The GENTLENESS study is a prospective, multicenter, observational registry designed to evaluate the endoscopic management of patients with suspected biliopancreatic and periampullary neoplastic diseases within the Pancreas Units network of the Lombardy Region.
Patients undergoing endoscopic ultrasound (EUS) for suspected pancreatic or periampullary malignancies, including pancreatic ductal adenocarcinoma, pancreatic neuroendocrine tumors, cystic pancreatic neoplasms requiring endoscopic, surgical, or oncological management, and periampullary tumors of the distal bile duct, ampulla, or duodenum, will be prospectively enrolled according to standard clinical practice.
The study aims to assess the diagnostic accuracy of EUS-guided tissue acquisition, procedural safety, the need for repeat sampling, and organizational performance indicators, including time to definitive cyto-histological diagnosis and time to initiation of disease-specific treatment. No additional procedures beyond routine clinical care will be performed as a result of study participation.
| Facility | City | Region | Status |
|---|---|---|---|
| ASST Papa Giovanni XXIII - P.O. Papa Giovanni XXIII Bergamo | Bergamo | Italy | |
| ASST Spedali Civili di Brescia - P.O. Spedali Civili Brescia | Brescia | Italy | |
| Casa di Cura Poliambulanza di Brescia | Brescia | Italy | |
| ASST di Cremona - P.O. Cremona | Cremona | Italy | |
| ASST Ovest Milanese - P.O. Legnano | Legnano | Italy | |
| ASST Mantova - P.O. Carlo Poma Mantova | Mantua | Italy | |
| ASST Grande Ospedale Metropolitano Niguarda | Milan | Italy | |
| ASST Santi Paolo e Carlo - Milano | Milan | Italy | |
| Fondazione IRCCS Istituto Nazionale dei Tumori Milano | Milan | Italy | |
| IRCCS Istituto Clinico Humanitas Milano | Milan | Italy | |
| Fondazione IRCCS San Gerardo dei Tintori - Monza | Monza | Italy | |
| Fondazione IRCCS Policlinico San Matteo Pavia | Pavia | Italy | |
| ASST Sette Laghi - Ospedale di Circolo e Fond. Macchi Varese | Varese | Italy |
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT07418164 on ClinicalTrials.gov ↗ ← All trials in Italy