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Adjuvant Gemcitabine Versus 5-FU/Leucovorin Based on hENT1 Immunostaining


2015-06


2017-05


2017-05


40

Study Overview

Adjuvant Gemcitabine Versus 5-FU/Leucovorin Based on hENT1 Immunostaining

Human equilibrative nucleoside transporter 1 (hENT1) is a membrane transporter which is a predicting marker for gemcitabine chemotherapy. However, there is a limited evidence of it as an indicator for adjuvant gemcitabine chemotherapy. In this study, investigators try to investigate the role of hENT1 as a indicator of selection of adjuvant chemotherapy regimen between gemcitabine and 5-fluorouracil (5-FU).

After surgical resection of pancreatic cancer, the tissue is immunostained by hENT1 antibody. The grades of immunostaining are categorized as 0 (0%), 1 (<50%), and 2 (>=50%). According to the grade, patients with grade 0 or 1 will be treated with 5-FU and those with grade 2 will be treated with gemcitabine. After the study, investigators will calculate the overall survival and recurrence free survival of the patients and investigate the role of hENT1 as a predictive biomarker for adjuvant gemcitabine chemotherapy.

  • Pancreatic Cancer
  • BIOLOGICAL: hENT1
  • SNUBH-IMGPB-2015-01

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

2015-06-23  

N/A  

2017-09-21  

2015-06-28  

N/A  

2017-09-25  

2015-07-01  

N/A  

2016-08  

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:
Non Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: 5-FU group

Grades of hENT1 immunostaining are 0 or 1.

BIOLOGICAL: hENT1

  • hENT1 is a membrane transporter for gemcitabine. According to the hENT1 staining, patients will be treated with gemcitabine or 5-FU.
ACTIVE_COMPARATOR: Gemcitabine group

Grade of hENT1 immunostaining is 2.

BIOLOGICAL: hENT1

  • hENT1 is a membrane transporter for gemcitabine. According to the hENT1 staining, patients will be treated with gemcitabine or 5-FU.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Recurrence free survivalUpto 24 weeks
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall survivalUpto 24 weeks
ToxicityHematologic and hepatic toxicity according to blood test results & non-hematologic toxicity (fatigue, vomiting, diarrhea, sensory neuropathy) according to CTCAE 4.0 scaleUpto 24 weeks

Contacts and Locations

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

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:

  • Patients with curatively resected pancreatic cancer
  • Age between 18 and 75
  • Eastern Cooperative Oncology Group performance score 0 or 1
  • Patients with compliance
  • Patients with informed consent

  • Exclusion Criteria:

  • Patients refuse to enroll this study
  • Patients with concomitant chemoradiation therapy
  • Previous chemotherapy
  • Pregnant or preparing a pregnancy
  • Uncontrolled infection, diabetes, hypertension, ischemic heart disease, myocardial infarction within 6 months
  • Enrolled another clinical trial within 30 days
  • Patients will be expected to be risk because of enrollment
  • Patients without informed consent

Collaborators and Investigators

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

  • IlDong Pharmaceutical Co Ltd

  • : ,

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

  • Shin DW, Lee JC, Kim J, Yoon YS, Han HS, Kim H, Hwang JH. Tailored adjuvant gemcitabine versus 5-fluorouracil/folinic acid based on hENT1 immunohistochemical staining in resected pancreatic ductal adenocarcinoma: A biomarker stratified prospective trial. Pancreatology. 2021 Jun;21(4):796-804. doi: 10.1016/j.pan.2021.02.022. Epub 2021 Mar 4.