Risk of pancreatitis after EUS-guided fine-needle biopsy
Official title: Incidence and Risk Factors of Acute Pancreatitis Following EUS-Guided Fine Needle Biopsy (EUS-FNB)
Run by University of Tehran · NCT07168863 · Data updated 2026-11-12
This project will see how often adults who have EUS-guided fine-needle biopsy of pancreatic, ampullary, or intrapancreatic bile duct lesions develop pancreatitis and which factors increase that risk.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | University of Tehran Academic / other |
| Locations | 1 site (Tehran, Tehran Province) |
| Status | Recruiting |
| Started | September 11, 2025 |
| Main results expected | February 12, 2027 |
| Study ends | March 12, 2027 |
| Registry record updated | September 15, 2025 |
| Trial ID | NCT07168863 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) scheduled for EUS-guided FNB of the pancreas, ampulla of Vater, or intrapancreatic common bile duct who can give informed consent and do not have active acute pancreatitis or uncorrectable clotting/platelet disorders.
✕Probably not a fit
Patients undergoing same-day ERCP, those having EUS-guided FNA instead of FNB, patients with an ongoing episode of acute pancreatitis during the procedure, or those with uncorrectable coagulopathy or thrombocytopenia are excluded and will not benefit directly 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 observational, descriptive-analytical study will enroll adults undergoing EUS-guided FNB at Shariati Hospital in Tehran and collect demographic and clinical data. Serum amylase and lipase will be measured 24 hours after the procedure and pancreatitis will be defined by abdominal pain plus enzyme levels greater than three times the normal range. The study will analyze patient and procedure-related factors to identify associations with post-FNB pancreatitis. All outcomes will be independently adjudicated by an expert gastroenterologist not involved in the procedures.
Why it matters
Potential benefit: If successful, the findings could help clinicians identify high-risk patients, adjust biopsy practices, and reduce post-procedure pancreatitis, hospital stays, and costs.
How similar studies have gone: Prior work reports low pancreatitis rates after EUS-FNA, but the incidence and risk factors after newer FNB needles have not been systematically studied, making this a relatively novel focused analysis.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Inpatients and outpatients aged 18 years or older undergoing EUS-guided FNB from a solid or cystic lesion in one of the following locations: * Pancreas * Ampulla of Vater * Distal CBD, defined as the intrapancreatic portion of the CBD where the FNB needle passes through the pancreas during biopsy Exclusion Criteria: * Patients who undergo concurrent ERCP in the same day * Patients experiencing an ongoing episode of acute pancreatitis during EUS-FNB * Patients undergoing EUS-guided FNA * Uncorrectable coagulopathy (INR \> 1.5) * Uncorrectable thrombocytopenia (platelet \< 50,000) * Decline to participate in the study and sign the informed consent form * Patients undergoing EUS-guided FNB from the proximal CBD where the FNB needle does not traverse the pancreas
Where it's running
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Shariati Hospital, Digestive Diseases Research Institute
Tehran, Tehran Province, Iran Recruiting
Study contacts
- Study coordinator: Mehdi Mohamadnejad, MD
- Email: mehdi.nejad@gmail.com
- Phone: +982182415104
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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.