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SLOG Vs MFOLFIRINOX As the First-line Treatment in Locally Advanced Uncresectable or Metastatic Pancreatic Cancer


2018-03-26


2019-11-30


2019-11-30


130

Study Overview

SLOG Vs MFOLFIRINOX As the First-line Treatment in Locally Advanced Uncresectable or Metastatic Pancreatic Cancer

A Phase II Randomized Study.Primary objective:to investigate the 6-month progression-free survival (PFS) rate i patients receiving SLOG or mFLFIRINOX as a first-line treatment for locally advanced and metastatic pancreatic cancer.

A total of 130 patients (65patients in each arm) will be calculated, based on the assumption of a 6-month PFS rate of 45% with mFOLFIRINOX vs 60% wuth SLOG, to achieve 75% power, with a drop-out rate of 10%. Two-sided test was performed with type I error=0.10.

  • Locally Advanced or Metastatic Pancreatic Cancer
  • DRUG: S-1
  • DRUG: Leucovorin(oral )
  • DRUG: Gemcitabine
  • DRUG: Oxaliplatin
  • DRUG: Irinotecan
  • DRUG: 5-FU
  • DRUG: Leucovorin(IV)
  • T5217

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

2018-02-08  

N/A  

2025-02-06  

2018-02-21  

N/A  

2025-02-10  

2018-02-23  

N/A  

2019-11  

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: SLOG

800 mg/m2 gemcitabine at a fixed rate of 10 mg/m2/min followed by a 2-hour intravenous infusion of oxaliplatin on day 1 plus twice daily oral S-1 80-120 mg/day (based on BSA) and oral leucovorin 30 mg twice a day on day 1 to day 7, every 14 days as a cycl

DRUG: S-1

  • Intervention is administered to patients in this Arm.

DRUG: Leucovorin(oral )

  • Intervention is administered to patients in this Arm.

DRUG: Gemcitabine

  • Intervention is administered to patients in this Arm.

DRUG: Oxaliplatin

  • Intervention is administered to patients in this Arm.
EXPERIMENTAL: mFOLFIRINOX

oxaliplatin at a dose of 85 mg/m2, given as a 2-hour infusion, with the addition, after 30 minutes, of irinotecan at a dose of 150 mg/m2, given as a 90-minute infusion. The treatment was immediately followed by a continuous intravenous infusion via centra

DRUG: Oxaliplatin

  • Intervention is administered to patients in this Arm.

DRUG: Irinotecan

  • Intervention is administered to patients in this Arm.

DRUG: 5-FU

  • Intervention is administered to patients in this Arm.

DRUG: Leucovorin(IV)

  • Intervention is administered to patients in this Arm.
Primary Outcome MeasuresMeasure DescriptionTime Frame
progression free survival (PFS)The 6-month PFS rates of the two arms are assumed to be 60% (SLOG) vs. 45% (mFOLFIRINOX)Since this is an exploratory trial, it takes a sample size of 61 patients per arm entered in 2 years with a minimum 1 year of follow up to reach 75% power with type I error of 10% under the assumptions of exponential survival functions.
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.

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:
20 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Patients must have cyto-/histologically confirmed, locally advanced unresectable or metastatic adenocarcinoma of the pancreas (mPAC). Patients who have disease measurable or evaluable on x-ray, CT scan, or physical examination are eligible. 2. Patients must have no history of prior chemotherapy for PAC, except those delivered as adjuvant setting that completed at least 6 months before documentation of recurrence by imaging study. 3. Patients with prior radiotherapy are eligible if the irradiated area does not involve the only source of measurable / evaluable disease. 4. Patients' baseline ECOG performance status must be 1. 5. Patients' life expectancy 12 weeks or greater. 6. Patients' age 20 and 80. 7. Patients with biliary obstruction and adequate drainage procedures before enrollment are eligible. 8. Patients must agree to have indwelling venous catheter implanted. 9. Women or men and their partners of reproductive potential should agree to use an effective contraceptive method. 10. All patients must be informed of the investigational nature of this study and must sign and give written informed consent.
    Exclusion Criteria:
    1. Patients who have major abdominal surgery, radiotherapy or other investigating agents within 4 weeks are not eligible. Patients who have palliative radiotherapy for bony metastasis will be eligible 2 weeks after the completion of radiotherapy. 2. Patients with central nervous system metastasis 3. Patients with active infection 4. Pregnant or breast-nursing women 5. Patients with active cardiopulmonary disease or history of ischemic heart disease 6. Patients who have peripheral neuropathy > Grade I of any etiology 7. Patients who have serious concomitant systemic disorders incompatible with the study, i.e. poorly controlled diabetes mellitus, auto-immune disorders, cirrhosis of the liver, and the rest will be at the discretion of in-charged investigator. 8. Patients who have other prior or concurrent malignancy except for adequately treated in situ carcinoma of cervix or adequately treated basal cell carcinoma of skin, or any malignancy remains disease-free for 3 or more years after initial curative treatment 9. Patients who are under biologic treatment for their malignancy 10. Laboratory tests (hematology, chemistry) outside specified limits:
    1. WBC ≤ 3 x 10³/mm³ 2. ANC ≤ 1.5 x 10³/mm³ 3. Platelets ≤ 100.000/mm³ 4. Hb ≤ 9.0 g/dl (≤ 5.6 mmol/l) 5. GFR < 60 mL/min 6. AST and/or ALT > 2.5 x ULN; for patients with significant liver metastasis AST and/or ALT > 5 x ULN 7. Total bilirubin > 2 x ULN 8. Albumin < 2.5 g/dL

Collaborators and Investigators

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

  • National Taiwan University Hospital
  • Taipei Veterans General Hospital, Taiwan
  • China Medical University Hospital
  • National Cheng-Kung University Hospital
  • Kaohsiung Medical University
  • Taipei Medical University Shuang Ho Hospital
  • Chang Gung Memorial Hospital
  • Tri-Service General Hospital
  • E-DA Hospital

  • STUDY_CHAIR: Chen Li-Tzong, National Insitute of Cancer Research

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

  • Chiang NJ, Tsai KK, Hsiao CF, Yang SH, Hsiao HH, Shen WC, Hsu C, Lin YL, Chen JS, Shan YS, Chen LT. A multicenter, phase I/II trial of biweekly S-1, leucovorin, oxaliplatin and gemcitabine in metastatic pancreatic adenocarcinoma-TCOG T1211 study. Eur J Cancer. 2020 Jan;124:123-130. doi: 10.1016/j.ejca.2019.10.023. Epub 2019 Nov 22.