Unique ID issued by UMIN | UMIN000027756 |
---|---|
Receipt number | R000031746 |
Scientific Title | Single-arm phase II study of induction Gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer |
Date of disclosure of the study information | 2017/07/01 |
Last modified on | 2023/06/19 12:58:28 |
Single-arm phase II study of induction Gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer
Induction Gem/NabPTX followed by G-CRT for LAPC, sPII
Single-arm phase II study of induction Gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer
Induction Gem/NabPTX followed by G-CRT for LAPC, sPII
Japan |
Locally advanced pancreatic cancer
Hepato-biliary-pancreatic medicine | Hematology and clinical oncology |
Malignancy
NO
To evaluate efficacy and safety of induction gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer patients.
Safety,Efficacy
Exploratory
Phase II
Overall survival (proportion of 2-year survival)
Response rate, CA19-9 response rate, distant metastasis free survival time, progression free survival time, incidecce of adverse events, dose intensity, the rate of treatment related death, the rate of early death, the rate of grade 4 nonhematological toxicity
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
Induction chemotherapy:
Gem plus NabPTX (30-minute IV of nab paclitaxel at 125 mg/m2 followed by 30-minute IV of gemcitabine at 1,000 mg/m2 on day 1,8 and 15, repeated every 4 weeks, for 12 weeks in total)
Followed by Gem and concurrent radiotherapy:
1. Gem(30-minute IV of gemcitabine at 1,000 (maximum) mg/m2 on day 1,8 and 15, repeated every 4 weeks, during radiotherapy
2. Radiotherapy(50.4Gy/28fr, once a day, 5 times a week)
Additional chemotherapy:
Gem plus NabPTX(30-minute IV of nab-paclitaxel at 125 mg/m2 followed by 30-minute IV of gemcitabine at 1,000 mg/m2 on day 1,8 and 15, repeated every 4 weeks until disease progression or unacceptable toxicity.)
20 | years-old | <= |
80 | years-old | > |
Male and Female
1) Histologically/cytologically proven adenocarcinoma by diagnostic imaging
2) Without obvious organ metastasis (UICC M0) by chest/abdominal/pelvic CT
3) Diagnosed as UICC-T4 or T3 with invasion to common hepatic artery, hepatic artery proper, or portal vein by abdominal and pelvic CT, so judged as unresectable.
4) Without ascites/pleural effusion by chest CT and abdominal/pelvic CT
5) Without active gastrointestinal ulcer
6) Age from 20 to 80 years.
7) Estimated survival more than three months
8) Without interstitial pneumonia, pulmonary fibrosis, or severe emphysema on chest CT and PO2>=80mmHg and %DLCO>=70%
9) ECOG performance status of 0 or 1
10) No peripheral motor/sensory neuropathy
11) No prior surgical treatment for pancreatic cancer
12) Adequate function of major organs
13) Written informed consent
1) Severe comorbidities (such as heart failure, renal failure, hepatic failure, paresis of intestine, illeus, poorly controlled diabetes(HbA1c>=10%) and poorly controlled hypertension)
2) History of unstable angina pectoris or myocardial infarction within 6 months before registration.
3) Synchronous or metachronous (within 5 years) malignancies except for early cancer.
4) Infectious disease requiring systemic treatment.
5) Female during pregnancy, within 28 days of postparturition, or during lactation and male expecting partner's pregnancy.
6) Severe psychological disorder.
7) Receiving continuous systemic corticosteroid or immunosuppressant treatment.
8) Unavailability of both allergy to bothe of iodine and gadolinium
34
1st name | Ryoji |
Middle name | |
Last name | Takada |
Osaka International Cancer Institute
Hepatobiliary and Pancreatic Oncology
541-8567
Otemae, Chuo ku, Osaka, Japan
06-6945-1181
takada-ry@mc.pref.osaka.jp
1st name | Ryoji |
Middle name | |
Last name | Takada |
Osaka International Cancer Institute
Hepatobiliary and Pancreatic Oncology
541-8567
Otemae, Chuo ku, Osaka, Japan
06-6945-1181
takada-ry@mc.pref.osaka.jp
Department of Hepatobiliary and Pancreatic Oncology
Osaka International Cancer Institute
Department of Hepatobiliary and Pancreatic Oncology
Osaka International Cancer Institute
Other
Institutional Review board of Osaka international cancer institut
Otemae, Chuo ku, Osaka, Japan
06-6945-1181
rinri01@opho.jp
NO
大阪国際がんセンター(大阪府)
Osaka International Cancer Institute, Osaka, Japan
2017 | Year | 07 | Month | 01 | Day |
Unpublished
40
No longer recruiting
2017 | Year | 07 | Month | 01 | Day |
2017 | Year | 07 | Month | 01 | Day |
2017 | Year | 07 | Month | 01 | Day |
2023 | Year | 04 | Month | 30 | Day |
2023 | Year | 07 | Month | 21 | Day |
2017 | Year | 06 | Month | 14 | Day |
2023 | Year | 06 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031746