Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorUppsala University Hospital
Academic / other
Drugs / interventionschemotherapy
Locations6 sites (Odense and 5 other locations)
StatusRecruiting
StartedSeptember 5, 2023
Main results expectedSeptember 5, 2026
Study endsSeptember 5, 2028
Registry record updatedOctober 4, 2023
Trial IDNCT06065891 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.