Unique ID issued by UMIN | UMIN000026858 |
---|---|
Receipt number | R000030821 |
Scientific Title | Randomized phase II/III study of gemcitabine and nab-paclitaxel therapy versus S-1 and concurrent radiotherapy as neoadjuvant treatment for Borderline resectable pancreatic cancer |
Date of disclosure of the study information | 2017/04/06 |
Last modified on | 2019/04/23 09:27:59 |
Randomized phase II/III study of gemcitabine and nab-paclitaxel therapy versus S-1 and concurrent radiotherapy as neoadjuvant treatment for Borderline resectable pancreatic cancer
GABARNANCE Trial
Randomized phase II/III study of gemcitabine and nab-paclitaxel therapy versus S-1 and concurrent radiotherapy as neoadjuvant treatment for Borderline resectable pancreatic cancer
GABARNANCE Trial
Japan |
Borderline Resectable Pancreatic Cancer
Hepato-biliary-pancreatic medicine | Hematology and clinical oncology | Hepato-biliary-pancreatic surgery |
Adult |
Malignancy
NO
Objective of the study is to evaluate safety and efficacy of gemcitabine and nab-paclitaxel therapy versus S-1 and concurrent radiotherapy as neoadjuvant treatment for Borderline resectable pancreatic cancer
Safety,Efficacy
Confirmatory
Pragmatic
Phase II,III
PhaseII part: R0 resection rate
PhaseIII part: Overall survival
PhaseII part: Incidence of adverse events
PhaseIII part: Progression free survival, R0 resection rate, 2 year survival rate, Radiological response rate, Histological response rate, Incidence of adverse events, Protocol compliance (completion rate of neoadjuvant therapy and overall therapy)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Medicine | Maneuver |
gemcitabine and nab-paclitaxel therapy as neoadjuvant therapy
S-1 and concurrent radiotherapy as neoadjuvant therapy
20 | years-old | <= |
79 | years-old | >= |
Male and Female
1. Borderline resectable pancreatic cancer
2. Adenocarcinoma or adenosquamous carcinoma
3. No distant metastasis
4. Age 20-79
5. ECOG PS 0-1
6. No prior abdominal radiation therapy
7. No history of chemotherapy within last 3 years
8. No prior therapy for pancreatic cancer
9. Included in the irradiation field of 10cm x10cm
10. Able to eat orally
11. No sensory or motor neuropathy
12. Appropriate biliary drainage if bile duct obstructed
13. No radiological evidence of apparent intestinal cancer invasion and history of gastrointestinal bleeding
14. Meet all the criteria of laboratory examination
15. Informed consent by patient
1. History of gemcitabine, nab-paclitaxel and fluorouracil
2. poor control of diarrhea
3. Use of Coumadin, Phenytoin and Flucytosine
4. Allergic to gemcitabine and nab-paclitaxel
5. Computed tomography contrast media allergy
6. Intestinal pneumonia
7. Moderate amount of ascites or pleural effusion
8. Active infection
9. Poor control of diabetes mellitus
10. Ongoing active other malignancy
11. Active peptic ulcer
12. Serious comorbid conditions
13. Myocardial infarction within last 6 months
14. Systemic steroid therapy
15. Serious psychiatric diseases
16. Planning a baby or pregnancy
17. Planning a baby
18. Judged unable to guarantee safety
110
1st name | |
Middle name | |
Last name | Shinichiro Takahashi |
National Cancer Center Hospital East
Division of Hepatobiliary and Pancreatic Surgery
6-5-1 Kashiwanoha, Kashiwa city, Chiba 277-8577, JAPAN
+81-471-33-1111
shtakaha@east.ncc.go.jp
1st name | |
Middle name | |
Last name | Yusuke Hashimoto |
National Cancer Center Hospital East
Division of Hepatobiliary and Pancreatic Oncology
6-5-1 Kashiwanoha, Kashiwa city, Chiba 277-8577, JAPAN
+81-471-33-1111
yushashi@east.ncc.go.jp
EPOC A1601/JASPAC07
Japan agency of Medical Research and development
Japanese Governmental office
NO
国立がん研究センター東病院
2017 | Year | 04 | Month | 06 | Day |
Unpublished
Enrolling by invitation
2017 | Year | 03 | Month | 09 | Day |
2017 | Year | 03 | Month | 09 | Day |
2017 | Year | 04 | Month | 15 | Day |
2022 | Year | 09 | Month | 30 | Day |
2017 | Year | 04 | Month | 04 | Day |
2019 | Year | 04 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030821