ClinicalTrials.gg
Status unknownNCT05714475Updated Feb 8, 2023

Pancreas Resection for Colorectal Metastasis: Retrospective Study

An observational study in Pancreas Metastases and Colorectal Cancer, sponsored by Ospedale Generale Di Zona Moriggia-Pelascini. Status unknown at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-08.

Sponsored by Ospedale Generale Di Zona Moriggia-Pelascini · Observational

The sponsor has not verified this record recently (last verified Feb 2023), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
15
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 427 studies in Colorectal Neoplasms with a site in Italy — 103 open to participants now, 143 under way, 18 of them phase 3. Colorectal Neoplasms · Italy.

Planned enrollment
91st of 94
15 · median 265
Started
2023
with 24 others
Observational
94 of 427
32 open now
Registered
329th of 427
by date

Among the 427 studies in Colorectal Neoplasms with a site in Italy, this one is the 91st largest by planned enrollment of the 94 observational ones that give a count, is one of 25 that started in 2023, is one of 94 observational ones, and was the 329th registered.

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

103 of the 427 studies in Colorectal Neoplasms with a site in Italy are open now. Recruiting first, the newest first:

98 more — sign in →

All 103 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 1,185 Colorectal Neoplasms studies recruiting now, 769 (65%) set no upper age limit and 265 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 427 studies in Colorectal Neoplasms with a site in Italy, or all of them as a file.
02

Study summary

The aim of this study is to collect data from different centres to obtain a larger case series and enable a better definition of the outcomes after pancreatic metastasectomy from primary colorectal cancer. To evaluate the possible benefits of surgery, we intend to retrospectively analyze the outcome of patients in whom pancreatic metastases have been surgically treated.

Primary objective;

  1. To evaluate feasibility and safety of pancreas resection in metastatic colorectal cancer
  2. To evaluate oncological outcome at six months from surgical procedure

Secondary objective:

  1. To evaluate oncological outcome at 12 months from surgical procedure
Read the detailed description

Metastases to the Pancreas are quite rare and account for less than 5% of pancreatic malignancies diagnosed in living patients.

In autopsy cases of malignant tumours, the incidence of pancreatic secondary tumours reaches 15%.

The metastases are predominantly of epithelial origin, most commonly from lung, stomach, small bowel, colon-rectum, kidney , breast , liver , ovary ,melanoma and urinary bladder.

It is largely described that resection of isolated metastasis to the lung or liver from primary tumour leads to improved survival; yet there is no consensus about the benefit of pancreas resection for metastases and the gold standard treatment is still not well defined.

The lack of data for pancreas metastases resections depends on low incidence and high perioperative risks. However, the improvement in morbidity and mortality rates after pancreaticoduodenectomy made the indication for this operation acceptable.

One of the larger series concluded that an aggressive surgical approach might be warranted if the patient can be rendered free of disease.

The majority of case series referred to renal cell carcinoma and resection for CCR are episodic. However there are several reports of solitary resected pancreatic metastases from colorectal cancer There is currently very limited experience with the surgical resection of isolated pancreatic colorectal metastases, and the role of surgery in the management of these patients is still debated.

To date, no prospective randomized or case-controlled studies have been performed to evaluate the role of surgical resection. Additionally, many of the existing retrospective studies are limited because of the small number of patients who were treated during prolonged periods of time.

Aim of the study The aim of this study is to collect data from different centres to obtain a larger case series and enable a better definition of the outcomes after pancreatic metastasectomy from primary colorectal cancer. To evaluate the possible benefits of surgery, the investigators intend to retrospectively analyze the outcome of patients in whom pancreatic metastases have been surgically treated.

The investigators launched the study aiming at demonstrating that pancreatic resection for colorectal metastases may be a safe and feasible procedure in selected patients and may provide long-term survival. The investigators sought to address the role of surgical resection and survival benefit from surgery. The investigators suppose to achieve a good prognosis with a median survival close to that observed after resection of hepatic metastases.

The guidelines for the treatment of colorectal cancer recommend resection of hematogenous metastases if they are deemed resectable.

Study design This study is an international multicenter retrospective cohort study to assess the outcomes of patients that underwent pancreas resection for solitary colorectal metastasis.

