Pancreatic CancerNCT07817147
CREO - Microwave Ablation Feasibility Study
A study testing EUS-Guided MWA Device in people with Pancreatic Cancer and Liver Cancer (Locally Advanced or Metastatic), run by Banner Health at 7 sites in United States.
Trial summary
The goal of this study is to assess the overall success of energy delivery during treatment using the ultrasound guided microwave ablation device in patients with locally advanced, unresectable, or metastatic cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreatic Cancer, Liver Cancer (Locally Advanced or Metastatic), Pancreatic Cancer Non-resectable
- What is being tested?
- EUS-Guided MWA Device
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 75 participants
- Where
- 7 sitesUnited States
- Study dates
- 19 Feb 2026to Aug 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
- Male or female ≥18 years of age
- Willing and able to provide written informed consent
- Histologically confirmed locally advanced, unresectable or metastatic cancer (Stage III or IV)
- At least 1 tumor that is indicated for MWA, and the location of target tumor must be accessible via EUS through the gastric wall (eg, pancreas, liver, etc).
- The tumor(s) must be ≥1 cm in diameter
Who cannot join
- Participant is a candidate for upfront resection of pancreatic cancer
- Participation in another clinical trial that involves local ablation or any other local therapy that could affect the target organ or lesions treated in this study
- Any condition that, in the opinion of the investigator, may increase the risk to the participant's safety or well-being
Trial locations and contacts
7 sites in 1 country. Contact the study team or a site near you to ask about taking part.
7 sites in 1 country
United States7 sites, 7 recruiting
- Not yet recruiting
Rush University Medical Center
Chicago, Illinois, 60607
Amanda Lin, 312-563-3907, Amanda_F_Lin@rush.edu
Ajay Singh, MD
- Recruiting
Banner MD Anderson Cancer Center and Gateway Hospital
Gilbert, Arizona, 85234
Neil Sharma, MD, 480-256-6444, neil.sharma@bannerhealth.com
- Not yet recruiting
Memorial Hermann-Texas Medical Center
Houston, Texas, 77030
Cecelia Lara, 713-500-6529, Cecilia.Lara@uth.tmc.edu
Nicole Fatheree, Nicole.Fatheree@uth.tmc.edu
- Not yet recruiting
University of Tennessee Medical
Knoxville, Tennessee, 37920
Brandy Herbert, 865-305-5120, bherbert@utmck.edu
Frank Gress, MD
- Not yet recruiting
Cedars Sinai
Los Angeles, California, 90048
Sara Karameh, 310-423-6082, Sara.karameh@cshs.org
Barham Abu Dayyeh, MD
- Not yet recruiting
West Virginia University Medicine
Morgantown, West Virginia, 26506
Chad Glaze, 304-293-9195, cglaze@hsc.wvu.edu
Shailendra Singh, MD
- Not yet recruiting
Mayo Clinic Rochester
Rochester, Minnesota, 55905
Elizabeth Lemke, 507-266-3317, Lemke.Elizabeth@mayo.edu
Vinay Chandrasekhara, MD
About this study
Official title: Investigator-Initiated Feasibility Study of a Novel Endoscopic Ultrasound Guided Microwave Ablation Device in Patients With Locally Advanced, Unresectable, or Metastatic Cancer
The goal of this study is to assess the overall success of energy delivery during treatment using the ultrasound guided microwave ablation device in patients with locally advanced, unresectable, or metastatic cancer. Secondly, this study aims to explore the procedural/clinical safety of treatment with the device and the antitumor effect following treatment with the device.
