Can removing liver tumors alongside the whipple procedure extend life in stage IV pancreatic cancer?
NCT ID NCT02892305
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
Researchers at Duke University are testing whether combining the Whipple procedure with surgical removal or ablation of liver tumors can help people with stage IV pancreatic cancer that has spread only to the liver. The study enrolls 18 adults who are healthy enough for major surgery. The goal is to see if this aggressive approach is safe and feasible, measuring survival, disease progression, and complications within 90 days of the operation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Surgery combining the Whipple procedure with removal or ablation of liver tumors
- What this could lead to
- If successful, this approach could offer a treatment option for people with stage IV pancreatic cancer that has spread only to the liver, potentially extending survival.
- What could go wrong
- This is a small, early feasibility study with only 18 participants, so results may not apply broadly. Surgery carries risks like pancreatic leaks, infections, and complications from anesthesia.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
18 people
The number who actually took part.
- Started
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May 2018
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with biopsy-proven, or radiographically evident, resectable pancreatic head cancer who are found to have low-volume hepatic metastases at time of pancreaticoduodenectomy.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subject must be at least 18 years of age and at least the minimum Age of Majority according to applicable State or Country Law * Subject is a surgical candidate, (i.e., is able to undergo general anesthesia and surgical resection for diagnosis of cancer) * The Hepatobiliary Multidisciplinary Committee (HDMC) must approved of this intervention. * Insurance pre-authorization must be received unless the subject decides to pay out of pocket.. * Subject has been informed of the study procedures and the treatment and has signed an informed consent form * less than or equal to 3 liver lesions Exclusion Criteria: * Subject is not a suitable candidate for surgical intervention * The Hepatobiliary Multidisciplinary Committee (HDMC) disapproves of this intervention. * Insurance will not cover the procedure or subject not willing to pay out of pocket. * Pregnant women * Non-English speaking Subjects
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Duke University Health System
Durham, North Carolina, 27710, United States
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