About this trial
This study elucidates the effects of the intravenous (IV) lidocaine infusion on the biology of pancreatic circulating tumor cells (CTCs) isolated from patients undergoing robotic pancreatectomy for all types of pancreatic cancer.
A prospective randomized controlled double blinded trial design will be used for the proposed study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has histologically or cytologically confirmed adenocarcinoma of the pancreas that is considered resectable as well as other types of pancreatic cancer (malignant endocrine and exocrine tumors)
Has measurable disease, defined as at least 1 tumor that fulfills the criteria
Patients diagnosed with resectable cancer, but upon initial phase of surgical exploration found to have metastatic disease
Has read, understood and signed the informed consent form (ICF) approved by the Independent Review Board/Independent Ethics Committee (IRB/IEC)
Disqualifiers
Has American Society of Anesthesiologists (ASA) physical status > 3
Has hypersensitivity or allergy to amide-linked local anesthetics
Has a second or third degree heart block
Has severe sinoatrial block
Trial design
Parallel
Treatments tested in this trial
Lidocaine Hydrochloride
DrugIV Lidocaine a 1.0 - 1.5 mg/kg loading infusion for perioperative pain control
Saline Solution for Injection
DrugIV Saline a 1.0 - 1.5 mg/kg loading infusion for perioperative pain control
Treatment groups
Trial outcomes
Primary outcomes
Specimen outcome measure.
Src Tyrosine Kinase Enzymatic activity in CTCs. Fluorescence intensity will be used to measure Src phosphorylation in circulating tumor cells.
Specimen outcome measure.
Cytokine Levels in Serum (pg/ml)
Specimen outcome measure.
Chemokine levels in serum (pg/ml)
Upregulation or Downregulation of Gene Expression.
Upregulation or downregulation of gene expression will be measured with the Real Time (RT) square Profiler Polimerase Chain Reaction (PCR )Array Analysis, and Real Time PCR
Secondary outcomes
Specimen outcome measure
CTCs Enumeration
Sponsors and contacts
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