Focused Ultrasound for the Treatment of Pancreatic Cancer - an International Registry

Study Overview
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Brief Summary
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The purpose of the registry is to collect data on the performance of the focused ultrasound (FUS) technology and health outcomes. A wide variety of approaches exist for using FUS on pancreatic cancer patients, and the primary goal is to capture this broad spectrum of approaches and their impact on patients overall health. This information will help provide a better understanding of current care, and may possibly direct further, more specific investigations that will follow this registry.

Detailed Description
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This is a single-group, multi-center, observational log-in study. Patients will be screened for clinically diagnosed pancreatic cancer and are scheduled to receive focused ultrasound therapy at National Taiwan University Hospital to determine their eligibility for participation. After confirming that the patient has agreed, the patient will be followed up for 12 months to observe safety, tumor response, changes in clinical manifestations, and changes in the process of focused ultrasound treatment and quality of life after treatment. The overall survival and disease progression time will be tracked within 3 days before and after the 7th day of focused ultrasound treatment to death or 12 months, with the earlier occurrence being the priority. The patient's survival status will be tracked for 1 year. The physical condition will be evaluated by laboratory tests during the baseline screening, the next day after treatment, and 7 days, 14 days, 1 month, 2 months, 3 months, 6 months, and 12 months. Including blood tests, serum biochemical tests, tumor indicators, etc.; quality of life assessment, including pain index score (VAS) and SF-36 life scale (The MOS item short-form health survey, SF-36) will be one after treatment Evaluation starts in the following month; MRI imaging examination, all examinations, and treatments have been carried out in the 201701032DIPD clinical trial case. This case is only an observational clinical trial case for data registration. The baseline screening before treatment will be carried out between the -3 days and the 0 days before the treatment. The overall survival time (OS) will be tracked for 1 year; the time to disease progression (TTP) and progression-free survival (PFS) will continue to be tracked during the trial until the patient dies or undergoes other curative procedures (tracking should be carried out every 3 months) once). Concomitant drugs/treatments and adverse events will be tracked continuously during the trial period.

Official Title
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Focused Ultrasound for the Treatment of Pancreatic Cancer - an International Registry

Conditions
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Focused Ultrasound, Pancreatic Cancer

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: In order to be eligible to participate in this registry, an individual must meet all of the following criteria: 20 years and older Provision of signed and dated informed consent form Stated willingness to comply with all registry procedures and availability for the duration of the registry Histology proven pancreatic carcinoma in any area of pancreas Pancreatic tumor that can be treated by FUS Willingness and ability to complete follow-up interviews Patients have agreed to participate in the clinical trial 201701032DIPD and were scheduled to receive FUS therapy in our hospital Exclusion Criteria: An individual who meets any of the following criteria will be excluded from participation in this registry: Any disease, condition or surgery which would result in a contraindication to undergoing FUS therapy. Clinical trials of pancreatic cancer not of focused ultrasound or related activities

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain related to pancreatic cancer | Brief Pain Inventory from 0 (no pain) to 10 (pain as a bad as can imagine) | after high focused ultrasound treatment, an average of 1 month | 
| To observe the efficacy of local tumor ablation | the assessment of the tumor burden after high focused ultrasound treatment | after high focused ultrasound treatment, an average of 1 month | 
| The effect of local tumor ablation | time-to-progression | over 12 months | 
| To observe the survival rate | overall survival (OS) | over 12 months | 
| To observe the progression-free survival rate | observation of the progression-free survival | over 12 months | 
| To evaluate clinical benefit response (CBR) | The proportion of participants with a CBR will be measured at each follow-up time point | over 12 months |