IORT Versus CCRT for Pancreatic Cancer

NCT ID: NCT02981641

Last Updated: 2016-12-05

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2018-12-31

Brief Summary

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The purpose of this study is to find the better radiation therapy between intraoperative radiotherapy (IORT) and concurrent chemoradiotherapy (CCRT).

Detailed Description

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The trial is funded by National High-tech R\&D Program (863 Program). The trial is prepared to be registered on the clinicaltrail.gov.

Quality assurance plan: Every participant is enrolled or excluded by two practiced investigators. And two investigators participated in all steps of the trail, including the record of the data, and the investigators will compare the data. If the data is consistent, the investigators would record the data; if not, the data would be checked and decided by the two investigators. All the steps and data are site monitored and audited by the workers of research and financial department of The First Affiliated Hospital of China Medical University Data check: The investigators compare data entered into the registry against predefined rules for range or consistency with other data fields in the registry. Source data verification to assess the accuracy, completeness, or representativeness of registry data by comparing the data to external data sources, including medical records and electronic case report forms. Data dictionary that contains detailed descriptions of each variable used by the registry, including the source of the variable, coding information, and normal ranges if relevant. Standard Operating Procedures to address registry operations and analysis activities, such as participants recruitment, data collection, data management, data analysis, reporting for adverse events, and change management. All registry operations would be done according to specific steps, and by two practiced investigators. Sample size assessment to specify the number of participants or participant years necessary to demonstrate an effect. According to the formula to differ advantages and disadvantages, the investigators need at least 100 participants to take part in the trail. The investigators can recruit about 120 participants every year according to previous experiences, so the investigators should recruit at least for one years.

Plan for missing data: The investigators would collect as much data as possible, and the investigators exclude the participants who cannot cooperate on recruitment. And the investigators manage situations according to statistical principles where variables are reported as missing, unavailable, "non-reported," uninterpretable, or considered missing because of data inconsistency or out-of-range results.

Statistical analysis plan: Kaplan-Meier method would be used to analyze the difference of survival time between the two groups, and the local control rate of the two groups would be compared by chi square test. Statistical analyses would be performed by using IBM SPSS Statistics(version 20; IBM, Chicago, USA). The level of significance is defined as P \< 0.05.

Conditions

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Pancreatic Cancer Stage IV

Keywords

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Pancreatic cancer Intraoperative radiotherapy (IORT) Concurrent Chemoradiotherapy (CCRT)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intraoperative radiotherapy (IORT) Group

Radiotherapy (Total dose: 18\~22 Gy; Single dose: 18\~22 Gy; Frequency: 1) + Sequential chemotherapy

Group Type EXPERIMENTAL

Intraoperative radiotherapy (IORT)

Intervention Type RADIATION

Total dose: 18\~22 Gy; Single dose: 18\~22 Gy; Frequency: 1

Sequential chemotherapy

Intervention Type DRUG

Sequential chemotherapy

Concurrent Chemoradiotherapy (CCRT) Group

Three dimensional conformal radiation therapy (3D-CRT) (Total dose: 60 Gy; Single dose: 2 Gy; Frequency: 30) + Concurrent chemotherapy (Gemcitabine(GEM), 800 mg/m2 weekly on Day 1-21, Q28d; or S-1 orally, 400 mg/d, bid on Day 1-21, Q28d) + Sequential chemotherapy

Group Type EXPERIMENTAL

Sequential chemotherapy

Intervention Type DRUG

Sequential chemotherapy

Three dimensional conformal radiation therapy (3D-CRT)

Intervention Type RADIATION

Total dose: 60 Gy; Single dose: 2 Gy; Frequency: 30

Concurrent chemotherapy

Intervention Type DRUG

Gemcitabine (GEM), 800 mg/m2 weekly on Day 1-21, Q28d; or S-1 orally, 400 mg/d, bid on Day 1-21, Q28d

Interventions

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Intraoperative radiotherapy (IORT)

Total dose: 18\~22 Gy; Single dose: 18\~22 Gy; Frequency: 1

Intervention Type RADIATION

Sequential chemotherapy

Sequential chemotherapy

Intervention Type DRUG

Three dimensional conformal radiation therapy (3D-CRT)

Total dose: 60 Gy; Single dose: 2 Gy; Frequency: 30

Intervention Type RADIATION

Concurrent chemotherapy

Gemcitabine (GEM), 800 mg/m2 weekly on Day 1-21, Q28d; or S-1 orally, 400 mg/d, bid on Day 1-21, Q28d

Intervention Type DRUG

Other Intervention Names

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IORT SC 3D-CRT CC

Eligibility Criteria

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Inclusion Criteria

* Diagnosed as locally advanced pancreatic cancer.
* Cannot be treated by surgical resection.

Exclusion Criteria

* Treated by chemotherapy or radiotherapy before.
* With distant organ metastasis.
* Cannot tolerate surgery (Intraoperative radiotherapy)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Institute and Hospital, Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Chengfeng Wang

Director of Department of Abdominal Surgical Oncolgoy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chengfeng Wang, B.A.

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences

Locations

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CancerIHCAMS

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianwei Zhang, Ph.D.

Role: CONTACT

Phone: +8613581841816

Email: [email protected]

Shuisheng Zhang, M.D.

Role: CONTACT

Phone: +8618001302322

Email: [email protected]

Facility Contacts

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Jianwei Zhang, Ph.D.

Role: primary

Shuisheng Zhang, M.D.

Role: backup

Other Identifiers

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2012AA022701

Identifier Type: -

Identifier Source: org_study_id