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CompletedNCT03042442CDNPANUpdated Mar 19, 2019

Relation Between Cachexia, Diabetes and periNeural Invasion in PANcreatic Cancer- Biomarkers Substudy

An observational study in Pancreatic Cancer, Adult, Cachexia and Pain, sponsored by Iuliu Hatieganu University of Medicine and Pharmacy. Completed at 1 site in Romania. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2019-03-19.

Sponsored by Iuliu Hatieganu University of Medicine and Pharmacy · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
114
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to determine the interrelationship between cachexia, neural invasion and diabetes in patients with pancreatic cancer. Thus the investigators propose to identify the protein expression levels of Activin and Midkine in plasma of patients with different stages of pancreatic adenocarcinoma compared with healthy patients and to evaluate the possible correlation with diabetes, tumor size and tumor stage.

Read the detailed description

In this study, the investigators will prospectively evaluate pancreatic adenocarcinoma patients with or without cachexia, perineural invasion and diabetes.

Patients with pancreatic ductal adenocarcinoma, based on the results of an endoscopic ultrasonography (EUS) biopsy or surgery were enrolled at the diagnosis and blood samples are drawn.

Thus the investigators propose to identify the protein expression levels of Activin and Midkine in plasma of patients with different stages of pancreatic adenocarcinoma compared with benign pancreatic disorders and healthy patients and to evaluate the possible correlation with diabetes, tumor size and tumor stage.

Furthermore, the investigators propose to identify the prognostic role of these biomarkers in the development of metastasis and survival in patients with adenocarcinoma, with and without diabetes and cachexia; to identify a new biomarker predictive of cachexia and eventually to select patients likely to benefit from treatment with antagonists of activin (or hypoglycemic treatment) and investigating the role of invasion neural in the appearance of cachexia in patients with pancreatic adenocarcinoma.

Follow-up: with phone-calls on an every 6 month, for up to 2 years, retaining the following data: survival, date of decease and its direct cause, the presence of tumor recurrence.

02

Conditions studied

  • Pancreatic Cancer, Adult
  • Cachexia
  • Pain
  • Diabetes Mellitus

Keywords

  • pancreatic cancer
  • cachexia
  • perineural invasion
  • pain
  • diabetes
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's enrollment of 114 is below the median of 200 across 620 observational studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Iuliu Hatieganu University of Medicine and Pharmacy is the lead sponsor of 53 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Sampling method
Probability sample

Study population

Patients with pancreatic ductal adenocarcinoma, based on the results of an endoscopic ultrasonography (EUS) biopsy or surgery were enrolled at the diagnosis, before any therapeutic intervention.

Subjects of the study group were at least 18 years old, with no previous history of any other cancer in the last 5 years. Written consent was given prior to entry into the study.

Inclusion criteria

  1. Age over 18 years old
  2. EUS or surgery biopsy confirming the diagnosis of adenocarcinoma
  3. Informed consent

Exclusion criteria

Exclusion Criteria:

  1. obvious malabsorption
  2. artificial nutrition
  3. hyperthyroidism
  4. major depression
  5. other causes of malnutrition
  6. refusing to enter the study
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
114 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Patients with pancreatic cancer

    Patients with pancreatic ductal adenocarcinoma, based on the results of an endoscopic ultrasonography (EUS) biopsy or surgery were enrolled at the diagnosis, before any therapeutic intervention.

    Diagnostic Test: Point-of care biomarkers · Other: Clinical, venous blood samples, pancreatic tissue · Other: Follow-up

  • health patients (controls)

    Health patients

    Diagnostic Test: Point-of care biomarkers · Other: Clinical, venous blood samples, pancreatic tissue · Other: Follow-up

Interventions

  • Diagnostic testPoint-of care biomarkers

    Point-of care biomarkers(Activin,Midkine) assessed by WB and IHC

  • OtherClinical, venous blood samples, pancreatic tissue

    Clinical evaluation, venous blood samples and pancreatic tissue needed for determining point-of-care biomarkers.

  • OtherFollow-up

    Participants will be assessed (by telephone) over a period of 2 years

06

What researchers measure

Primary outcomes

  1. Rate of patients with loss of > 5% body weight

    Using the BMI at admission and BMI at 6 months after admission

    Time frame: up to 6 months

Secondary outcomes

  1. Number of participants with pain as main symptom and antialgic therapy

    At baseline, throughout and at the end of the study as assessed by Visual Analogue Scale and type of antialgic treatment

    Time frame: up to 12 Months

  2. Evaluation of Quality of Life of participants (EORTC QLQ-C30 )

    At baseline, throughout and at the end of the study using EORTC QLQ-C30 questionnaire

    Time frame: Change from baseline at 12 months

  3. Food intake assessment of participants using SNAQ questionnaire

    At baseline, throughout and at the end of the study using SNAQ questionnaire

    Time frame: Change from baseline at 6 months

  4. Assessing the survival rate by phone-calls follow-up every 6 months, up to 2 years

    Time frame: up to 2 years

07

Study locations

1 site
  • Regional Institute of Gastroenterology and Hepatology
    Cluj Napoca, Cluj 400192, Romania
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03042442
Lead sponsor
Iuliu Hatieganu University of Medicine and Pharmacy
Responsible party
Livia Petrusel (MD, PhD Student, Iuliu Hatieganu University of Medicine and Pharmacy) — Principal investigator
First posted
Feb 3, 2017
Start date
Jan 1, 2017
Primary completion
Jun 30, 2018
Completion
Sep 30, 2018
Last update
Mar 19, 2019

Study contacts

Livia Petrusel, MD, PhD
principal investigator · Iuliu Hatieganu University of Medicine

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 Mar 2019. You cannot join it, but the record below documents what was studied.

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