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Registry of Subjects at Risk of Pancreatic Cancer

Recruiting
Conditions
Peutz-Jeghers Syndrome
Familial Pancreatic Cancer
BRCA2 Mutation
Hereditary Pancreatitis
FAMMM - Familial Atypical Mole Malignant Melanoma Syndrome
BRCA1 Mutation
Lynch Syndrome
Interventions
Radiation: MRCP
Procedure: Endoultrasonography
Registration Number
NCT04095195
Lead Sponsor
Associazione Italiana per lo Studio del Pancreas
Brief Summary

IRFARPC is a multicenter national registry designed to study the diagnosis and predisposing factors of subjects with an inherited increased risk for pancreatic cancer.

Detailed Description

Pancreatic cancer is a devastating disease with a dismal prognosis. One of the ways to improve survival might be early detection.

Within years, many predisposing diseases or genetic conditions have been identified, thus screening/surveillance have been established worldwide.

A registry of subjects at risk of pancreatic cancer will has been built up to investigate the possibility of diagnosis pancreatic cancer, or one if its predisposing lesions.

Inclusion criteria will be adopted as "enrollment criteria". According to this, individuals \> 18 years old will be enrolled; their familiar history and/or genetic predisposition will be collected, as well as current or previous medical records/medications data. Thereafter, according to specific age-based criteria, those individuals initially enrolled will be will be considered for a "surveillance protocol" ("interventional follow-up criteria") and they will be submitted to Cholangio-Wirsung Magnetic Resonance or Pancreatic Endoultrasonography according to the pancreatologist's prescription at each participating center.

Individuals suffering from the following conditions will be enrolled:

familial pancreatic cancer; Peutz-Jeghers syndrome; a known BRCA-2, BRCA-1, PALB2, or p16 mutation with at least one first- or second-degree relative suffering from pancreatic cancer; hereditary pancreatitis; FAMMM syndrome; Lynch syndrome with at least one first- or second-degree relative suffering from pancreatic cancer.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1000
Inclusion Criteria

Not provided

Exclusion Criteria
  • pregnancy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Familial pancreatic cancer relativesEndoultrasonography-
Familial pancreatic cancer relativesMRCP-
BRCA 1/2, PALB2, p16 mutations with familiarity for PCEndoultrasonographyKnown genetic mutation and at least 1 1st- or 2nd-degree relative suffering from PC
Lynch syndrome with familiarity for pancreatic cancerEndoultrasonography-
Lynch syndrome with familiarity for pancreatic cancerMRCP-
Hereditary and genetic pancreatitisMRCP-
FAMMM syndromeMRCP-
Hereditary and genetic pancreatitisEndoultrasonography-
BRCA 1/2, PALB2, p16 mutations with familiarity for PCMRCPKnown genetic mutation and at least 1 1st- or 2nd-degree relative suffering from PC
Peutz-Jeghers syndromeMRCP-
Peutz-Jeghers syndromeEndoultrasonography-
FAMMM syndromeEndoultrasonography-
Primary Outcome Measures
NameTimeMethod
This clinical study will assess the diagnostic yield of a clinical surveillance program for pancreatic neoplasia or predisposing conditions (PanIN, IPMNs) in high risk individuals25 years

Number of malignant and pre-malignant lesions diagnosed over time

Secondary Outcome Measures
NameTimeMethod
This study will investigate possible risk factors for the incidence or the progression of for pancreatic neoplasia or predisposing conditions (PanIN, IPMNs) in high risk individuals25 years

Identification of risk factors for malignant or pre-malignant lesions diagnosis

Trial Locations

Locations (4)

Chirurgia Generale e del Pancreas

🇮🇹

Verona, Italy

San Raffele Vita Salute University Hospital

🇮🇹

Milano, Italy

Istituto Clinico Humanitas

🇮🇹

Rozzano, Milan, Italy

Ospedale Pederzoli

🇮🇹

Peschiera Del Garda, Verona, Italy

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