Trial Outcomes & Findings for Combination of SBRT With Sequential S-1 for Treating Locally Advanced Pancreatic Cancer (NCT NCT02704143)

NCT ID: NCT02704143

Last Updated: 2020-10-19

Results Overview

One-year overall survival rate is calculated by the ratio of number of patients surviving more than 1 year to the total number of patients enrolled.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

63 participants

Primary outcome timeframe

1 year

Results posted on

2020-10-19

Participant Flow

The recruitment period was from February 2016 to March 2018 in Changhai Hospital affiliated to Navy Medical University.

There were significant events that occur after participant enrollment, but prior to assignment of participants to an arm or group.

Participant milestones

Participant milestones
Measure
Combination of Cyberknife With S-1
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
Overall Study
STARTED
63
Overall Study
COMPLETED
53
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Combination of Cyberknife With S-1
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
Overall Study
disease progression
10

Baseline Characteristics

Combination of SBRT With Sequential S-1 for Treating Locally Advanced Pancreatic Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with sequential S-1: Radiation therapy combined with sequential chemotherapy
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
Age, Categorical
>=65 years
52 Participants
n=5 Participants
Age, Continuous
76.0 years
n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
Sex: Female, Male
Male
36 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
63 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
China
63 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

One-year overall survival rate is calculated by the ratio of number of patients surviving more than 1 year to the total number of patients enrolled.

Outcome measures

Outcome measures
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
One-year Overall Survival Rate
46 Participants

SECONDARY outcome

Timeframe: Within 90 days after completion of SBRT

The acute toxicities are determined by RTOG Acute Radiation Morbidity Scoring Criteria.

Outcome measures

Outcome measures
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
Number of Participants With Acute Toxicities Following SBRT
9 Participants

SECONDARY outcome

Timeframe: 90 days after SBRT

The late toxicities are determined by RTOG/EORTC Late Radiation Morbidity Scoring Criteria.

Outcome measures

Outcome measures
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
Number of Participants With Late Toxicities Following SBRT
5 Participants

SECONDARY outcome

Timeframe: 3 years

Progression-free survival is the time from the date of enrollment to the confirmation of disease progression at any sites, including local progression or metastasis, or death from any causes, if this occurred before disease progression. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Outcome measures

Outcome measures
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
The Median Progression Free Survival Time Will be Determined.
10.1 months
Interval 9.7 to 10.5

SECONDARY outcome

Timeframe: 1 years

Population: All domains of QLQ-C30 at 6 months after treatment are reported. Higher scores in function domains and global health status indicate better quality of life, while higher scores in symptom domains imply worse quality of life. The scale range of all following domains is 0-100 (the minimum and maximum score is 0 and 100 points, respectively).

The analysis of quality of life is based on The European Organization for Reasearch and Treatment of Cancer (EORTC): Quality of Life Questionnare-Core 30 (QLQ-C30). Higher scores in function domains and global health status indicate better quality of life, while higher scores in symptom domains imply worse quality of life. The scale range of all domains of QLQ-C30 is 0-100 (the minimum and maximum score is 0 and 100 points, respectively).

Outcome measures

Outcome measures
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
The Quality of Life Will be Analyzed.
Global health status
50.0 units on a scale
Interval 33.3 to 66.7
The Quality of Life Will be Analyzed.
Insomnia
19.0 units on a scale
Interval 0.0 to 66.7
The Quality of Life Will be Analyzed.
Physical functioning
64.2 units on a scale
Interval 46.7 to 80.0
The Quality of Life Will be Analyzed.
Role functioning
54.8 units on a scale
Interval 16.7 to 83.3
The Quality of Life Will be Analyzed.
Emotional functioning
68.5 units on a scale
Interval 41.7 to 83.3
The Quality of Life Will be Analyzed.
Cognitive functioning
73.8 units on a scale
Interval 33.3 to 83.3
The Quality of Life Will be Analyzed.
Social functioning
74.6 units on a scale
Interval 33.3 to 83.3
The Quality of Life Will be Analyzed.
Fatigue
46.7 units on a scale
Interval 33.3 to 66.7
The Quality of Life Will be Analyzed.
Nausea and vomiting
55.3 units on a scale
Interval 33.3 to 83.3
The Quality of Life Will be Analyzed.
Pain
48.7 units on a scale
Interval 33.3 to 83.3
The Quality of Life Will be Analyzed.
Dyspnea
9.5 units on a scale
Interval 0.0 to 33.3
The Quality of Life Will be Analyzed.
Appetite loss
59.2 units on a scale
Interval 33.3 to 100.0
The Quality of Life Will be Analyzed.
Constipation
13.2 units on a scale
Interval 0.0 to 33.3
The Quality of Life Will be Analyzed.
Diarrhea
13.7 units on a scale
Interval 0.0 to 33.3
The Quality of Life Will be Analyzed.
Financial difficulties
31.2 units on a scale
Interval 0.0 to 66.7

SECONDARY outcome

Timeframe: 3 years

Median overall survival is calculated by Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Combination of Cyberknife With S-1
n=63 Participants
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
Median Overall Survival Will be Determined.
14.4 months
Interval 13.2 to 15.6

Adverse Events

Combination of Cyberknife With S-1

Serious events: 6 serious events
Other events: 0 other events
Deaths: 63 deaths

Serious adverse events

Serious adverse events
Measure
Combination of Cyberknife With S-1
n=63 participants at risk
Patients with locally advanced pancreatic cancer meeting all inclusion criteria will receive combination of Cyberknife with S-1. combination of Cyberknife with S-1: Radiation therapy combined with chemotherapy
Gastrointestinal disorders
nausea and vomitting
9.5%
6/63 • Number of events 6 • 1 year
Radiation-induced acute toxicities are adverse effects that occur within 90 days after treatment, and determined by the Radiation Therapy Oncology Group, "Acute radiation morbidity scoring criteria". Late toxicities occurring three months after SBRT are evaluated by the Radiation Therapy Oncology Group/European Organization for Research on the Treatment of Cancer, "Late radiation morbidity scoring schema".

Other adverse events

Adverse event data not reported

Additional Information

Dr. Huojun Zhang

Changhai Hospital affiliated to Navy Medical University

Phone: 86-021-31162207

Results disclosure agreements

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