Unique ID issued by UMIN | UMIN000008888 |
---|---|
Receipt number | R000010419 |
Scientific Title | Neoadjuvant radiation therapy concurrent with S-1 followed by systemic S-1/Gemcitabine therapy for Borderline resectable pancreatic cancer patients; A pilot study |
Date of disclosure of the study information | 2012/09/14 |
Last modified on | 2013/08/15 10:35:57 |
Neoadjuvant radiation therapy concurrent with S-1 followed by systemic S-1/Gemcitabine therapy for Borderline resectable pancreatic cancer patients; A pilot study
The pilot study of neoadjuvant S1+RT followed by systemic GS therapy for Borderline resectable pancreatic cancer patients
Neoadjuvant radiation therapy concurrent with S-1 followed by systemic S-1/Gemcitabine therapy for Borderline resectable pancreatic cancer patients; A pilot study
The pilot study of neoadjuvant S1+RT followed by systemic GS therapy for Borderline resectable pancreatic cancer patients
Japan |
pancreatic cancer
Hepato-biliary-pancreatic medicine | Hepato-biliary-pancreatic surgery |
Malignancy
NO
To verify the safety, the efficacy and the feasibility of neoadjuvant radiation concurrent with S-1 followed by systemic GS therapy for borderline resectable pancreatic cancer patients
Safety,Efficacy
completion rate
R0 resection rate , pathological response rate , survival rate, Response rate, adverse effect
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Concurrent radiotherapy with S-1: S-1(80mg/m2) on the irradiated day, Radiotherapy; a total dose of 50.4 Gy in 28 fractions.
S-1+gemcitabine:
Gemcitabine(1000mg/m2) is given by intravenous infusion over 30 min on days 1, 8. S-1(80mg/m2) is given orally for 14 days followed by 1-week rest. This cycle was repeated 6 cycles.
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) Pathologically or cytologically or diagnostic imaging proven diagnosis of pancreatic cancer
2) Definition of a Borderline respectable pancreatic cancer is filled in NCCN guidelines 2012 pancreatic adenocarcinoma
3) Patients of age =>20 and 75=>
4) Performance Status: 0-1(ECOG)
5) Patients who have not undergone chemotherapy and/or radiotherapy
6) All pancreas lesions and lymphnode metastases are included in the radiation field, 10 x 10 cm
7) Adequate oral intake
8) Biliary drainage was applied adequately in patients with obstructive jaundice
9) Without obvious direct invasion to digestive tract
10) Sufficient organ functions 14 days before registration
11) Written informed consent
1) Patients who have previously administered S-1 or gemcitabine
2) Patients who have previous history of radiotherapy to the abdomen
3) Uncontrollable watery or chornic diarrhea
4) Regular use of frucitocin, fenitoin or warfarin
5) Patients who can' t receive neither iodic drug because of drug allergy
6) Lung fibrosis or interstitial pneumonia which accompanied by clinical symptoms or are evident in imaging findings
7) Massive pleural or abdominal effusion
8) Those with Active infectious diseases
9) Uncontrolled diabetes
10) Simultaneous or metachronous (within 3 years) double cancers
11) Hemorrhagic peptic ulcer
12) Severe complications
13) Patients requiring systemic steroids medication
14) Severe mental disorders
15) Severe drug hypersensitivity
16) Pregnant or lactating women, or women with known or suspected pregnancy and men who want let to pregnancy
17) Patients seems inadequate for this study by investigators
18) Treatment history of a collagen disease or undergoing medical treatment
30
1st name | |
Middle name | |
Last name | Yasutoshi Kimura |
Sapporo Medical University Hospital
Department of Surgical Oncology and Gastroenterological Surgery
S1 W16, Chuoku, Sapporo city, Hokkaido, Japan
011-611-2111
1st name | |
Middle name | |
Last name |
Sapporo Medical University Hospital
Department of Surgical Oncology and Gastroenterological Surgery
kimuray@sapmed.ac.jp
Department of Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University Hospital
None
Self funding
NO
2012 | Year | 09 | Month | 14 | Day |
Unpublished
Terminated
2012 | Year | 09 | Month | 05 | Day |
2012 | Year | 09 | Month | 10 | Day |
2012 | Year | 09 | Month | 10 | Day |
2013 | Year | 08 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010419