Characterizing the Pancreatic Cancer Proteome From Pancreatic Juice
Characterizing the Pancreatic Cancer Proteome From Pancreatic Juice
Currently, X-rays and blood tests often miss pancreatic cancer. In this study, we are
 collecting and studying the fluid produced by the pancreas as a way to detect pancreatic
 cancer at an earlier stage.
Pancreatic cancer is very difficult to detect and treat, and patients with this cancer
 generally live fewer years than patients with other types of cancer. Part of the reason why
 pancreatic cancer is so hard to treat is because it is usually discovered when it is too
 advanced to be able to treat. The goal of this protocol is to find a way to detect pancreatic
 cancer earlier, when it is still treatable in order to improve the survival of patients.

 The pancreas is a gland which produces digestive juices that mix with food in the intestines.
 Normal patients as well as patients with pancreatic cancer produce these juices. Other
 researchers have collected this fluid from very small numbers of patients and their results
 suggest that pancreatic fluid can be used to detect pancreatic cancer. One of the major
 issues with these results is that pancreatic fluid from only a very few number of patients
 has been collected and analyzed. In order to find out whether the pancreatic fluid can be
 used as a standard test for pancreatic cancer, the fluid from a greater number of patients
 needs to be analyzed. Also, of all the different chemicals in the pancreatic fluid, in this
 study we will try to figure out what the most important chemicals are in diagnosing
 pancreatic cancer.
Inclusion Criteria:Group A:

 1. Male or females that have suspected pancreatic adenocarcinoma, localized or
 metastatic.

 2. The pancreatic adenocarcinoma must be active, with active intra-pancreatic tumor
 documented within the last 3 months by CT or MRI scan.

 3. At least 19 years of age. (All Cohorts)

 4. In the Investigator's judgment, participant is mentally competent to provide informed
 consent to participate in the study. (All Cohorts)

 5. Eastern Cooperative Oncology Group(ECOG) performance status of 0-2. (All Cohorts)

 6. Negative urine pregnancy test at screening, if applicable. (All Cohorts)

 7. The patient must already have a completed, active consent for either endoscopic
 ultrasound(EUS) and/or endoscopic retrograde cholangiopancreatography (ERCP) at
 University of Alabama at Birmingham(UAB). (All Cohorts)

 Group B:

 1. Male or female patients that have had chronic pancreatitis for at least 6 months.

 2. CT abdomen or MRI abdomen within the last 3 months demonstrating no suspicion of
 pancreatic adenocarcinoma.

 Group C:

 1.Male or female patients already scheduled to undergo upper endoscopy for non-pancreatic,
 non-neoplastic indications.

 Exclusion Criteria:Group A:

 1. The participant is medically unfit to undergo upper endoscopy.

 2. No cancer-directed therapy administered within the last 3 months. This includes any of
 the following: surgical resection, chemotherapy, radiation therapy, immunologic or
 biologic therapy.

 3. Participants with a known allergy to secretin.

 4. Participants who are pregnant or lactating, or intending to become pregnant during the
 study.

 5. Participants of childbearing potential who refuse a pregnancy test.

 6. Participants who, in the opinion of the Investigator, should not be included in the
 study for any reason, including inability to follow study procedures.

 7. Participants who have participated in an investigational surgical, drug, or device
 study within the past 30 days.

 8. Participants who currently have a biliary stent in place.

 9. Mental condition rendering the subject unable to understand the nature, scope, and
 possible consequences of the study.

 10. The endoscopic pancreatic biopsy does not show adenocarcinoma.

 Group B:

 1. The participant is medically unfit to undergo upper endoscopy.

 2. The participant has a suspicion of pancreatic adenocarcinoma on imaging within the
 last 3 months.

 3. Participants with a known allergy to secretin.

 4. Participants who are pregnant or lactating, or intending to become pregnant during the
 study.

 5. Participants of childbearing potential who refuse a pregnancy test.

 6. Participants who, in the opinion of the Investigator, should not be included in the
 study for any reason, including inability to follow study procedures.

 7. Participants who have participated in an investigational surgical, drug, or device
 study within the past 30 days.

 8. Participants who currently have a biliary stent in place.

 9. Mental condition rendering the subject unable to understand the nature, scope, and
 possible consequences of the study.

 Group C:

 1. The participant is medically unfit to undergo upper endoscopy.

 2. The participant has a history of, or current clinical suspicion of pancreatic
 adenocarcinoma or pancreatitis.

 3. The participant has a history of any type of gastrointestinal malignancy within the
 last 5 years.

 4. Participants with a known allergy to secretin.

 5. Participants who are pregnant or lactating, or intending to become pregnant during the
 study.

 6. Participants of childbearing potential who refuse a pregnancy test.

 7. Participants who, in the opinion of the Investigator, should not be included in the
 study for any reason, including inability to follow study procedures.

 8. Participants who have participated in an investigational surgical, drug, or device
 study within the past 30 days.

 9. Participants who currently have a biliary stent in place.

 10. Mental condition rendering the subject unable to understand the nature, scope, and
 possible consequences of the study.

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