Status:

UNKNOWN

Adjuvant Gemcitabine Versus Gemcitabine With Chemoradiation in Pancreatic Adenocarcinoma With R1 Resection and/or Positive Lymph Nodes

Lead Sponsor:

Peking Union Medical College Hospital

Conditions:

Pancreatic Neoplasms

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

Adjuvant Gemcitabine Versus Gemcitabine With Chemoradiation in Pancreatic Adenocarcinoma With R1 Resection and/or Positive Lymph Nodes after curative resection.

Detailed Description

Adjuvant Gemcitabine Versus Gemcitabine With TS-1 based Chemoradiation in Pancreatic Adenocarcinoma With R1 Resection and/or Positive Lymph Nodes after curative resection: a randomized phase II study.

Eligibility Criteria

Inclusion

  • Histologically confirmed resected ductal pancreatic adenocarcinoma with R1 resection and/or positive lymph nodes.
  • Subject should start treatment no later than 10 weeks postsurgery.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Acceptable hematology parameters:
  • Absolute neutrophil count ≥1500 cell/mm3
  • Platelet count ≥100,000/mm3
  • Hemoglobin (Hgb) ≥8.0 g/dL
  • Acceptable blood chemistry levels:
  • Aspartate aminotransferase (AST) and Alanine transaminase (ALT) ≤2.5 × upper limit of normal range (ULN)
  • Total bilirubin ≤ 2.5 x upper Limit of Normal (ULN)
  • Serum creatinine within upper limits of normal.
  • Cancer antigen (CA)19-9 ≤ 2.5 x upper Limit of Normal (ULN) assessed within 14 days of randomization.
  • No disease recurrence or metastases detected on CT/MRI assessed within 30 days of randomization.
  • Signed informed consent.

Exclusion

  • R2 resection or presence of metastatic disease.
  • Prior neo-adjuvant treatment or radiation therapy for pancreatic adenocarcinoma.
  • Any other malignancy within 5 years prior to randomization, with the exception of adequately treated in-situ carcinoma of the cervix, uteri, bladder, or nonmelanomatous skin cancer.
  • Active, uncontrolled infection(s) requiring systemic therapy, defined as ongoing signs/symptoms related to the infection without improvement despite appropriate treatment.
  • Severe, active co-morbidity, defined as follows:
  • Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months
  • Transmural myocardial infarction within the 6 months of study registration
  • Uncontrolled hypertension, diabetes or arrhythmia.
  • Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization.
  • Not able to take medicine orally.

Key Trial Info

Start Date :

March 1 2016

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2021

Estimated Enrollment :

110 Patients enrolled

Trial Details

Trial ID

NCT02754180

Start Date

March 1 2016

End Date

March 1 2021

Last Update

April 28 2016

Active Locations (1)

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1

Division of Medical Oncology, Peking Union Medical College Hospital

Beijing, China, 100730