Unique ID issued by UMIN | UMIN000014039 |
---|---|
Receipt number | R000016341 |
Scientific Title | Converison therapy of FOLFIRINOX in patients with unresectable locally advanced pancreatic cancer: A phase II |
Date of disclosure of the study information | 2014/05/22 |
Last modified on | 2014/06/18 17:23:15 |
Converison therapy of FOLFIRINOX in patients with unresectable locally advanced pancreatic cancer: A phase II
CFLAP study
Converison therapy of FOLFIRINOX in patients with unresectable locally advanced pancreatic cancer: A phase II
CFLAP study
Japan |
Unresectable locally advanced pancreatic cancer
Hepato-biliary-pancreatic surgery |
Malignancy
NO
To evaluate the efficacy and safety of the resection post FOLFIRINOX for unresectable locally advanced pancreatic cancer
Safety,Efficacy
Phase II
the ratio of R0 resection
the ratio of R0+R1 resection, Response rate, Progression Free Survival: PFS, Overall Survival: OS, Safety
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Maneuver |
1 course:14 days. FOLFIRINOX;L-OHP, l-LV, CPT-11 and 5-FU on day1
Conversion therapy will be done with resectable cancer.
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1)Invasive pancreatic ductal carcinoma histologically confirmed
2)None of metastatic lesions by laparoscopy.
3)Patients with no previous chemotherapy for pancreatic cancer.
4)ECOG Perfomance status must be 0 or 1.
5)Patients must be >=20 years old and <=75 years old at the time of consent.
6)Life Expectancy must be >=8 weeks.
7)Having of measurable lesions must be required(RECIST v1.1).
8)The following criteria must be satisfied for primary lesion(NCCN guideline v1.2014).
a)Cancerous stricture of superior mesentric artery(SMA) or celiac artery
b)Occlusion of superior mesentric vein(SMV) or portal vein(PV) cannot to be reconstructed
c)Cancerous invasion or cancerous stricture of Paraaorta
9)The following criteria must be satisfied in laboratory tests conducted within 7 days before enrollment. And G-CSF, Erythropoetin, Blood products and transfusion must be untreated within 7days before enrollment.
-White blood cell count >=3,500 /mm3 ,<=12,000/mm3
-Neutrophil count >=2,000 /mm3
-Hemoglobin >= 9.0 g/dL
-Platelet count >=100,000 /mm3
-Total bilirubin <=2.0 mg/dL(to be permitted <=3.0 mg/dL in patients treated by biliary drainage for obstructive jaundice)
-AST <=150 IU/L
-ALT <=150 IU/L
-Serum Creatinine <=1.5 mg/dL
10)Patient must have signed the consent form.
1)Severe drug hypersensitivity
2)Severe dysesthesia with functional disorder
3)homozygote(UGT1A1 *6/*6, UGT1A1 *28/*28) or heterozygote(UGT1A1 *6/*28)
4)Prior treatment(chemotherapy or radiation)
5)Active double cancer (synchronous double cancer or asynchronous double cancer with disease-free duration to be within 5 year) except carcinoma in situ or intramucosal cancer
6)Infections that needs systemic treatment.
7)Pregnant females or being suspected, or nursing mothers.
8)Severe nervous disorder or mental disorder.
9)Transufusion, Blood products and G-CSF tried within 7days before enrollment.
10)Much pleural effusion, ascites fluid, pericardial fluid.
11)Jaundice
12)Congestive heart failure, symptomatic cerebrovascular accident, uncontrolable arrhythmia, and history of myocardial infarction in 12 months
13)Severe interstitial pneumonia or pulmonary fibrosis.
14)Diarrhea(to bring troubles in patients who have stoma)
15)Active peptic ulcer, paresis of intestine and ileus
16)Uncontrolled diabetes mellitus(DM) or DM with nervous disorder.
17)Need continuous medication of atazanavir sulfate.
The subject who was determined by investigator that being not adequate to participate in the trial.
50
1st name | |
Middle name | |
Last name | ryutaro mori |
Yokohama City University
Department of Gastroenterological Surgery
3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa Pref Japan
045-787-2650
ryutaromori@gmail.com
1st name | |
Middle name | |
Last name | ryutaro mori |
Yokohama City University
Department of Gastroenterological Surgery
3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa Pref Japan
045-787-2650
ryutaromori@gmail.com
Yokohama City University
Department of Gastroenterological Surgery, Yokohama City University
Self funding
NO
横浜市立大学附属病院
2014 | Year | 05 | Month | 22 | Day |
Unpublished
Preinitiation
2014 | Year | 05 | Month | 22 | Day |
2014 | Year | 05 | Month | 22 | Day |
2014 | Year | 05 | Month | 22 | Day |
2014 | Year | 06 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016341