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NCT04801082
Endoscopic Ultrasound-Guided Coeliac Plexus Neurolysis for Cancer Pain: Chemical Versus Radiofrequency Ablation
Phase 4 trial testing Alcohol injection in Malignancy in 54 participants. Status unknown.
31 January 2024
Quick facts
| Lead sponsor | The University of Hong Kong |
|---|---|
| Phase | Phase 4 |
| Status | Status unknown |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | double |
| Primary purpose | treatment |
| Enrollment | 54 |
| Start date | 1 March 2021 |
| Primary completion | 31 January 2024 |
| Estimated completion | 31 March 2025 |
| Sites | 1 location across Hong Kong |
Drugs / interventions tested
- Alcohol injection
- Radiofrequency Ablation
Conditions studied
- Malignancy — all drugs for Malignancy →
- Pain Management — all drugs for Pain Management →
Sponsor
The University of Hong Kong
Who can join
18 and older, any sex, with Malignancy or Pain Management. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Change of pain score
Time frame: 4 weeks after the procedure
change of pain score at 4th week after the procedure (by VAS score)
Sponsor's own description
Many cancer patients suffer from intractable pain and which is often suboptimally controlled by even strong opioid analgesics. Coeliac plexus neurolysis (CPN) is procedure which intended to permanently destroy the nociceptive pathway that transmits the pain caused by the tumour. It can be with different approaches, such as percutaneously guided by fluoroscopy, echo-endoscopically or surgically with endoscopic approach being the more popular one in many centers equipped with echo-endoscopic services. The effect of CPN has been well established by some retrospective series. The overall response rate to CPN ranges from 70-90%, however, the analgesic effect is limited and up to roughly around 3 months. It is believed that the short-lasting analgesic effect is related to incomplete neurolysis by absolute alcohol injection. Recently, radiofrequency ablation (RFA) of coeliac plexus has been introduced as another mode of CPN. So far, only one small single center randomized controlled trial (RCT) suggesting superior performance in favour to CPN using RFA. This result has to be validated and by a RCT with larger sample size. In addition, data concerning the quality of life (QOL) improvement and cost-effectiveness need to be further elucidated. Therefore, the aim of this study is to perform a RCT to look into these issues.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
-
Sympathetic nerve blocks for persistent pain in adults with inoperable abdominopelvic cancer.
Nagar SD, Nagar SJ, Jordan V, Dawson J. · · 2024 · cited 2× · PMID 38842054 · DOI 10.1002/14651858.cd015229.pub2
Verify or expand the search:
- PubMed search for NCT04801082
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04801082 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by The University of Hong Kong
- Last refreshed: 17 March 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04801082.
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