Chemotherapy and Radiation Therapy in Treating Patients With Locally Advanced Pancreatic Cancer
Pancreatic Cancer
About this trial
This is an interventional treatment trial for Pancreatic Cancer focused on measuring adenocarcinoma of the pancreas, stage II pancreatic cancer, stage III pancreatic cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the pancreas No adenosquamous cancers or adenocarcinoma associated with cystic mucinous neoplasms Locally advanced disease that is potentially resectable, previously explored and considered unresectable, or deemed to require preoperative treatment for other reasons Primary cancer in the head, body, or tail of pancreas Measurable disease No 360 degree encirclement of the superior mesenteric artery, hepatic artery, or celiac axis No metastases by CT scan and laparoscopy (if prior surgery, only CT scan required) PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Absolute granulocyte count greater than 2,000/mm^3 Platelet count greater than 100,000/mm^3 Hepatic Bilirubin less than 2 mg/dL (unless secondary to bile duct blockage by tumor) Biliary obstruction by tumor requires biliary stent at least 9 French or biliary bypass before therapy Renal Creatinine less than 1.7 mg/dL OR Creatinine clearance greater than 60 mL/min Other No other malignancy within the past 3 years except nonmelanoma skin cancer Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy No prior chemotherapy for this disease Endocrine therapy Not specified Radiotherapy No prior radiotherapy to pancreas Surgery Not specified
Sites / Locations
- CCOP - Mayo Clinic Scottsdale Oncology Program
- Yale Comprehensive Cancer Center
- Lynn Regional Cancer Center of Boca Raton Community Hospital
- University of Florida Shands Cancer Center
- Mayo Clinic - Jacksonville
- Emory University Hospital - Atlanta
- Veterans Affairs Medical Center - Atlanta (Decatur)
- Medical Center of Central Georgia
- Rush-Copley Cancer Care Center
- St. Joseph Medical Center
- Graham Hospital
- Memorial Hospital
- Hematology and Oncology Associates
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- Veterans Affairs Medical Center - Lakeside Chicago
- Mercy Hospital and Medical Center
- Swedish Covenant Hospital
- St. Anthony's Memorial Hospital
- Eureka Hospital
- Evanston Northwestern Health Care - Evanston Hospital
- Galesburg Clinic
- Galesburg Cottage Hospital
- InterCommunity Cancer Center of Western Illinois
- Mason District Hospital
- Hopedale Medical Complex
- Midwest Center for Hematology/Oncology
- Joliet Oncology Hematology Associates, Limited - West
- Kewanee Hospital
- Deerpath Medical Associates
- North Shore Oncology and Hematology Associates, Limited - Libertyville
- McDonough District Hospital
- Northwest Medical Specialist P.C.
- BroMenn Regional Medical Center
- Community Cancer Center
- Community Hospital of Ottawa
- Oncology Hematology Associates of Central Illinois - Ottawa
- Cancer Treatment Center at Pekin Hospital
- Methodist Medical Center of Illinois
- Proctor Hospital
- CCOP - Illinois Oncology Research Association
- Oncology/Hematology Associates of Central Illinois, P.C.
- OSF St. Francis Medical Center
- Illinois Valley Community Hospital
- Perry Memorial Hospital
- Swedish American Hospital
- Hematology Oncology Associates - Skokie
- Hematology/Oncology of the North Shore
- Midwest Cancer Research Group, Incorporated
- St. Margaret's Hospital
- Valley Cancer Center
- Carle Cancer Center at Carle Foundation Hospital
- CCOP - Carle Cancer Center
- Elkhart General Hospital
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Saint Anthony Memorial Health Centers
- Saint Joseph Regional Medical Center - Plymouth Campus
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- McFarland Clinic, P.C.
- Siouxland Regional Cancer Center
- Siouxland Hematology-Oncology Associates
- Mercy Medical Center - Sioux City
- St. Luke's Regional Medical Center
- Cancer Center of Kansas - Chanute
- Cancer Center of Kansas - Dodge City
- Cancer Center of Kansas, P.A. - El Dorado
- Cancer Center of Kansas - Kingman
- Southwest Medical Center
- Cancer Center of Kansas - Newton
- Cancer Center of Kansas - Ottawa
- Cancer Center of Kansas, P.A. - Parsons
- Pratt Cancer Center of Kansas
- Cancer Center of Kansas - Salina
- Cancer Center of Kansas - Wellington
- Associates in Womens Health
- Cancer Center of Kansas, P.A.
- Cancer Center of Kansas, P.A. - Wichita
- CCOP - Wichita
- Via Christi Cancer Center at Via Christi Regional Medical Center
- Wesley Medical Center
- Cancer Center of Kansas - Winfield
- Baton Rouge General Regional Cancer Center
- Mary Bird Perkins Cancer Center - Baton Rouge
- Cancer Center at Medical Center of Louisiana - New Orleans
- MBCCOP - LSU Health Sciences Center
- Beth Israel Deaconess Medical Center
- Franklin Medical Center
- Holyoke Medical Center, Incorporated
- Baystate Regional Cancer Program at D'Amour Center for Cancer Care
- Noble Hospital
- MeritCare Clinic - Bemidji
- Fairview Ridges Hospital
- Mercy Hospital
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Mercy and Unity Hospitals
- Hutchinson Area Health Care
- Meeker County Memorial Hospital
- St. John's Hospital
- Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
- Hennepin County Medical Center - Minneapolis
- Hubert H. Humphrey Cancer Center at North Memorial Medical Center
- Mayo Clinic Cancer Center
- CCOP - Metro-Minnesota
- Park Nicollet Clinic
- Cancer Care Center at Regions Hospital
- St. Joseph's Hospital
- United Hospital
- Saint Francis Cancer Center
- Ridgeview Medical Center
- Woodwinds Hospital
- CCOP - Northern New Jersey
- Bismarck Cancer Center
- Medcenter One Health System
- Mid Dakota Clinic, P.C.
- St. Alexius Medical Center
- CCOP - MeritCare Hospital
- MeritCare Medical Group
- St. Elizabeth Boardman Cancer Center
- St. Rita's Medical Center
- St. Joseph Health Care Center
- St. Elizabeth Cancer Center at St. Elizabeth Health Center - Youngstown
- St. Luke's Hospital Cancer Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Lewistown Hospital
- Fox Chase Cancer Center
- Mount Nittany Medical Center
- Sioux Valley Hospital and University of South Dakota Medical Center
- Avera McKennan Hospital and University Health Center
- Medical X-Ray Center
- Erlanger Cancer Center
- West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
- Green Bay Oncology, Limited at St. Vincent Hospital
- St. Vincent Hospital
- Green Bay Oncology, Limited at St. Mary's Hospital
- St. Mary's Hospital Medical Center
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- Bay Area Cancer Care Center at Bay Area Medical Center