Cyclooxygenase-2 Inhibitor for Adjuvant Anticancer Effect in Patients With Biliary-pancreas Cancer

NCT ID: NCT01111591

Last Updated: 2016-10-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2017-06-30

Brief Summary

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In extrahepatic bile duct cancer and pancreatic cancer, we will treat postoperatively with COX2 inhibitor and assess survival rate and recurrent rate.

Detailed Description

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Patients : total 220 patients

* Extrahepatic bile duct cancer : 55 patients for administration of COX2 55 patients for control group
* Pancreas cancer : 55 patients for administration of COX2 55 patients for control group

Indication

* After operation of extrahepatic bile duct cancer or pancreas cancer
* Age : 19 - 70 years old
* The patients who agree to consent sheet.

Contraindication

* Impossible of administration due to severe postoperative morbidities (bleeding, bowel obstruction, pancreatic fistula, biliary fistula)
* Preexisting heart disease: Ischemic heart disease, Heart failure. Severe uncontrolled hypertension (systolic BP\>160)
* Renal insufficiency: CCR \< 50 or serum creatinin \>3.0
* Hepatic insufficiency: Liver cirrhosis or active hepatitis
* Preexisting allergic reaction history for NSAIDs or Sulfonamide
* Current drug intake: Warfarin. Lithium, Fluconazole, Aspirin, Celecoxib
* Preexisting Asthma. Especially aspirin-sensitive asthma.
* Contraindications to aspirin, clopidogrel or celecoxib
* The patients who refuse trial
* The patients who has Psychogenic problem

Allocation

* We will allocate patients randomly, to administration group or control group

Methods

* From postoperative third day, administration will be started
* celecoxib 200mg bid for 6 months for administration group
* Follow up and assess recurrence rate and survival rate

Conditions

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Bile Duct Cancer Pancreatic Cancer

Keywords

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Cyclooxygenase-2 inhibitor (Celecoxib) Extrahepatic bile duct cancer Pancreas cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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2. Bile duct cancer - control

Bile duct cancer patients do not administration of COX inhibitor

Group Type NO_INTERVENTION

No interventions assigned to this group

3. Pancreas cancer - experimental

Pancreas cancer patients take a COX2 inhibitor 200mg every 12hours for 6 months

Group Type EXPERIMENTAL

Cox2 inhibitor (Celecoxib)

Intervention Type DRUG

From postoperative third day, administration will be started celecoxib 200mg bid for 6 months for administration group.

4. Pancreas cancer - control

Pancreas cancer patients do not administration of COX inhibitor

Group Type NO_INTERVENTION

No interventions assigned to this group

Bile duct cancer - experimental

Bile duct cancer patients take a COX2 inhibitor 200mg every 12hours for 6 months

Group Type EXPERIMENTAL

Cox2 inhibitor (Celecoxib)

Intervention Type DRUG

From postoperative third day, administration will be started celecoxib 200mg bid for 6 months for administration group.

Interventions

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Cox2 inhibitor (Celecoxib)

From postoperative third day, administration will be started celecoxib 200mg bid for 6 months for administration group.

Intervention Type DRUG

Other Intervention Names

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Celebrex

Eligibility Criteria

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Inclusion Criteria

* The patients who underwent operation for extrahepatic bile duct cancer or pancreas cancer
* Between 19 and 70 years old
* Agreed to consent sheet

Exclusion Criteria

* The patients cannot administration of drug due to severe postoperative morbidities.
* Preexisting heart disease: Ischemic heart disease, Heart failure. Severe uncontrolled hypertension (systolic BP\>160)
* Renal insufficiency: CCR \< 50 or serum creatinin \>3.0
* Hepatic insufficiency: Liver cirrhosis or active hepatitis
* Preexisting allergic reaction history for NSAIDs or Sulfonamide
* Current drug intake: Warfarin. Lithium, Fluconazole, Aspirin, Celecoxib
* Preexisting Asthma. Especially aspirin-sensitive asthma.
* Contraindications to aspirin, clopidogrel or celecoxib
* When patients refused
* Patients has psychological problem
Minimum Eligible Age

19 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ho-Seong Han

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ho-Seong Han, Professor

Role: STUDY_CHAIR

General surgery department

Locations

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Ho-Seong Han

Seonnam City, Gyeon Gi Do, South Korea

Site Status

Countries

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South Korea

References

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Koo BK, Kim YS, Park KW, Yang HM, Kwon DA, Chung JW, Hahn JY, Lee HY, Park JS, Kang HJ, Cho YS, Youn TJ, Chung WY, Chae IH, Choi DJ, Oh BH, Park YB, Kim HS. Effect of celecoxib on restenosis after coronary angioplasty with a Taxus stent (COREA-TAXUS trial): an open-label randomised controlled study. Lancet. 2007 Aug 18;370(9587):567-74. doi: 10.1016/S0140-6736(07)61295-1.

Reference Type RESULT
PMID: 17707751 (View on PubMed)

Other Identifiers

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B-0712-052-006 (local IRB)

Identifier Type: OTHER

Identifier Source: secondary_id

SNUBH-GS-HBP2

Identifier Type: -

Identifier Source: org_study_id