Unique ID issued by UMIN | UMIN000021206 |
---|---|
Receipt number | R000024429 |
Scientific Title | Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer |
Date of disclosure of the study information | 2016/02/25 |
Last modified on | 2016/02/25 21:07:21 |
Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer
Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer
Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer
Feasibility study of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1 for biliary tract cancer
Japan |
Biliary tract cancer
Hepato-biliary-pancreatic surgery |
Malignancy
NO
The objective is to evaluate the feasibility of perioperative chemotherapy with neoadjuvant GEM+CDDP and adjuvant S-1, which is administered for patients with potentially resectable biliary tract cancer.
Safety,Efficacy
Treatment completed rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
GEM+CDDP neoadjuvant chemotherapy is conducted. GEM 1000mg/m2/day and CDDP 25mg/m2/day are intravenously administered on day 1, 8, 22, and 29.
S-1 adjuvant chemotherapy is conducted. S-1 80mg/m2/day is orally administered twice daily for 1 year. Administration of S-1 from day 1 to 28 followed by rest from day 29 to 42 in one cycle.
20 | years-old | <= |
80 | years-old | > |
Male and Female
1. presence of histological or cytological confirmed (adenocarcinoma or adenosquamous carcinoma), or clinically suspected biliary (intrahepatic, hilar/perihilar, or extrahepatic cholangiocarcinoma, gallbladder cancer, or ampullary cancer)
2. Stage II, III, or IVa biliary tract cancer in the seventh edition of UICC/AJCC staging system
3. with no prior chemotherapy or radiation to biliary tract cancer
4. evaluable lesion was confirmed with imaging studies within 28 day before registration
5. age>=20 years
6. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1
7. adequate oral intake
8. adequate bone marrow function
White blood cells (WBC)>=3,500/mm3
Neutrophils>=2,000/mm3
Platelet>=100,000/mm3
Hemoglobin>=9.0g/dL
AST<=100IU/L (or 150IU/L under biliary drainage)
ALT<=100IU/L (or 150IU/L under biliary drainage)
serum total bilirubin<=2.0mg/dL (or <=3.0mg/dL under biliary drainage)
serum creatinine<=upper limit of normal range
Alb>=3.0g/dL
9. no abnormal findings by cardiac electrogram within 28 days before registration
10. written informed consent
1. presence of active double cancer, excluding carcinoma in situ and mucosal carcinoma
2. presence of active infection requiring systemic therapy, excluding viral hepatitis
presence of other cancer except carcinoma in situ
3. accumulated pleural effusion or ascites confirmed in chest CT
4. presence of fever more than 38 degrees Celcius at registration
5. women who are pregnant or during the nursing, women who may be pregnant or are willing to get pregnant, or men who are willing to make thier partner pregnant
6. severe mental disorder
7. uncontrollable diabetes mellitus
8. uncontrollable hypertention
9. history of new-onset unstable angina within 3 weeks, progressive angina, or new-onset myocardial infarction within 6 months before registration
10. presence of severe organ dysfunction including postoperative complication (such as heart failure, renal failure, liver failure, and intestinal paralysis)
11. history of severe drug allegy
12. administered flucytosine, phenytoin, or warfarin potassium
13. uncontrollable diarrhea
14. unsuitable candidate to this study judged by a doctor
30
1st name | |
Middle name | |
Last name | Osamu Itano |
Department of Surgery, Keio University School of Medicine
Department of Surgery
Shinanomachi 35, shinjuku-ku
03-3353-1211
contact@keio-hbpts.jp
1st name | |
Middle name | |
Last name | Osamu Itano |
Department of Surgery, Keio University School of Medicine
Department of Surgery
Shinanomachi 35, shinjuku-ku
03-3353-1211
contact@keio-hbpts.jp
Keio University School of Medicine
non
Self funding
NO
2016 | Year | 02 | Month | 25 | Day |
Unpublished
Enrolling by invitation
2015 | Year | 11 | Month | 24 | Day |
2016 | Year | 02 | Month | 25 | Day |
2016 | Year | 02 | Month | 25 | Day |
2016 | Year | 02 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024429