A Study of Chemoradiotherapy Using Gem Plus Nab-paclitaxel for Pancreatic Cancer

NCT ID: NCT02272738

Last Updated: 2017-11-21

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2016-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to evaluate the clinical safety and efficacy of Gemcitabine plus nab-Paclitaxel chemoradiotherapy and to determine the Maximal Tolerated Dose (MTD) for unresectable locally advanced pancreatic adenocarcinoma.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Gemcitabine plus nab-Paclitaxel is one of the standard chemotherapy for metastatic pancreatic adenocarcinoma. Gemcitabine plus nab-Paclitaxel realize the favorable anti-tumor effect and tolerable toxicity. Gemcitabine plus nab-Paclitaxel is a promising regimen for concurrent chemoradiotherapy, but the investigators need to know the safety in the case of the concurrent chemoradiotherapy.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Pancreatic Cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Gemcitabine, Nab-Paclitaxel

A conformal phase I study using 3 plus 3 method.

Chemoradiotherapy while Gemcitabine, Nab-Paclitaxel are administered.

Both Gemcitabine and Nab-Paclitaxel are an interventional agents in this arm.

Gemcitabine is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.

Nab-Paclitaxel is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.

Radiotherapy (a total dose of 50.4Gy) was delivered in 28 fractions.

Group Type EXPERIMENTAL

Gemcitabine

Intervention Type DRUG

Gemcitabine is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.

Nab-Paclitaxel

Intervention Type DRUG

Nab-Paclitaxel is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Gemcitabine

Gemcitabine is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.

Intervention Type DRUG

Nab-Paclitaxel

Nab-Paclitaxel is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Gemcitabine ;gemzer Nab-Paclitaxel ;Abraxane

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Histologically or cytologically confirmed advanced pancreatic cancer
* Locally advanced pancreatic cancer is defined as the presence of a surgically unresectable tumor(involving the celiac axis or the superior mesenteric artery)
* Performance Status:0-1(ECOG)
* Patients of age =\>20 and 75\>
* White Blood Cell (WBC) \>=3,500/mm3,12,000/mm3,

* Neutrophils \>=1,500/mm3, platelets=100,000/mm3,
* Hemoglobin \>=9.5 g/dl,
* GOT \</=2.0 X Upper Limit Number (ULN),
* Glutamate Pyruvate Transaminase (GPT) \</=2.0 X ULN,
* Alkaline Phosphatase (ALP) \</=2.0 X ULN,
* Total bilirubin \<=1.5mg/dl,
* Serum creatinine \<=1.2mg/dl,
* Creatinine clearance\>=50 ml/min
* arterial O2 pressure (PaO2) \>=70torr or arterial O2 saturation (SpO2) \>=96%
* Life expectancy more than 3 months.
* Written informed consent.

Exclusion Criteria

* Active infection
* Lung fibrosis or intestinal pneumonia detectable on chest X-ray and CT
* Severe complication (heart disease, cirrhosis, diabetes)
* Myocardial infarction within 3 months
* Active synchronous or metachronous malignancy
* Pregnant or lactation women, or women with known or suspected pregnancy
* Symptomatic brain metastasis
* History of severe drug allergy
* Peripheral neuropathy
* Patients who are judged inappropriate for the entry into the study by the investigator
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Osaka Medical Center for Cancer and Cardiovascular Diseases

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Tatsuya Ioka, MD

Role: STUDY_DIRECTOR

Osaka Medical Center for Cancer and Cardiovascular Diseases

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Osaka Medical Center for Cancer and Cardiovascular Diseases

Osaka, , Japan

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Japan

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

UMIN 000012254

Identifier Type: REGISTRY

Identifier Source: secondary_id

TatsuyaIoka2013

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.