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CompletedNCT04402346TRANSPAIREUpdated Jul 20, 2026

Radiofrequency-assisted Transection of the Pancreas vs Stapler

An interventional study of Radiofrequency-assisted pancreas transection and Stapler assisted pancreas transection in Pancreas; Fistula, sponsored by Patricia Sanchez Velazquez. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-20.

Sponsored by Patricia Sanchez Velazquez · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
112
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Main objective: The main end-point of this study is to compare in a randomized clinical trial that radiofrequency-assisted pancreas transection (RF) reduces the incidence of postoperative pancreatic fistula (POPF) compared to the classical method of transection (stapler). As secondary end-points, other clinical and demographic variables of the patients will be evaluated (sex, age, ASA classification, consistency of the pancreas, as well as the type of procedure, open or laparoscopic surgery, estimated intraoperative bleeding, pancreatic duct size, duration of intervention, type of tumor and quality of lymphatic resection). Methodology: Phase III prospective multicenter study in patients undergoing distal pancreatectomy for any origin. All consecutive patients who undergo a distal pancreatectomy for any cause in a multicenter setting will be included. A simple randomization of the participants to the RFA group or to the control group (stapler) will be carried out. The incidence of pancreatic fistula will be assessed as main variable; predictive multivariable models with multiple regression for quantitative variables, logistic regression for categorical variables and Cox regression for survival analyzes. In addition to histological study, molecular analysis of resection specimen and clinical and radiological follow-up with volumetry of necrosis in the area of post-pancreatectomy transection will be performed.

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Conditions studied

  • Pancreas; Fistula

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Keywords

  • Pancreas fistula
  • Distal pancreatectomy
  • Radiofrequency
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In context

Pancreatic Fistula

125 studies on the registry are indexed under Pancreatic Fistula; 27 are open to participants now.

This study's enrollment of 112 is close to the median of 110 across 75 interventional studies indexed under Pancreatic Fistula.

Browse Pancreatic Fistula studies →

Lead sponsor

This is the only study on the registry with Patricia Sanchez Velazquez as lead sponsor.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Solid or cystic, benign or malign pancreas neoplasms.
  • Patients undergoing a distal pancreatectomy, i.e pancreas transection beyond > 2 cm from the SMV (assessed by computer tomography or RM) with or without splenectomy
  • Both open and laparoscopic approaches are valid.

Exclusion criteria

Exclusion Criteria:

  • Patients who required a pancreatectomy with transection at the level of the neck.
  • Non-intervention group: only stapler transection will be accepted, other pancreatic transection methods will be excluded.
  • Patients ASA≥IV
  • Absence of informed consent
  • Underage (\<18 years)
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
112 participants (actual)

Study arms

  • Experimental
    Radiofrequency-assisted

    Procedure: Radiofrequency-assisted pancreas transection

  • Active comparator
    Stapler

    Procedure: Stapler assisted pancreas transection

Interventions

  • ProcedureRadiofrequency-assisted pancreas transection

    Transection of the pancreas in distal pancreatectomy by applying a radio frequency device

  • ProcedureStapler assisted pancreas transection

    Transection of the pancreas in distal pancreatectomy by applying a stapler device with/without seamguard

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What researchers measure

Primary outcomes

  1. Pancreas fistula

    Defined by the updated 2016 ISGPF definition

    Time frame: 90 days follow-up

Secondary outcomes

  1. In-hospital Mortality

    30 days

    Time frame: In-Hospital (30 days)

  2. Morbidity

    In terms of Clavien-Dindo and CCI classification

    Time frame: 90 days follow-up

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Study locations

1 site
  • Parc de Salut Mar de Barcelona- Hospital del Mar
    Barcelona, Catalonia 08019, Spain
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References and documents

Publications

  • Sanchez-Velazquez P, Pueyo-Periz E, Alamo JM, Suarez Artacho G, Gomez Bravo MA, Marcello M, Vicente E, Quijano Y, Ferri V, Caruso R, Dorcaratto D, Sabater L, Gonzalez Chavez P, Noguera J, Navarro Gonzalo A, Bellido-Luque J, Tellez-Marques C, Ielpo B, Burdio F. Radiofrequency-assisted transection of the pancreas versus stapler in distal pancreatectomy: study protocol for a multicentric randomised clinical trial (TRANSPAIRE). BMJ Open. 2022 Nov 4;12(11):e062873. doi: 10.1136/bmjopen-2022-062873. PubMed 36332946 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 20, 2026, 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
NCT04402346
Lead sponsor
Patricia Sanchez Velazquez
Responsible party
Patricia Sanchez Velazquez (Principal Investigator, Hospital del Mar) — Sponsor-investigator
First posted
May 26, 2020
Start date
Feb 15, 2021
Primary completion
Mar 31, 2025
Completion
May 30, 2025
Last update
Jul 20, 2026

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 Jul 2026. You cannot join it, but the record below documents what was studied.

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