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RecruitingNCT06651580Updated Sep 11, 2026

Biospecimen Collection to Identify Gene Mutations for High Risk Pancreatic Cancer in Pediatric Patients, INSPPIRE 2 Study

An observational study in Chronic Pancreatitis, Exocrine Pancreas Carcinoma and Recurrent Acute Pancreatitis, sponsored by M.D. Anderson Cancer Center. Recruiting at 26 sites in 4 countries. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by M.D. Anderson Cancer Center · Observational

From the registry’s dates

  • Started Apr 2021; still recruiting 5 years 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,600
Ages
Up to 17 Years
Sex
All
01

Study summary

This clinical trial collects blood, saliva, urine, or stool samples to help identify possible genetic mutations that may increase a person's chance at developing pancreatic cancer. Finding genetic markers among pediatric patients with acute recurrent pancreatitis and chronic pancreatitis may help identify patients who are at risk of pancreatic cancer.

Read the detailed description

PRIMARY OBJECTIVE:

I. To comprehensively characterize the pediatric population with acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP) and determine predictors of early onset CP and its sequelae.

OUTLINE:

Patients complete quality-of-life (QoL) assessment and complete questionnaires for over 2 hours every 12 months for 4 years. Patients also undergo collection of blood and/or saliva (if blood samples are not available), urine, or stool at baseline or follow-up (if inadequate samples collected or missed at baseline).

After completion of the study, patients are followed up every 12 months.

02

Conditions studied

  • Chronic Pancreatitis
  • Exocrine Pancreas Carcinoma
  • Recurrent Acute Pancreatitis
03

In context

Pancreatitis, Chronic

264 studies on the registry are indexed under Pancreatitis, Chronic; 76 are open to participants now.

This study's planned enrollment of 1,600 is above the median of 300 across 115 observational studies indexed under Pancreatitis, Chronic.

Browse Pancreatitis, Chronic studies →

Lead sponsor

M.D. Anderson Cancer Center is the lead sponsor of 3,047 studies on the registry; 578 are open to participants now.

Of its 612 completed or terminated interventional studies of FDA-regulated products, 409 (67%) have results posted.

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

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric patients (under 18 years) enrolled in the INSPPIRE 1 database who are planned to be reenrolled under this protocol over the next 4 years.

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

  • All subjects/parents must sign an and/or assent indicating that they are aware of the nature of this study
  • Subjects/parents must have signed an authorization for the release of their or their child's protected health information
  • All children must be under 18 years of age at the time of enrollment
  • All children providing samples should fit the ARP or CP inclusion criteria defined below:

    • Acute pancreatitis (AP): AP is defined as requiring 2 of the following:

      • Abdominal pain compatible with AP
      • Serum amylase and/or lipase values >= 3 times
      • Imaging findings of AP, such as gland enlargement, acute inflammatory changes, and fluid collections
    • ARP is defined as: At least 2 episodes of acute pancreatitis with complete resolution of pain and a >= 1 month pain-free interval between episodes
    • Chronic Pancreatitis:

      • Children with at least:

        • One irreversible structural change in the pancreas with or without abdominal pain +/- exocrine pancreatic insufficiency +/- diabetes

          • Irreversible structural changes:

            • Ductal calculi, dilated side branches, parenchymal calcifications found in any imaging (abdominal ultrasound [abd US], magnetic resonance imaging/magnetic resonance cholangiopancreatography [MRI/MRCP], computerized tomography [CT], endoscopic retrograde cholangiopancreatography [ERCP], endoscopic US [EUS])
            • Ductal obstruction or stricture/dilatation/irregularities that are persistent (for >= 2 months) on any imaging
            • Parenchymal atrophy, irregular contour, accentuated lobular architecture, cavities alone are not diagnostic findings for CP
            • Surgical or pancreatic specimen demonstrating histopathologic features compatible with CP (acinar atrophy, fibrosis, protein plugs, infiltration with lymphocytes, plasma cells, macrophages)

Exclusion criteria

Exclusion Criteria:

  • Subjects must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy or would compromise the subject's ability to tolerate study interventions
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,600 participants (estimated)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Observational (biospecimen collection and questionnaire)

    Patients complete QoL assessment and complete questionnaires for over 2 hours every 12 months for 4 years. Patients also undergo collection of blood and/or saliva (if blood samples are not available), urine, or stool at baseline.

    Procedure: Biospecimen Collection · Other: Quality-of-Life Assessment · Other: Questionnaire Administration

Interventions

  • ProcedureBiospecimen Collection

    Undergo collection of blood, saliva, urine or stool samples

    Also known as: Biological Sample Collection, Biospecimen Collected, Specimen Collection

  • OtherQuality-of-Life Assessment

    Complete QoL assessment

    Also known as: Quality of Life Assessment

  • OtherQuestionnaire Administration

    Complete questionnaire

06

What researchers measure

Primary outcomes

  1. Characterize the pediatric population with acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP)

    Two-sample t-test or Wilcoxon rank-sum test will be used for the continuous/ordinal variables and Pearson Chi-square test for the categorical variables. The variables that suggest differences between ARP and CP (p value \< 0.15) will be included as independent variables in a multivariable logistic regression analysis for CP progression.

    Time frame: Up to 4 years

  2. Risk factors that predispose children to CP sequelae and high disease burden

    A two-sample t-test or Wilcoxon rank-sum test for the continuous/ordinal variables and Pearson Chi-square test for the categorical variables. The variables that suggest an association with sequelae/disease burden (p-value \< 0.15) will be included as independent variables in a regression model for sequelae/disease burden. Normal/logistic/multinomial regression model will be used for continuous/binary/ordinal disease burden and sequelae outcomes. For repeated measures, random effects will be added to these models to account for correlation among the measures.

    Time frame: Up to 4 years

07

Study locations

26 of 26 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06651580
Responsible party
Sponsor
First posted
Oct 21, 2024
Start date
Apr 1, 2021
Primary completion
Feb 2, 2027 (estimated)
Completion
Feb 2, 2027 (estimated)
Last update
Sep 11, 2026

Study contacts

Ying Yuan, PHD
Contact
yyuan@mdanderson.org
(713) 563-4271
Ying Yuan, PHD
principal investigator · M.D. Anderson Cancer Center
View the source record on ClinicalTrials.gov ↗

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