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Iodine-125 Seed Implantation Therapy for Locally Advanced Pancreatic Cancer


2019-03-28


2021-06-30


2021-09-30


220

Study Overview

Iodine-125 Seed Implantation Therapy for Locally Advanced Pancreatic Cancer

This study evaluates the application of 3D-printed template for iodine-125 seed implantation therapy in patients with locally advanced pancreatic cancer. Half of participants will receive 3D-printed coplanar template, while the other half will receive 3D-printed non-coplanar template.

Dosimetric verification was performed after implantation. Pre- and postoperative D90, V100, and V150 were calculated. The success rate of iodine-125 seed implantation, dosimetric parameters, objective response rate (ORR),overall survival (OS),toxicities and quality of life of two treatment regimens and complications were analyzed and compared between the two groups.

  • Pancreatic Cancer
  • PROCEDURE: 3D-printed non-coplanar template
  • PROCEDURE: 3D-printed coplanar template
  • 2018clinicethicreview215

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2019-03-19  

N/A  

2020-02-05  

2019-03-19  

N/A  

2020-02-06  

2019-03-20  

N/A  

2020-02  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: 3D-printed non-coplanar template

3D-printed non-coplanar template is used in this group.

PROCEDURE: 3D-printed non-coplanar template

  • 3D-printed non-coplanar template is used in the intervention group. Iodine-125 seed implantation therapy is assisted using 3D-printed non-coplanar template as a guide in patients with locally advanced pancreatic cancer. 3D-printed non-coplanar template is
ACTIVE_COMPARATOR: 3D-printed coplanar template

3D-printed coplanar template is used in this group.

PROCEDURE: 3D-printed coplanar template

  • 3D-printed coplanar template is used in the intervention group. Iodine-125 seed implantation therapy is assisted using 3D-printed coplanar template as a guide in patients with locally advanced pancreatic cancer. 3D-printed coplanar template is designed an
Primary Outcome MeasuresMeasure DescriptionTime Frame
Objective Response Rate (ORR)ORR is defined as the proportion of the subjects in the analysis population who have a complete response (CR) or partial response (PR). Responses are based on assessments per RECIST 1.1.24 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall Survival (OS)OS is defined as the time from randomization to death due to any cause, or censored at date last known alive.24 months
Incidence of treatment-emergent toxicities of two treatment regimens in patientsThe toxicity criteria of the Radiation Therapy Oncology Group (RTOG) were applied to assess the acute and late adverse effects of irradiation.24 months
Quality of life of two treatment regimens in patientsQuality of life will be evaluated using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QLQ)C30 Questionnaire.24 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Zhongmin Wang, MD

Phone Number: 0086-13901848333

Email: wzm0722@hotmail.com

Study Contact Backup

Name: Qungang Shan, MD

Phone Number: 0086-15989037568

Email: qungangshan@sjtu.edu.cn

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Age: 18-80 years
  • Cytologically or histologically confirmed pancreatic adenocarcinoma
  • Inoperable locally advanced pancreatic cancer based on American Joint Committee on Cancer (AJCC) staging system (8th ed) (without distant metastasis)
  • Single tumor size≤ 6 cm
  • Karnofsky performance score (KPS)≥60
  • Estimated survival ≥3 months
  • Without other several comorbidity
  • Participants must have adequate organ function:


  • WBC≥3×109/L; HGB≥90g/dL; PLT≥50×109/L
  • Aspartate Transaminase (AST)/alanine aminotransferase ( ALT) ≤3 × institutional upper limit of normal
  • Albumin≥3g/dL
  • Total bilirubin ≤3mg/dL
  • PT≤3 × institutional upper limit of normal or INR≤2.3
  • Creatinine ≤1.5 × institutional upper limit of normal
  • Ability to understand and the willingness to sign a written informed consent document

  • Exclusion Criteria:

  • Patients with other malignant tumors
  • History of other anti-cancer therapy, including surgery,radiation, ablation and so on
  • Pregnant or lactating women
  • Patients with Immunodeficiency disease
  • Several heart disease, for example: New York Heart Association (NYHA) class III/IV congestive heart failure,active coronary heart disease and severe arrhythmia
  • Uncontrolled hypertension
  • Ongoing or active infection (>grade 2 based on National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) 4.0 edition)
  • Active tuberculosis
  • Chronic renal insufficiency
  • Other organ failure
  • History of organ transplantation
  • History of severe mental illness

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Hebei General Hospital
  • Zhongda Hospital
  • Anhui Provincial Hospital
  • The Second Hospital of Shandong University
  • Sun Yat-sen University
  • Chinese PLA General Hospital
  • Huadong Hospital
  • Tengzhou Central People's Hospital

  • PRINCIPAL_INVESTIGATOR: Zhongmin Wang, MD, Ruijin Hospital

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available