A Study of Suizenji in Patients With Unresectable Pancreatic Cancer

NCT ID: NCT05601323

Last Updated: 2025-04-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-31

Study Completion Date

2026-09-30

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of standard chemotherapy with or without a novel High Intensity Focused Ultrasound system (Code: Suizenji) in patients with unresectable pancreatic cancer who are refractory or intolerant to first-line chemotherapy.

Detailed Description

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Conditions

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Unresectable Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HIFU (High-Intensity Focused Ultrasound) + Chemotherapy

HIFU treatment with Suizenji: up to 2 times per week (1 course) for pancreatic primary lesions; the second course should be at least 60 days apart, up to a maximum of 5 courses.

Chemotherapy (physician's choice): Nal-IRI/FL, mFOLFIRINOX or Gem/nab-PTX

Group Type EXPERIMENTAL

Suizenji

Intervention Type DEVICE

HIFU treatment

Nal-IRI/FL

Intervention Type DRUG

Nanoliposomal irinotecan, Fluorouracil, Levofolinate

mFOLFIRINOX

Intervention Type DRUG

Fluorouracil, Levofolinate, Irinotecan, Oxaliplatin

Gem/nab-PTX

Intervention Type DRUG

Gemcitabine, nab-Paclitaxel

Chemotherapy

Chemotherapy (physician's choice): Nal-IRI/FL, mFOLFIRINOX or Gem/nab-PTX

Group Type ACTIVE_COMPARATOR

Nal-IRI/FL

Intervention Type DRUG

Nanoliposomal irinotecan, Fluorouracil, Levofolinate

mFOLFIRINOX

Intervention Type DRUG

Fluorouracil, Levofolinate, Irinotecan, Oxaliplatin

Gem/nab-PTX

Intervention Type DRUG

Gemcitabine, nab-Paclitaxel

Interventions

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Suizenji

HIFU treatment

Intervention Type DEVICE

Nal-IRI/FL

Nanoliposomal irinotecan, Fluorouracil, Levofolinate

Intervention Type DRUG

mFOLFIRINOX

Fluorouracil, Levofolinate, Irinotecan, Oxaliplatin

Intervention Type DRUG

Gem/nab-PTX

Gemcitabine, nab-Paclitaxel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ages 20 years and over.
* Unresectable pancreatic cancer (including metastatic pancreatic cancer) who are refractory or intolerant to first-line chemotherapy. Any first-line chemotherapy is acceptable.
* Target treatment tumor is located in the pancreas, and the target tumor can be visualized with ultrasound echography and can also be treated by high-intensity focused ultrasound.
* Has primary tumor site of measurable lesion according to RECIST guidelines version 1.1
* ECOG performance status of 0 to 2.

Exclusion Criteria

* Active multiple cancers that require treatment.
* Suspected gastrointestinal invasion of the primary tumor based on CT scan.
* Obstructive jaundice. However, patients who have a bile duct stent placed for obstructive jaundice by the time of allocation may be enrolled.
* Child-Pugh Classification B or C liver failure due to liver metastases.
* Tumor embolization in the veins surrounding the pancreas.
* Cystic component within the pancreatic cancer.
* Peritoneal dissemination.
* Pleural effusion or ascites with poorly controlled
* Contraindications to the use of secondary chemotherapy used in this study.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SONIRE Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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SONIRE Therapeutics Inc.

Role: STUDY_DIRECTOR

SONIRE Therapeutics Inc.

Locations

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Aichi Medical University Hospital

Nagakute-shi, Aichi, , Japan

Site Status RECRUITING

Tohoku University Hospital

Sendai-shi, Miyagi, , Japan

Site Status RECRUITING

Tokyo Medical University Hospita

Shinjuku-ku, Tokyo, , Japan

Site Status RECRUITING

Toyama University Hospital

Toyama-shi, Toyama, , Japan

Site Status RECRUITING

Wakayama Medical University Hospital

Wakayama-shi, Wakayama, , Japan

Site Status RECRUITING

Yokohama City University Medical Center

Yokohama-shi, Kanagawa, , Japan

Site Status RECRUITING

Kanagawa Cancer Center

Yokohama-shi, Kanagawa, , Japan

Site Status RECRUITING

Countries

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Japan

Central Contacts

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SONIRE Therapeutics Inc.

Role: CONTACT

+81-3-5843-6764

Other Identifiers

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Sonire-PAC-001

Identifier Type: -

Identifier Source: org_study_id

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