Clinical trial Recruiting at 1 site Observational Ages 18 and up

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.

More Pancreatitis, Acute trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorUniversity of Tehran
Academic / other
Locations1 site (Tehran, Tehran Province)
StatusRecruiting
StartedSeptember 11, 2025
Main results expectedFebruary 12, 2027
Study endsMarch 12, 2027
Registry record updatedSeptember 15, 2025
Trial IDNCT07168863 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

  • Shariati Hospital, Digestive Diseases Research Institute
    Tehran, Tehran Province, Iran
    Recruiting

Study contacts

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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.
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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.