- Conditions
- Pancreatic Cancer, Liver Cancer (Locally Advanced or Metastatic), Pancreatic Cancer Non-resectable, Pancreatic Cancer Stage III, Pancreatic Cancer Stage IV, Liver Cancer Stage IV
- Being tested
- EUS-Guided MWA Device
- Keywords
- Locally Advanced, Unresectable, Metastatic
- Medical subject headings
- Pancreatic Neoplasms, Liver Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EUS-Guided MWA DeviceDevice
The rationale of this study is to generate preliminary data on the functionality and safety of Creo's MicroBlate™ Fine device when used under EUS guidance. The results generated from this study will inform any decisions regarding subsequent pivotal trials and may support the integration of this approach into clinical practice for anatomically challenging tumors.
| Study group | Role | What they receive |
|---|---|---|
| Endoscopic Ultrasound (EUS) - Guided Microwave Ablation (MWA) Device Group | Other | This is a open label feasibility study and only eligible participants will be enrolled into the single arm of the study to receive MWA with this specific device. Receives: Device: EUS-Guided MWA Device |
What is being measured
The primary outcome is the main question the study is designed to answer.
To assess the success of energy delivery during treatment with the device
Success of energy delivery as measured by presence of echogenic microbubbles visualized during EUS imaging AND generator-confirmed energy delivery.
Measured: From first MWA procedure to the end of treatment at Week 5 or 9
Secondary outcomes (5)
To evaluate the procedural safety
Procedural safety as measured by absence of unplanned terminations or major complications during or immediately following (within 2 weeks) of ablation procedure.
Measured: From first MWA treatment to final long term follow up at week 52
To evaluate clinical safety
Clinical safety as measured by occurrence and severity of AEs, SAEs, and ADEs related to the procedure.
Measured: From first MWA treatment to final long term follow up at week 52
To evaluate tolerability of treatment with the device
Tolerability as measured by patient-reported Numeric Pain Rating Scale pain score. Numeric Pain Rating Scale is scored 0-10, where "0" represents "no pain" and "10" represents "worst pain imaginable."
Measured: From first MWA treatment to final long term follow up at week 52
To evaluate the early antitumor effect of treatment with the device by change in size of target lesion.
Early antitumor effect at 3 months and 6 months as measured by percent change in target lesion diameter on CT/MRI or maximal lesion diameter on EUS.
Measured: From first MWA treatment to follow up visit at 6 months from first treatment
To evaluate the early antitumor effect of treatment with the device by RECIST.
Early antitumor effect at 3 months and 6 months as measured by Objective response rate (ORR), defined as complete response (CR) + partial response (PR) on CT/MRI, per Response Evaluation Criteria in Solid Tumors (RECIST).
Measured: Time Frame: From first MWA treatment to follow up visit at 6 months from first treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2026
- Study start19 Feb 2026
- Primary completionFeb 2028 (estimated)
- Study completionAug 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- 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
- Not applicable
- Intervention model
- Single group
- Model description
- This is a prospective feasibility study; therefore, no randomization is being performed.
- Masking
- None (open label)
- Enrolment
- 75 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Banner Health
- Sponsor type
- University, hospital or other
- Collaborators
- Creo Medical Limited, CreoMed, Inc.
- Responsible party
- Sponsor
- Investigators
- Neil Sharma, MD, Principal investigator, Banner Health (Banner MD Anderson Cancer Center at Gateway Medical Center)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07817147
- Sponsor's protocol ID
- CREO EUS MWA
- Status last verified
- Sep 2026
- First submitted
- 18 Feb 2026
- Last updated
- 14 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No: The data obtained from each institutional site will be pooled for aggregate analysis. Descriptive statistics will be used, with continuous variables presented as means, standard deviations, medians, and ranges; and categorical variables will be presented as frequencies and percentages.
Publications
US Food and Drug Administration. 510(k) Premarket Notification: Creo Electrosurgical System with NP1 Instrument. K221672. Published 2023. Accessed December 2025: K221672.pdf.
Suwa K, Seki T, Aoi K, Yamashina M, Murata M, Yamashiki N, Nishio A, Shimatani M, Naganuma M. Efficacy of microwave ablation versus radiofrequency ablation for hepatocellular carcinoma: a propensity score analysis. Abdom Radiol (NY). 2021 Aug;46(8):3790-3797. doi: 10.1007/s00261-021-03008-9. Epub 2021 Mar 6.
PubMed 33675382Maiettini D, Mauri G, Varano G, Bonomo G, Della Vigna P, Rebonato A, Orsi F. Pancreatic ablation: minimally invasive treatment options. Int J Hyperthermia. 2019 Oct;36(2):53-58. doi: 10.1080/02656736.2019.1647354.
