Unique ID issued by UMIN | UMIN000002176 |
---|---|
Receipt number | R000002597 |
Scientific Title | A clinical phase-II trial of neoadjuvant chemoradiation therapy using S-1 for locally advanced pancreatic cancer (PerSeUS-GP-01) |
Date of disclosure of the study information | 2009/08/01 |
Last modified on | 2019/03/12 10:56:36 |
A clinical phase-II trial of neoadjuvant chemoradiation therapy using S-1 for locally advanced pancreatic cancer (PerSeUS-GP-01)
Radiation therapy with S-1 for locally advanced pancreatic cancer (PerSeUS-GP-01)
A clinical phase-II trial of neoadjuvant chemoradiation therapy using S-1 for locally advanced pancreatic cancer (PerSeUS-GP-01)
Radiation therapy with S-1 for locally advanced pancreatic cancer (PerSeUS-GP-01)
Japan |
Locally advanced pancreatic cancer
Hepato-biliary-pancreatic medicine | Hepato-biliary-pancreatic surgery | Radiology |
Malignancy
NO
To evaluate the efficacy and safety of neoadjuvant chemoradiation therapy using S-1 for locally advanced pancreatic cancer
Safety,Efficacy
Exploratory
Phase II
1-year survival rate
progression free survival, surgical resection rate, curative resection rate, effective rate and complication rate of the neoadjuvant chemoradiation therapy, 5-year survival rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
Surgical resection after chemoradiation therapy.
S-1 administration after the surgical resection.
Radiation therapy concurrently with S-1:
S-1; 80mg/m2/day (administration on the day of radiation therapy)
Radiation therapy; a total dose of 39.6Gy by 22 fractions.
Post operative chemotherapy with S-1:
S-1; 80mg/m2 administration for 14 days, followed by a resting period for 7 days.
20 | years-old | <= |
Not applicable |
Male and Female
Inclusion criteria :
1. Pancreatic cancer whose diagnosis was confirmed by pathological or imaging results.
2. Possibly resectable locally advanced pancreatic cancer,
fulfilled at least one of the following criteria on CT findings:
1) Retroperitoneal invasion (RP): Shaggy sign of peripancreatic tissue is presented.
2) Direct invasion to the portal system (PV): Tumor causes deformity of the PV, but contacts it less than 1/4 circle, or no deformity but contacts more than 1/4 circle.
3)Direct invasion to the arteries (A): Tumor causes no deformity, and contacts them less than 1/4 circle.
Not fulfilled any of the following criteria on CT findings:
4)Retroperitoneal invasion (RP): Tumor invades definitively to the inferior vena cava or aorta.
5)Direct invasion to the portal system (PV): Tumor causes severe stenosis or obstruction of the PV.
6)Invasion to the arteries (A): Tumor causes deformity or contacts them more than 1/4 circle.
3. presence of measurable lesions.
4. without prior history of the treatment such as surgical operation, radiotherapy, and chemotherapy for the lesion.
5. ECOG performance status : 0-1.
6. Normal oral intake.
7. Sufficient organ function:
Leukocytes: >= 3,500/mm2
Neutrophil: >= 2,000/mm2
Platelets: >= 100,000/mm2
Hemoglobin: >= 9g/dL
Serum total bilirubin: <= 2.0mg/dL (or 3.0mg/dL in cases after biliary drainage)
Serum transaminases: AST <= 100U/L (or 150U/L in cases after biliary drainage), ALT <= 100U/L (or 150U/L in cases after biliary drainage)
Serum creatinine: <= 1.2mg/dL
Creatinine clearance: >= 50ml/min (option)
8. Life expectancy of more than 3 months.
9. Written informed consent.
1. Lung fibrosis or interstitial pneumonia. (should be confirmed by chest radiograph or CT within 28 days before the entry)
2. Watery diarrhea or chronic diarrhea
3. Regular use of Fenitoin, Warfarin or Frucitocin.
4. Pleural effusion or ascites.
5. Active infection.
6. Other malignancies.
7. Active gastroduodenal ulcer.
8. Serious comorbid illness. (heart failure, renal failure, liver failure, intestinal paralysis, uncontrolled diabetes, etc)
9. Serious mental disorder.
10. Serious drug allergy.
11. During pregnancy or lactation.
12. Patients who were judged inappropriate for the entry to this study by the investigators.
40
1st name | |
Middle name | |
Last name | Hisataka Moriwaki |
Gifu University
Dept. of Gastroenterology
1-1 Yanagido, Gifu 501-1194, Japan
058-230-6308
1st name | |
Middle name | |
Last name | Ichiro Yasuda |
Gifu University
Dept. of Gastroenterology
1-1 Yanagido, Gifu 501-1194, Japan
PerSeUS-GP
none
Self funding
Japan
Gifu Prefectural Medical Center
Gifu Municipal Hospital
NO
2009 | Year | 08 | Month | 01 | Day |
Unpublished
Completed
2009 | Year | 06 | Month | 01 | Day |
2009 | Year | 08 | Month | 01 | Day |
2013 | Year | 09 | Month | 30 | Day |
2009 | Year | 07 | Month | 09 | Day |
2019 | Year | 03 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002597