Pancreatic CancerFASTNCT07368218
Comparison of Transmesocolic Versus Retromesenteric Reconstruction in Cephalic Duodenopancreatectomy (FAST Trial)
A study testing Retromesenteric reconstruction and Transmesocolic reconstruction in people with Pancreatic Cancer, run by Hospital Universitari de Bellvitge at 1 site in Spain.
Trial summary
Objective: To compare the incidence of delayed gastric emptying (ISGPS 2007 criteria) between patients undergoing retromesenteric versus transmesocolic reconstruction after pancreaticoduodenectomy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreatic Cancer
- What is being tested?
- Retromesenteric reconstruction and Transmesocolic reconstruction
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 124 participants
- Where
- 1 siteSpain
- Study dates
- 31 Jan 2026to Jun 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 18 years
- Candidates for cephalic duodenopancreatectomy due to pancreatic pathology
- Ability to complete follow-up questionnaires
Who cannot join
- Emergency surgery
- Participation in another clinical trial
- Pregnancy or lactation
- Severe psychiatric disorder that prevents follow-up
- Inability to understand the information and sign study consent
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Spain1 site
Hopital Universitari de Bellvitge
L'Hospitalet de Llobregat, Spain, 08907
Juli Busquets Barenys, Md, PhD, 93 260 75 00, jbusquets@bellvitgehospital.cat
About this study
Official title: Randomized Clinical Trial on Morbidity, Psychological Impact, and Changes in Biomarker Concentration During the Perioperative Period Comparing Transmesocolic Versus Retromesenteric Reconstruction in Cephalic Duodenopancreatectomy (FAST Trial)
Objective: To compare the incidence of delayed gastric emptying (ISGPS 2007 criteria) between patients undergoing retromesenteric versus transmesocolic reconstruction after pancreaticoduodenectomy. Secondary objectives include evaluating overall postoperative morbidity (Clavien-Dindo ≥ Grade I) at 90 days, postoperative pancreatic fistula according to ISGPF criteria, 30- and 90-day mortality, differences in operative time and blood loss, hospital stay duration, exploratory analysis of inflammatory biomarkers in serum and drainage fluid, psychological impact using SCL-90-R scale, and postoperative quality of life using EORTC QLQ-C30 scale.
Methods: Randomized, controlled, single-center superiority clinical trial with 1:1 allocation. One hundred twenty-four patients candidates for duodenopancreatectomy due to pancreatic pathology will be randomized using balanced blocks to transmesocolic (control) or retromesenteric (study) reconstruction. Randomization will be revealed after completing the resection phase. Primary intention-to-treat analysis will estimate relative risk with 95% CI for dichotomous variables, Kaplan-Meier survival analysis with log-rank test, and linear mixed models for repeated measures in quality of life outcomes. Follow-up will be 90 days for the primary endpoint, extending to 12 months for secondary objectives.
- Conditions
- Pancreatic Cancer
- Being tested
- Retromesenteric reconstruction, Transmesocolic reconstruction
- Keywords
- duodenopancreatectomy, Pancreatic cancer, Delayed Gastric emptying
- Medical subject headings
- Pancreatic Neoplasms, Gastroparesis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Retromesenteric reconstructionProcedure or surgery
Perform a retromesenteric reconstruction after pancreaticoduodenectomy
Transmesocolic reconstructionProcedure or surgery
Perform the standard reconstruction procedure (transmesocolic) pancreaticoduodenectomy
| Study group | Role | What they receive |
|---|---|---|
| Retromesenteric reconstruction | Experimental | Not described Receives: Procedure: Retromesenteric reconstruction |
| Transmesocolic reconstruction | Active comparator | Not described Receives: Procedure: Transmesocolic reconstruction |
What is being measured
The primary outcome is the main question the study is designed to answer.
