AzTrials
AzTrials

Metastatic Pancreatic CancerNCT06106568

An Observational Study to Learn More About the Impact of Gadoxetate Sodium-Enhanced Magnetic Resonance Imaging (EOB-MRI) When Used to Diagnose the Spread of Cancer From the Pancreas to the Liver in Japanese People Under Real-World Conditions

An observational study of Metastatic Pancreatic Cancer and Liver Metastases, run by Bayer at 1 site in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is an observational study in which data from people with cancer that has spread from the pancreas to the liver are collected and studied. These adults will include people who already received their usual treatment and who have had a certain type of imaging scan before the diagnosis of pancreatic cancer. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
EOB-MRI, Surgery and Open-close Laparotomy
Type of treatment
Surgery or procedure
How many people
39,624 participants
Where
1 siteJapan
Study dates
20 Nov 2023to 30 Oct 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This is a retrospective observational study utilizing data extracted from a hospital-based administrative health insurance claims database provided by Medical Data Vision Co. Ltd (MDV, Tokyo, Japan). Eligible patients are adult patients with a confirmed diagnosis of pancreatic cancer (identified by International Classification of Diseases, 10th revision [ICD-10] code C25.x) during the overall study period (i.e., between 01 Jan 2011 and 31 Oct 2022) .

Who may be able to join

  • Patients having at least one confirmed diagnosis of pancreatic cancer (identified by ICD-10 diagnosis code C25.x, without a suspicious diagnosis flag) during the patient selection period
  • Patients having at least one active treatment record after the 1st confirmed diagnosis of pancreatic cancer
  • Patients 18 years of age or older at the index date
  • Patients having any recorded CE-CT or EOB-MRI or MRI without EOB record during the baseline period
  • EOB-MRI stands for enhanced liver MRI using gadoxetate sodium as the contrast agent. In this type of MRI, gadoxetate sodium is used as a contrast agent in the visualization of the liver tumor.
  • EOB-MRI group will include patients who underwent EOB-MRI during the baseline period.
  • Non-EOB-MRI group will include patients who underwent CE-CT or MRI with contrast agent other than the gadoxetate sodium during the baseline period.
  • MRI, CE-CT and contrast agents are identified by using the nine-digit Japanese receipt code specified in the separate code list

Who cannot join

  • Patients with no confirmed diagnosis of pancreatic cancer (ICD-10 diagnosis code C25.x) in the below category of the disease name in the discharge summary until the 1st discharge date after the index date:
  • "ICD-10 code of disease name which input the most medical resources"
  • "ICD-10 name of disease behind hospitalization"
  • Patients with no active treatment within 3 months (90 days) from the con-firmed pancreatic cancer diagnosis date
  • Patients with no medical record in the MDV database within 1 month (30 days) from the index date

Trial locations and contacts

1 site in 1 country.

Japan1 site
  • Many locations

    Multiple Locations

Other trials in Japan

About this study

Official title: A Retrospective Observational Study to Investigate the Clinical Impact of EOB-MRI in the Diagnosis of Liver Metastasis of Pancreatic Cancer in Japan - A Real-World Study

This is an observational study in which data from people with cancer that has spread from the pancreas to the liver are collected and studied. These adults will include people who already received their usual treatment and who have had a certain type of imaging scan before the diagnosis of pancreatic cancer.

Metastatic pancreatic cancer is a cancer that starts in the pancreas, a gland that helps to digest food, and has spread to other parts of the body. Pancreatic cancer most commonly spreads to the liver (called liver metastasis). Gadoxetate sodium-enhanced magnetic resonance imaging (EOB-MRI) is a type of imaging technique that uses a specific dye called gadoxetate sodium to produce clearer images of the liver.

Read more

Participants with pancreatic cancer can be treated with surgery only if their cancer has not spread to other parts of the body. Therefore, it is important to find out if the cancer has spread to other parts of the body before performing surgery. To do this, different imaging scans such as exploratory laparoscopy and CE-CT are used. However, these tests have certain limitations, such as complicated procedures or, in some cases inaccurate results.

