Genetic, Microenvironmental, and Immunological Factors in Unresectable Pancreatic Ductal Adenocarcinoma

  • STATUS
    Recruiting
  • End date
    Jul 10, 2026
  • participants needed
    250
  • sponsor
    Catholic University of the Sacred Heart
Updated on 26 April 2022
endoscopic ultrasound
cancer chemotherapy
adenocarcinoma
antineoplastic
pdac
pancreatic ductal adenocarcinoma
breast ductal carcinoma
fine needle biopsy

Summary

Pancreatic ductal adenocarcinoma (PDAC) complexity, where genetic, stromal, and immunological factors all interact with each other, is responsible for the overall poor response of PDAC to chemotherapeutic agents, making this a lethal disease. The investigators hypothesize that: (i) dissection of genetic, stromal, and immunological factors on endoscopic ultrasound fine needle biopsy (EUS-FNB) tissue samples from unresectable PDAC patients' will allow to determine prognostic factors in this patient population; (ii) treatment response and acquisition of tumor chemotherapy resistance could be related to genetic heterogeneity between the primary and metastatic sites and alteration of the molecular profile under drug' selection pressure.

Details
Condition Pancreas Cancer
Clinical Study IdentifierNCT05248750
SponsorCatholic University of the Sacred Heart
Last Modified on26 April 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients referred to EUS with FNB for suspected pancreatic cancer unresectable or metastatic based on imaging findings
Availability of biopsies obtained during EUS-FNB
Histological diagnosis of pancreatic ductal adenocarcinoma of any stage
Patients must be fit for chemotherapy administration
They have to express their willingness to be followed up at our pancreatic high volume centers
Age >18 and <80 years
Able to sign informed consent

Exclusion Criteria

Histological diagnoses other than pancreatic ductal adenocarcinoma
Pregnancy or lactation
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