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A prospective, multicenter, self-control clinical trial aim to enroll 110 patients suffered from upper abdominal (liver, pancreas, stomach, etc.) cancers . Patients who have taken at least one opioid drug for pain for two weeks and still have a VAS pain scale greater than 6 will receive endovascular denervation (EDN). They will be followed up for 3 months. The VAS scales, quantity of analgesics as represented by morphine equivalent and quality of life scores will be compared before and after EDN. Safety parameters such as arterial deformation, embolism, infection, liver and kidney functions will also be monitored.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endovascular Denervation | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endovascular Denervation | Device | A radiofrequency ablation catheter will be placed in abdominal aorta. At least 6 sites will be ablated with settings of temerature at 60 degree centigrade and time at 120 seconds. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale Changes over the time | Pain scale is evaluated as Woodforde Visual Analig Scale (VAS) method. The scale is from 0 to 10, with 0 being no pain, and 10 being unbearable pain. | Pre-treatment; 1, 3, 15, 30, 60, and 90 days after treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Morphine Equivalent Changes over the time | All analgesics used will be calculated to Morphine Equivalent using published conversion factors. | Pre-treatment; 1, 3, 15, 30, 60, and 90 days after treatment. |
| Quality of Life Score Changes over the time |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hua Qing Yin, PhD | Contact | 86-21-5486-8731 | huaqing.yin@goldenleafmed.com |
| Name | Affiliation | Role |
|---|---|---|
| Gao-Jun Teng, MD | Zhongda Hospital | Study Chair |
| zhong-Min Wang, MD | Shanghai JiaoTong University Affiliated RuiJin Hospital | Principal Investigator |
| Jian Wang, MD |
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| ID | Term |
|---|---|
| D008113 | Liver Neoplasms |
| D010190 | Pancreatic Neoplasms |
| D013274 | Stomach Neoplasms |
| D001650 | Bile Duct Neoplasms |
| D000072716 | Cancer Pain |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
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Qulaity of Life Scores are obtained using Functional Assessment of Cancer Theray-Generic Scale (FACT-G) (v 4.0) sale. The score is from 0 to 108, with 0 being no quality of life, and 108 being highest quality of life.
| Pre-treatment; 1, 3, 15, 30, 60, and 90 days after treatment. |
| Beijing University Affiliated the First Hospital |
| Principal Investigator |
| Wen-Tao Li, MD | Fudan University Affiliated Cancer Hospital | Principal Investigator |
| Chuan-Sheng Zheng, MD | HuaZhong University of Science and Technology Affiliated Union Hospital | Principal Investigator |
| Wei-Fu Lv, MD | China University of Science and Technology Affiliated the First Hospital | Principal Investigator |
| Jun-Hui Sun, MD | Zhejiang University Affiliated the First Hospital | Principal Investigator |
| Hao Xu, MD | XuZhou Medical College Affiliated Hospital | Principal Investigator |
| Ming Huang, MD | Yunnan Cancer Hospital | Principal Investigator |
| Li-Gong Lu, MD | The People's Hospital of Zhuhai City | Principal Investigator |
| Jian-Song Ji, MD | The Central Hospital of Lishui City | Principal Investigator |
| D008107 |
| Liver Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D005770 | Gastrointestinal Neoplasms |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D001661 | Biliary Tract Neoplasms |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |