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EUS-guided Intratumoral Gemcitabine in Locally Advanced Unresectable Pancreatic Cancer


2013-04


2014-12


2014-12


12

Study Overview

EUS-guided Intratumoral Gemcitabine in Locally Advanced Unresectable Pancreatic Cancer

Pancreatic cancer is the 11th most common type of cancer but it is the fourth leading cause of cancer death. The only effective treatment for pancreatic cancer includes surgery. However, only 20% of the patients have surgically treatable disease. Also, the 5-year survival for the surgically treated patients is only 15%. About 40% of the patients present with advanced disease with distant metastasis, and the remaining 40% present with locally advanced unresectable cancer with the tumor invaded into surrounding major vessels. For those with locally advanced disease, systemic chemotherapy with or without radiotherapy provides palliation of the symptoms but cannot cure the disorder. Systemic chemotherapy is given through peripheral vessels. The investigators hypothesized that direct injection of the chemotherapeutic drug into the tumor may help to boost the effect of systemic chemotherapy and radiotherapy in those with locally advanced pancreatic cancer.

In this study, gemcitabine will be injected directly into the tumor by means of endoscopic ultrasound (EUS) in the eligible patients.

  • Pancreatic Adenocarcinoma
  • DRUG: Gemcitabine
  • DDRC 92-1

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

2013-04-06  

N/A  

2014-12-01  

2013-04-13  

N/A  

2014-12-02  

2013-04-17  

N/A  

2014-12  

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:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Intratumoral gemcitabine injection

Intratumoral injection of gemcitabine by means of endoscopic ultrasound.

DRUG: Gemcitabine

  • Two intratumoral injections of gemcitabine under endoscopic ultrasound (EUS)-guidance at month 0 and month 3. The patients will receive systemic chemotherapy with or without radiotherapy at the discretion of oncologist
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of participants with adverse events as a measure of safety and tolerability6 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Proportion of participants who remain alive one year after enrollment compared to the historical matched control group1 year

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 histologically verified pancreatic adenocarcinoma who have locally advanced unresectable tumor

  • Exclusion Criteria:

  • Early stage resectable pancreatic cancer with the intact surrounding major vessels on imaging
  • Pancreatic cancer with distant metastasis
  • Unwilling to sign informed consent

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Mehdi Mohamadnejad, M.D., Digestive Disease Research Center, University of Tehran/Medical sciences

    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