UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040792
Receipt number R000046581
Scientific Title Prospective observational study on preoperative algorithm treatment for Borderline Resectable Pancreatic Cancer with positive radiological arterial invasion
Date of disclosure of the study information 2020/06/16
Last modified on 2020/06/16 21:27:19

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Basic information

Public title

Prospective observational study on preoperative algorithm treatment for Borderline Resectable Pancreatic Cancer with positive radiological arterial invasion

Acronym

Prospective study on preoperative algorithm treatment for BRPC-A

Scientific Title

Prospective observational study on preoperative algorithm treatment for Borderline Resectable Pancreatic Cancer with positive radiological arterial invasion

Scientific Title:Acronym

Prospective study on preoperative algorithm treatment for BRPC-A

Region

Japan


Condition

Condition

Borderline Resectable Pancreatic Cancer with positive radiological arterial invasion

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Establishing an algorithmic treatment based on the evaluation of the therapeutic effect of induction chemotherapy for resectable borderline pancreatic cancer with positive arterial invasion, which has extremely poor outcome even after preoperative treatment, truly benefits surgical treatment. By clarifying the group of patients who receive it, and continuing non-surgical treatment otherwise, we demonstrate improvement in overall survival of borderline resectable pancreatic cancer with positive arterial invasion. The treatment results (total survival time, recurrence-free survival time, 1-year recurrence rate) of resectable borderline pancreatic cancer with positive arterial invasion according to the conventional treatment policy reported by our department to the treatment results of algorithm treatment (protocol completion) rate, overall survival, recurrence-free survival, 1-year recurrence rate).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Total algorithm treatment compliance rate

Key secondary outcomes

1. Total number of registered cases and overall survival of each treatment group
2. Total number of registered cases and recurrence-free survival time for each treatment group
3.1 year recurrence rate


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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1. In the case where the primary lesion is confirmed to be pancreatic cancer by histology, cytology, or imaging examination, MDCT is used to diagnose the degree of progression, and NCCN guidelines (Version 1.2020) are applied to Borderline Resectable Pancreatic Carcinoma-Arterial (BRPC-A)
2. Initial treatment case
3. Performance status (ECOG) is 0 or 1
4. Cases where the age at the time of obtaining consent is 20 years or older and less than 80 years old
5. Cases where the functions of major organs meet the following criteria (latest value within 14 days before registration)
White blood cells <=12,000/mm3
Neutrophil >=1,500/mm3
Hemoglobin value >=9.0g/dL
Platelet >=100,000/mm3
Total bilirubin less than 2.0 mg/dL(3.0 mg/dL or less in obstructive jaundice cases)
Serum creatinine<=1.5 mg/dL
AST and ALT 2.5xbelow the facility upper limit
6. Cases in which consent for the participation in this study was obtained by the signature of the person before registration

Key exclusion criteria

1. Cases with a history of severe drug hypersensitivity or drug allergy
2. Cases with a history of malignant tumor (* If there is a recurrence-free period of 5 years or more, and endoscopically curatively resected intramucosal cancer, curatively resected cervical cancer, and basal cell carcinoma of the skin Or squamous cell carcinoma can be registered)
3. Cases with active infection
4. Patients with peripheral sensory neuropathy (Grade 2 or higher)
5. Cases with a history of interstitial pneumonia or pulmonary fibrosis
6. Patients with uncontrolled ascites or pleural effusion
7. Cases receiving atazanavir sulfate

8. Cases with uncontrolled diabetes
9. Uncontrollable congestive heart failure, angina, hypertension, arrhythmia
10. History of neurologically or psychologically significant disease, and cases with complications
11. Cases with diarrhea (including increased number of stools and watery stools)
12. Pregnant women, lactating women, and cases of possible pregnancy (will), or women and men who are not willing to contracept during the study period and for a certain period (180 days) after the last administration of the study drug
13. Patients with active hepatitis B
14. Regarding UGT1A1*6 and *28 gene polymorphisms, have either of them as homozygotes (UGT1A1*6/*6, UGT1A1*28/*28) or both as heterozygotes (UGT1A1*6/*28) Case

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Ken-ichi
Middle name
Last name Okada

Organization

Wakayama Medical University

Division name

Second Department of Surgery

Zip code

641-8510

Address

811-1 Kimiidera, Wakayama

TEL

0734410613

Email

okada@wakayama-med.ac.jp


Public contact

Name of contact person

1st name Ken-ichi
Middle name
Last name Okada

Organization

Wakayama Medical University

Division name

Second Department of Surgery

Zip code

641-8510

Address

811-1 Kimiidera, Wakayama

TEL

0734410613

Homepage URL


Email

okada@wakayama-med.ac.jp


Sponsor or person

Institute

Second Department of Surgery, Wakayama Medical University

Institute

Department

Personal name



Funding Source

Organization

none

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

IRB of Wakayama Medical University

Address

811-1 Kimiidera, Wakayama

Tel

0734472300

Email

warinri@wakayama-med.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

2020 Year 06 Month 16 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

Open public recruiting

Date of protocol fixation

2020 Year 05 Month 20 Day

Date of IRB

2020 Year 06 Month 03 Day

Anticipated trial start date

2020 Year 06 Month 16 Day

Last follow-up date

2025 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2020 Year 06 Month 16 Day

Last modified on

2020 Year 06 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046581


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name