthesia, pancreatic cancer resection, bleomycin administration, electroporation, formation of all anastomoses. Device: Cliniporator Vitae® Positioning of plate electrodes according to landmarks, 8-28 min after administration of bleomycin application of electric pulses (8 pulses, duration 100 microseconds, frequency 8 Hz with amplitude adequate to cover the whole treated lesion with electric field necessary for reversible plasma membrane permeabilization, approximately 1000V/cm), removal of electrodes. The maximum duration of procedure is 90 minutes, after liver mobilization. Drug: Bleomycin PHC 15 e. (United States Pharmacopeia - USP) Intravenous bolus administration of bleomycin (15 mg/m2)
Overall Study
Death
7

Baseline Characteristics

Electrochemotherapy of Posterior Resection Surface for Lowering Disease Recurrence Rate in Pancreatic Cancer (PanECT Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Group
n=10 Participants
According to the study protocol 10 patients were enrolled in the study.
Age, Categorical
<=18 years
0 Participants
n=56 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=56 Participants
Age, Categorical
>=65 years
7 Participants
n=56 Participants
Age, Continuous
71 Years
STANDARD_DEVIATION 10 • n=56 Participants
Sex: Female, Male
Female
6 Participants
n=56 Participants
Sex: Female, Male
Male
4 Participants
n=56 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=56 Participants
Race (NIH/OMB)
Asian
0 Participants
n=56 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=56 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=56 Participants
Race (NIH/OMB)
White
10 Participants
n=56 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=56 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=56 Participants
Region of Enrollment
Slovenia
10 participants
n=56 Participants

PRIMARY outcome

Timeframe: 7 days after operation

Population: All the enrolled patients were included in analysis.

Every patient will be closely followed-up after operation with clinical examination and blood tests (hemogram, comprehensive metabolic panel, liver panel) according to the study protocol (day 1, 3, 7 after operation). In case of detected abnormalities additional imaging (US and/or CT) will take place. Findings will be noted and reported in line with Clavien-Dindo classification of surgical complications. The primary measure is to detect complications after surgery and to determine whether the complication is related to electrochemotherapy treatment or not.

Outcome measures

Outcome measures
Measure
Experimental Group
n=10 Participants
Cliniporator Vitae® and chemotherapy drug Bleomycin PHC 15 e. (United States Pharmacopeia - USP) Electrochemotherapy - electroporation with Cliniporator Vitae® and chemotherapy drug Bleomycin PHC 15 e. (United States Pharmacopeia - USP): Procedure: Electrochemotherapy Exploration, anesthesia, pancreatic cancer resection, bleomycin administration, electroporation, formation of all anastomoses. Device: Cliniporator Vitae® Positioning of plate electrodes according to landmarks, 8-28 min after administration of bleomycin application of electric pulses (8 pulses, duration 100 microseconds, frequency 8 Hz with amplitude adequate to cover the whole treated lesion with electric field necessary for reversible plasma membrane permeabilization, approximately 1000V/cm), removal of electrodes. The maximum duration of procedure is 90 minutes, after liver mobilization. Drug: Bleomycin PHC 15 e. (United States Pharmacopeia - USP) Intravenous bolus administration of bleomycin (15 mg/m2)
Incidence of Postprocedural Complications for Evaluation of Feasibility and Safety
4 Participants

SECONDARY outcome

Timeframe: 1, 3, 6, 12, 18 and 24 months after operation

Disease-free survival is defined as the amount of time a subject survives without disease recurrence after treatment. Recurrence is defined as significant elevation of tumor markers Ca19-9 and CEA after operation (normal value of Ca19-9 is under 37.0 kU/L, normal value of CEA is under 4.2 µg/L). The appearance of one or more lesions on imaging investigation (US and/or CT) is also considered a recurrence. The tumor markers and imaging investigations will be performed according to study protocol (tumor markers 1, 3, 6, 12 and 24 months after operation; imaging 1, 3, 6, 12, 18 and 24 months after operation - the imaging method will be CT or MR with or without contrast, with the exception of 1 and 18 months after the operation when an US will be performed).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From the time of surgical treatment until 5 years after surgery

Overall survival is defined as the amount of time a subject survives after therapy. Patient enrolled in the study will be followed up for at least five years. During first two years after surgery follow-up will be as written above, after that period patient will be followed-up according every 6 months.

Outcome measures

Outcome data not reported

Adverse Events

Experimental Group - Intraoperative Electrochemotherapy Following Pancreaticoduodenectomy

Serious events: 1 serious events
Other events: 6 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
Experimental Group - Intraoperative Electrochemotherapy Following Pancreaticoduodenectomy
n=10 participants at risk
Patients who underwent surgical resection of pancreatic cancer and received intraoperative electrochemotherapy applied to the posterior resection surface.
Hepatobiliary disorders
Pancreatic fistula
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.

Other adverse events

Other adverse events
Measure
Experimental Group - Intraoperative Electrochemotherapy Following Pancreaticoduodenectomy
n=10 participants at risk
Patients who underwent surgical resection of pancreatic cancer and received intraoperative electrochemotherapy applied to the posterior resection surface.
Surgical and medical procedures
Surgical wound infection
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.
Gastrointestinal disorders
Paralytic ileus
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.
Vascular disorders
Deep vein thrombosis
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.
Cardiac disorders
Paroxysmal atrial fibrillation
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.
Surgical and medical procedures
Intraperitoneal hematoma
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.
Surgical and medical procedures
Pancreatic fistula (Grade B)
10.0%
1/10 • Number of events 1 • Postoperative complications: 0-30 days after surgery. Long-term adverse events: from 31 days after surgery through 24 months postoperatively.
Adverse events were collected for all participants. Postoperative complications occurring within 30 days after surgery were recorded. Long-term adverse events were collected from 31 days after surgery through 24 months of follow-up. All events are reported in the tables below, including the number of participants affected.

Additional Information

Žan Čebron

UMC Ljubljana

Phone: 0038615224788

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place