Delayed Gastric Emptying
Delayed gastric emptying according to ISGPS 2007 definition: Grade A (nasogastric tube >3 days or reinsertion between days 4-7 + vomiting); Grade B (tube >7 days or reinsertion after day 7 + vomiting); Grade C (impossibility of oral tolerance after day 14)
Measured: From first postoperative day to 30 days
Secondary outcomes (13)
Postoperative morbility
Postoperative morbidity at 90 days according to Clavien-Dindo classification (≥ Grade I)
Measured: Form first postoperative day to day 30
Pancreatic fistula
Pancreatic fistula according to ISGPF 2016 definition: Grade A (drainage amylase >3x normal on day 3 without clinical impact); Grade B (requiring management change); Grade C (reintervention or death)
Measured: From first postoperative day to day 30
Mortality
30- and 90-day mortality (any cause)
Measured: From first postoperative day to day 90
Hospital stay
Postoperative hospital stay days (from surgery to hospital discharge)
Measured: From first postoperative day to hospital discharge up to 15 weeks
Operative time
Total operative time (minutes)
Measured: Periprocedural time, an average time of 300-400 minutes
Proportion of patients with NLR index ≥5
First, a preoperative NLR index determination from the preoperative blood count.
Proportion of patients with NLR cut-off point ≥5, which is associated with lower overall survival and recurrence-free survival in patients undergoing pancreatic resection.
Measured: From the first postoperative day to one year follow-up
Proportion of patients with CA19.9 >37 U/ml
First, a preoperative CA19.9 measurement from preoperative laboratory tests. Determination of the proportion of patients with CA 19.9 cut-off point >37 U/ml, as it is considered elevated according to the standard reference range.
Measured: From the first postoperative day to one year follow-up
Cytokines in serum
- Cytokine concentration in serum: continuous variable measured at 24 hours and day 5 post-surgery in a subsample of 30 patients.
- Detection panel: 2000 inflammatory biomarkers using high-sensitivity semi-quantitative Raybiotech L-series arrays with densitometric reading
Measured: From the first postoperative day to day 90
Cytokines in abdominal drainage
- Cytokine concentration in drainage fluid: continuous variable measured at 24 hours and day 5 post-surgery in a subsample of 30 patients.
- Detection panel: 2000 inflammatory biomarkers using high-sensitivity semi-quantitative Raybiotech L-series arrays with densitometric reading
Measured: From the first postoperative day to day 90
Cytokines and complications correlation
Exploratory analysis of the association between cytokine levels and the appearance of complications during the first 90 days.
Measured: From the first postoperative day to day 90
Recurrence
- Recurrence of malignant pathology: Defined as the appearance of local, regional, or distant disease documented by imaging techniques (CT/MRI) or histopathological confirmation.
Measured: From the first postoperative day to one year follow-up
Time to recurrence
- Time to recurrence: Time elapsed from surgery to detection of recurrence (months).
Measured: From the first postoperative day to one year follow-up
Complications-recurrence correlation
Association analysis between the presence of complications (Clavien-Dindo ≥ II) and early recurrence (≤12 months).
Measured: From the first postoperative day to one year follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jan 2026
- Study start31 Jan 2026 (estimated)
- Primary completionJun 2027 (estimated)
- Study completionJun 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pancreatic CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 124 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hospital Universitari de Bellvitge
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, BUSQUETS, JULI, Hospital Universitari de Bellvitge
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07368218
- Sponsor's protocol ID
- HUB-CIR-FAST
- Acronym
- FAST
- Status last verified
- Jan 2026
- First submitted
- 11 Jan 2026
- Last updated
- 26 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Clinical Trial on Morbidity, Psychological Impact, and Changes in Biomarker Concentration During the Perioperative Period Comparing Transmesocolic Versus Retromesenteric Reconstruction in Cephalic Duodenopancreatectomy (FAST Trial)
- ClinicalTrials.gov ID
- NCT07368218
- Acronym / sponsor ID
- FAST / HUB-CIR-FAST
- Conditions
- Pancreatic Cancer
- Keywords
- duodenopancreatectomy, Pancreatic cancer, Delayed Gastric emptying
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 124 participants (estimated)
- Lead sponsor
- Hospital Universitari de BellvitgeUniversity, hospital or other
- Study start
- 31 Jan 2026 (estimated)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Jun 2028 (estimated)
- First posted
- 26 Jan 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objective: To compare the incidence of delayed gastric emptying (ISGPS 2007 criteria) between patients undergoing retromesenteric versus transmesocolic reconstruction after pancreaticoduodenectomy. Secondary objectives include evaluating overall postoperative morbidity (Clavien-Dindo ≥ Grade I) at 90 days, postoperative pancreatic fistula according to ISGPF criteria, 30- and 90-day mortality, differences in operative time and blood loss, hospital stay duration, exploratory analysis of inflammatory biomarkers in serum and drainage fluid, psychological impact using SCL-90-R scale, and postoperative quality of life using EORTC QLQ-C30 scale.
