EUS-guided Intratumoral Gemcitabine in Locally Advanced Unresectable Pancreatic Cancer

NCT ID: NCT01834170

Last Updated: 2014-12-02

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2014-12-31

Brief Summary

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Pancreatic cancer is the 11th most common type of cancer but it is the fourth leading cause of cancer death. The only effective treatment for pancreatic cancer includes surgery. However, only 20% of the patients have surgically treatable disease. Also, the 5-year survival for the surgically treated patients is only 15%.

About 40% of the patients present with advanced disease with distant metastasis, and the remaining 40% present with locally advanced unresectable cancer with the tumor invaded into surrounding major vessels. For those with locally advanced disease, systemic chemotherapy with or without radiotherapy provides palliation of the symptoms but cannot cure the disorder. Systemic chemotherapy is given through peripheral vessels.

The investigators hypothesized that direct injection of the chemotherapeutic drug into the tumor may help to boost the effect of systemic chemotherapy and radiotherapy in those with locally advanced pancreatic cancer.

Detailed Description

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In this study, gemcitabine will be injected directly into the tumor by means of endoscopic ultrasound (EUS) in the eligible patients.

Conditions

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Pancreatic Adenocarcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intratumoral gemcitabine injection

Intratumoral injection of gemcitabine by means of endoscopic ultrasound.

Group Type EXPERIMENTAL

Gemcitabine

Intervention Type DRUG

Two intratumoral injections of gemcitabine under endoscopic ultrasound (EUS)-guidance at month 0 and month 3.

The patients will receive systemic chemotherapy with or without radiotherapy at the discretion of oncologist

Interventions

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Gemcitabine

Two intratumoral injections of gemcitabine under endoscopic ultrasound (EUS)-guidance at month 0 and month 3.

The patients will receive systemic chemotherapy with or without radiotherapy at the discretion of oncologist

Intervention Type DRUG

Other Intervention Names

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Gemzar

Eligibility Criteria

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Inclusion Criteria

* Patients with histologically verified pancreatic adenocarcinoma who have locally advanced unresectable tumor

Exclusion Criteria

* Early stage resectable pancreatic cancer with the intact surrounding major vessels on imaging
* Pancreatic cancer with distant metastasis
* Unwilling to sign informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Tehran

OTHER

Sponsor Role lead

Responsible Party

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Mehdi Mohamadnejad

Assistant Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mehdi Mohamadnejad, M.D.

Role: PRINCIPAL_INVESTIGATOR

Digestive Disease Research Center, University of Tehran/Medical sciences

Reza Malekzadeh, M.D.

Role: STUDY_CHAIR

Digestive Disease Research Center, University of Tehran/Medical Sciences

Locations

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Digestive Disease Research Center, Shariati ospital

Tehran, , Iran

Site Status

Countries

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Iran

Other Identifiers

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DDRC 92-1

Identifier Type: -

Identifier Source: org_study_id