PubMed 31537162Hiremath S. Ablation technologies and medical devices: revolutionizing medical treatments. Int J Innovative Res Med Sci. 2019;4(4):1-8.
Facciorusso A, Abd El Aziz MA, Tartaglia N, Ramai D, Mohan BP, Cotsoglou C, Pusceddu S, Giacomelli L, Ambrosi A, Sacco R. Microwave Ablation Versus Radiofrequency Ablation for Treatment of Hepatocellular Carcinoma: A Meta-Analysis of Randomized Controlled Trials. Cancers (Basel). 2020 Dec 16;12(12):3796. doi: 10.3390/cancers12123796.
PubMed 33339274Creo Medical. MicroBlate Fine for the ablation of soft tissue. Creo Medical website. Accessed October 23, 2025. https://www.creomedical.com/en/kamaptive-technology/microblate-fine.
Campbell WA 4th, Makary MS. Advances in Image-Guided Ablation Therapies for Solid Tumors. Cancers (Basel). 2024 Jul 17;16(14):2560. doi: 10.3390/cancers16142560.
PubMed 39061199American Cancer Society. Liver cancer ablation: RFA, MWA, cryotherapy, PEI, histotripsy. Cancer.org. Updated 2024.
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigator-Initiated Feasibility Study of a Novel Endoscopic Ultrasound Guided Microwave Ablation Device in Patients With Locally Advanced, Unresectable, or Metastatic Cancer
- ClinicalTrials.gov ID
- NCT07817147
- Acronym / sponsor ID
- CREO EUS MWA
- Conditions
- Pancreatic Cancer, Liver Cancer (Locally Advanced or Metastatic), Pancreatic Cancer Non-resectable, Pancreatic Cancer Stage III, Pancreatic Cancer Stage IV, Liver Cancer Stage IV
- Keywords
- Locally Advanced, Unresectable, Metastatic
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 75 participants (estimated)
- Lead sponsor
- Banner HealthUniversity, hospital or other
- Collaborators
- Creo Medical Limited, CreoMed, Inc.
- Study start
- 19 Feb 2026 (actual)
- Primary completion
- Feb 2028 (estimated)
- Study completion
- Aug 2028 (estimated)
- First posted
- 14 Sep 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.
The goal of this study is to assess the overall success of energy delivery during treatment using the ultrasound guided microwave ablation device in patients with locally advanced, unresectable, or metastatic cancer. Secondly, this study aims to explore the procedural/clinical safety of treatment with the device and the antitumor effect following treatment with the device.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This is a prospective feasibility study; therefore, no randomization is being performed.
| Arm | Type | Receives |
|---|---|---|
| Endoscopic Ultrasound (EUS) - Guided Microwave Ablation (MWA) Device Group | Other | Device: EUS-Guided MWA DeviceThis is a open label feasibility study and only eligible participants will be enrolled into the single arm of the study to receive MWA with this specific device. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female ≥18 years of age
- Willing and able to provide written informed consent
- Histologically confirmed locally advanced, unresectable or metastatic cancer (Stage III or IV)
- At least 1 tumor that is indicated for MWA, and the location of target tumor must be accessible via EUS through the gastric wall (eg, pancreas, liver, etc).
- The tumor(s) must be ≥1 cm in diameter
Key exclusion criteria (3 listed)
- Participant is a candidate for upfront resection of pancreatic cancer
- Participation in another clinical trial that involves local ablation or any other local therapy that could affect the target organ or lesions treated in this study
- Any condition that, in the opinion of the investigator, may increase the risk to the participant's safety or well-being
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 |
|---|---|---|
| EUS-Guided MWA DeviceThe rationale of this study is to generate preliminary data on the functionality and safety of Creo's MicroBlate™ Fine device when used under EUS guidance. The results generated from this study will inform any decisions regarding subsequent pivotal trials and may support the integration of this approach into clinical practice for anatomically challenging tumors. | Device | Endoscopic Ultrasound (EUS) - Guided Microwave Ablation (MWA) Device Group |
Primary outcome
To assess the success of energy delivery during treatment with the device
Time frame: From first MWA procedure to the end of treatment at Week 5 or 9
Success of energy delivery as measured by presence of echogenic microbubbles visualized during EUS imaging AND generator-confirmed energy delivery.
