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Pancreas Cancer clinical trials

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NCT ID: NCT03990675 Recruiting - Pancreas Cancer Clinical Trials

Evaluation and Comparison of the Growth Rate of Pancreatic Cancer Patient-derived Organoids

Start date: December 1, 2018
Phase: N/A
Study type: Interventional

Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive forms of cancer. Despite advances in the understanding of the mechanisms underlying PDAC pathogenesis, the impact on patient benefit is lagging. As a result, new model systems are being developed and used to fill this gap with the hope of translation into improved diagnostics and therapeutics. Organoids represent a powerful tool for research with the capacity to be applied to many key aspects of pancreatic tissue pathology. 3D organoids can be generated from endoscopic fine-needle aspiration or fine needle biopsy samples. In this study, we will evaluate and compare the growth rate of pancreatic cancer patient-derived organoids generated from matched fine needle Aspirations (FNA) and fine needle biopsies (FNB).

NCT ID: NCT03763214 Recruiting - Pancreas Cancer Clinical Trials

PTFE Stents for Treatment of Malignant Biliary Strictures

Start date: March 1, 2018
Phase: N/A
Study type: Interventional

In this randomized trial two two self-expanding metal stents (SEMS) for treatment of malignant biliary strictures are investigated. A newly developed PTFE (Polytetrafluorethylen) (Teflon) stent is tested versus standard covered metal stents. PFTE (Teflon) coating promises improved formability over standard silicone-coated stents, easier removal through the soft surface, and significantly reduced tumor growth through the impermeable surface.

NCT ID: NCT03755739 Recruiting - Breast Cancer Clinical Trials

Trans-Artery/Intra-Tumor Infusion of Checkpoint Inhibitors Plus Chemodrug for Immunotherapy of Advanced Solid Tumors

Start date: November 1, 2018
Phase: Phase 2/Phase 3
Study type: Interventional

This trial was designed to investigate the safety, response rates and survival outcomes of patients with advanced solid tumors by trans-artery/intra-tumor infusion of PD1/PDL1 antibody and/or CTLA4 antibody ipilimumab plus chemotherapeutic drug and to compare their differences.

NCT ID: NCT03716531 Recruiting - Pancreas Cancer Clinical Trials

Electron Beam Intraoperative Radiation Therapy Following Chemoradiation in Patients With Pancreatic Cancer With Vascular Involvement

PACER
Start date: March 19, 2019
Phase: N/A
Study type: Interventional

This research study is studying an intervention as a possible treatment for pancreatic cancer.

NCT ID: NCT03679910 Recruiting - Pancreas Cancer Clinical Trials

Evaluation of CEMIP in Pancreatic Cancer

Start date: January 1, 2019
Phase:
Study type: Observational

Pancreatic cancer (PC) is one of the most lethal diseases among all cancer types. The diagnosis of PC is usually based on radiology or invasive endoscopic techniques. Various types of tumor markers are used for diagnosing PC. The tumor markers carbohydrate antigen19-9 (CA 19-9) and carcinoembryonic antigen (CEA) are the ones most closely tied to PC. These tests are more often used in people already diagnosed with pancreatic cancer to help tell if treatment is working or if the cancer is progressing . Cell migration inducing protein (CEMIP) has been reported to be associated with early detection, cancer cell migration, invasion, and poor prognosis. Aim of the work: - To Estimate the level of CEMIP, CA19-9 and CEA in pancreatic cancer patients. - To evaluate the clinical utility of serum CEMIP, CA19-9 and CEA in pancreatic cancer patients in comparison with healthy controls and their relation to cancer staging and histopathological types. - To detect the correlation between CEMIP, CA-19-9 and CEA.

NCT ID: NCT03641183 Recruiting - Pancreas Cancer Clinical Trials

Neoadjuvant Therapy Followed by Stereotactic Body Radiotherapy (SBRT) for Locally Advanced Pancreatic Cancer

Start date: February 1, 2017
Phase: Phase 1/Phase 2
Study type: Interventional

The purpose of this study is to evaluate a new treatment routine for patients with borderline resectable and unresectable pancreas cancers.

NCT ID: NCT03637569 Recruiting - Cholangiocarcinoma Clinical Trials

The Relationship Between Triceps Skinfold and Overall Survival of Pancreas, Bile Duct, Gallbladder Cancer

Start date: April 1, 2018
Phase:
Study type: Observational [Patient Registry]

In this study, the investigators aim to demonstration of relationship between triceps skinfold thickness and overall survival of pancreatic cancer, cholangiocarcinoma and GB cancer.

NCT ID: NCT03572283 Recruiting - Pancreas Cancer Clinical Trials

Bethanechol Prior to Pancreatic Surgery

Start date: April 8, 2018
Phase: Early Phase 1
Study type: Interventional

The primary objective of this study is to assess the impact of bethanechol therapy on tumor activity by looking at biomarkers of proliferation, inflammation, and stem cell markers in post-treatment specimens compared to pre-treatment specimens and compared to other patients who were not treated with bethanechol prior to surgery. The investigators hypothesize that treatment with bethanechol will alter nerve conduction within tumors by stimulating the parasympathetic nervous system and reduce tumor proliferation, reduce macrophage activation, reduce tumor necrosis factor (TNF) alpha, and decrease human cluster of differentiation 44 (CD44) protein cancer stem cells. The safety objective is to assess the safety and tolerability of short course bethanechol prior to surgery and the impact of this treatment on immediate surgical outcomes. The investigators will assess all treatment-related toxicities with an emphasis on GI side effects and evaluate the impact of therapy on surgical delays or immediate post-op complications. All subjects will be contacted 1 week after beginning therapy to assess toxicity including GI specific toxicity and followed for safety for 30 days following completion of study medication. The investigators hypothesize that treatment for a minimum of 1 week will be tolerable in this selected patient population and will not interfere with progression to surgery or lead to increased surgical complications.

NCT ID: NCT03570502 Recruiting - Pancreas Cancer Clinical Trials

Incidence of POPF in the Resection of the Left Pancreas With RFAT

RFATPancreas
Start date: November 2016
Phase:
Study type: Observational [Patient Registry]

This study evaluates the impact of the Radiofrequency assisted transection on the rate of postoperative pancreatic fistula (POPF) after performing distal pancreatectomies, central pancreatectomies and pancreatic enucleation

NCT ID: NCT03484299 Recruiting - Pancreas Cancer Clinical Trials

Chemotherapy and Irreversible Electroporation in the Treatment of Advanced Pancreatic Adenocarcinoma

Start date: May 30, 2018
Phase: Phase 1
Study type: Interventional

Compare the efficacy and tolerability of IRE in combination with either FOLFIRINOX or gemcitabine in patients with locally advanced pancreatic cancer.