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Clinical Trials/ISRCTN56087634
ISRCTN56087634Active, not recruitingPhase 2

A multicentre phase II study to investigate the feasibility and safety of high intensity focused ultrasound in the treatment of pancreatic cancer

niversity of Oxford0 sites20 target enrollmentStarted: July 22, 2021Last updated:
Conditions

Trial Snapshot

Phase
Phase 2
Status
Active, not recruiting
Enrollment
20

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional

Eligibility Criteria

Sex
All

Inclusion Criteria

  • 1. Histologically or cytologically confirmed adenocarcinoma
  • 2. Locally advanced inoperable pancreatic ductal adenocarcinoma and or operable pancreatic ductal cancers but patients not fit for surgery
  • 3. A measurable primary tumour on ultrasound imaging, with a target area of less than 8 cm in diameter on CT/MRI
  • 4. A clear 1 cm margin between the tumour and associated organs (duodenum, stomach, transverse colon) on contrast-enhanced MR imaging
  • 5. Biliary obstruction to be relieved before inclusion in the study
  • 6. Age greater than or equal to 18 years
  • 7. Fit for general anaesthesia
  • 8. Performance status: ECOG =2
  • 9. An American Society of Anaesthesiologists (ASA) grade of =3
  • 10. Life expectancy: At least 12 weeks
  • 11. Able to attend for long-term follow-up
  • 12. No concurrent malignancy
  • 13. No serious medical or psychological condition
  • 14. Ability to give fully informed consent

Exclusion Criteria

  • 1. Patients with TNM Stage IV (metastatic disease)
  • 2. Unclear cancer margins on ultrasound imaging
  • 3. Invasion into the duodenal wall
  • 4. Stricture of superior mesenteric artery directly by tumour encasement, or invasion of SMV below transverse mesocolon
  • 5. Patient suitable for surgical resection
  • 6. Refusal to give informed consent
  • 7. Unable to give informed consent
  • 8. Not fit for HIFU treatment: any significant disease, disorder, or finding which, in the opinion of the investigator, may significantly increase the risk to the patient because of participation in the study
  • 9. Active or ongoing infection requiring IV antibiotics
  • 10. Known pregnancy

Investigators

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