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Neoadjuvant FOLFIRINOX or Nab-paclitaxel With Gemcitabine for Borderline Resectable Pancreatic Cancer

Primary Purpose

Borderline Resectable Pancreatic Cancer

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
FOLFIRINOX
gemcitabine + nab-paclitaxel
Sponsored by
Nagoya University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Borderline Resectable Pancreatic Cancer

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Borderline resectable pancreatic cancer (based on NCCN guideline version 2.2015)
  2. first treatment for pancreatic cancer
  3. performance status 0 or 1
  4. adequate one marrow function
  5. adequate renal function
  6. obtained informed consent

Exclusion Criteria:

  1. other active concomitant malignancies
  2. other severe medical conditions; contraindication of FOLFIRINOX, paclitaxel and gemcitabine
  3. pregnant women
  4. no informed consent

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    FOLFIRINOX

    GEM + nab-PTX

    Arm Description

    4 course of FILFIRINOX before surgery

    2 course of GEM + nab-PTX before surgery

    Outcomes

    Primary Outcome Measures

    R0 resection rate
    surgery is supposed to be performed 3 months after the initiation of chemotherapy

    Secondary Outcome Measures

    completion rate of chemotherapy
    chemotherapy is supposed to take 3 months
    relative dose intensity
    chemotherapy is supposed to take 3 months
    adverse event
    chemotherapy is supposed to take 3 months
    tumor response
    tumor response to chemotherapy will be assessed based on Response Evaluation Criteria In Solid Tumor (RECIST). CR: Complete Response, PR: Partial Response, PD: Progression, SD: Stable Disease, NE: Not Evaluable
    disease free survival
    overall survival
    surgical complication
    quality of the tumor
    Chemotherapy is supposed to take 3 months. After the completion of chemotherapy, the quality of the tumor will be assessed by imaging findings, such as CT number and Standardized uptake value.

    Full Information

    First Posted
    February 11, 2016
    Last Updated
    September 8, 2020
    Sponsor
    Nagoya University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02717091
    Brief Title
    Neoadjuvant FOLFIRINOX or Nab-paclitaxel With Gemcitabine for Borderline Resectable Pancreatic Cancer
    Official Title
    Phase II Study of Neoadjuvant FOLFIRINOX or Nab-paclitaxel With Gemcitabine for Borderline Resectable Pancreatic Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    July 2015 (undefined)
    Primary Completion Date
    June 2020 (Actual)
    Study Completion Date
    June 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Nagoya University

    4. Oversight

    5. Study Description

    Brief Summary
    The aim of this study is to clarify the efficacy and safety of neoadjuvant FOLFIRINOX and nab-paclitaxel + gemcitabine for borderline resectable pancreatic cancer.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Borderline Resectable Pancreatic Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    50 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    FOLFIRINOX
    Arm Type
    Experimental
    Arm Description
    4 course of FILFIRINOX before surgery
    Arm Title
    GEM + nab-PTX
    Arm Type
    Experimental
    Arm Description
    2 course of GEM + nab-PTX before surgery
    Intervention Type
    Drug
    Intervention Name(s)
    FOLFIRINOX
    Intervention Type
    Drug
    Intervention Name(s)
    gemcitabine + nab-paclitaxel
    Primary Outcome Measure Information:
    Title
    R0 resection rate
    Description
    surgery is supposed to be performed 3 months after the initiation of chemotherapy
    Time Frame
    3 months
    Secondary Outcome Measure Information:
    Title
    completion rate of chemotherapy
    Description
    chemotherapy is supposed to take 3 months
    Time Frame
    3 months
    Title
    relative dose intensity
    Description
    chemotherapy is supposed to take 3 months
    Time Frame
    3 months
    Title
    adverse event
    Description
    chemotherapy is supposed to take 3 months
    Time Frame
    3 months
    Title
    tumor response
    Description
    tumor response to chemotherapy will be assessed based on Response Evaluation Criteria In Solid Tumor (RECIST). CR: Complete Response, PR: Partial Response, PD: Progression, SD: Stable Disease, NE: Not Evaluable
    Time Frame
    3 months
    Title
    disease free survival
    Time Frame
    3 years after the surgery
    Title
    overall survival
    Time Frame
    3 years after the surgery
    Title
    surgical complication
    Time Frame
    1 month after the surgery
    Title
    quality of the tumor
    Description
    Chemotherapy is supposed to take 3 months. After the completion of chemotherapy, the quality of the tumor will be assessed by imaging findings, such as CT number and Standardized uptake value.
    Time Frame
    3 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Borderline resectable pancreatic cancer (based on NCCN guideline version 2.2015) first treatment for pancreatic cancer performance status 0 or 1 adequate one marrow function adequate renal function obtained informed consent Exclusion Criteria: other active concomitant malignancies other severe medical conditions; contraindication of FOLFIRINOX, paclitaxel and gemcitabine pregnant women no informed consent

    12. IPD Sharing Statement

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