---
title: EUS GUIDED Transduodenal Biopsy Using the 19G Flex
nct_id: NCT02307253
overall_status: COMPLETED
phase: NA
sponsor: Catholic University of the Sacred Heart
study_type: INTERVENTIONAL
primary_condition: Abdominal Neoplasms
countries: United States, France, Italy, Japan
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT02307253.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT02307253"
ct_last_update_post_date: 2022-06-27
last_seen_at: "2026-05-12T07:12:05.285Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# EUS GUIDED Transduodenal Biopsy Using the 19G Flex

**Official Title:** EUS-guided Fine Needle Tissue Acquisition Using a Newly Developed Nitinol Ultra Flex 19 Gauge Needle for Transduodenal Lesions: a Multicenter Prospective Feasibility Study

**NCT ID:** [NCT02307253](https://clinicaltrials.gov/study/NCT02307253)

## Key Facts

- **Status:** COMPLETED
- **Phase:** NA
- **Study Type:** INTERVENTIONAL
- **Target Enrollment:** 246
- **Lead Sponsor:** Catholic University of the Sacred Heart
- **Conditions:** Abdominal Neoplasms
- **Start Date:** 2013-06
- **Completion Date:** 2015-10
- **CT.gov Last Update:** 2022-06-27

## Brief Summary

This study evaluates the feasibility, safety and accuracy of a 19 gauge (19G) needle in nitinol in the performance of endoscopic ultrasound (EUS) guided transduodenal biopsy for the acquisition of samples for histologic analysis. Patients with lesions that can be approached only from the duodenum will be prospectively enrolled.

## Detailed Description

A 19 gauge needle in nitinol (Flex needle) has been recently become available for EUS guided procedure.

The use of nitinol should guarantee a better needle flexibility with a theoretical advantage on the use of this needle for lesions that need to be sampled through the duodenum. Moreover, samples for histologic examination seems to be easy to interpret than cytologic ones allowing evaluate of the overall architecture of the tissue, better performance of immunohistochemical staining, and may be of additional value to perform tissue profiling that in the future will be very important to guide individualized therapies

The existing data on the performance of the Flex needle for EUS-guided transduodenal biopsy are coming form a single study performed in one single center. Thus, the reproducibility of these results is unknown and multicenter prospective studies are warranted to answer this important question.

## Eligibility

- **Minimum age:** 18 Years
- **Maximum age:** 90 Years
- **Sex:** ALL
- **Healthy Volunteers:** No

```
Inclusion Criteria:

A. Age greater than 18 and less than 90. B. Presence of a solid lesion of the gastrointestinal tract adjacent to the duodenum with no previous tissue diagnosis.

C. Absence of an uncorrectable coagulopathy as defined by abnormal prothrombin time (PT) or partial thromboplastin time (PTT) that does not normalize after administration of fresh frozen plasma.

D. Informed consent is obtained.

Exclusion Criteria:

A. Presence of an uncorrectable coagulopathy as defined by abnormal prothrombin time (PT) or partial thromboplastin time (PTT) that does not normalize after administration of fresh frozen plasma.

B. Altered anatomy of the upper gastrointestinal tract due to surgery of the esophagus, stomach and duodenum.

C. They are unable to understand and/or read the consent form.
```

## Arms

- **patients with solid lesions** (EXPERIMENTAL) — Expect™19Flex needle (Boston Scientific Corp.,Natick,MA,USA)

## Interventions

- **Expect™19Flex needle (Boston Scientific Corp.,Natick,MA,USA)** (DEVICE) — EUS-guided fine needle biopsy performed through the duodenum with the Expect™ 19 Flex needle

## Primary Outcomes

- **Capability of Performing EUS-FNTA Through the Duodenum by Placing the Target Lesion in the Proper Position With Insertion of the Needle Into the Lesion** _(time frame: Intraoperative)_ — Number of patients in which it was possible to place the needle within the target lesion by a transduodenal route divided by the total number of enrolled patients.

## Secondary Outcomes

- **Number of Complications Divided Per Total Number of Enrolled Patients** _(time frame: intraoperative and within 3 days after the procedure)_
- **Number of Histological Samples Judged Adequate Divided by the Total Number of Patients** _(time frame: 5 days)_
- **Number of Correct Diagnosis Divided by the Total Number of Patients** _(time frame: 6 months)_

## Locations (6)

- Indiana Univerisity Health Medical Center, Indianapolis, Indiana, United States
- Clinique du Trocadero, Paris, France
- AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy
- ISMETT UPMC Italy, Palermo, Italy
- Digestive Endoscopy Unit, Universita' Cattolica del Sacro Cuore, Rome, Italy
- Teikyo University Mizonokuchi Hospital, Departement of Gastroenterology, Kawasaki, Kanagawa, Japan

## Recent Field Changes (last 30 days)

- `status.overallStatus` — added _(2026-05-12)_
- `status.primaryCompletionDate` — added _(2026-05-12)_
- `status.completionDate` — added _(2026-05-12)_
- `status.lastUpdatePostDate` — added _(2026-05-12)_
- `design.phases` — added _(2026-05-12)_
- `design.enrollmentCount` — added _(2026-05-12)_
- `eligibility.criteria` — added _(2026-05-12)_
- `eligibility.minAge` — added _(2026-05-12)_
- `eligibility.maxAge` — added _(2026-05-12)_
- `eligibility.sex` — added _(2026-05-12)_
- `outcomes.primary` — added _(2026-05-12)_
- `outcomes.secondary` — added _(2026-05-12)_
- `armsInterventions.arms` — added _(2026-05-12)_
- `armsInterventions.interventions` — added _(2026-05-12)_
- `sponsor.lead` — added _(2026-05-12)_
- `results.hasResults` — added _(2026-05-12)_
- `locations.indiana univerisity health medical center|indianapolis|indiana|united states` — added _(2026-05-12)_
- `locations.clinique du trocadero|paris||france` — added _(2026-05-12)_
- `locations.ausl bologna bellaria-maggiore hospital|bologna||italy` — added _(2026-05-12)_
- `locations.ismett upmc italy|palermo||italy` — added _(2026-05-12)_
- `locations.digestive endoscopy unit, universita' cattolica del sacro cuore|rome||italy` — added _(2026-05-12)_
- `locations.teikyo university mizonokuchi hospital, departement of gastroenterology|kawasaki|kanagawa|japan` — added _(2026-05-12)_

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*Source data (authoritative): https://clinicaltrials.gov/study/NCT02307253*  
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