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Modified-FOLFIRINOX Regimen Based Neoadjuvant Therapy in Chinese Patients With Locally Advanced Pancreatic Cancer


2014-04-01


2017-11-01


2017-11-01


41

Study Overview

Modified-FOLFIRINOX Regimen Based Neoadjuvant Therapy in Chinese Patients With Locally Advanced Pancreatic Cancer

FOLFIRINOX regimen is first-line neoadjuvant chemotherapies for patients with locally advanced pancreatic cancer (LAPC) worldwide. However, FOLFIRINOX is not well accepted in China because of the high prevalence of adverse events and poor tolerance. To evaluate the safety and efficacy of modified-FOLFIRINOX (mFOLFIRINOX) in Chinese LAPC patients and compare survival between LAPC patients with mFOLFIRINOX-based preoperative therapy and LAPC patients who underwent surgery alone.

At this institution, a mFOLFIRINOX regimen has been adopted for metastatic pancreatic cancer (MPC) patients and promising results obtained. The modification resulted in a significantly reduced prevalence of severe adverse events in MPC patients, whereas the OS and PFS were extended to 10.3m and 7.0m, respectively, which is similar to that for patients on a full-dose regimen. Therefore, the investigators further evaluated the efficacy of mFOLFIRINOX in LAPC patients. Here, investigators want to prospectively enroll LAPC patients who underwent preoperative therapy with mFOLFIRINOX from April 2014 and compared the surgical resectability and surgical morbidity/surgical mortality among patients with surgically resectable pancreatic cancer (RPC) or LAPC who underwent surgery alone retrospectively. For patients with LAPC, mFOLFIRINOX was administrated for several cycles until the optimal response was obtained and then patients were evaluated for surgery. Moreover, survival data, including OS and PFS, were determined.

  • Pancreatic Cancer
  • Chemotherapy Effect
  • Surgery--Complications
  • DRUG: modified-FOLFIRINOX
  • SAHZhejiangU-FOL

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

2018-03-12  

N/A  

2018-03-25  

2018-03-12  

N/A  

2018-03-27  

2018-03-19  

N/A  

2014-04  

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:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: LAPC patients with mFOFLRINOX-based neoadjuvant therapy

LAPC patients were enrolled prospectively and diagnosed by MDT group in our hospital. These patients further received the neoadjuvant therapy with mFOLFIRINOX, the Overall survival, Progression survival, response to mFOLFIRINOX, chemo-related Toxicities,

DRUG: modified-FOLFIRINOX

  • LAPC patients with mFOLFIRINOX-based neoadjuvant therapy or not was set as the main intervention
Primary Outcome MeasuresMeasure DescriptionTime Frame
Overall survivalthe duration from the date of hospital admission to death of any cause.2014-04-01 to 2017-11-01
Progression free survivalthe duration from the date of hospital admission to disease progression or death.2014-04-01 to 2017-11-01
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Response to mFOLFIRINOX2014-04-01 to 2017-11-01
mFOLFIRINOX related adverse events2014-04-01 to 2017-11-01
Postoperative complications2014-04-01 to 2017-11-01
Histopathologic staging2014-04-01 to 2017-11-01

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:
    1. The patients are diagnosed by histology to have pancreatic adenocarcinoma 2. The patients are defined as locally advanced pancreatic cancer according to NCCN guideline 3. The patients prescribed mFOLFIRINOX-based neoadjuvant therapy
    Exclusion Criteria:
    1. ECOG performance score more than 2 2. Insufficient bone marrow, liver and renal function 3. Patients with other malignancies 4. Patients were older than 85 years or less than 18 years

Collaborators and Investigators

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Publications

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General Publications

No publications available