5 secondary outcomes
To evaluate the procedural safety
Time frame: From first MWA treatment to final long term follow up at week 52
To evaluate clinical safety
Time frame: From first MWA treatment to final long term follow up at week 52
To evaluate tolerability of treatment with the device
Time frame: From first MWA treatment to final long term follow up at week 52
To evaluate the early antitumor effect of treatment with the device by change in size of target lesion.
Time frame: From first MWA treatment to follow up visit at 6 months from first treatment
To evaluate the early antitumor effect of treatment with the device by RECIST.
Time frame: Time Frame: From first MWA treatment to follow up visit at 6 months from first treatment
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 14 Sep 2026.
- BackgroundUS Food and Drug Administration. 510(k) Premarket Notification: Creo Electrosurgical System with NP1 Instrument. K221672. Published 2023. Accessed December 2025: K221672.pdf.
- Background: PubMed 33675382Suwa K, Seki T, Aoi K, Yamashina M, Murata M, Yamashiki N, Nishio A, Shimatani M, Naganuma M. Efficacy of microwave ablation versus radiofrequency ablation for hepatocellular carcinoma: a propensity score analysis. Abdom Radiol (NY). 2021 Aug;46(8):3790-3797. doi: 10.1007/s00261-021-03008-9. Epub 2021 Mar 6.
- Background: PubMed 31537162Maiettini D, Mauri G, Varano G, Bonomo G, Della Vigna P, Rebonato A, Orsi F. Pancreatic ablation: minimally invasive treatment options. Int J Hyperthermia. 2019 Oct;36(2):53-58. doi: 10.1080/02656736.2019.1647354.
- BackgroundHiremath S. Ablation technologies and medical devices: revolutionizing medical treatments. Int J Innovative Res Med Sci. 2019;4(4):1-8.
- Background: PubMed 33339274Facciorusso A, Abd El Aziz MA, Tartaglia N, Ramai D, Mohan BP, Cotsoglou C, Pusceddu S, Giacomelli L, Ambrosi A, Sacco R. Microwave Ablation Versus Radiofrequency Ablation for Treatment of Hepatocellular Carcinoma: A Meta-Analysis of Randomized Controlled Trials. Cancers (Basel). 2020 Dec 16;12(12):3796. doi: 10.3390/cancers12123796.
- BackgroundCreo Medical. MicroBlate Fine for the ablation of soft tissue. Creo Medical website. Accessed October 23, 2025. https://www.creomedical.com/en/kamaptive-technology/microblate-fine.
- Background: PubMed 39061199Campbell WA 4th, Makary MS. Advances in Image-Guided Ablation Therapies for Solid Tumors. Cancers (Basel). 2024 Jul 17;16(14):2560. doi: 10.3390/cancers16142560.
- BackgroundAmerican Cancer Society. Liver cancer ablation: RFA, MWA, cryotherapy, PEI, histotripsy. Cancer.org. Updated 2024.
- Individual participant dataSharing planned: No. The data obtained from each institutional site will be pooled for aggregate analysis. Descriptive statistics will be used, with continuous variables presented as means, standard deviations, medians, and ranges; and categorical variables will be presented as frequencies and percentages.
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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.
Neil Sharma, MD principal investigator
Banner Health (Banner MD Anderson Cancer Center at Gateway Medical Center)
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing EUS-Guided MWA Device in people with Pancreatic Cancer and Liver Cancer (Locally Advanced or Metastatic), run by Banner Health at 7 sites 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 5 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites 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?
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 Neil Sharma, MD ((480) 356 - 6444, neil.sharma@bannerhealth.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To assess the success of energy delivery during treatment with the device (time frame: From first MWA procedure to the end of treatment at Week 5 or 9). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07817147, which also lists 8 linked publications.
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 14 Sep 2026; AzTrials last refreshed its copy on 27 Oct 2026.