Using MRI to Improve Surgery Selection for Pancreatic Cancer Patients
Official title: Incremental Value of Magnetic Resonance Imaging in Selection of Pancreatic Cancer Patients for Surgery (MAGIPAC): A Randomized Clinical Trial.
Run by University of Aarhus · NCT05428358 · Data updated 2026-11-12
This study is testing whether using MRI along with CT scans can help doctors better decide if surgery is a good option for pancreatic cancer patients with possible liver spread.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | University of Aarhus Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 3 sites (Aalborg and 2 other locations) |
| Status | Recruiting |
| Started | August 30, 2022 |
| Main results expected | December 1, 2027 |
| Study ends | December 1, 2028 |
| Registry record updated | April 29, 2026 |
| Trial ID | NCT05428358 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults with locally resectable or borderline resectable pancreatic cancer who have no liver metastases as determined by CT.
✕Probably not a fit
Patients with metastatic disease, prior neoadjuvant treatment, or significant comorbidities that prevent surgery 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 evaluate the added value of magnetic resonance imaging (MRI) alongside computed tomography (CT) in the diagnostic assessment of pancreatic cancer patients. It will be a nationwide, prospective clinical trial focusing on the identification of liver metastases in patients deemed potentially resectable. By comparing the diagnostic outcomes of MRI and CT, the study seeks to enhance the decision-making process for surgical interventions in pancreatic cancer cases.
Why it matters
Potential benefit: If successful, this study could lead to more accurate surgical selection for pancreatic cancer patients, potentially improving patient outcomes.
How similar studies have gone: While the use of MRI in cancer diagnostics is established, this specific approach of combining MRI with CT for pancreatic cancer is novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: * Pancreatic cancer patients considered to have a locally resectable or borderline resectable tumor by the local hepato-pancreato-biliary multidisciplinary team board * No liver metastases on CT * At least 18 years old and able to provide informed consent * Expected pancreatic ductal adenocarcinoma based on CT scan Exclusion criteria: * Metastatic disease * Prior receipt of neoadjuvant chemotherapy or downstaging/-sizing treatment * Comorbidity rendering major surgery unfeasible (inoperable) * No informed consent * Unable to undergo MRI (Kidney insufficiency (eGFR \< 60 ml/min/1.73 m2 body surface ar-ea); Claustrophobia; Cardiac pacemaker) * Postoperative histology other than adenocarcinoma of pancreato-biliary origin. * MRI with liver-specific contrast performed during standard workup.
Where it's running
-
Aalborg University Hospital
Aalborg, Denmark Recruiting -
Aarhus University Hospital
Aarhus, Denmark Recruiting -
Rigshospitalet
Copenhagen, Denmark Recruiting
Study contacts
- Principal investigator: Jakob Kirkegård, MD, PhD — Aarhus University Hospital
- Study coordinator: Jakob Kirkegård, MD, PhD
- Email: jakob.kirkegaard@auh.rm.dk
- Phone: +4522900604
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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.