Investigating lymph node metastasis in pancreatic cancer surgery
Official title: Prevalence and Consequences of Para-aortic Lymph Node Metastasis in Resectable Pancreatic Cancer: a Prospective Population Based Multicenter Study. The PALN Study
Run by Uppsala University Hospital · NCT06065891 · Data updated 2026-11-12
This study is testing whether removing certain lymph nodes during pancreatic cancer surgery can help doctors understand how the cancer spreads and improve treatment for patients.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Uppsala University Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 6 sites (Odense and 5 other locations) |
| Status | Recruiting |
| Started | September 5, 2023 |
| Main results expected | September 5, 2026 |
| Study ends | September 5, 2028 |
| Registry record updated | October 4, 2023 |
| Trial ID | NCT06065891 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults over 18 with resectable or borderline resectable periampullary cancer requiring duodenopancreatectomy.
✕Probably not a fit
Patients with unresectable tumors or those with contraindications for radical resection will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to assess the incidence and clinical implications of para-aortic lymph node (PALN) metastasis in patients undergoing curative resection for pancreatic cancer. By systematically resecting PALNs during surgery, the study seeks to clarify whether these nodes should be considered regional or indicative of systemic disease. The primary outcome focuses on determining the incidence of PALN metastasis, while secondary outcomes include evaluating the prognosis of patients with such metastasis and the incidence of metastasis in regional lymph nodes. The findings could influence surgical approaches and treatment strategies for pancreatic cancer.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical strategies and better prognostic understanding for patients with pancreatic cancer.
How similar studies have gone: While there is ongoing debate regarding the management of PALN metastasis, this study's systematic approach to resection is relatively novel and has not been extensively tested in prior studies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Resectable suspected periampullary cancer (requiring duodenopancreatectomy) (NCCN guidelines 2020) Borderline resectable periampullary cancer (requiring duodenopancreatectomy) (NCCN guidelines 2020) Age \>18 years Written patient consent Exclusion Criteria: Contraindication for a radical resection procedure Unresectable tumor (NCCN guidelines 2020) or metastatic disease (lgll station 16 not included) Mental or organic disorders which could interfere with giving informed consent or receiving treatments
Where it's running
-
Norrland University Hospital
Umeå, Sweden Recruiting -
Uppsala University Hospital
Uppsala, Sweden Recruiting -
Odense University Hospital
Odense, Denmark Not yet recruiting -
Sahlgrenska university hospital
Gothenburg, Sweden Active not recruiting -
Linköping University Hospital
Linköping, Sweden Active not recruiting -
Skåne University Hospital
Lund, Sweden Active not recruiting
Study contacts
- Principal investigator: Britt-Marie Karlson — Uppsala University Hospital
- Study coordinator: Christopher Månsson
- Email: Christopher.mansson@akademiska.se
- Phone: 0186110000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.