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Neoadjuvant FOLFIRINOX Regimen in Patients With Non-metastatic Pancrease Cancer

Primary Purpose

Pancreas Cancer, Localized Pancreas Cancer, Non-metastatic Pancreas Cancer

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
FOLFIRINOX Regimen
Sponsored by
Baylor Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreas Cancer focused on measuring Non-metastatic Pancreas Cancer, Pancreatic Cancer, Cancer of Pancreas, Adenocarcinoma of Pancreas, Neoadjuvant

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 years of age or older
  • Male or non-pregnant and non-lactating female
  • Histologically or cytologically confirmed adenocarcinoma of pancreas
  • Patients must have satisfactory blood counts and blood chemistry levels at baseline (refer to Appendix 2, Study Laboratory References Range).
  • Patient has Eastern Cooperative Oncology Group(ECOG) Performance Status 0 to 1 (refer to Appendix 7):
  • 0 - Asymptomatic (Fully active, able to carry on all predisease activities without restriction)
  • 1 - Symptomatic but completely ambulatory (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature. For example, light housework, office work)
  • Signed study consent form

Exclusion Criteria:

  • <18 years of age
  • Pregnant or lactating female
  • Patient has islet cell neoplasms
  • Patient has known brain metastases
  • Patient has metastatic disease
  • Active secondary malignancies
  • Active, uncontrolled bacterial, viral, or fungal infection(s) requiring systemic therapy
  • Known infection with hepatitis B, hepatitis C, or cirrhosis
  • Major surgery or vascular device placement (excluding ports for IV medication/chemotherapy) within 2 weeks prior to Day 1 of treatment in study
  • Prior chemotherapy or radiation for pancreatic cancer
  • History of allergy or hypersensitivity to the study drugs
  • Patient is enrolled in any outside (outside Baylor University Medical Center or Texas Oncology) clinical protocol or investigational trial
  • Significant cardiac disease as defined as New York Heart Association (NYHA) classification III or IV, uncontrolled congestive heart failure (CHF), or prior myocardial infarction (MI) last 6-months
  • Any prior gastrointestinal (GI) disease or history of prior pelvic or abdominal radiation which in the opinion of the investigator may place the patient at increased risk
  • Peripheral sensory neuropathy ≥ to grade 2 at baseline
  • Significant co-morbidities deemed by investigator as unsuitable for participation/enrollment
  • Study consent form not signed

Sites / Locations

  • Baylor University Medical Center - Texas Oncology

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Neoadjuvant FOLFIRINOX Regimen

Arm Description

Single arm, treated with neoadjuvant FOLFIRINOX prior to surgical resection

Outcomes

Primary Outcome Measures

Progression Free Survival (PFS) as defined by the length of time that a patient survives without any signs or symptoms of that cancer or any other type of cancer

Secondary Outcome Measures

• The length of time from diagnosis (enrollment) to death
• Overall Survival rate defined by the % of people who are alive for a certain period of time after diagnosis
• R0 resection as defined as microscopically negative margins

Full Information

First Posted
January 8, 2013
Last Updated
January 30, 2017
Sponsor
Baylor Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT01771146
Brief Title
Neoadjuvant FOLFIRINOX Regimen in Patients With Non-metastatic Pancrease Cancer
Official Title
A Prospective Evaluation of Neoadjuvant FOLFIRINOX Regimen in Patients With Non-metastatic Pancreas Cancer (Baylor University Medical Center and Texas Oncology Experience)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Unknown status
Study Start Date
October 2012 (undefined)
Primary Completion Date
September 2017 (Anticipated)
Study Completion Date
September 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baylor Research Institute

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A prospective evaluation of neoadjuvant FOLFIRINOX regimen in patients with non-metastatic pancreas cancer (Baylor University Medical Center and Texas Oncology Experience)
Detailed Description
Patients with pancreas cancer will be enrolled and treated with a planned course of 6 cycles (3 months) of chemotherapy with FOLFIRINOX prior to undergoing surgical resection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreas Cancer, Localized Pancreas Cancer, Non-metastatic Pancreas Cancer
Keywords
Non-metastatic Pancreas Cancer, Pancreatic Cancer, Cancer of Pancreas, Adenocarcinoma of Pancreas, Neoadjuvant

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Neoadjuvant FOLFIRINOX Regimen
Arm Type
Other
Arm Description
Single arm, treated with neoadjuvant FOLFIRINOX prior to surgical resection
Intervention Type
Drug
Intervention Name(s)
FOLFIRINOX Regimen
Other Intervention Name(s)
FOLFIRINOX, Oxaliplatin, Irinotecan, 5-FU, Eloxatin, Camptosar, Adrucil
Intervention Description
6 cycles of FOLFIRINOX prior to surgical resection: Eloxatin® (Oxaliplatin) 85 mg per square meter 2-hour IV infusion Camptosar® (Irinotecan Hydrochloride) 180 mg per square meter 90-minute IV infusion via Y-connector adrucil (Fluorouracil; 5-FU)2400 mg per square meter 46-hour IV infusion
Primary Outcome Measure Information:
Title
Progression Free Survival (PFS) as defined by the length of time that a patient survives without any signs or symptoms of that cancer or any other type of cancer
Time Frame
Up to 5 years
Secondary Outcome Measure Information:
Title
• The length of time from diagnosis (enrollment) to death
Time Frame
Up to 5 years
Title
• Overall Survival rate defined by the % of people who are alive for a certain period of time after diagnosis
Time Frame
Up to 5 years
Title
• R0 resection as defined as microscopically negative margins
Time Frame
Up to 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age or older Male or non-pregnant and non-lactating female Histologically or cytologically confirmed adenocarcinoma of pancreas Patients must have satisfactory blood counts and blood chemistry levels at baseline (refer to Appendix 2, Study Laboratory References Range). Patient has Eastern Cooperative Oncology Group(ECOG) Performance Status 0 to 1 (refer to Appendix 7): 0 - Asymptomatic (Fully active, able to carry on all predisease activities without restriction) 1 - Symptomatic but completely ambulatory (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature. For example, light housework, office work) Signed study consent form Exclusion Criteria: <18 years of age Pregnant or lactating female Patient has islet cell neoplasms Patient has known brain metastases Patient has metastatic disease Active secondary malignancies Active, uncontrolled bacterial, viral, or fungal infection(s) requiring systemic therapy Known infection with hepatitis B, hepatitis C, or cirrhosis Major surgery or vascular device placement (excluding ports for IV medication/chemotherapy) within 2 weeks prior to Day 1 of treatment in study Prior chemotherapy or radiation for pancreatic cancer History of allergy or hypersensitivity to the study drugs Patient is enrolled in any outside (outside Baylor University Medical Center or Texas Oncology) clinical protocol or investigational trial Significant cardiac disease as defined as New York Heart Association (NYHA) classification III or IV, uncontrolled congestive heart failure (CHF), or prior myocardial infarction (MI) last 6-months Any prior gastrointestinal (GI) disease or history of prior pelvic or abdominal radiation which in the opinion of the investigator may place the patient at increased risk Peripheral sensory neuropathy ≥ to grade 2 at baseline Significant co-morbidities deemed by investigator as unsuitable for participation/enrollment Study consent form not signed
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Celinski, MD
Organizational Affiliation
Baylor Health Care System
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baylor University Medical Center - Texas Oncology
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Neoadjuvant FOLFIRINOX Regimen in Patients With Non-metastatic Pancrease Cancer

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