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NCT05735912Active, not recruiting

EUS-RFA Versus Surgery for Pancreatic Insulinoma (ERASIN-RCT)

Endoscopic Ultrasound-guided RAdiofrequency Ablation Versus Surgical Resection for the Treatment of Pancreatic INsulinoma: a Multicenter Randomized Controlled Trial

Source: ClinicalTrials.gov · Last updated 13 Jan 2026

Brief summary (registry, in English)

The goal of this muticentre randomized controlled trial is to compare endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) with surgery for treatment of pancreatic insulinoma. The main questions it aims to answer are: 1) What is the safest treatment? 2) Is efficacy comparable? Patients will be randomized to undergo EUS-RFA or surgical resection. Researchers will compare the rate of adverse events and the clinical efficacy after the two treatments to see if EUS-RFA result safer and effective compare with surgery.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
60 (estimated)
First submitted
1 Feb 2023
Start date
1 Mar 2023
Primary completion date
31 Oct 2028
Lead sponsor
Azienda Ospedaliera Universitaria Integrata Verona
NCT number
NCT05735912

What you commit to

  • Study type: Interventional
  • Planned participants: 60
  • From 1 Mar 2023 to the primary completion date, 31 Oct 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Unfit for surgery or high-risk surgical patients
  • Endoscopic ultrasound not feasible for surgical altered anatomy

Other illness

  • Known bleeding disorder that cannot be sufficiently corrected with co-fact or fresh frozen plasma
  • Failure to sign the patient's or closest relative's informed consent

Lab values

  • International normalized ratio \>1.5 or platelet count \<50.000

Other

  • G2 with Ki-67 \>5% on histological examination at EUS-guided biopsy samples (if performed)
  • Distance between lesion and main pancreatic duct ≤ 1mm or upstream dilation of the main pancreatic duct
  • Metastatic tumor at the time of diagnosis
  • Multiple pancreatic nodules
  • Diagnosis of multiple endocrine neoplasia type 1 according to guidelines
  • Use of anticoagulants that cannot be discontinued
  • Pregnancy or breast feeding

Who the study is looking for

  • Age ≥18 years
  • Diagnosis of pancreatic insulinoma (38) (e.g., fasting test, insulin blood levels, C-peptide blood levels)
  • Presence of a visible single pancreatic nodule on imaging (computed tomography, and/or magnetic resonance imaging, and/or endoscopic ultrasound).
  • No evidence of distant localizations visualized at computed tomography, and/or magnetic resonance imaging, and/or endoscopic ultrasound
  • Tumor ≤ 2cm
  • Informed consent provided by the patient or closest relative.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University Hospital of Verona
Coordinator of this site? Confirm its status
VeronaItalyUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.