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Clinical Trial Record

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Neoadjuvant FDR GX in Locally Advanced Pancreatic Cancer

2006-04

2010-07

2011-08

43

Study Overview

Neoadjuvant FDR GX in Locally Advanced Pancreatic Cancer

The rationale for phase II trial of neoadjuvant fixed dose rate gemcitabine plus capecitabine for patients with LAPC includes the following: First, obtaining a sufficient tumor down-staging to procure R0/R1 resection, reported to be one of the most significant prognostic factors for survival; second, providing an observation period to exclude from surgery those patients with rapidly progressive disease there by to help select patients for surgery who have the greatest likelihood of a favorable postoperative outcome; third, eliminating micrometastatic disease, that is likely present in most patients, earlier than adjuvant setting and preventing post-surgical growth spurts; fourth, adjuvant therapy given in the neoadjuvant setting is better tolerated, as the patient has not recently undergone a major operation; and the last, the lack of widely accepted optimal preoperative or palliative approach in patients with LAPC, the majority of whom may not be operated on. The primary goal is to determine the R0 resection rate of the neoadjuvant fixed dose rate (FDR) gemcitabine-capecitabine combination chemotherapy in patients with borderline resectable or unresectable locally advanced pancreatic adenocarcinoma. The secondary goals are to assess progression-free survival (PFS) and OS (overall survival) in these patients and to assess adverse events of these neoadjuvant treatments.

N/A

  • Pancreatic Cancer
  • DRUG: Gemcitabine plus Capecitabine
  • APBCC_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

2010-12-29  

N/A  

2011-12-05  

2010-12-29  

N/A  

2011-12-06  

2010-12-30  

N/A  

2011-12  

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: FDR_GX

Fixed dose rate gemcitabine plus capecitabine every 3 weeks for 3-9 cycles

DRUG: Gemcitabine plus Capecitabine

  • Gemcitabine 1,250 mg/m2 mixed with 0.9% saline 500 ml i.v. for 10 mg/m2/min on D1 and D8 Capecitabine 950 mg/m2 b.i.d. po from D1 to D14 every 21 days
Primary Outcome MeasuresMeasure DescriptionTime Frame
R0 resection rateMicroscopic complete resection rate after neoadjuvant chemotherapy6 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Adverse events associated with neoadjuvant chemotherapyNCI CTCAE v.3.0 based AEs6 months
Overall survivalOverall survival after enrollment2 years

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:

  • Histologically or cytologically documented pancreatic adenocarcinoma
  • Clinical T3 or T4 tumor according to AJCC staging system
  • Tumors considered as borderline resectable or unresectable disease assessed by multidisciplinary team including pancreatic surgeon, gastroenterologist specializing in pancreas, medical oncologist, and radiation oncologist
  • Age 18 years or older
  • ECOG performance status 2 or less
  • Adequate organ function


  • Adequate bone marrow function (WBCs> 3,500/µL, absolute neutrophil count [ANC]> 1,500/µL, hemoglobin > 9.0 g/dL, and platelets > 100,000/µL)
  • Adequate kidney function (creatinine < 1.5 mg/dL)
  • Adequate liver function (bilirubin < 1.5 mg/dL [<2.5 mg/dL for patients with obstructive jaundice due to pancreatic cancer with adequate decompression], transaminases levels < 3 times the upper normal limit)
  • Patients must not have psychological, familial, sociological or geographical conditions which do not permit medical follow-up and compliance with this study
  • Women of childbearing potential must have a negative pregnancy test on admission. Post-menopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential. Men and women of reproductive potential must have agreed to use an effective method of contraception while on treatment and for 6 months after study treatment
  • The patient must be able to understand the study and has given written informed consent to participate in the study

    • Exclusion Criteria:

  • Other tumor type than adenocarcinoma
  • Evidence of gastrointestinal bleeding or obstruction
  • Presence of the clinically relevant ascites or distant metastases
  • Past or concurrent history of malignant neoplasm, except for curatively treated non-melanoma skin cancer or in situ carcinoma of the cervix uteri
  • Pregnant or lactating women, women of childbearing potential not employing adequate contraception
  • Hypersensitivity to any of the study drugs or ingredients
  • Other serious illness or medical conditions


  • Unstable cardiac disease despite treatment, myocardial infarction within 6 months prior to study entry
  • History of significant neurologic or psychiatric disorders including dementia or seizures
  • Active uncontrolled infection
  • Pre-existing clinically significant diarrhea
  • Active peptic ulcer
  • Severe hypercalcemia of 12 mg/dL uncontrolled with bisphosphonates
  • Active disseminated intravascular coagulation
  • Other serious underlying medical conditions which could impair the ability of the patient to participate in the study
  • Concomitant or administration of any other experimental drug under investigation within 3 weeks before the study
  • Concomitant chemotherapy, hormonal therapy, or immunotherapy

Collaborators and Investigators

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

    • PRINCIPAL_INVESTIGATOR: Jae-Lyun Lee, MD, PhD, Asan Medical Center

    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

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