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Neoadjuvant Chemoradiation in Patients With Borderline Resectable Pancreatic Cancer


2011-11


2018-01


2018-01


58

Study Overview

Neoadjuvant Chemoradiation in Patients With Borderline Resectable Pancreatic Cancer

Previous reports suggest benefit of neoadjuvant chemoradiation treatment for borderline resectable pancreas cancer. This study is a multicenter prospective randomized phase II/III study of neoadjuvant chemoradiation with gemcitabine in patients with borderline resectable pancreas cancer. The study is designed in 2 arms, one with upfront surgery and the other with neoadjuvant chemoradiation therapy.

Previous reports suggest benefit of neoadjuvant chemoradiation treatment for borderline resectable pancreas cancer. This study is a multicenter prospective randomized phase II/III study of neoadjuvant chemoradiation with gemcitabine in patients with borderline resectable pancreas cancer. The study is designed in 2 arms, one with upfront surgery and the other with neoadjuvant chemoradiation therapy. This phase 2/3 multicenter randomized controlled trial was designed to enroll 110 patients with BRPC who were randomly assigned to gemcitabine-based neoadjuvant chemoradiation treatment (54 Gray external beam radiation) followed by surgery or upfront surgery followed by chemoradiation treatment from four large-volume centers in Korea. The primary endpoint was the 2-year survival rate (2-YSR). Interim analysis was planned at the time of 50% case enrollment.

  • Pancreatic Cancer
  • DRUG: Neoadjuvant chemoradiation
  • PROCEDURE: Upfront surgery
  • BorderlinePancreas

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

2011-10-19  

N/A  

2018-04-30  

2011-10-24  

N/A  

2018-05-02  

2011-10-25  

N/A  

2018-04  

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:
Treatment


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Neoadjuvant

Neoadjuvant - operation - maintenance chemotherapy

DRUG: Neoadjuvant chemoradiation

  • * Neoadjuvant chemoradiation; 45Gy/25fx + 9Gy/5fx of radiation over 6 weeks with Gemcitabine 400mg/㎡ * 4 weeks rest, re-evaluation for resectability * operation * start maintenance chemotherapy within 4~6 weeks after operation with Gemcitabine 1000mg/㎡ (D
ACTIVE_COMPARATOR: Upfront surgery

Operation - adjuvant chemoradiation - maintenance chemotherapy

PROCEDURE: Upfront surgery

  • * Operation at time of diagnosis * Adjuvant chemoradiation; 45Gy/25fx + 9Gy/5fx of radiation over 6 weeks with Gemcitabine 400mg/㎡ * start maintenance chemotherapy within 4~6 weeks after completion of adjuvant chemoradiation with Gemcitabine 1000mg/㎡ (D1,
Primary Outcome MeasuresMeasure DescriptionTime Frame
2-year survival rate2-year actual survival outcome2-year actual survival outcome
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Median survivalcalculated from overall survival with Kaplan-Meier methodafter at least of 2-years follow up of all participants
1-year survival rate1-year actual survival rateafter at least of 1-year follow up of all participants
R0 resection rateaccording to pathology report after operationwithin 3 weeks after operation
curative resection rateaccording to pathology report after operationwithin 3 weeks after operation
local recurrenceany point during the follow-up periodwithin at least 2-years follow up
response rate after neoadjuvant chemoradiationcomparison of imaging study findings at pre- and post-neoadjuvant chemoradiationwithin 6 weeks after completion of neoadjuvant chemoradiation
efficacy of imaging study after neoadjuvant chemoradiationcomparison of pathology report and imaging study in patients who completed neoadjuvant chemoradiationwithin 3 weeks after operation

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:

  • >18 years old or <75 years old
  • ECOG 0-2
  • biopsy proven adenocarcinoma of the pancreas
  • no history of previous chemotherapy
  • borderline resectable pancreas cancer
  • no distant metastasis
  • WBC at least 3,000/mm3 or absolute neutrophil count at least 1,500/mm3, Platelet count at least 125,000/mm3
  • Bilirubin less than 2.5 mg/dL AST less than 5 times upper limit of normal
  • Creatinine no greater than 1.5 times upper limit of normal
  • informed consent

  • Exclusion Criteria:

  • history of previous chemotherapy
  • history of radiation at >25% area of bone marrow
  • stage unspecified, with distant metastasis, recurrent pancreas cancer
  • history of malignant neoplasm (except stage 0 cancer, skin in situ cancer except malignant melanoma). Patients who are NED after 5 years after treatment of malignant neoplasm can be candidate of this study
  • pregnant, breast-feeding patient
  • uncontrolled or active infection
  • uncontrolled cardiopulmonary disease

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Jin-Young Jang, M.D., Ph.D., Seoul National University College of Medicine

    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