UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031822
Receipt number R000036343
Scientific Title Neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer; A phase II multicenter trial
Date of disclosure of the study information 2018/03/20
Last modified on 2022/09/27 09:35:37

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Basic information

Public title

Neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer; A phase II multicenter trial

Acronym

HOPS-R02

Scientific Title

Neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer; A phase II multicenter trial

Scientific Title:Acronym

HOPS-R02

Region

Japan


Condition

Condition

Resectable pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hematology and clinical oncology Hepato-biliary-pancreatic surgery
Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To estimate the safety and the efficacy of neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer patients

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Two year disease free survival

Key secondary outcomes

Overall survival, Progression free survival, R0 resection rate, Response rate of diagnostic imaging, Pathological chemotherapy effect, Adverse events, Rate of preoperative treatment completion, Rate of protocol achievement, Surgical complication


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

1) Preoperative therapy: 2 course of gemcitabine and nab-PTX combination therapy (28days for one course:day1, day8, day15 nab-PTX:125mg/m2/day+GEM:1000mg/m2/day) or total six time administration
2) Surgical resection
3) Postoperative therapy: 4 course of S-1 monotherapy (42days for one course:day1-28 S-1 80mg/m2)

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

79 years-old >=

Gender

Male and Female

Key inclusion criteria

1.Resectable pancreatic cancer (JPS7th)
2.Pathological or cytologically proven invasive ductal adenocarcinoma or adenosquamous carcinoma
3.No distant metastasis
4.Age over 20 or under 80
5.ECOG performance status 0-1
6.No history of chemo therapy within 3 years.
7.No history of pancreatic cancer therapy
8.No problems for oral intake
9.Neither peripheral sensory neuropathy nor peripheral motor neuropathy
10.In the case of obstructive jaundice, appropriate bileduct drainage is performed
11.No findings of gastrointestinal infiltration protruding into the lumen and or gastrointestinal bleeding
12.The latest inspection value within 14 days before registration satisfies all of the following. 1) White blood cell count more than 3,000 / mm 3, 2) Hemoglobin more than 9.0 g / dL (no transfuse within 7 days before registration), 3) Platelet count more than 10 x 10 4 / mm 3, 4) Albumin more than 3.0 g / dL, 5) Total bilirubin less than 2.0 mg / dL (3.0 mg / dL or less in case of bileduct drainarge), 6) AST less than 100 U / L (150 IU / L or less in case of bileduct drainarge), 7) ALT less than 100 U / L (150 IU / L or less in case of bileduct drainarge), 8) Serum creatinine less than 1.2 mg / dL, 9) Creatinine clearance 50 ml / min or more
13.Written informed consent

Key exclusion criteria

1.GEM, nab-PTX or fluorinated pyrimidine anticancer drugs have been treated.
2.Severe diarrhea with uncontrolled bowel movement
3.Phenytoin, warfarin potassium, flucytosine are used.
4.History of sever allergic reaction with nab-paclitaxel, paclitaxel or albumin
5.Drug allergy to iodine contrast medium and impossible to perform contrast CT imaging. However, do not exclude the case of contrast-enhanced CT imaging with steroid prophylaxis.
6.Pulmonary fibrosis or interstitial pneumonia
7.Patients with medium or more pleural effusion or ascites
8.Active infection (Clinically stable HBV and chronic viral hepatitis by HCV are excluded).
9.Uncontrolled diabetes
10.Active double cancer (Synchronous double cancer and metachronous double cancer with disease-free period within 3 years). However, lesions such as carcinoma in situ that are cured by topical therapy are not included in active double cancers.
11.Active digestive ulcer
12.Serious complications (heart failure, renal failure, liver failure, intestinal palsy, etc).
13.Myocardial infarction within six months
14.Continuous systemic administration of steroids
15.Sever mental disorder
16.Women who are pregnant / lactating or pregnant or willing, or wish to baby.
17.A man who wishes to become a partner's pregnant.
18.Inappropriate physical condition as diagnosed by the attending physician

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Hirano

Organization

Hokkaido University

Division name

Gastroenterological Surgery II

Zip code

060-8638

Address

N15, W7, Kita-ku, Sapporo, Hokkaido, Japan

TEL

011-706-7714

Email

satto@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Toru
Middle name
Last name Nakamura

Organization

Hokkaido University

Division name

Gastroenterological Surgery II

Zip code

060-8638

Address

N15, W7, Kita-ku, Sapporo, Hokkaido, Japan

TEL

011-706-7714

Homepage URL


Email

torunakamura@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido Pancreatic Cancer Study Group (HOPS)

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Certified Review Board

Address

N15, W7, Kita-ku, Sapporo, Hokkaido, Japan

Tel

011-706-7934

Email

recjimu@huhp.hokudai.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

2018 Year 03 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2018 Year 03 Month 13 Day

Date of IRB

2018 Year 03 Month 01 Day

Anticipated trial start date

2018 Year 03 Month 20 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 03 Month 20 Day

Last modified on

2022 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036343