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Familial Pancreatic CancerNCT02070705

DCE MRI in Patients With Pancreatic Cancer

A study testing Dynamic Contrast-Enhanced Magnetic Resonance Imaging and Ferumoxytol in people with Familial Pancreatic Cancer and Pancreatic Adenocarcinoma, run by OHSU Knight Cancer Institute at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This clinical trial studies an imaging technique known as dynamic contrast enhanced magnetic resonance imaging (DCE MRI) in identifying the presence of pancreatic cancer. DCE MRI is a procedure that takes detailed pictures of functional and structural properties inside the body using magnetic field imaging. Read more about this study

Who is it for?
Ages 18 to 85 yearsHealthy volunteers can take part
What is being tested?
Dynamic Contrast-Enhanced Magnetic Resonance Imaging and Ferumoxytol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
77 participants
Where
1 siteUnited States
Study dates
31 Jan 2014to 7 Aug 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • ALL PARTICIPANTS: A negative serum or urine pregnancy test for woman of childbearing potential
  • ALL PARTICIPANTS: Ability to understand and the willingness to sign a written informed consent document
  • GROUPS 1, 2, AND 3: "All participants" described above
  • GROUPS 1, 2, AND 3: Must be consented for the Oregon Pancreatic Tumor Registry (OPTR)
  • GROUPS 1, 2, AND 3: Group 1: participants identified as being high-risk for familial or hereditary pancreatic cancer, and must conform to one or more of the following requirements:
  • Have a strong family history of pancreatic cancer; this is defined as pancreatic cancer occurring in one first- degree relative and two other relatives, or two first- degree relatives; or,
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  • Have a known high-risk genetic syndrome (e.g., BRCA 1\&2, STK11, CDNK2A, PRSS1, and MSH 2\&6)
  • GROUPS 1, 2, AND 3: Group 2 participants identified as having IPMN on standard radiographic imaging that meets criteria for resection based on symptoms or on conventional imaging (computed tomography [CT] or MRI) findings
  • GROUPS 1, 2, AND 3: Group 3 participants must have pathologically- confirmed pancreatic adenocarcinoma, with or without the need for neoadjuvant chemotherapy prior to surgical resection.
  • HEALTHY VOLUNTEERS (Group 4): Must meet inclusion criteria for "all participants" described above
  • HEALTHY VOLUNTEERS (Group 4): Group 4 participants must have no history of cancer, pancreatic disease, or family history of pancreatic cancer.
  • Family history will be defined as pancreatic cancer occurring in one first-degree relative and two other relatives, or two first-degree relatives

Who cannot join

  • Participants unable or unwilling to give written, informed consent or to undergo MRI imaging
  • Participants with multiple drug allergies, and/or subjects who have had an allergic reaction to any intravenous iron replacement product, or a known history of hypersensitivity to ferumoxytol
  • Participants with concurrent clinical diagnosis, evidence of suspected hemochromatosis, or other diseases of iron metabolism (i.e., iron overload)
  • Cirrhosis, cardiomyopathy, restrictive heart disease, or bronzing of the skin
  • Pregnant women are excluded from this study because there is an unknown, but potential risk, for adverse events, as small animal trials have linked ferumoxytol administration (at very high doses) to birth defects (e.g., soft-tissue malformations and decreased fetal weights); it is not known whether ferumoxytol is present in human milk; breastfeeding, however, should be discontinued if the mother receives ferumoxytol while nursing
  • Human immunodeficiency virus (HIV)-positive participants on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with ferumoxytol
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  • Participants with diagnosis of renal insufficiency or glomerular filtration rate (GFR) < 60 ml/min/1.73m^2
  • Adult patients who require monitored anesthesia for MRI scanning
  • Participants with any contraindications to gadolinium-based contrast agents
  • Participants who have a contraindication for MRI (e.g. metal in their bodies, a cardiac pacemaker, or other incompatible device), or are severely agitated or claustrophobic. (For patients that are eligible but there is a concern of metal in their bodies, the will be given the option if interested to have a x-ray completed prior to study enrollment to determine if they can proceed with the study MRI. Patients with a concern of metal in their bodies that don't agree to a x-ray will not be enrolled into the study.)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • OHSU Knight Cancer Institute

    Portland, Oregon, 97239

Other trials in United States

About this study

Official title: The Use of Dynamic Contrast Enhanced Magnetic Resonance Imaging (DCE MRI) in the Management of Pancreatic Cancer

This clinical trial studies an imaging technique known as dynamic contrast enhanced magnetic resonance imaging (DCE MRI) in identifying the presence of pancreatic cancer. DCE MRI is a procedure that takes detailed pictures of functional and structural properties inside the body using magnetic field imaging. These images may better characterize pancreatic cancer in patients at high risk or in patients who may have undergone chemotherapy for pancreatic cancer.

