Recurrent Disease Detection After Resection of Pancreatic Adenocarcinoma Using a Standardized Surveillance Strategy
NCT04875325 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 306
Last updated 2024-09-19
Summary
A randomized controlled trial, nested within an existing prospective cohort (Dutch Pancreatic Cancer Project; PACAP) and the United Kingdom (UK) Pancreas Cancer: Observations of Practice and survival; PACOPS) according to the 'trials within cohorts' (TwiCs) design in which the effect of a standardized surveillance, with serial tumor marker testing and routine imaging, compared to current non-standardized practice, on overall survival and quality of life in patients with primary resected PDAC is investigated. The most important secondary endpoint is quality of life. Other secondary endpoints are clinical and radiological patterns of PDAC recurrence, the compliance of patients to our standardized follow-up strategy, the impact of a standardized surveillance on (eligibility for) additional treatment, and the tolerance of additional treatment. The need for this clinical trial is emphasized by the the emergence of more potent local and more effective systemic treatments for PDAC recurrence, leading to a rising interest in early diagnosis by a standardized approach to follow-up with routine imaging and serial serum tumor marker testing.
Conditions
- Resectable Pancreatic Ductal Adenocarcinoma
- Recurrent Pancreatic Ductal Adenocarcinoma
Interventions
- OTHER
-
Standardized surveillance
Standardized 3-monthly surveillance with routine imaging and serum tumor marker testing.
Sponsors & Collaborators
-
Dutch Pancreatic Cancer Group (DPCG)
collaborator UNKNOWN -
University of Birmingham
collaborator OTHER -
UMC Utrecht
lead OTHER
Principal Investigators
-
I. Q. Molenaar, MD, PhD · Regional Academic Cancer Center Utrecht (RACU)
-
H. C. van Santvoort, MD, PhD · Regional Academic Cancer Center Utrecht (RACU)
-
M. G.H. Besselink, MD, PhD · Academic Medical Center - Cancer Center Amsterdam
-
L. A. Daamen, MD, PhD · Regional Academic Cancer Center Utrecht (RACU)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-16
- Primary Completion
- 2026-10-31
- Completion
- 2026-10-31
Countries
- Netherlands
- United Kingdom
Study Locations
More Related Trials
-
Quality of Life After Surgery for Pancreatic Carcinoma
NCT02175992 ·Status: COMPLETED
-
Hepatocarcinoma Recurrence on the Liver Study - Part2
NCT04053231 ·Status: NOT_YET_RECRUITING
-
Impact of Multidisciplinary and Radiologic Review on Outcome of Pancreatic Cancer Patients: an Observational Study
NCT03973736 ·Status: COMPLETED
-
Perioperative Systemic Therapy for Isolated Resectable Colorectal Peritoneal Metastases
NCT02758951 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2/PHASE3
-
Dissecting the Pattern of Nodal Spread in Post-neoadjuvant Pancreatoduodenectomy
NCT06135649 ·Status: RECRUITING
-
Evaluation of Diffusion Weighted Imaging -MRI in Patients With Resectable Liver Metastases From Colorectal Cancer
NCT02355353 ·Status: UNKNOWN ·Phase: NA
-
Gene Expression Profile of Resected Pancreatic and Ampullary Adenocarcinoma at Favorable Prognosis
NCT05754788 ·Status: UNKNOWN
-
Recurrence After Whipple's (RAW) Study
NCT04596865 ·Status: COMPLETED
-
Systematic Lymph Node Sampling and Analysis in Patients With Pancreatic Cancer
NCT02646462 ·Status: UNKNOWN
-
Reoperation After Pancreaticoduodenectomy
NCT04387903 ·Status: UNKNOWN
-
Machine Learning for Recurrence Risk of Pancreatic Cancer After Radical Resection
NCT05589480 ·Status: COMPLETED
-
Safety Study of Radiofrequency Ablation of Locally Advanced Pancreatic Cancer
NCT01628458 ·Status: COMPLETED ·Phase: PHASE2
-
Identify the Clinical Significance and Potential Implications of Peritoneal Washing Cytology (PWC) in Patients With Pancreatic Cancer
NCT01127815 ·Status: UNKNOWN
-
Rehabilitation Strategies Following Oesophagogastric and Hepatopancreaticobiliary Cancer
NCT03958019 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Stress Response in Patients Following Fast Track vs Conventional Protocol After Hepatectomy or Pancreatectomy
NCT02524925 ·Status: COMPLETED ·Phase: NA
-
Long-term Outcomes After Resection of Primary Duodenal Adenocarcinoma
NCT05134961 ·Status: COMPLETED
-
ctDNA-Directed Post-Hepatectomy Chemotherapy for Patients With Resectable Colorectal Liver Metastases
NCT05062317 ·Status: RECRUITING ·Phase: PHASE2
-
Combination Chemotherapy Before or After Surgery in Treating Patients With Colorectal Cancer With Liver Metastases That Could Be Removed By Surgery
NCT01189227 ·Status: TERMINATED ·Phase: PHASE3
-
The Prognostic Impact of Extracapsular Lymph Node Involvement in Ductal Pancreatic Adenocarcinoma
NCT00644254 ·Status: COMPLETED
-
Colorectal Cancer With Liver-limited Synchronous Metastases: an Inception Cohort Study of Standardised Care Pathways
NCT02456285 ·Status: COMPLETED
-
Survival Among Patients With Pancreatic Cancer Depending on Surgical Resection Rate
NCT04802993 ·Status: COMPLETED
-
A Randomised Trial of Pulmonary Metastasectomy in Colorectal Cancer
NCT01106261 ·Status: COMPLETED ·Phase: NA
-
Micrometastasis in Gastrointestinal Cancer
NCT01919151 ·Status: UNKNOWN
-
Cohort Study on Nutritional, Metabolic, and Volumetric Assessment After Pancreaticoduodenectomy
NCT07159672 ·Status: COMPLETED
-
Standardization of Surgery on the Pancreatic Cancer
NCT00679913 ·Status: COMPLETED ·Phase: PHASE3