A Study to Assess Clinical an Patient Reported Outcomes With Nab-paclitaxel in Combination With Gemcitabine in Route Clinical Practice Treating Pancreatic Cancer

NCT ID: NCT02670746

Last Updated: 2019-09-16

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

TERMINATED

Total Enrollment

44 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-10-01

Study Completion Date

2017-11-28

Brief Summary

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The objective of the study is to prospectively assess the use and treatment outcomes of nab-paclitaxel plus gemcitabine in pancreatic ductal adenocarcinoma in the Netherlands. Additional objectives are to monitor the incidence and reversibility of neuropathy during treatment, to assess the patient's Quality of life when treated with nab-paclitaxel/gemcitabine and to evaluate the use of resources that come with treating metastatic pancreatic cancer.

Detailed Description

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The TRUST, a prospective, non-interventional observational single arm study with Nab-paclitaxel + Gemcitabine (NG) in pancreas carcinoma in the Netherlands, was started in 2015 to observe and register the daily use of Nab-paclitaxel. The primary objective was to prospectively assess safety of NG in metastatic pancreatic cancer under routine clinical practice. One of the major secondary objectives was to assess the influence of treatment with Nab-paclitaxel + Gemcitabine on the quality of life. The goal was to include 200 patients within a period of two year and collect their prospective data.

The study has included 44 patients in the period between October 2015 and October 2017. Of these patients, 41% were diagnosed with metastasized disease. 54% was diagnosed with local disease of which 18% was resectable and 36% was locally advanced. 73% of the patients with metastasized disease were treated with NG.

Over 70% of all NG treated patients received this treatment as a fist line of care. 21% of these patients had locally advanced pancreatic cancer. 20% of the patients had had a previous systemic treatment. Of all NG treated patients, 66% had an ECOG performance status of 0 or 1 and 62% of the patients was 75 years or younger.

At the time the study was terminated, 6 out of the 44 patients were still treated. 14 patients had stopped treatment due to disease progression, 8 patients had stopped due to adverse events and 7 patients had chosen to stop treatment.

The low inclusion rate, which led to a prospective study duration of 10 years, and the heterogenicity of the study population have led to the decision to terminate the study. Therefore, no analysis, apart from the detailed description of the study population above, can be performed.

All patients involved have taken the time to participate in the study and have filled out questionnaires. We would like to express our gratitude towards these patients.

We remain convinced that quality of life is an important parameter in pancreatic cancer which should be taken into consideration in daily care of patients.

Conditions

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Pancreatic Neoplasms

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Nab-paclitaxel in combination with gemcitabine (AG)

The objective is to prospectively assess the use and treatment outcomes of nab-paclitaxel plus gemcitabine in pancreatic ductal adenocarcinoma. In all cases, the decision to treat the patient with nab-paclitaxel in combination with gemcitabine was already made prior to the decision to enter the subject into the study. Treatment will be according to routine clinical practice and based on recommendations as per Summary of Product Characteristics (SPC).

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients over 18 years of age who understand and voluntarily sign an informed consent form.
* Patients treated for pancreatic adenocarcinoma.

Exclusion Criteria

* Patients currently treated for metastatic pancreatic cancer with other therapy than nab-paclitaxel plus gemcitabine
* Refusal to participate in the study.
* Women who are pregnant or breast-feeding.
* Hypersensitivity to the active substance or to any of the excipients.
* Participation in interventional trials during the period of treatment with nab-paclitaxel
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeroen Stevens, Msc

Role: STUDY_DIRECTOR

Celgene Corporation

Locations

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Rijnstate Ziekenhuis

Arnhem, Gelderland, Netherlands

Site Status

Amphia ziekenhuis

Breda, Gelderland, Netherlands

Site Status

Gelderse Vallei

Ede, North Brabant, Netherlands

Site Status

Elkerliek Ziekenhuis

Helmond, North Brabant, Netherlands

Site Status

Maxima Medisch Centrum

Veldhoven, North Brabant, Netherlands

Site Status

BovenIJ Ziekenhuis

Amsterdam, North Holland, Netherlands

Site Status

Academic Medical Centre

Amsterdam, North Holland, Netherlands

Site Status

Spaarne Gasthuis

Haarlem, North Holland, Netherlands

Site Status

Tergooi

Hilversum, North Holland, Netherlands

Site Status

Isala

Zwolle, Overijssel, Netherlands

Site Status

Ziekenhuis de Tjongerschans

Heerenveen, Provincie Friesland, Netherlands

Site Status

Antonius Ziekenhuis Sneek

Sneek, Provincie Friesland, Netherlands

Site Status

Albert Schweitzer Ziekenhuis

Dordrecht, South Holland, Netherlands

Site Status

LUMC

Leiden, South Holland, Netherlands

Site Status

HagaZiekenhuis

The Hague, South Holland, Netherlands

Site Status

Zorgsaam Zeeuws -Vlaanderen

Terneuzen, Zeeland, Netherlands

Site Status

Martini Ziekenhuis

Groningen, , Netherlands

Site Status

UMC Utrecht

Utrecht, , Netherlands

Site Status

Countries

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Netherlands

References

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Reni M, Zanon S, Balzano G, Passoni P, Pircher C, Chiaravalli M, Fugazza C, Ceraulo D, Nicoletti R, Arcidiacono PG, Macchini M, Peretti U, Castoldi R, Doglioni C, Falconi M, Partelli S, Gianni L. A randomised phase 2 trial of nab-paclitaxel plus gemcitabine with or without capecitabine and cisplatin in locally advanced or borderline resectable pancreatic adenocarcinoma. Eur J Cancer. 2018 Oct;102:95-102. doi: 10.1016/j.ejca.2018.07.007. Epub 2018 Aug 24.

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Reference Type BACKGROUND
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Other Identifiers

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ABI-007-PANC-008

Identifier Type: -

Identifier Source: org_study_id

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