UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029147
Receipt number R000033327
Scientific Title Multicenter Prospective Study of Neoadjuvant Chemotherapy for Borderline Resectable Pancreatic Cancer
Date of disclosure of the study information 2017/09/30
Last modified on 2025/03/21 11:20:06

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Basic information

Public title

Multicenter Prospective Study of Neoadjuvant Chemotherapy for Borderline Resectable Pancreatic Cancer

Acronym

Multicenter Prospective Study of Neoadjuvant Chemotherapy for Borderline Resectable Pancreatic Cancer

Scientific Title

Multicenter Prospective Study of Neoadjuvant Chemotherapy for Borderline Resectable Pancreatic Cancer

Scientific Title:Acronym

Multicenter Prospective Study of Neoadjuvant Chemotherapy for Borderline Resectable Pancreatic Cancer

Region

Japan


Condition

Condition

pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of neoadjuvant chemotherapy for borderline pancreatic cancer.
To verify proper regimen, administration period and predictive biomarker.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

R0 resection ratio

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Borderline resectable pancreatic cancer who are planning neoadjuvant chemotherapy with the following criteria

1)no gender
2)age over 20 years old
3)the patients who gained written consent by the patient's free will with sufficient understanding after receiving sufficient explanation for the participation of this study,

Key exclusion criteria

Patients judged unsuitable as research subjects

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Hiroaki
Middle name
Last name Nagano

Organization

Yamaguchi University Graduate School of Medicine

Division name

Department of Gastroenterological, Breast and Endocrine Surgery

Zip code

755-8505

Address

1-1-1 Minami-Kogushi, Ube, Yamaguchi

TEL

0836-22-2264

Email

hnagano@yamaguchi-u.ac.jp


Public contact

Name of contact person

1st name Hiroto
Middle name
Last name Matsui

Organization

Yamaguchi University Graduate School of Medicine

Division name

Department of Gastroenterological, Breast and Endocrine Surgery

Zip code

755-8505

Address

1-1-1 Minami-Kogushi, Ube, Yamaguchi

TEL

0836-22-2264

Homepage URL


Email

matsui-h@yamaguchi-u.ac.jp


Sponsor or person

Institute

Yamaguchi Pancreatic / Biliary Disease Study Group

Institute

Department

Personal name



Funding Source

Organization

Yamaguchi Pancreatic / Biliary Disease Study Group

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Center for Clinical Research. Yamaguchi University Hospital

Address

Minami-Koguchi, Ube, Yamaguchi, Japan

Tel

0836-22-2428

Email

me223@yamaguchi-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 09 Month 30 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/38530956/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/38530956/

Number of participants that the trial has enrolled

52

Results

Results: Fifty of 52 enrolled patients were analyzed; 2 with serious comorbidities died during treatment. Thirty-one patients underwent resection, with R0 resection being achieved in 26 (52% of total and 84% of all resected cases). Univariate and multivariate analyses indicated age (>75 years) as the only independent predictor of nonresection. Median progression-free survival and median survival time were longer in the prospective cohort than in the historical cohort.

Results date posted

2025 Year 03 Month 21 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with BRPC and RPC contacting major vessels

Participant flow

52 patients with BRPC and RPC in contact with the PVor SMV with less than 180 degrees were deemed by the treating physician as candidates for NAC and hence enrolled in the study. Two patients were excluded, including one who withdrew study participation and one diagnosed with bile duct cancer after inclusion in the study.

Adverse events

The most common adverse events of grade 3 and higher were neutropenia (56%), followed by leukocytopenia (44%) and thrombocytopenia (8%). For all grades, peripheral neuropathy and appetite loss were observed in 60% and 48% of the patients, respectively. Unfortunately, treatment-related deaths were observed in 2 patients.

Outcome measures

Primary aim was to assess the R0 resection rate, and secondary aim was to evaluate safety, resection rate, time to treatment failure, overall survival, and response rate.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 08 Month 01 Day

Date of IRB

2017 Year 08 Month 30 Day

Anticipated trial start date

2017 Year 09 Month 01 Day

Last follow-up date

2020 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

collecting information in routine practice of borderline resectable pancreatic cancer patient undergoing neoadjuvant chemotherapy, safety
and efficacy will be evaluated.


Management information

Registered date

2017 Year 09 Month 14 Day

Last modified on

2025 Year 03 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033327