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EXplanted LIver and Ex-vivo Pancreatic Specimen Evaluation by 7 TESLA MRI (EXLIPSE)

Primary Purpose

Liver Cirrhosis, Liver Steatosis, Hepatocellular Carcinoma

Status
Unknown status
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
7T Magnetic Resonance Imaging
Sponsored by
University of Pisa
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Liver Cirrhosis focused on measuring liver, cirrhosis, steatosis, hepatocellular carcinoma, pancreatic cancer, 7 tesla, magnetic resonance imaging

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

GROUP A of Native Liver

Inclusion Criteria:

  • informed consent
  • full possession of one's faculties
  • patients who are going to undergo liver transplantation, independently from previous therapy or from the primary disease they are affected by.

Exclusion Criteria:

  • patients affected by polycystic liver disease
  • excluded from liver transplantation.

GROUP B of Excluded Grafts

Inclusion Criteria:

- liver grafts with histologically proven macrovescic steatosis, not fit for transplantation

Exclusion Criteria:

  • liver grafts histologically proven macrovescic steatosis fit for transplantation
  • liver grafts not fit for transplantation due to causes other than steatosis

GROUP C of Focal Pancreatic Lesion

Inclusion Criteria:

  • informed consent
  • full possession of one's faculties
  • pancreatic lesion assessed by CT examination and histologically proved, which are candidates for pancreaticoduodenectomy or total pancreatectomy

Exclusion Criteria:

- excluded from surgery due to the severity of their condition.

Sites / Locations

  • Azienda Ospedaliero Universitaria PisanaRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

EX-VIVO SPECIMENS

Arm Description

Three groups of ex-vivo surgical specimen: Group A: native livers in transplant recipients Group B: liver grafts excluded for donation Group C: primary pancreatic cancer

Outcomes

Primary Outcome Measures

Evaluate the correlation between the characteristics detected by the MRI equipment and the histological composition of ex-vivo specimens from hepatic and pancreatic tissues and lesions
The creation of a data-bank will increase the knowledge about imaging features able to characterize many diseases affecting the liver, and to evaluate cell changes that occur in pancreatic cancer and the tumour pathways of spreading; moreover it will provide a reference framework to define proper acquisition protocols for future clinical applications. Such data will also provide imaging biomarkers of malignant cells, and show the morphological changes that occur in neoplastic lesions after systemic or loco-regional therapies.

Secondary Outcome Measures

Full Information

First Posted
July 4, 2019
Last Updated
July 4, 2019
Sponsor
University of Pisa
Collaborators
Azienda Ospedaliero, Universitaria Pisana, Imago 7
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1. Study Identification

Unique Protocol Identification Number
NCT04012021
Brief Title
EXplanted LIver and Ex-vivo Pancreatic Specimen Evaluation by 7 TESLA MRI
Acronym
EXLIPSE
Official Title
EXplanted LIver and Ex-vivo Pancreatic Specimen Evaluation by 7 TESLA MRI - The EXLIPSE Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Unknown status
Study Start Date
May 24, 2019 (Actual)
Primary Completion Date
January 31, 2020 (Anticipated)
Study Completion Date
December 31, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Pisa
Collaborators
Azienda Ospedaliero, Universitaria Pisana, Imago 7

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Aim of this study is to evaluate the correlation between the characteristics detected by the 7T MRI equipment and the histological composition of native explanted livers (group A), liver graft excluded for donation (group B) and surgical specimens of primary pancreatic tumour, which underwent pancreaticoduodenectomy (group C).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cirrhosis, Liver Steatosis, Hepatocellular Carcinoma, Pancreatic Cancer, Magnetic Resonance Imaging
Keywords
liver, cirrhosis, steatosis, hepatocellular carcinoma, pancreatic cancer, 7 tesla, magnetic resonance imaging

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Three single groups to be included
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
EX-VIVO SPECIMENS
Arm Type
Experimental
Arm Description
Three groups of ex-vivo surgical specimen: Group A: native livers in transplant recipients Group B: liver grafts excluded for donation Group C: primary pancreatic cancer
Intervention Type
Diagnostic Test
Intervention Name(s)
7T Magnetic Resonance Imaging
Intervention Description
T1-weighted and T2-weighted sequences quantitative magnetic resonance imaging approach proton spectrum analyses
Primary Outcome Measure Information:
Title
Evaluate the correlation between the characteristics detected by the MRI equipment and the histological composition of ex-vivo specimens from hepatic and pancreatic tissues and lesions
Description
The creation of a data-bank will increase the knowledge about imaging features able to characterize many diseases affecting the liver, and to evaluate cell changes that occur in pancreatic cancer and the tumour pathways of spreading; moreover it will provide a reference framework to define proper acquisition protocols for future clinical applications. Such data will also provide imaging biomarkers of malignant cells, and show the morphological changes that occur in neoplastic lesions after systemic or loco-regional therapies.
Time Frame
3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
GROUP A of Native Liver Inclusion Criteria: informed consent full possession of one's faculties patients who are going to undergo liver transplantation, independently from previous therapy or from the primary disease they are affected by. Exclusion Criteria: patients affected by polycystic liver disease excluded from liver transplantation. GROUP B of Excluded Grafts Inclusion Criteria: - liver grafts with histologically proven macrovescic steatosis, not fit for transplantation Exclusion Criteria: liver grafts histologically proven macrovescic steatosis fit for transplantation liver grafts not fit for transplantation due to causes other than steatosis GROUP C of Focal Pancreatic Lesion Inclusion Criteria: informed consent full possession of one's faculties pancreatic lesion assessed by CT examination and histologically proved, which are candidates for pancreaticoduodenectomy or total pancreatectomy Exclusion Criteria: - excluded from surgery due to the severity of their condition.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Laura Crocetti, MD,PhD
Phone
+39 050 99
Ext
5551
Email
laura.crocetti@med.unipi.it
First Name & Middle Initial & Last Name or Official Title & Degree
Rosa Cervelli, MD
Phone
+39 050 99
Ext
5551
Email
rosa.cervelli@virgilio.it
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Laura Crocetti, MD,PhD
Organizational Affiliation
University of Pisa
Official's Role
Principal Investigator
Facility Information:
Facility Name
Azienda Ospedaliero Universitaria Pisana
City
Pisa
State/Province
PI
ZIP/Postal Code
56124
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Crocetti, MD, PhD
Phone
+39 050 99
Ext
5551
Email
laura.crocetti@med.unipi.it
First Name & Middle Initial & Last Name & Degree
Rosa Cervelli, MD
Phone
+ 39 050 99
Ext
5551
Email
rosa.cervelli@virgilio.it
First Name & Middle Initial & Last Name & Degree
Davide Caramella, MD
First Name & Middle Initial & Last Name & Degree
Francesco Balducci, MD
First Name & Middle Initial & Last Name & Degree
Daniela Campani, MD
First Name & Middle Initial & Last Name & Degree
Andrea Cacciato Insilla, MD
First Name & Middle Initial & Last Name & Degree
Paolo De Simone, MD
First Name & Middle Initial & Last Name & Degree
Ugo Boggi, MD

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
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EXplanted LIver and Ex-vivo Pancreatic Specimen Evaluation by 7 TESLA MRI

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