Read the detailed description

PRIMARY OBJECTIVES:

  1. Assess the ability of DCE-MRI to identify the presence of pancreatic cancer in patients at high risk for hereditary pancreatic cancer.

II. Assess the ability of DCE-MRI to identify the presence of pancreatic cancer in patients with cystic lesions of the pancreas.

III. Assess the ability of DCE-MRI to accurately predict tumor margins in patients who have undergone chemotherapy for pancreatic cancer.

IV. Obtain DCE-MRI scans of from healthy volunteers (Group 4), to establish baseline imaging parameters of the normal, non-diseased pancreas for use as a comparator to affected pancreata.

SECONDARY OBJECTIVE:

  1. Clinical factors associated with the presence of pancreatic cancer will be assessed in each of the three experimental groups, including disease free survival and overall survival.

II. Additional MRI pulses sequences (e.g. MR fingerprinting, etc.) will be acquired for the assessment of tissue contrast before and after the administration of contrast agents.

OUTLINE: Patients are assigned to 1 of 4 groups.

ARM I (High-risk for familial or hereditary pancreatic cancer): Patients undergo DCE MRI yearly for a minimum of 3 scans.

ARM II (Intraductal papillary mucinous neoplasms [IPMN]): Patients undergo DCE MRI prior to surgery for resection of IPMN.

ARM III (Pancreatic cancer): Patients who undergo chemotherapy prior to resection will have 2 DCE MRI scans; one study scan prior to undergoing neoadjuvant therapy, as well as one study scan following neoadjuvant therapy as part of their pre-operative work up in addition to the standard imaging studies. For patients that do not require chemotherapy treatment prior to resection they will have just one DCE MRI scan prior to surgical resection. Patients currently undergoing neoadjuvant therapy or who have already completed neoadjuvant therapy that were unable to undergo imaging at baseline and are now proceeding to resection will have one DCE MRI scan prior to surgical resection.

ARM IV (Healthy volunteers): Patients undergo a single DCE MRI examination.

Being tested
Dynamic Contrast-Enhanced Magnetic Resonance Imaging, Ferumoxytol
Medical subject headings
Pancreatic carcinoma, familial, Pancreatic Intraductal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dynamic Contrast-Enhanced Magnetic Resonance ImagingProcedure or surgery

    Also called DCE, DCE MRI, DCE-MRI, DYNAMIC CONTRAST ENHANCED MRI

    Undergo DCE MRI

  • FerumoxytolDrug

    Also called Feraheme, Ferumoxytol Non-Stoichiometric Magnetite

    Given IV

Study groups in NCT02070705
Study groupRoleWhat they receive
Arm I (High-risk for familial/hereditary pancreatic cancer)ExperimentalPatients undergo DCE MRI (Dynamic Contrast-Enhanced Magnetic Resonance Imaging with Ferumoxytol) yearly for a minimum of 3 scans.
Receives: Procedure: Dynamic Contrast-Enhanced Magnetic Resonance Imaging; Drug: Ferumoxytol
Arm II (IPMN)ExperimentalPatients undergo DCE MRI (Dynamic Contrast-Enhanced Magnetic Resonance Imaging with Ferumoxytol) prior to surgery for resection of IPMN.
Receives: Procedure: Dynamic Contrast-Enhanced Magnetic Resonance Imaging; Drug: Ferumoxytol
Arm III (Pancreatic cancer)ExperimentalPatients who undergo chemotherapy prior to resection will have 2 DCE MRI scans; one study scan prior to undergoing neoadjuvant therapy, as well as one study scan following neoadjuvant therapy as part of their pre-operative work up in addition to the standard imaging studies. For patients that do not require chemotherapy treatment prior to resection they will have just one DCE MRI scan prior to surgical resection. Patients currently undergoing neoadjuvant therapy or who have already completed neoadjuvant therapy that were unable to undergo imaging at baseline and are now proceeding to resection will have one DCE MRI scan prior to surgical resection.
Receives: Procedure: Dynamic Contrast-Enhanced Magnetic Resonance Imaging; Drug: Ferumoxytol
Arm IV (Healthy volunteers)Active comparatorPatients undergo a single DCE MRI (Dynamic Contrast-Enhanced Magnetic Resonance Imaging with Ferumoxytol) examination.
Receives: Procedure: Dynamic Contrast-Enhanced Magnetic Resonance Imaging; Drug: Ferumoxytol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Presence of pancreatic cancer (yes or no) for patients that are either at high risk for hereditary pancreatic cancer (Group I)

    Descriptive statistical analysis will be conducted for primary endpoints.

