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Comparing the Clinical Impact of Pancreatic Cyst Surveillance Programs and Associated Biomarkers

The purpose of this study is to compare two approaches for monitoring pancreatic cysts as well as to identify associated biomarkers. The study doctors want to compare more frequent monitoring versus less frequent monitoring as well as identify biomarkers which may improve risk detection of transformation to pancreatic cancer. The study doctors want to learn which monitoring method and which biomarkers lead to better outcomes for patients.
Pancreatic
N/A
Adults
Not Available
Not Available
Tan, Marcus
National
Vanderbilt University
09-17-2020
Supportive Care
ECOGGIEA2185
NCT04239573

Eligibility

50 Years to 75 Years
ALL
false
Inclusion Criteria:

Patient must be 50 years and 75 years of age

Patient must not have acute pancreatitis or a history of chronic pancreatitis

Patient must have received a CT, MRI, or EUS within 6 months prior to enrollment that revealed one or more 1 cm pancreatic cyst(s).

Patients of childbearing potential must not be known to be pregnant

Patient must not have a prior diagnosis of pancreatic malignancy of any type

Patient must not have a history of pancreatic resection

Patients with only pancreatic lesions without malignant risk (pancreatic pseudocyst or classic serous cystic lesion) are not eligible

Patient must not have a family history of pancreatic adenocarcinoma in one or more first-degree relatives (biological parents, full siblings or children)

Patient must not have pancreatic cyst morphology that would prompt immediate surgical consideration (enhancing mural nodule, solid component in cyst, pancreatic duct 10mm, cyst causing obstructive jaundice)

Patient must not have a comorbid illness that precludes EUS or pancreatic cyst resection

Patient must not be in any form of pancreatic cyst surveillance for > 1 year, defined as organized, periodic up-to-date imaging directed towards the pancreatic cyst of interest

PRIOR TO ADDENDUM #5 08/13/2024: Patient must be 50 years and 75 years of age

PRIOR TO ADDENDUM #5 08/13/2024: Patient must not have acute pancreatitis or a history of chronic pancreatitis.

PRIOR TO ADDENDUM #5 08/13/2024: Patient must have received a CT, MRI, or EUS within 6 months prior to randomization that revealed one or more 1 cm pancreatic cyst (s).

PRIOR TO ADDENDUM #5 08/13/2024: Patients of childbearing potential must not be known to be pregnant.

PRIOR TO ADDENDUM #5 08/13/2024: Patient must not have a prior diagnosis of pancreatic malignancy of any type.

PRIOR TO ADDENDUM #5 08/13/2024: Patient must not have a history of pancreatic resection.

PRIOR TO ADDENDUM #5 08/13/2024: Patients with only pancreatic lesions without malignant risk (pancreatic pseudocyst or classic serous cystic lesion) are not eligible.

PRIOR TO ADDENDUM #5 08/13/2024: Patient must not have a family history of pancreatic adenocarcinoma in one or more first-degree relatives (biological parents, full siblings or children).

PRIOR TO ADDENDUM #5 08/13/2024: Patient must not have pancreatic cyst morphology that would prompt immediate surgical consideration (enhancing mural nodule, solid component in cyst, pancreatic duct 10mm, cyst causing obstructive jaundice).

PRIOR TO ADDENDUM #5 08/13/2024: Patient must not have a comorbid illness that precludes EUS or pancreatic cyst resection.

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