Actively Recruiting

Age: 18Years +
All Genders
NCT07157605

Oncological Safety of Spleen Preservation in Left Pancreatectomy for Pancreatic Ductal Adenocarcinoma (SPLENDID)

Led by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Updated on 2025-09-05

94

Participants Needed

10

Research Sites

317 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this observational study is to determine how often lymph node metastases occur in the splenic hilum and surrounding fat in patients with left-sided pancreatic cancer. The main question the study aims to answer is: Is spleen removal necessary in all cases, or is the risk of lymph node metastases in the fat around the spleen low enough to reconsider this standard practice? Currently, spleen removal is part of the standard treatment for patients with left-sided pancreatic cancer to ensure that any potential lymph node metastases in the surrounding fat are also removed. However, the likelihood of metastases in this area is low, and spleen removal carries risks. This study is a first step toward changing the treatment approach. If the findings show that metastases in the fat around the spleen are rare, the next step will be a randomized trial to further investigate whether spleen removal is necessary.

CONDITIONS

Official Title

Oncological Safety of Spleen Preservation in Left Pancreatectomy for Pancreatic Ductal Adenocarcinoma (SPLENDID)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patients aged 18 years or older
  • Undergoing open or minimally invasive left-sided pancreatectomy with spleen removal
  • Diagnosed with primary resectable, borderline resectable, or locally advanced left-sided pancreatic ductal adenocarcinoma
Not Eligible

You will not qualify if you...

  • Tumor involvement or abutment of the spleen

AI-Screening

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Trial Site Locations

Total: 10 locations

1

BenQ Hospital

Nanjing, China

Actively Recruiting

2

Konstantopoulio General Hospital

Athens, Greece

Actively Recruiting

3

Padova University Hospital

Padova, Italy

Actively Recruiting

4

Kyushu University Hospital

Fukuoka, Japan

Actively Recruiting

5

Amsterdam UMC

Amsterdam, Netherlands

Actively Recruiting

6

OLVG Hospital

Amsterdam, Netherlands

Actively Recruiting

7

Leiden University Medical Center

Leiden, Netherlands

Actively Recruiting

8

Oslo University Hospital

Oslo, Norway

Actively Recruiting

9

Dr. Peset University Hospital

Valencia, Spain

Actively Recruiting

10

Linköping University Hospital

Linköping, Sweden

Actively Recruiting

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Research Team

J

Jony van Hilst, MD, PhD

CONTACT

C

Caro L Bruna, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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