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Canagliflozin With Gemcitabine in Pancreatic Carcinoma


2023-10-01


2026-09-30


2027-03-31


20

Study Overview

Canagliflozin With Gemcitabine in Pancreatic Carcinoma

Gemcitabine-based chemotherapy or combination with FOLFIRINOX is the leading treatment of pancreatic cancer. However, the overall response rate of pancreatic cancer to gemcitabine is less than 20%. Resistance to gemcitabine is the most important reason. There is an urgent need to develop new combination therapies to improve the efficiency of chemotherapy, avoid toxicity limitations, and improve the overall prognosis of pancreatic cancer. At present, it has been found that canagliflozin can reduce the expression level of PD-L1 in pancreatic cancer and restore the vitality of CD8+ T cells. Canagliflozin combined with gemcitabine may improve the efficiency of chemotherapy.

N/A

  • Pancreatic Cancer
  • DRUG: Canagliflozin and Gemcitabine
  • DRUG: Gemcitabine
  • 20230519

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

2023-05-19  

N/A  

2023-06-11  

2023-06-11  

N/A  

2023-06-15  

2023-06-15  

N/A  

2023-06  

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: Canagliflozin and Gemcitabine

DRUG: Canagliflozin and Gemcitabine

  • on the first, 8th and 15th day of treatment, patients were given intravenous drip of 1000mg/m2 gemcitabine, and 21 days was a course of treatment, lasting for 6 courses. Take 400mg canagliflozin orally every day, and continue to use it until the end of c
ACTIVE_COMPARATOR: standard cisplatin

DRUG: Gemcitabine

  • on the first, 8th and 15th day of treatment, patients were given 1000mg/m2 gemcitabine intravenously, and 21 days was a course of treatment, lasting for 6 courses.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Evaluation the clinical complete response (CR) at 6 weeks intervalsThe tumor lesion in our patient completely resolved and lasted for ≥4 weeks, and no new lesion appeared18 weeks
Evaluation the clinical partial response (PR) at 6 weeks intervalsthe overall reduction in the longest diameter of the tumor focus is > 50% and it can be maintained for at least 4 weeks, with no new focus emerging18 weeks
Evaluation the clinical stable disease (SD) at 6 weeks intervalsthe overall reduction or increase of the longest diameter of the tumor lesion is < 50% or < 25%, and the duration is > 4 weeks; no new lesion appears18 weeks
Evaluation the clinical disease progression (PD) at 6 weeks intervalsthe combined increase in the longest diameter of the tumor lesion is ≥25%, or a new lesion appears18 weeks
Secondary Outcome MeasuresMeasure DescriptionTime Frame

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: Hongzhang Shen

Phone Number: 057156005600

Email: sakshen@126.com

Study Contact Backup

Name: Xiaofeng Zhang

Phone Number: 057156005600

Email:

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:

    1. Inclusion criteria: # Age ≥18 years old; #Metastatic or unresectable pancreatic cancer is confirmed through histology or cytology; # Estimated survival time > 3 months; # Without any chemotherapy treatment or more than one month from the end of the last chemotherapy course; #ECOG physical status score 0-2; 2. Exclusion criteria: # patients who had allergic reaction to therapeutic drugs; # patients with other types of cancer; # Patients with severe diseases of heart, liver, kidney, etc.; (4) gastrointestinal dysfunction or unable to oral medication. 3. Shedding/eliminating criteria: exiting in the midway; Lost to follow-up during the follow-up period; Treatment was not continued according to the treatment protocol.

Collaborators and Investigators

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

  • College of Pharmaceutical Sciences at Zhejiang University
  • The Innovation Institute for Artificial Intelligence in Medicine, Zhejiang University

  • : ,

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