Methods: Randomized, controlled, single-center superiority clinical trial with 1:1 allocation. One hundred twenty-four patients candidates for duodenopancreatectomy due to pancreatic pathology will be randomized using balanced blocks to transmesocolic (control) or retromesenteric (study) reconstruction. Randomization will be revealed after completing the resection phase. Primary intention-to-treat analysis will estimate relative risk with 95% CI for dichotomous variables, Kaplan-Meier survival analysis with log-rank test, and linear mixed models for repeated measures in quality of life outcomes. Follow-up will be 90 days for the primary endpoint, extending to 12 months for secondary objectives.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Retromesenteric reconstruction | Experimental | Procedure: Retromesenteric reconstruction |
| Transmesocolic reconstruction | Active comparator | Procedure: Transmesocolic reconstruction |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Age ≥ 18 years
- Candidates for cephalic duodenopancreatectomy due to pancreatic pathology
- Ability to complete follow-up questionnaires
Key exclusion criteria (5 listed)
- Emergency surgery
- Participation in another clinical trial
- Pregnancy or lactation
- Severe psychiatric disorder that prevents follow-up
- Inability to understand the information and sign study consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Retromesenteric reconstructionPerform a retromesenteric reconstruction after pancreaticoduodenectomy | Procedure or surgery | Retromesenteric reconstruction |
| Transmesocolic reconstructionPerform the standard reconstruction procedure (transmesocolic) pancreaticoduodenectomy | Procedure or surgery | Transmesocolic reconstruction |
Primary outcome
Delayed Gastric Emptying
Time frame: From first postoperative day to 30 days
Delayed gastric emptying according to ISGPS 2007 definition: Grade A (nasogastric tube >3 days or reinsertion between days 4-7 + vomiting); Grade B (tube >7 days or reinsertion after day 7 + vomiting); Grade C (impossibility of oral tolerance after day 14)
13 secondary outcomes
Postoperative morbility
Time frame: Form first postoperative day to day 30
Pancreatic fistula
Time frame: From first postoperative day to day 30
Mortality
Time frame: From first postoperative day to day 90
Hospital stay
Time frame: From first postoperative day to hospital discharge up to 15 weeks
Operative time
Time frame: Periprocedural time, an average time of 300-400 minutes
Proportion of patients with NLR index ≥5
Time frame: From the first postoperative day to one year follow-up
Proportion of patients with CA19.9 >37 U/ml
Time frame: From the first postoperative day to one year follow-up
Cytokines in serum
Time frame: From the first postoperative day to day 90
Cytokines in abdominal drainage
Time frame: From the first postoperative day to day 90
Cytokines and complications correlation
Time frame: From the first postoperative day to day 90
Recurrence
Time frame: From the first postoperative day to one year follow-up
Time to recurrence
Time frame: From the first postoperative day to one year follow-up
Complications-recurrence correlation
Time frame: From the first postoperative day to one year follow-up
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jan 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Retromesenteric reconstruction and Transmesocolic reconstruction in people with Pancreatic Cancer, run by Hospital Universitari de Bellvitge at 1 site in Spain.
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 3 inclusion and 5 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: opening soon, as of the sponsor's last update on 26 Jan 2026. 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 Spain. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Juli Busquets Barenys, Md, PhD (93 260 75 00, jbusquets@bellvitgehospital.cat), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Delayed Gastric Emptying (time frame: From first postoperative day to 30 days). 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 26 Jan 2026.