Unique ID issued by UMIN | UMIN000004589 |
---|---|
Receipt number | R000005477 |
Scientific Title | Phase I radiaition dose escalation study of intensity-modulated radiotherapy with end-exhalation breath-hold technique, combined with full-dose gemcitabine for patients with locally advanced pancreatic cancer. |
Date of disclosure of the study information | 2010/11/19 |
Last modified on | 2017/02/01 18:58:15 |
Phase I radiaition dose escalation study of intensity-modulated radiotherapy with end-exhalation breath-hold technique, combined with full-dose gemcitabine for patients with locally advanced pancreatic cancer.
Breath-hold IMRT for pancreatic cancer: radiation dose escalation study
Phase I radiaition dose escalation study of intensity-modulated radiotherapy with end-exhalation breath-hold technique, combined with full-dose gemcitabine for patients with locally advanced pancreatic cancer.
Breath-hold IMRT for pancreatic cancer: radiation dose escalation study
Japan |
Pancreatic cancer
Hepato-biliary-pancreatic medicine | Radiology |
Malignancy
NO
To determine the maximum-tolerated radiation dose delivered with intensity-modulated radiotherapy under breath-hold technique at end-exhalation and concurrent full-dose gemcitabine, in patients with unresectable locally advanced pancreatic cancer.
Safety
Exploratory
Pragmatic
Phase I
Safety (the incidence of dose limiting toxicity)
Local control rate, overall survival time, progression-free survival time, completion rate of chemotherapy, incidence of adverse events within 6 months from the start day of treatment, Rate of palliative efficacy (pain relief), rate of CA19-9 regression, The accuracy of the new technique of radiotherapy
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
Intensity-modulated radiotherapy(IMRT)
Concurrent chemotherapy with Gemcitabine
Induction chemotherapy with Gemcitabine
20 | years-old | <= |
80 | years-old | > |
Male and Female
1) Pancreatic cancer proven with pathological or cytological examination with diagnostic imaging.
2) Clinical stage (T3-4, N0, M0) (UICC), unresectable pancreatic cancer (medically inoperable T3 patients are also allowed on to this study
3) Patients have tumors measurable by RECIST criteria
4) Tumor size </= 6cm
5) Np apparent bowel invasion of tumors on CT or endscopic findings
6) Patients' age must be >/=18 and <80 years old. ECOG performance status; 0-1
7) Without history of previous chemotherapy, but patients who have received up to one cycle of single agent gemcitabine remain eligible.
8) Without history of previous abdominal radiation therapy
9) Adequate organ functions;
white blood cells >/= 3000/m3
neutrophil >=2000/m3
platelets >/= 100,000/m3
hemoglobin >/= 10.0g/dl
AST </= 3.0 X ULN
ALT </= 3.0 X ULN
total bilirubin </= 2.0mg/dL
10) Patients must be aware of the investigational nature of therapy and provide written informed consent.
1) Patients with active double cancer (double cancer with no more than 5-year disease-free period. However, carcinoma in situ judged to be cured by local treatment, or intra-mucosal cancer-equivalent lesion are not to be included in active double cancer).
2) Patients with active bacterial infection requiring treatment.
3) Patients with severe cardiac disease
4) Patients with severe drug allergy history
5) Patients with unstable and uncontrollable diabetic mellitus, hypertension, kidney disease, liver disease.
6) Patients with intersitial pneumonia or pulmonary fibrosis detectable on chest radiography
7) Women during pregnancy or breast-feeding, or patients who wish pregnancy
8) Patients that physicians consider inappropriate for this study.
18
1st name | |
Middle name | |
Last name | Masahiro Hiraoka |
Kyoto University Hospital
Therapeutic Radiology
54 Shogoin Kawaharacho Sakyo-ku, Kyoto
075-751-3762
1st name | |
Middle name | |
Last name | Keiko SHibuya |
Kyoto University Hospital
Therapeutic Radiology
54 Shogoin Kawaharacho Sakyo-ku, Kyoto
075-751-3762
kei@kuhp.kyoto-u.ac.jp
Department of Therapeutic Radiology, Kyoto University Hospital
Ministry of Health, Labor and Welfare, Grant-in Aid for Cancer Research (20S-5)
Japan
Japan Society for the Promotion of Science (JSPS), Grant-in-Aid for Scientific Research (S)
NO
京都大学医学部附属病院
2010 | Year | 11 | Month | 19 | Day |
Unpublished
No longer recruiting
2010 | Year | 09 | Month | 08 | Day |
2011 | Year | 01 | Month | 01 | Day |
2013 | Year | 06 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2010 | Year | 11 | Month | 19 | Day |
2017 | Year | 02 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005477