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 |
Neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer; A phase II multicenter trial
HOPS-R02
Neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer; A phase II multicenter trial
HOPS-R02
Japan |
Resectable pancreatic cancer
Hepato-biliary-pancreatic medicine | Hematology and clinical oncology | Hepato-biliary-pancreatic surgery |
Adult |
Malignancy
NO
To estimate the safety and the efficacy of neoadjuvant nab-paclitaxel plus gemcitabine therapy for resectable pancreatic cancer patients
Safety,Efficacy
Two year disease free survival
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
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)
20 | years-old | <= |
79 | years-old | >= |
Male and Female
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
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
50
1st name | Satoshi |
Middle name | |
Last name | Hirano |
Hokkaido University
Gastroenterological Surgery II
060-8638
N15, W7, Kita-ku, Sapporo, Hokkaido, Japan
011-706-7714
satto@med.hokudai.ac.jp
1st name | Toru |
Middle name | |
Last name | Nakamura |
Hokkaido University
Gastroenterological Surgery II
060-8638
N15, W7, Kita-ku, Sapporo, Hokkaido, Japan
011-706-7714
torunakamura@med.hokudai.ac.jp
Hokkaido Pancreatic Cancer Study Group (HOPS)
None
Self funding
Hokkaido University Certified Review Board
N15, W7, Kita-ku, Sapporo, Hokkaido, Japan
011-706-7934
recjimu@huhp.hokudai.ac.jp
NO
2018 | Year | 03 | Month | 20 | Day |
Unpublished
No longer recruiting
2018 | Year | 03 | Month | 13 | Day |
2018 | Year | 03 | Month | 01 | Day |
2018 | Year | 03 | Month | 20 | Day |
2024 | Year | 03 | Month | 31 | Day |
2018 | Year | 03 | Month | 20 | Day |
2022 | Year | 09 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036343