About this trial
EUS-FNB samples will be used for organoid cultures, which will be co-cultured with cancer associated fibroblasts derived from the surrounding stroma of the lesion. The organoid cultures will be used for pharmacotyping using relevant chemotherapeutic agents used in the clinic, and the organoid's response compared with the patient's response.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent
Histopathological confirmation of PDAC and planned standard first-line treatment prior to entering this study OR Patients suspected of primary locally advanced, non-metastatic PDAC based on cross-sectional imaging undergoing diagnostic standard of care (SOC) EUS-FNB procedure
Age > 18 years and older
Life expectancy greater than 3 months
Disqualifiers
Contraindications for nurse administered propofol sedation (NAPS)
Contraindications for EUS-FNB procedure
Trial population
Patients with histopathological confirmation of pancreatic ductal adenocarcimona, ineligible for surgery, planned to start standard first line treatment
Trial design
Cohort
Prospective
Treatments tested in this trial
No intervention
Other interventionNo intervention
Treatment groups
Trial outcomes
Primary outcomes
Measurement of organoid's response to therapy
Response of patient derived organoids to standard chemotherapeutic agents used for treatment of patients with pancreatic cancer
Validation of patient's response to therapy
Computed tomography (CT) scan of the thorax and abdomen are performed at baseline (within 28 days prior to first study drug administration) to assess efficacy of the drugs in patients.
Comparison between organoid's and patient's response
The response measured in the pharmacoscreen of organoids will be compared with the patient's response
Sponsors and contacts
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Herlev Hospital
Lead sponsor
Rigshospitalet, Denmark
Collaborator