    Measured: Up to 5 years

  2. Presence of pancreatic cancer (yes or no) for patients with cystic lesions of the pancreas (Group II)

    Descriptive statistical analysis will be conducted for primary endpoints.

    Measured: Up to 5 years

  3. Change in tumor margins in patients who have undergone chemotherapy for pancreatic cancer (Group III)

    The change of dynamic contrast enhanced magnetic resonance imaging (DCE MRI) parameters from baseline will be correlated with the tumor margins determined by pathological specimen following surgical resection through linear regression model.

    Measured: Baseline to up to 2 years

Secondary outcomes (13)
  1. Disease free survival (Group I)

    Kaplan-Meier method will be used to estimate the survival distribution for disease free survival. The estimated median and 95% confidence interval will be computed.

    Measured: Time of enrollment to time of diagnosis, assessed up to 5 years

  2. Disease free survival (Group II)

    Kaplan-Meier method will be used to estimate the survival distribution for disease free survival. The estimated median and 95% confidence interval will be computed.

    Measured: Time of surgical resection to time of disease recurrence, if applicable, assessed up to 5 years

  3. Disease free survival (Group III)

    Kaplan-Meier method will be used to estimate the survival distribution for disease free survival. The estimated median and 95% confidence interval will be computed.

    Measured: Time of surgical resection to time of recurrence, assessed up to 5 years

  4. Overall survival (Group I)

    Kaplan-Meier method will be used to estimate the survival distribution for overall survival. The estimated median and 95% confidence interval will be computed.

    Measured: Time of surgical resection to time of death, assessed up to 5 years

  5. Overall survival (Group II)

    Kaplan-Meier method will be used to estimate the survival distribution for overall survival. The estimated median and 95% confidence interval will be computed.

    Measured: Time of surgical resection to time of death, assessed up to 5 years

  6. Overall survival (Group III)

    Kaplan-Meier method will be used to estimate the survival distribution for overall survival. The estimated median and 95% confidence interval will be computed.

    Measured: Time of surgical resection to time of death, assessed up to 5 years

  7. Surgical pathological diagnosis and T & N stage according to the American Joint Committee on Cancer (AJCC) tumor, node, metastasis (TNM) staging system (Group II)

    Will be assessed as potential confounders or effect modifiers in the model. Will report c-statistics for each model.

    Measured: At time of surgery

  8. Surgical pathological diagnosis and T & N stage according to the AJCC TNM staging system (Group III)

    Will be assessed as potential confounders or effect modifiers in the model. Will report c-statistics for each model.

    Measured: At time of surgery

  9. Resection margin status (R0, R1 or R2) (Group III)

    Will be assessed as potential confounders or effect modifiers in the model. Will report c-statistics for each model.

    Measured: At time of surgery

  10. DCE- MRI imaging parameters (Group I)

    The DCE- MRI parameters will be obtained from the pancreases in the control group and will be descriptively analyzed for use as a comparison in other groups.

    Measured: Up to 5 years

  11. DCE- MRI imaging parameters (Group II)

    The DCE- MRI parameters will be obtained from the pancreases in the control group and will be descriptively analyzed for use as a comparison in other groups.

    Measured: Once prior to surgery

  12. DCE- MRI imaging parameters (Group III)

    The DCE- MRI parameters will be obtained from the pancreases in the control group and will be descriptively analyzed for use as a comparison in other groups.

    Measured: Up to 5 years

  13. DCE- MRI imaging parameters and descriptional analysis of normal pancreas DCE- MRI images (Group IV)

    The DCE- MRI parameters will be obtained from the pancreases in the control group and will be descriptively analyzed for use as a comparison in other groups.

    Measured: Once at time of enrollment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2014 (estimated)
  2. Study start31 Jan 2014
  3. Primary completion7 Aug 2024
  4. Study completion7 Aug 2024

Why it stopped: Loss of funding

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
77 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02070705
Sponsor's protocol ID
IRB00009694
Other IDs
NCI-2014-00270, MR00045736, CR00022704, IRB00009694, K08EB012859, U01CA278923
Status last verified
Jul 2025
First submitted
21 Feb 2014
Last updated
31 Jul 2025
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Dynamic Contrast-Enhanced Magnetic Resonance Imaging and Ferumoxytol in people with Familial Pancreatic Cancer and Pancreatic Adenocarcinoma, run by OHSU Knight Cancer Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 31 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Loss of funding). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Presence of pancreatic cancer (yes or no) for patients that are either at high risk for hereditary pancreatic cancer (Group I) (time frame: Up to 5 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2025.

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