Aim of surgical interventions is to remove metastases in association to radical lymphadenectomy thus to achieve R0 result.

Patient data will be retrospectively analyzed and demographic characteristics, comorbidity status, clinical and radiological findings, treatment strategies , 30-day morbidity and mortality, oncological outcomes at 6 and 12 months will be evaluated.

03

Conditions studied

  • Pancreas Metastases
  • Colorectal Cancer

Keywords

  • pancreas
  • pancreatectomy
  • pancreas resection
  • colorectal metastasis
  • whipple
  • adenocarcinoma
  • follow up
04

Who can participate

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

Study population

patients underwent pancreas surgery for colorectal metastasis

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Isolated pancreatic from Colorectal cancer
  • Previous surgery for colorectal cancer
  • Surgically manageable lesions: duodenal-pancreatectomy surgical removal of metastatic repetitions in pancreas
  • Other procedures:

total-pancreatectomy distal-pancreatectomy other metastases resection

  • R0 resection
  • no signs of peritoneal metastasis or tumor manifestations outside of the pancreas.
  • CT Scan before surgery

Exclusion criteria

Exclusion Criteria:

  • from different
  • other malignancies
  • surgically unmanageable lesions
  • Multiple synchronous colorectal metastasis
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
15 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pancreas resection for colorectal metastasis

    Patient underwent a pancreas resection (whipple, distal pancreasectomy ...) with inclusion criteria. Criteria Inclusion Criteria: * Isolated pancreatic metastases from Colorectal cancer * Previous surgery for colorectal cancer * Surgically manageable lesions: duodenal-pancreatectomy surgical removal of metastatic repetitions in pancreas * Other procedures: total-pancreatectomy distal-pancreatectomy other metastases resection * R0 resection * no signs of peritoneal metastasis or tumor manifestations outside of the pancreas. * CT Scan before surgery Exclusion Criteria: * metastases from different malignancies * other malignancies * surgically unmanageable lesions * Multiple synchronous colorectal metastasis

    Procedure: Pancreas surgery

Interventions

  • ProcedurePancreas surgery

    Criteria Inclusion Criteria: * Isolated pancreatic metastases from Colorectal cancer * Previous surgery for colorectal cancer * Surgically manageable lesions: duodenal-pancreatectomy surgical removal of metastatic repetitions in pancreas pancreaticoduodenectomy total-pancreatectomy distal-pancreatectomy other metastases resection

06

What researchers measure

Primary outcomes

  1. 30-day mortality

    assessed by the number of patients with pancreas resection deceased within 30-days from the surgical intervention

    Time frame: 30 days

  2. 30-day morbidity

    assessed by the number of patients with pancreatic resection who experienced any type of postoperative complication within 30-days from the surgical intervention

    Time frame: 30 days

  3. Overall survival

    6 moths survival 3. Survival : 6 moths survival 4. Disease free survival at 6 months

    Time frame: 6 months

  4. Disease free survival

    disease free survival at 6 months

    Time frame: 6 months

Secondary outcomes

  1. Overall survival (12)

    Overall survival at 12 months

    Time frame: 12 months

  2. Disease free survival (12)

    disease free survival at 12 months

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
  • Ospedale Generale di zona Moriggia Pelascini
    Gravedona, Como 22015, Italy
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2023 (actual). Primary completion is estimated for Mar 2023, 2 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 26, 2023
First posted
Feb 6, 2023
StartActual
Jan 1, 2023
Primary completionEst.
Mar 31, 2023
CompletionEst.
Jun 30, 2023
Last update
Feb 8, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05714475
Lead sponsor
Ospedale Generale Di Zona Moriggia-Pelascini
Responsible party
Francesco Palmieri (MD, Principal investigator, Ospedale Generale Di Zona Moriggia-Pelascini) — Principal investigator
First posted
Feb 6, 2023
Start date
Jan 1, 2023
Primary completion
Mar 31, 2023 (estimated)
Completion
Jun 30, 2023 (estimated)
Last update
Feb 8, 2023

Study contacts

Francesco Palmieri, MD
Contact
dr.francescopalmieri@gmail.com
+393488615589

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion