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NCT04809935

EUS-Coeliac Plexus Block Versus Radiofrequency Ablation in Pain Relief of Patients With Malignancy

Status unknown Phase 4 Last updated 22 March 2021
What this trial tests

Phase 4 trial testing 98% dehydrated alcohol in Cancer of Pancreas in 54 participants. Status unknown.

Timeline
21 September 2020
Primary endpoint
31 January 2024
31 January 2024

Quick facts

Lead sponsorThe University of Hong Kong
PhasePhase 4
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment54
Start date21 September 2020
Primary completion31 January 2024
Estimated completion31 January 2024
Sites1 location across Hong Kong

Drugs / interventions tested

Conditions studied

Sponsor

The University of Hong Kong

Who can join

18 and older, any sex, with Cancer of Pancreas or Pancreatic Neoplasms. Patients with the condition only — healthy volunteers not accepted.

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

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pancreatic Cancer: Challenges and Opportunities in Locoregional Therapies.
    Bazeed AY, Day CM, Garg S. · · 2022 · cited 42× · PMID 36077794 · DOI 10.3390/cancers14174257
  2. Harnessing endoscopic ultrasound-guided radiofrequency ablation to reshape the pancreatic ductal adenocarcinoma microenvironment and elicit systemic immunomodulation.
    Moond V, Maniyar B, Harne PS, Bailey-Lundberg JM, et al · · 2024 · cited 6× · PMID 39351436 · DOI 10.37349/etat.2024.00263

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Other recruiting trials for Cancer of Pancreas

Currently open trials in the same condition.

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Trials by the same sponsor.

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Data sources for this page

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