UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035668
Receipt number R000040633
Scientific Title Cohort study of patients with initially unresectable pancreatic cancer in whom conversion surgery is planned after FOLFIRINOX or gemcitabine plus nab-paclitaxel therapy
Date of disclosure of the study information 2019/01/26
Last modified on 2022/02/02 14:08:04

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Basic information

Public title

Cohort study of patients with initially unresectable pancreatic cancer in
whom conversion surgery is planned after FOLFIRINOX or gemcitabine
plus nab-paclitaxel therapy

Acronym

PC-CURE-1

Scientific Title

Cohort study of patients with initially unresectable pancreatic cancer in
whom conversion surgery is planned after FOLFIRINOX or gemcitabine
plus nab-paclitaxel therapy

Scientific Title:Acronym

PC-CURE-1

Region

Japan Asia(except Japan)


Condition

Condition

Unresectable pancreatic cancer

Classification by specialty

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

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the prognosis of patients who underwent conversion surgery,
with tumors' being evaluated as resectable after FOLFIRINOX or GnP
therapies for unresectable pancreatic cancer, and factors influencing the
prognosis in a retrospective study

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Overall survival from the day when resection was considered to be
possible (day of examination)

Key secondary outcomes

Relapse-free survival, post-resection survival, mode of relapse, presence
or absence of hospital death, and surgery-related complications


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with initially pathological confirmed adenocarcinoma and
consitent with pancreatic ductal adenocarcinoma including papillary
adenocarcinoma, tubular adenocarcinoma, poor differentiated
adenocarcinoma, or adenosquamous carcinoma by diagnostic imaging
2. Locally advanced or distant metastatic disease before starting of
chemotherapy
3. FOLFIRINOX (including modified regimen) or gemcitabine plus
nab-paclitaxel initially performed
4. Diagnosed as resectable disease after chemotherapy by imaging, then
laparotomy or continuation of chemotherapy performed

Key exclusion criteria

1. Borderline resectable disease by NCCN Guidelines Ver 2.2018 is
excluded in this study. Solid tumor contact with the CA >180 degrees is
classified to unrsectable.
2. Recurrent disease
3. Response to chemotherapy according to RECIST ver 1.1 was PD
4. Heavy ion radiotherapy or proton beam therapy performed before
laparotomy
5. Diagnosed as unresectable disease by examination laparoscopic when
was intented to conversion surgery
6. Resection of metastatic lesions at conversion surgery. However, patients can be registered unless they are pathologically demonstrated to have
cancer after dissection of the 16th lymph node or hepatectomy.
7. Peritoneal lavage cytology positive

Target sample size

360


Research contact person

Name of lead principal investigator

1st name Junji
Middle name
Last name Furuse

Organization

Kyorin University Faculty of Medicine

Division name

Department of Medical Oncology

Zip code

181-8611

Address

6-20-2, Shinkawa, Mitaka-shi, Tokyo

TEL

0422-47-5511

Email

jfuruse@ks.kyorin-u.ac.jp


Public contact

Name of contact person

1st name Mami
Middle name
Last name Sakurai

Organization

Federation of Asian Clinical Oncology (FACO)

Division name

Tokyo Office

Zip code

101-0061

Address

Tki Bldg. 2F, 3-3-1, Kanda-Misakicho, Chiyoda-ku, Tokyo

TEL

03-5542-0546

Homepage URL


Email

faco-office@jsco.or.jp


Sponsor or person

Institute

Federation of Asian Clinical Oncology (FACO)

Institute

Department

Personal name



Funding Source

Organization

Federation of Asian Clinical Oncology (FACO)

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

Kyorin University Faculty of Medicine Institutional Review Board

Address

6-20-2, Shinkawa, Mitaka-shi, Tokyo

Tel

0422-47-5511

Email

irb@ks.kyorin-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

2019 Year 01 Month 26 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

Completed

Date of protocol fixation

2018 Year 12 Month 20 Day

Date of IRB

2018 Year 12 Month 25 Day

Anticipated trial start date

2019 Year 03 Month 04 Day

Last follow-up date

2021 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Period during the day when resection was considered to be possible:
January 1, 2014 to December 31, 2018

Data collection
1) Patient background before chemotherapy and preoperative information
Patient background: Age, sex, and ECOG performance status
Tumor status: Reasons why resection is impossible, UICC Stage TNM 7th edition, primary focus site of the pancreas, size of the primary focus, presence or absence of arterial invasion, presence or absence of portal invasion, regional lymph node metastasis, distant metastasis and sites of metastasis, tumor markers (CEA, CA19-9), and presence or absence of biliary drainage
2) Chemotherapy
Date of chemotherapy initiation, regimen, chemotherapy duration, Evaluation of the chemotherapy response (RECIST ver. 1.1), and presence or absence of (simultaneous or sequential) radiotherapy
3) Reasons why laparotomy was not done
4) Information immediately before surgery
ECOG performance status, UICC Stage TNM 7th edition, presence or absence of arterial invasion, presence or absence of portal invasion, regional lymph node metastasis, tumor markers (CEA, CA19-9), and interval from the completion of chemotherapy until surgery
4) Surgical information
Date of surgery, resection technique (PD, DP, total PE, DP-CAR), organs to be resected, pathological diagnosis, degree of curability, EVANS classification, presence or absence of hospital death, and presence or absence of serious complications (Clavien-Dindo classification: grade IIIa or higher)
If unresectable at the laparotomy, the reasons
6) Follow-up survey: 6 months after the completion of registration
Survival or death, final day of confirmation, presence or absence of relapse/date of confirmation, pattern of relapse, and presence or absence of postoperative adjuvant therapy/regimen



Management information

Registered date

2019 Year 01 Month 25 Day

Last modified on

2022 Year 02 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040633


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name