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Study to Evaluate if Neoadjuvant Radiotherapy Improves Recurrence Free Survival in Pancreatic Head Cancer


2011-10


2014-10


2014-10


5

Study Overview

Study to Evaluate if Neoadjuvant Radiotherapy Improves Recurrence Free Survival in Pancreatic Head Cancer

Net-Pac investigates if radiation prior to surgical resection improves survival in patients with pancreatic head cancer without metastases.

The trial is designed to show that neoadjuvant radiotherapy followed by surgery improves local recurrence free survival compared to surgery alone in patients with resectable adenocarcinoma of the pancreatic head.

  • Pancreatic Adenocarcinoma
  • RADIATION: neoadjuvant RTx
  • PROCEDURE: Surgery
  • NetPac

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

2011-08-13  

N/A  

2015-07-27  

2011-08-16  

N/A  

2015-07-29  

2011-08-17  

N/A  

2015-07  

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 RTx

RADIATION: neoadjuvant RTx

  • Neoadjuvant radiotherapy with external intensity modulated beam radiation followed by duodenopancreatectomy and adjuvant chemotherapy according to German S3 guidelines.
ACTIVE_COMPARATOR: Surgery

PROCEDURE: Surgery

  • Surgery and adjuvant chemotherapy according to German S3-guidelines
Primary Outcome MeasuresMeasure DescriptionTime Frame
Local recurrence free survivalAt 12 months postoperative
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Percentage of surgical R0-resections in both groupsDetermined by histopathological analysis of the surgical specimen.Until 10 days postoperative
30-day morbidity and mortality30 day period after the operation
Toxicity of preoperative RadiotherapyNumber of patients with adverse events in both groups, number of adverse events in both groups and number of grade 3 and 4 adverse events according to the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v 3.0) in both groupsStart of the radiotherapy until 12 months postoperative.
Clinical response rate (RECIST-criteria) and histological response rateUntil 1 year postOP
Time to tumor progression (local and systemic)Until 1 year postoperative
Quality of lifeUntil 12 months postoperative
Overall survival after 1 yearUntil 1 year postoperative

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 confirmed adenocarcinoma of the pancreatic head
  • Age ≥ 18 years
  • Signed informed consent
  • ECOG performance status of 0-2

  • Exclusion Criteria:

  • Curative resection is not feasible or presence of metastatic disease
  • Patients not eligible for surgery (ASA ≥ 4)
  • Participation in an other clinical trial
  • Unable or unwilling to sign the informed consent

Collaborators and Investigators

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

  • Technical University of Munich

  • PRINCIPAL_INVESTIGATOR: Helmut M Friess, Prof. MD, Technical University of Munich

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