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Prevalence of Pancreatic Anomalies of Patients With a 1st Degree Familial History of Pancreatic Adenocarcinoma

Not Applicable
Completed
Conditions
Prevalence of Pancreas Adenocarcinomas
Interventions
Procedure: Pancreatic MRI
Registration Number
NCT02810730
Lead Sponsor
Centre Hospitalier Saint Joseph Saint Luc de Lyon
Brief Summary

Pancreatic adenocarcinoma is the 4th leading cause of cancer in the USA. Its incidence is increasing both in France and in Europe, whereas all the other cancers are decreasing in Europe. Moreover, its seriousness is still high, with a mortality rate higher than the average incidence. The aim of PAPAFA study is to assess the prevalence of the pancreatic anomalies which can be revealed thanks to imaging, for patients having a 1st degree pancreatic adenocarcinoma familial history. This could allow detection of lesions which are less than 10 mm long, and improve the dark prognostic of this pathology.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • patients with a 1st degree familial history of pancreas adenocarcinoma
  • patients older than 40
  • patients whose life expectancy is > 3 months
  • inform and consent form signed
  • patient insured under the French social security system
Exclusion Criteria
  • contraindication to the MRI (pace-maker, implanted metallic material, medical history of allergy to the contrast agent, end-stage renal failure, pregnancy, claustrophobia)
  • contraindication to anesthesia to do the echo endoscopy
  • 1st degree family history of 2 pancreas adenocarinomas
  • medical history of allergy to benzylic alcool
  • contraindication to dimeglumine gadobenate
  • pregnant or breastfeeding woman, according to the questioning
  • subjets who don't have the legal capacity to consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Single armPancreatic MRIPancreatic MRI in the 6 months following the first consultation
Primary Outcome Measures
NameTimeMethod
Number of patients for whom the MRI and/or the echo endoscopy has shown a parenchymatous or ductal pancreatic anomalysix months after the last inclusion

For every patients who will have a pancreatic MRI detecting an anomaly, the echo endoscopy will be done. A cytology of the lesion from the echo endoscopy will be done for the solid lesions and for the indetermined cystic lesions (that is to say, the lesions which don't meet the literature set criteria for serous kyst or intraductal papillary and mucinous tumor of the pancreas) ; which is usually done in health care.

Secondary Outcome Measures
NameTimeMethod
Number of patients for whom the MRI has brought to light a parenchymatous and/or ductal pancreatic anomalysix months after the last inclusion
Number of patients for whom the echo endoscopy has brought to light a parenchymatous and/or ductal pancreatic anomalysix months after the last inclusion
Height of the lesionssix months after the last inclusion
Correlation between the data from the MRI and those from the echo endoscopysix months after the last inclusion
Localisation of the lesionssix months after the last inclusion
Number of lesionssix months after the last inclusion
Aspect of the lesion (solid and/or liquid)six months after the last inclusion

Trial Locations

Locations (9)

Clinique Convert

🇫🇷

Bourg-en-Bresse, France

Infirmerie Protestante

🇫🇷

Caluire et Cuire, France

Groupe Hospitalier Mutualiste des Eaux Claires

🇫🇷

Grenoble, France

Centre des maladies du foie et de l'appareil digestif

🇫🇷

Irigny, France

Clinique du Val d'Ouest

🇫🇷

Ecully, France

Centre Hospitalier Saint Joseph Saint Luc

🇫🇷

Lyon, France

Hôpital de Villefranche

🇫🇷

Villefranche sur Saône, France

Clinique des Portes du Sud

🇫🇷

Vénissieux, France

Hôpital privé Jean Mermoz

🇫🇷

Lyon, France

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