Trial Outcomes & Findings for Phase II Study of Chemo-Radiotherapy in Patients With Resectable and Borderline Resectable Pancreatic Cancer (NCT NCT02243358)

NCT ID: NCT02243358

Last Updated: 2023-10-27

Results Overview

Evaluate frequency of achieving R0 resection in patients with resectable and borderline resectable pancreatic cancer treated with a neoadjuvant regimen of FOLFOX followed by RT concurrent with gemcitabine chemotherapy at standard dosing

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

6 weeks

Results posted on

2023-10-27

Participant Flow

Participant milestones

Participant milestones
Measure
Neoadjuvant Chemo-Radiotherapy and Resection
2 cycles - FOLFOX6 (1 month) Gemcitabine/RT (5-6 weeks) Rest period 2 weeks Re-staging evaluation (CT scan to be done during the 2 weeks of rest) Surgery (To be performed no later than 6 weeks after completion of chemo-radiation) Folfox6 Gemcitabine Radiation Therapy Pancreaticoduodenectomy with retroperitoneal lymphadenectomy
Overall Study
STARTED
24
Overall Study
COMPLETED
24
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Study of Chemo-Radiotherapy in Patients With Resectable and Borderline Resectable Pancreatic Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neoadjuvant Chemo-Radiotherapy and Resection
n=24 Participants
2 cycles - FOLFOX6 (1 month) Gemcitabine/RT (5-6 weeks) Rest period 2 weeks Re-staging evaluation (CT scan to be done during the 2 weeks of rest) Surgery (To be performed no later than 6 weeks after completion of chemo-radiation) Folfox6 Gemcitabine Radiation Therapy Pancreaticoduodenectomy with retroperitoneal lymphadenectomy
Age, Continuous
64 years
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Race reported · White
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Race reported · Black
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Race reported · Hispanic
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race reported · Other
1 Participants
n=5 Participants
Region of Enrollment
United States
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: 13 patients underwent pancreatectomy after completion of neoadjuvant CRT

Evaluate frequency of achieving R0 resection in patients with resectable and borderline resectable pancreatic cancer treated with a neoadjuvant regimen of FOLFOX followed by RT concurrent with gemcitabine chemotherapy at standard dosing

Outcome measures

Outcome measures
Measure
Neoadjuvant Chemo-Radiotherapy and Resection
n=13 Participants
2 cycles - FOLFOX6 (1 month) Gemcitabine/RT (5-6 weeks) Rest period 2 weeks Re-staging evaluation (CT scan to be done during the 2 weeks of rest) Surgery (To be performed no later than 6 weeks after completion of chemo-radiation) Folfox6 Gemcitabine Radiation Therapy Pancreaticoduodenectomy with retroperitoneal lymphadenectomy
Frequency of R0 Resection
R0 resection
11 Participants
Frequency of R0 Resection
R1 resection
2 Participants

Adverse Events

Neoadjuvant Chemo-Radiotherapy and Resection

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Neoadjuvant Chemo-Radiotherapy and Resection
n=24 participants at risk
2 cycles - FOLFOX6 (1 month) Gemcitabine/RT (5-6 weeks) Rest period 2 weeks Re-staging evaluation (CT scan to be done during the 2 weeks of rest) Surgery (To be performed no later than 6 weeks after completion of chemo-radiation) Folfox6 Gemcitabine Radiation Therapy Pancreaticoduodenectomy with retroperitoneal lymphadenectomy
Blood and lymphatic system disorders
Anemia
8.3%
2/24 • Consent to 1 year post completion of protocol therapy
Blood and lymphatic system disorders
Neutropenia
33.3%
8/24 • Consent to 1 year post completion of protocol therapy
Blood and lymphatic system disorders
Thrombocytopenia
20.8%
5/24 • Consent to 1 year post completion of protocol therapy
Metabolism and nutrition disorders
Fatigue
70.8%
17/24 • Consent to 1 year post completion of protocol therapy
Gastrointestinal disorders
Nausea
87.5%
21/24 • Number of events 22 • Consent to 1 year post completion of protocol therapy
Gastrointestinal disorders
Vomiting
37.5%
9/24 • Number of events 9 • Consent to 1 year post completion of protocol therapy
Gastrointestinal disorders
Decreased appetite
41.7%
10/24 • Consent to 1 year post completion of protocol therapy
Metabolism and nutrition disorders
Dehydration
16.7%
4/24 • Consent to 1 year post completion of protocol therapy
Metabolism and nutrition disorders
Hypokalemia
16.7%
4/24 • Consent to 1 year post completion of protocol therapy
Nervous system disorders
Neuropathy
25.0%
6/24 • Consent to 1 year post completion of protocol therapy
Gastrointestinal disorders
Mucositis
12.5%
3/24 • Consent to 1 year post completion of protocol therapy
Metabolism and nutrition disorders
Hypomagnesemia
8.3%
2/24 • Consent to 1 year post completion of protocol therapy
Gastrointestinal disorders
Diarrhea
12.5%
3/24 • Consent to 1 year post completion of protocol therapy
Nervous system disorders
Cold intolerance
8.3%
2/24 • Consent to 1 year post completion of protocol therapy
Nervous system disorders
Abdominal pain
8.3%
2/24 • Consent to 1 year post completion of protocol therapy

Additional Information

Dr. Gazala Khan, MD

Henry Ford Cancer Institute

Phone: 313-598-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place