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Role of Cyberknife Stereotactic Radiation Therapy (SBRT) Followed by Gemcitabine for Patients With Locally Advanced Pancreatic Cancer


2010-09


2016-07


2016-07


10

Study Overview

Role of Cyberknife Stereotactic Radiation Therapy (SBRT) Followed by Gemcitabine for Patients With Locally Advanced Pancreatic Cancer

The purpose of this study is to evaluate the efficacy and safety of stereotactic radiation therapy given in five fractions (30 Gray in 5 fractions) followed by gemcitabine in patients with locally advanced pancreatic cancer.

The purpose of this phase I/II study is to evaluate the efficacy and toxicity of a different stereotactic body radiation therapy regimen combined with gemcitabine. In the present study, 5 daily fractions of 6 Gray will be given over two weeks. Stereotactic body radiation therapy will be given with the Cyberknife system. This treatment technique allows to give a higher dose to the tumor as compared to conventional external beam radiation while lowering the dose to the normal tissues around. This treatment system is also capable of following the motion that the pancreas assumes during respiration as well as during treatment. This enables us to reduce the margin of security and further reduce dose to surrounding normal tissue. The primary objective of this study is to evaluate acute and chronic toxicity of this regimen of stereotactic radiation therapy followed by gemcitabine. Quality of life, local control and overall survival will also be evaluated.

  • Pancreatic Cancer
  • Unresectable Pancreatic Cancer
  • RADIATION: stereotactic body radiotherapy
  • CE 09.153

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

2011-02-21  

N/A  

2016-08-03  

2011-02-24  

N/A  

2016-08-05  

2011-02-25  

N/A  

2012-08  

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: strereotactic radiotherapy, gemcitabine

stereotactic radiotherapy (30Gray in 5 fractions) followed by gemcitabine

RADIATION: stereotactic body radiotherapy

  • 30Gray in 5 fractions
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of participants with adverse eventsAcute and chronic toxicities will be evaluated according to the National Cancer Institute Common Toxicity Criteria version 3.0one year
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Quality of lifeQuality of life will be evaluated with the EORTC QLQ-C30 questionnaire3 monthly
Local controlLocal control will be assessed with 3 monthly CT-scans of the abdomen. RECIST criteria will be used to evaluate local control.3 monthly
overall survivalone and two 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:

  • Pancreatic Adenocarcinoma, histologically and/or cytologically proven
  • Locally advanced pancreatic cancer, surgically non resectable
  • No distant metastasis
  • Work-up including medical history, physical exam, biochemistry, chest X-ray, CT-scan of abdomen and pelvis
  • ECOG performance status : ≤ 2
  • Primary tumor visible on CT-scan
  • Maximum tumor diameter of 6 cm (including primary tumor and regional lymph nodes)
  • White blood cell count > 3000 /uL, Neutrophils > 1500 /uL, Platelets > 100 000/uL, Hemoglobin > 95 mg/L, Total bilirubin < 1,5 normal limit, AST/ALT < 2,5 normal limit, normal creatinin
  • ≥ 18 years of age
  • Signed informed consent

  • Exclusion Criteria:

  • Prior abdominal radiation therapy
  • Connective tissue disease (scleroderma, lupus)
  • Prior treatment for pancreatic cancer such as radiation therapy, chemotherapy or surgery.

Collaborators and Investigators

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

  • Centre de Recherche du Centre Hospitalier de l'Université de Montréal

  • PRINCIPAL_INVESTIGATOR: Marie-Pierre Campeau, MD, Centre hospitalier de l'Université de Montréal (CHUM)

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