Simultaneous Gemcitabine and Irreversible Electroporation for Locally Advanced Pancreatic Cancer

NCT ID: NCT02981719

Last Updated: 2021-01-22

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

COMPLETED

Clinical Phase

NA

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-01

Study Completion Date

2020-10-01

Brief Summary

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The aim of this study was to compare the therapeutic efficacy between simultaneous gemcitabine administration and IRE and IRE alone for locally advanced pancreatic cancer (LAPC)

Detailed Description

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in the GEM- IRE group, before the IRE ablation started, patients received 1000 mg/m2 gemcitabine hydrochloride \[Qilu pharmaceutical (Hainan) Co., Ltd. Haikou, China\] intravenously (over approximately 30 min).

In the IRE group, the IRE ablation was performed without gemcitabine intravenous infusion before IRE.

The aim of this study was to evslusted the overall survival (OS), objective response rate (ORR) and adverse events after simultaneous therapy.

Conditions

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Pancreatic Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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simultaneous gemcitabine and irreversible electroporation

gemcitabine intravenous infusion prior to irreversible electroporation treatment.

Group Type EXPERIMENTAL

simultaneous gemcitabine and irreversible electroporation

Intervention Type PROCEDURE

gemcitabine intravenous infusion prior to irreversible electroporation treatment

IRE group

percutaneous irreversible electroporation for locally advanced pancreatic cancer.

Group Type OTHER

irreversible electroporation

Intervention Type PROCEDURE

percutaneous irreversible electroporation was performmed for locally advaanced pancreatic cancer.

Interventions

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simultaneous gemcitabine and irreversible electroporation

gemcitabine intravenous infusion prior to irreversible electroporation treatment

Intervention Type PROCEDURE

irreversible electroporation

percutaneous irreversible electroporation was performmed for locally advaanced pancreatic cancer.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Radiologic confirmation of unresectable locally advanced pancreatic cancer by at least CT of chest and abdomen
* Screening must be performed no longer than 2 weeks prior to study inclusion
* Maximum tumor diameter ≤ 5 cm
* Histological or cytological confirmation of pancreatic adenocarcinoma;
* Age ≥ 18 years
* PS-classification 0 - 2
* Life expectancy of at least 12 weeks
* Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to definite inclusion;
* Hemoglobin level ≥ 115 g/L
* Platelet count ≥ 100\*109/l
* Neutrophil count ≥ 2×109/L;
* White blood cell count ≥ 4 ×109/L;
* ALT and AST ≤ 2.5 x ULN
* Serum creatinine ≤ 1.5 x ULN or a calculated creatinine clearance ≥ 50 ml/min
* Prothrombin time or INR \< 1.5 x ULN
* Written informed consent

Exclusion Criteria

* Resectable pancreatic adenocarcinoma as discussed by our multidisciplinary hepatobiliary team
* History of epilepsy
* History of cardiac disease:
* Cardiac arrhythmias requiring anti-arrhythmic therapy or pacemaker (beta blockers for antihypertensive regimen are permitted)
* Compromised liver function (e.g. signs of portal hypertension, INR \> 1,5 without use of anticoagulants, ascites)
* Uncontrolled infections (\> grade 2 NCI-CTC version 3.0)
* Pregnant. Women of childbearing potential must have a negative pregnancy test performed within 7 days of the start of treatment
* Allergy to contrast media
* Any implanted stimulation device
* Any implanted metal stent/device within the area of ablation that cannot be removed
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fuda Cancer Hospital, Guangzhou

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lizhi Niu, PHD

Role: STUDY_CHAIR

Fuda Cancer Hospital

Locations

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FUDA Cancer Hospital

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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Y2016-MS-001

Identifier Type: -

Identifier Source: org_study_id

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