pancreatic neuroendocrine neoplasm
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 20 to 75 years old of age 2. Patient who have been fully informed consent. 3. PNEN of which grade was G1 confirmed pathologically by EUS-FNA specimen(WHO 2017 classification) 4. Not less than 15 mm of tumor size and well enhanced tumor at the arterial phase on CE-CT 5. non-functionnal PNEN or insulinoma
Exclusion criteria
Exclusion criteria: 1. Allergy for contrast media or ethanol 2. Within 2 mm of the distance between tumor and main pancreatic duct on radiographic images 3. Suspect of lymph node metastasis or distant metastasis on CE-CT. 4. Less than 50% of PT or less than 1.5 of INR 5. Less than 50,000/ L of PLT 6. Less than 30 mL/min of eGFR 7. Administeration of more than 2 antithrombotic agents 8. Not less than 2 of performance status 9. Being pregnant or possibly pregnant 10. Less than 5 years of estimated prognosis 11. Patients judged as inappropriate candidate by the chief medical examiner
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of subjects (not less than 15mm of tumor size) who achieved all of the following points. 1. Efficacy: Complete ablation rate at 1 and 6 months, respectively 2. Safety: Avoidance of severe adverse event within 1 month Avoidance of severe pancreatic fistula at 1 month later Avoidance of the incidence and exacerbation of diabetes mellitus 6 months later | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate following points in each cohort. Cohort 1: Not more than 10mm of tumor size Cohort 2: 10 to 15mm of tumor size Safety: 1. Rate of total adverse event 2. Failure rate of procedure equipment 3. Rate of requiring conversion to surgery 4. Severe adverse event within 1 month 5. Rate of severe pancreatic fistula at 1 month later 6. Incidence of diabetes mellitus 6 months later. Efficacy: 1. Complete ablation rate at 1 month. 2. Complete ablation rate at 6 month 3. 6 month survival Only for patients diagnosed insulinoma 1. Improvement of hypoglycemia 2 Changes of serum levels of fasting blood glucose, insulin, and C peptide pre and post procedure | — |
Contacts
Okayama University Hospital