Status:

TERMINATED

Carbon Ions Radiation Therapy for Resectable or Borderline Resectable Pancreas Adenocarcinoma

Lead Sponsor:

CNAO National Center of Oncological Hadrontherapy

Collaborating Sponsors:

Fondazione IRCCS Policlinico San Matteo di Pavia

Conditions:

Cancer of Pancreas

Pancreas Adenocarcinoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

Relapses free survival will be evaluated as efficacy of carbon ions radiation therapy released before surgery.

Detailed Description

Enrolled subjects will undergo to 3 cycles of Folfirinox before re-evaluation of the lesion. Then, 4D planning and imaging with respiratory gating end rescanning technique will be adopted to calculate...

Eligibility Criteria

Inclusion

  • histologic/cytologic diagnosis of exocrine pancreas tumour
  • resectable or borderline resectable exocrine pancreatic tumour (according to operability criteria)
  • no metastasis from US, CT, PET, MRI or laparotomy
  • Karnofsky index \>= 70
  • stomach and duodenum not infiltrated by tumour
  • given informed consent to study procedures
  • Hb \> 9 g/dL, N\> 1500, PLT\> 100000
  • creatininemia \< 1.5 mg/dL; bilirubinemia \< 1.5 times upper normal values; albumin \> 3 g/dL
  • DPD normal activity
  • contraception required and breast feeding not permitted

Exclusion

  • non resectable, locally advanced tumours
  • insular cells tumour
  • comorbidities excluding abdominal surgery and/or chemo- radiation therapy
  • known metastasis
  • DPD low activity
  • inability to attend study procedures and follow ups
  • pregnancy
  • previous diagnosis of other tumour with more disadvantageous prognosis then the study object
  • metallic biliary stent
  • metallic prothesis or any other condition to prevent from target volume individuation and dose calculation
  • clinical condition preventing from radiation therapy (i.e. infections in the irradiation area)
  • medical and/or psychical condition preventing from radiation therapy
  • past radiation therapy on abdomen.

Key Trial Info

Start Date :

February 8 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 10 2025

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT03822936

Start Date

February 8 2018

End Date

February 10 2025

Last Update

February 13 2025

Active Locations (1)

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1

CNAO

Pavia, Pavia, Italy, 27100