Some studies suggest that performing EOB-MRI along with a regular CT scan may improve the chances of finding out if pancreatic cancer has spread to the liver. This imaging technique is especially helpful in detecting smaller tumors that may be missed in other types of scan. However, more information is needed to better understand the impact of EOB-MRI in Japanese people under real-world conditions.

The main purpose of this study is to learn more about how using EOB-MRI helps in deciding the treatment options, how well the participants do, and how much does the use of medical care facilities costs.

The main information that researchers will collect in this study:

participant characteristics, including age, sex, whether they smoke or not, how well they can manage daily tasks, any other health problems they have, how advanced their cancer is, and if they have undergone laparoscopy

the length of time:

from the date of diagnosis of pancreatic cancer until a participant dies (called overall survival)

from the date of first treatment for pancreatic cancer until the cancer spreads of other organs

from the date of diagnosis of pancreatic cancer to starting the first treatment

from the date of first treatment for pancreatic cancer to starting the second treatment option

treatments that the participants have received, including anti-cancer drugs, radiation, and surgery

the number of hospital visits, use of healthcare facilities, and related costs.

The information in this study will be grouped based on the participants who had an EOB-MRI and those who had non EOB-MRI.

The data will come from the participants' information stored in a database called Medical Data Vision (MDV) in Japan. Data collected will be from January 2011 to October 2022.

Researchers will track individual patients' data for at least 1 year, until death, until there is no health record in the MDV for 2 months after treatment starts, or until the end of study.

In this study, only available data from health records are collected. No visits or tests are required as part of this study.

Being tested
EOB-MRI, Surgery, Open-close Laparotomy
Medical subject headings
Pancreatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EOB-MRIProcedure or surgery

    Retrospective analysis for pancreatic cancer patients who had a record of EOB-MRI in the Medical Data Vision (MDV) database in Japan

  • SurgeryProcedure or surgery

    Retrospective analysis for pancreatic cancer patients who had a record of any surgery for the pancreatic cancer in the Medical Data Vision (MDV) database in Japan

  • Open-close LaparotomyProcedure or surgery

    Retrospective analysis for pancreatic cancer patients who had a record of an open-close laparotomy in the Medical Data Vision (MDV) database in Japan

Study groups in NCT06106568
Study groupRoleWhat they receive
EOB-MRIAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and with a record of EOB-MRI
Receives: Procedure: EOB-MRI
non-EOB-MRIAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and without a record of EOB-MBI
EOB-MRI with surgeryAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and with a record of EOB-MRI and surgery
Receives: Procedure: EOB-MRI; Procedure: Surgery
non-EOB-MRI with surgeryAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and without a record of EOB-MRI but with a record of surgery
Receives: Procedure: Surgery
EOB-MRI without surgeryAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and with a record of EOB-MRI but without a record of surgery
Receives: Procedure: EOB-MRI
non-EOB-MRI without surgeryAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and without a record of EOB-MRI or surgery
EOB-MRI with an open-close laparotomyAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and with a record of EOB-MRI and an open-close laparotomy
Receives: Procedure: EOB-MRI; Procedure: Open-close Laparotomy
non-EOB-MRI with an open-close laparotomyAdult patients with confirmed diagnosis of pancreatic cancer who had the prescription record of an active treatment preceding the pancreatic cancer diagnosis and without a record of EOB-MRI but with a record of an open-close laparotomy
Receives: Procedure: Open-close Laparotomy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Descriptive summary of patient characteristics in EOB-MRI and non-EOB-MRI group

    Measured: Up to 12 years

  2. Descriptive summary of treatment pathways in EOB-MRI and non-EOB-MRI group

    Measured: Up to 12 years

  3. Descriptive summary of healthcare utilization patterns in EOB-MRI and non-EOB-MRI group

    Measured: Up to 12 years

  4. Descriptive summary of healthcare costs in EOB-MRI and non-EOB-MRI group

    Measured: Up to 12 years

Secondary outcomes (14)
  1. Descriptive summary of patient characteristics in EOB-MRI and non-EOB-MRI group within the subgroups of interest

