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Neoadjuvant Nab-Paclitaxel and S-1 in Borderline Resectable Pancreatic Cancer


2019-05-01


2022-03


2022-04


60

Study Overview

Neoadjuvant Nab-Paclitaxel and S-1 in Borderline Resectable Pancreatic Cancer

This study was a single-arm multicenter prospective phase II clinical study, designed to evaluate the efficacy and safety of neoadjuvant nab-paclitaxel combined with S-1 in patients with borderline resectable pancreatic cancer. A total of 60 subjects who meet the criteria will receive neoadjuvant chemotherapy of nab-paclitaxel and S-1, for a maximum of 4 cycles prior to pancreatectomy. The primary endpoint is R0 resection rate, the secondary endpoints include overall survival and response rate.

N/A

  • Borderline Resectable Pancreatic Cancer
  • DRUG: nab-paclitaxel and S-1
  • HS-1752

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

2019-02-20  

N/A  

2020-03-08  

2019-02-20  

N/A  

2020-03-10  

2019-02-22  

N/A  

2020-02  

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: nab-paclitaxel and S-1

neoadjuvant chemotherapy with Nab-paclitaxel and S-1, repeat every 21 days for 4 cycles.

DRUG: nab-paclitaxel and S-1

  • Nab-Paclitaxel: 120 mg/m2 d1, 8, S-1: Body surface area < 1.25 m2, 80 mg/d; Body surface area ≥ 1.25 m2 < 1.50 m2, 100 mg/d; Body surface area ≥1.5 m2, 120 mg/d; Bid, d1-14;
Primary Outcome MeasuresMeasure DescriptionTime Frame
R0 resection rateproportion of patients who achieved R0 resection3 years
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: TaiPing Zhang, MD

Phone Number: 13520132976

Email: Tpingzhang@yahoo.com

Study Contact Backup

Name: YueJuan Cheng, MD

Phone Number: 861069158315

Email: cnchengyuejuan@yahoo.com

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. Patients have good compliance, can understand the research process of this study, and sign a written informed consent 2. Patients with pathologically confirmed pancreatic adenocarcinoma. 3. Patients who have not received prior chemotherapy, radiotherapy or other systematic treatment for pancreatic cancer; 4. Patients with borderline resectable pancreatic cancer ( NCCN Version 1,2019 criteria). 5. ECOG PS 0-1; 6. Tumor size is measurable according to RECIST1.1 criteria 7. Expected survival over 3 months; 8. Bone marrow function: neutrophils≥1.5x109/L, platelets ≥100x109/L, hemoglobin≥ 90g/L; 9. Liver and kidney function: serum creatinine≤1.5ULT; AST and ALT≤ 2.5 ULT; total bilirubin ≤ 1.5 ULT; 10. No contraindications to the use of S-1 and nab-paclitaxel.
    Exclusion Criteria:
    1. ≥ Grade 2 existing peripheral neuropathy; 2. Any other malignancy within 5 years prior to enrollment, with the exception of adequately treated in-situ carcinoma of the cervix, uteri, bladder, or nonmelanomatous skin cancer. 3. Active, uncontrolled infection(s) requiring systemic therapy, defined as ongoing signs/symptoms related to the infection without improvement despite appropriate treatment. 4. Severe, active co-morbidity, defined as follows:
    Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months Transmural myocardial infarction within the 6 months of study registration Uncontrolled hypertension, diabetes or arrhythmia. Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization. 5. Not able to take medicine orally. 6. Pregnancy or lactation, and women of childbearing age who refused to take appropriate contraceptive measures during the course of this study; 7. Participation in other clinical trial within 30 days before the first dose of the drug;

Collaborators and Investigators

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

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