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CompletedNCT01219829Updated Jun 11, 2021

Pancreatic Intraepithelial Neoplasia (PanIN) and the Association With Recurrence of Pancreatic Adenocarcinoma

An observational study in Pancreatic Cancer, sponsored by Columbia University. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-06-11.

Sponsored by Columbia University · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
5
Ages
18 Years to 85 Years
Sex
All
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Study summary

The research purpose of this project is to create a registry, and blood and tissue bank for individuals at high-risk for pancreatic cancer. We plan to conduct histopathological and molecular analysis of resected pancreatic tissue prospectively collected from a cohort of pancreatic cancer patients.

Read the detailed description

Pancreatic cancer is the fifth leading cause of cancer-related death in the United States. In order to improve outcomes of this disease, significant research efforts have focused on understanding the changes that occur in the pancreas prior to tumor occurrence. The types of changes most often associated with tumor have been named pancreatic intraepithelial neoplasia (PanIN). It is not yet clear how to identify the PanIN lesions most likely to develop into cancer and the length of time required for this progression. In order to evaluate these questions, we are interested in examining the microscopic and genetic characteristics of PanIN lesions in two "high-risk" patients: 1) patients who underwent surgery for pancreatic cancer and developed tumor recurrence after surgery and 2) patients with a strong family history of pancreatic cancer or with a genetic syndrome that puts them at risk for pancreas cancer. The surgical specimens from these patients will be evaluated by a pathologist for evidence of widespread PanIN lesions. In addition, PanIN lesions will be tested for abnormalities in several major genes that are known to be important in pancreatic cancer.

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Conditions studied

  • Pancreatic Cancer

Keywords

  • Pancreatic intraepithelial neoplasia (PanIN)
  • Pancreatic Cancer
  • Recurrence of pancreatic cancer
  • Field Effect
  • Genetic mutations in pancreatic cancer
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In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 374 are open to participants now.

This study's enrollment of 5 is below the median of 153 across 332 observational studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Columbia University is the lead sponsor of 1,103 studies on the registry; 193 are open to participants now.

Of its 172 completed or terminated interventional studies of FDA-regulated products, 142 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who are identified by a clinician as having either 1) a strong family history of pancreatic cancer; or 2) evidence (radiological or pathological) of local tumor recurrence following surgical resection, will be included in the study.

Inclusion criteria

  • Tissue-confirmed diagnosis of pancreatic adenocarcinoma.
  • Underwent surgical resection for adenocarcinoma at Columbia-Presbyterian Medical Center with pathologically negative surgical margins.
  • Enrolled in our Pancreatic Cancer Registry and Tissue Bank protocol (AAAA-6154).
  • Have at least 2 relatives (of whom one must be first-degree relative) with pancreatic cancer, or have been diagnosed with a a genetic syndrome which is associated with pancreatic cancer (among the included syndromes include BRCA1/2, FAMMM, Peutz-Jeghers, HNPCC, Hereditary Pancreatitis) -OR- Have radiological or pathological (fine needle aspirate or surgical biopsy) evidence of local tumor recurrence following surgery.

Exclusion criteria

Exclusion Criteria:

  • Metastatic disease discovered at presentation or on recurrence (exception is the familial PDC patients)
  • Positive surgical margins.
  • Lack of clinical followup at one year following surgery
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
5 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Family History patients

    Patients with a strong family history of pancreatic cancer or with a genetic syndrome that puts them at risk for pancreas cancer.

  • Recurrence patients

    Patients who underwent surgery for pancreatic cancer and developed tumor recurrence after surgery

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What researchers measure

Primary outcomes

  1. Number of subjects with histological features of PanIN lesions assessed

    Distinctive histological features of PanIN within surgical specimens of our two study groups will be assessed by pathologists.

    Time frame: 1 year

Secondary outcomes

  1. Evaluation of clonality multifocal PanIN lesions

    Using microarray-based comparative genomic hybridization (aCGH) to evaluate the samples.

    Time frame: 1 year

  2. Evaluation of Recurrence Mechanism in PDC

    aCGH will also be utilized to evaluate recurrence mechanism in a set of cases in which both original tumor and recurrence tumor was resected, allowing for clonal origins to be evaluated.

    Time frame: 1 year

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Study locations

1 site
  • Columbia University Irving Medical Center
    New York, New York 10032, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01219829
Lead sponsor
Columbia University
Collaborators
Cold Spring Harbor Laboratory
Responsible party
Sponsor
First posted
Oct 13, 2010
Start date
Mar 18, 2009
Primary completion
Apr 27, 2021
Completion
Apr 27, 2021
Last update
Jun 11, 2021

Study contacts

Wendy K Chung, MD
principal investigator · Columbia University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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