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Status unknownNCT05641233FIBROPANC-1Updated Dec 7, 2022

Preoperative Radiotherapy in Patients at High Risk of Postoperative Pancreatic Fistula After Pancreatoduodenectomy

A Phase 1/2 interventional study of Stereotactic radiotherapy in Neuroendocrine Carcinoma of Pancreas, Duodenum Carcinoma and Pancreas Neoplasm, sponsored by Erasmus Medical Center. Status unknown at 2 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-07.

Sponsored by Erasmus Medical Center · Phase 1/2, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Nov 2022), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 1 year 11 months after the study started (first participant enrolled Dec 2020, registered Nov 2022).
Phase
Phase 1/2
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The FIBROPANC-1 investigates the feasibility and safety of preoperative stereotactic radiotherapy of 4cm pancreas in patients undergoing pancreatoduodenectomy at high risk (>25%) of developing post operative pancreatic fistula (POPF). A single course of 12Gy preoperative radiotherapy may lead to sufficient fibrosis in a small (4cm) targeted area, thereby reducing the risk of grade B and C POPF.

02

Conditions studied

  • Neuroendocrine Carcinoma of Pancreas
  • Duodenum Carcinoma
  • Pancreas Neoplasm
  • Distal Cholangiocarcinoma
  • GIST
  • Pancreas Fibrosis
  • Pancreatic Fistula

Keywords

  • Post operative pancreatic fistula
  • Stereotactic radiotherapy
  • Pancreatic fibrosis
  • Pancreatoduodenectomy
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In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's planned enrollment of 33 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Erasmus Medical Center is the lead sponsor of 466 studies on the registry; 179 are open to participants now.

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

  • Patients scheduled to undergo pancreatoduodenectomy for another indication than pancreatic ductal adenocarcinoma.
  • Pancreatic duct diameter ≤ 3 millimetres, measured on the diagnostic CT scan (at the level of the portomesenteric vein, at the pancreatic neck, the future anastomotic site).
  • WHO-ECOG performance status 0,1 or 2.
  • Ability to undergo stereotactic radiotherapy and surgery.
  • Age ≥ 18 years.
  • Good understanding of the oral and written patient information provided.
  • Written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Patients undergoing pancreatoduodenectomy for (suspected) pancreatic cancer, chronic pancreatitis, or benign neoplasms (e.g. serous cyst) in the periampullary region.
  • Patients with (a history of) chronic pancreatitis
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (estimated)

Study arms

  • Experimental
    Intervention arm

    Radiation: Stereotactic radiotherapy

Interventions

  • RadiationStereotactic radiotherapy

    Preoperative radiotherapy delivered in a single fraction of 12 Gy focussed on 4cm pancreas at the intended (i.e. future) anastomotic site.

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What researchers measure

Primary outcomes

  1. Safety - CTCAE grade 3-4-5 complications related to the intervention

    Time frame: Up to 30 days after surgery

  2. Hardness of pancreas texture, determined by Durometer measurement

    Durometric measurement of the radiated and irradiated pancreatic tissue in Shore OO

    Time frame: Histopathological assesment of tissue after surgery

Secondary outcomes

  1. Percentage of patients with biochemical leak, postoperative pancreatic fistula grade B or C

    Defined by the ISGPS guideline (2016)

    Time frame: Up to 30 days after operation

  2. Hardness of pancreas texture, determined intraoperatively by the pancreatic surgeon

    Texture is scaled as soft/intermediate/hard

    Time frame: Assesment during surgery

  3. Macroscopic tissue assessment, determined by the pathologist

    Evalatuation of macropscopic differences between radiated and irradiated pancreatic tissue

    Time frame: Histopathological assesment after surgery

  4. Surgery related postoperative complications defined according to the Clavien-Dindo classification

    Time frame: Up to 30 days after surgery

  5. Overall complications

    Time frame: Up to 30 days after surgery

  6. Readmission rate

    Time frame: Postoperative period

  7. Length of hospital stay

    Days

    Time frame: Up to 30 days after surgery

  8. 30-day mortality and in-hospital mortality

    Time frame: Up to 30 days after surgery

07

Study locations

2 of 2 sites recruiting
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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 Dec 7, 2022, 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
NCT05641233
Lead sponsor
Erasmus Medical Center
Collaborators
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Responsible party
Casper H.J. van Eijck (prof. dr. Casper H.J. van Eijck, Erasmus Medical Center) — Principal investigator
First posted
Dec 7, 2022
Start date
Dec 1, 2020
Primary completion
Mar 1, 2023 (estimated)
Completion
Mar 1, 2023 (estimated)
Last update
Dec 7, 2022

Study contacts

Leonoor Wismans
Contact
l.wismans@erasmusmc.nl
010-703 38 54
Tessa Hendriks
Contact
t.e.hendriks@amsterdamumc.nl

Oversight

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

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This study is status unknown, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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