Unique ID issued by UMIN | UMIN000012293 |
---|---|
Receipt number | R000014362 |
Scientific Title | Neoadjuvant radiation therapy concurrent with S-1 followed by systemic Gemcitabine therapy for Borderline resectable pancreatic cancer patients; A phase2 study |
Date of disclosure of the study information | 2013/11/15 |
Last modified on | 2017/08/07 08:50:43 |
Neoadjuvant radiation therapy concurrent with S-1 followed by systemic Gemcitabine therapy for Borderline resectable pancreatic cancer patients; A phase2 study
A phase2 study of neoadjuvant S1+RT followed by systemic Gem therapy for Borderline resectable pancreatic cancer patients
Neoadjuvant radiation therapy concurrent with S-1 followed by systemic Gemcitabine therapy for Borderline resectable pancreatic cancer patients; A phase2 study
A phase2 study of neoadjuvant S1+RT followed by systemic Gem therapy for Borderline resectable pancreatic cancer patients
Japan |
pancreatic cancer
Hepato-biliary-pancreatic medicine | Hematology and clinical oncology | Hepato-biliary-pancreatic surgery |
Radiology | Operative medicine |
Malignancy
NO
To verify the safety, the efficacy and the feasibility of neoadjuvant radiation concurrent with S-1 followed by systemic Gemcitabine therapy for borderline resectable pancreatic cancer patients
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
R0 resection rate
completion rate, pathological effect , Response rate, CA19-9 response rate, progression free survival, distant metastasis free survival, overall survival, adverse effect, surgical complication
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.
Systemic Gemcitabine therapy: Gemcitabine (1000mg/m2) is given by intravenous infusion over 30 min on days 1, 8, 15 every 4 week. This cycle was repeated 3 cycles.
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) Pathologically or cytologically proven diagnosis of pancreas cancer.
2) Definition of a Borderline resectable pancreatic cancer is filled in NCCN guidelines 2012 pancreatic adenocarcinoma
3) No hepatic metastasis by EOB-MR
4) Patients of age =>20 and 75>
5) Performance Status:0-1 (ECOG)
6) Adequate oral intake
7) Good main organ function
8) Written informed consent
1) treatment history of a pancreatic cancer (chemotherapy, radiotherapy, surgical)
2) treatment history of other malignant tumors (chemotherapy, radiotherapy)
3) Patients who can' t receive neither iodic drug because of drug allergy
4) Including in an exposure field is impossible with contrast enhanced CT
5) Massive pleural or abdominal effusion
6) Pleural membranes and peritoneum sowing are proved by cytological diagnosis
7) Existence of tumor exposure with CT or Endoscope
8) Hemorrhagic peptic ulcer
9) Watery diarrhea
10) Regular use of frucitocin, fenitoin or warfarin
11) Lung fibrosis or intestinal pneumonia, and anamnesis or imaging findings
12) Severe infection
13) Serious complications (e.g. heart failure, hepatic failure, intestinal paralysis, intestinal obstruction)
14) Uncontrolled diabetes
15) Simultaneous or metachronous (within 3 years) double cancers
16) Patients requiring systemic steroids medication
17) Severe mental illness
18) Severe drug hypersensitivity
19) Males that are currently attempting to produce a pregnancy
20) Pregnant females, possibly pregnant females, females wishing to become pregnant
21) Patients seems inadequate for this study by investigators
45
1st name | |
Middle name | |
Last name | Tsuyoshi Hayashi |
Sapporo Medical University
Department of Medical Oncology and Hematology
S1, W16, Chuoku, Sapporo, Hokkaido, Japan
011-611-2111
thayashi69@sapmed.ac.jp
1st name | |
Middle name | |
Last name | Tsuyoshi Hayashi |
Sapporo Medical University
Department of Medical Oncology and Hematology
S1, W16, Chuoku, Sapporo, Hokkaido, Japan
011-611-2111
thayashi69@sapmed.ac.jp
Hokkaido Pancreatic Cancer Study Group (HOPS)
none
Self funding
NO
2013 | Year | 11 | Month | 15 | Day |
Unpublished
Completed
2013 | Year | 11 | Month | 01 | Day |
2013 | Year | 11 | Month | 15 | Day |
2017 | Year | 04 | Month | 28 | Day |
2017 | Year | 08 | Month | 31 | Day |
2013 | Year | 11 | Month | 14 | Day |
2017 | Year | 08 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014362