Chemoradiotherapy With Gemcitabine/S-1 vs Gemcitabine/S-1 for Locally Advanced Pancreatic Cancer
Randomized Phase II Study Comparing Gemcitabine/S-1 Combination Chemoradiotherapy With Gemcitabine/S-1 Combination Chemotherapy for Unresectable Locally Advanced Pancreatic Cancer.
2 other identifiers
interventional
110
1 country
1
Brief Summary
The purpose of this study is to evaluate the clinical effectiveness of Gemcitabine/S-1 combination chemoradiotherapy with Gemcitabine /S-1 combination chemotherapy for unresectable locally advanced pancreatic cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 pancreatic-cancer
Started Apr 2009
Longer than P75 for phase_2 pancreatic-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2009
CompletedFirst Submitted
Initial submission to the registry
September 5, 2011
CompletedFirst Posted
Study publicly available on registry
September 7, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2015
CompletedNovember 21, 2017
April 1, 2015
3.7 years
September 5, 2011
November 19, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Two year survival rate
2 years
Secondary Outcomes (4)
Progression free survival(PFS)
4 years
Overall Survival (OS)
4 years
Adverse events
4 years
Response rate
4 years
Study Arms (2)
Gemcitabine , S-1
OTHERGemcitabine 1000mg/m2 on Day 1 and 8, every 3 weeks. S-1 60-100mg/day on Day 1 to 14, every 3 weeks
Gemcitabine, S-1, radiotherapy
EXPERIMENTALGemcitabine 600mg/m2 on Day 1 and 8, every 3 weeks. S-1 60-100mg/day on Day 1 to 14, every 3 weeks with radiotherapy 50.4Gy in 28 fractions
Interventions
Gemcitabine 1,000mg/㎡ is administered with 30 min intravenous infusion on day 1 and 8 every 3 weeks. S-1 60mg/㎡/day is administered orally for 2 consecutive weeks every 3 weeks.
Gemcitabine 600mg/㎡ is administered with 30 min intravenous infusion on day 1 and 8 every 3 weeks. S-1 60mg/㎡/day is administered orally for 2 consecutive weeks every 3 weeks. Concurrent radiotherapy (a total dose of 50.4Gy) was delivered in 28 fractions.
Eligibility Criteria
You may qualify if:
- Histologically or cytologically confirmed adenocarcinoma, adenocarcinoma squamous carcinoma of pancreatic cancer.
- Patients who confirmed unresectable locally advanced pancreatic cancer with the criteria below.
- Involving over 1/2 circumference of major artery (SMA/CA). (Under 1/2 that was borderline lesion.)
- Involving over the merging section of portal-SMV.
- No distal metastasis with diagnostic imaging.
- Confirmed by CT image performed with in four weeks before registration.
- Performance Status:0-1(ECOG)
- Patients of age =\>20 and 80\>
- sufficient organ functions
- neutrophils\>=1,500/mm3
- platelets\>=100,000/mm3
- hemoglobin\>=9.0g/dl
- AST(GOT)/ALT(GPT) \<=150IU
- total bilirubin \<=2.0mg/dl, (or \<=3.0mg/dl if biliary drainage were present)
- serum creatinine \<= 1.2mg/dl
- +3 more criteria
You may not qualify if:
- Lung fibrosis or intestinal pneumonia, and anamnesis or imaging findings.
- Watery diarrhea
- Severe infection
- Severe complication (heart failure, renal failure, hepatic insufficiency,hemorrhagic peptic ulcer, intestines paralysis,ileus or uncontrolled diabetes etc)
- Massive pleural or abdominal effusion.
- Metastasis to central nervous system.
- Active synchronous or metachronous malignancy other than carcinoma in situ.
- Regular use of flucytosine, fenitoin or warfarin
- Pregnant or lactation women, or women with known or suspected pregnancy and men who want let to pregnancy
- Severe mental illness
- Patients who are judged inappropriate for the entry into the study by the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka, 537-8511, Japan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Tatsuya Ioka, MD
Osaka Medical Center for Cancer and CVD
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant director
Study Record Dates
First Submitted
September 5, 2011
First Posted
September 7, 2011
Study Start
April 1, 2009
Primary Completion
December 1, 2012
Study Completion
September 1, 2015
Last Updated
November 21, 2017
Record last verified: 2015-04