    Subgroups:

    • with a record of surgery
    • without a record of surgery
    • with a record of an open-close laparotomy

    Measured: Up to 12 years

  2. Descriptive summary of clinical outcomes in EOB-MRI and non-EOB-MRI group within the subgroups of interest

    Subgroups:

    • with a record of surgery
    • without a record of surgery
    • with a record of an open-close laparotomy

    Measured: Up to 12 years

  3. Descriptive summary of healthcare utilization pattern in EOB-MRI and non-EOB-MRI group within the subgroups of interest

    Subgroups:

    • with a record of surgery
    • without a record of surgery
    • with a record of an open-close laparotomy

    Measured: Up to 12 years

  4. Descriptive summary of healthcare costs in EOB-MRI and non-EOB-MRI group within the subgroups of interest

    Subgroups:

    • with a record of surgery
    • without a record of surgery
    • with a record of an open-close laparotomy

    Measured: Up to 12 years

  5. Comparison of overall survival (time from pancreatic cancer diagnosis date to death) (in days) between patients in the EOB-MRI and non-EOB-MRI groups within the subgroups of interest (surgery and non-surgery)

    Measured: Up to 12 years

  6. Comparison of time to diagnosis of new metastases from the index date (in days) between patients in the EOB-MRI and non-EOB-MRI groups within the subgroups of interest (surgery and non-surgery)

    Measured: Up to 12 years

  7. Comparison of time to first treatment pathway option from the pancreatic cancer diagnosis date (in days) between patients in the EOB-MRI and non-EOB-MRI groups within the subgroups of interest (surgery and non-surgery)

    Measured: Up to 12 years

  8. Comparison of time to second treatment pathway option from the index date (in days) between patients in the EOB-MRI and non-EOB-MRI groups within the subgroups of interest (surgery and non-surgery)

    Measured: Up to 12 years

  9. Descriptive summary of patient characteristics across three index-year groups

    The study period will be divided into index year groups defined as below:

    • Group 1: 2011-2012
    • Group 2: 2013-2018
    • Group 3: 2019-2021

    Measured: Up to 12 years

  10. Descriptive summary of clinical outcomes across three index-year groups

    The study period will be divided into index year groups defined as below:

    • Group 1: 2011-2012
    • Group 2: 2013-2018
    • Group 3: 2019-2021

    Measured: Up to 12 years

  11. Descriptive summary of treatment pathways across three index-year groups

    The study period will be divided into index year groups defined as below:

    • Group 1: 2011-2012
    • Group 2: 2013-2018
    • Group 3: 2019-2021

    Measured: Up to 12 years

  12. Descriptive summary of healthcare utilization pattern across three index-year groups

    The study period will be divided into index year groups defined as below:

    • Group 1: 2011-2012
    • Group 2: 2013-2018
    • Group 3: 2019-2021

    Measured: Up to 12 years

  13. Descriptive summary of healthcare costs across three index-year groups

    The study period will be divided into index year groups defined as below:

    • Group 1: 2011-2012
    • Group 2: 2013-2018
    • Group 3: 2019-2021

    Measured: Up to 12 years

  14. Descriptive summary of the likelihood of open-close laparotomy in patients with confirmed diagnosis of pancreatic cancer who is intended the surgical intervention between those in the EOB-MRI group and non-EOB-MRI group

    Measured: Up to 12 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2023
  2. Study start20 Nov 2023
  3. Primary completion30 Oct 2024
  4. Study completion30 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
39,624 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06106568
Sponsor's protocol ID
22470
Status last verified
Oct 2024
First submitted
24 Oct 2023
Last updated
4 Nov 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

Questions about this trial

What is this clinical trial studying?

An observational study of Metastatic Pancreatic Cancer and Liver Metastases, run by Bayer at 1 site in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Descriptive summary of patient characteristics in EOB-MRI and non-EOB-MRI group (time frame: Up to 12 years). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in