A Study of Chemoradiotherapy Using Gem Plus Nab-paclitaxel for Pancreatic Cancer
A Phase I Study of Chemoradiotherapy Using Gemcitabine Plus Nab-paclitaxel for Unresectable Locally Advanced Pancreatic Adenocarcinoma
2 other identifiers
interventional
54
1 country
1
Brief Summary
The purpose of this study is to evaluate the clinical safety and efficacy of Gemcitabine plus nab-Paclitaxel chemoradiotherapy and to determine the Maximal Tolerated Dose (MTD) for unresectable locally advanced pancreatic adenocarcinoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 pancreatic-cancer
Started Aug 2013
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 18, 2014
CompletedFirst Posted
Study publicly available on registry
October 23, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedNovember 21, 2017
November 1, 2017
2.3 years
October 18, 2014
November 19, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients with Adverse Events
1 years
Secondary Outcomes (2)
Response Rate
1 years
Overall Survival time
2 years
Study Arms (1)
Gemcitabine, Nab-Paclitaxel
EXPERIMENTALA conformal phase I study using 3 plus 3 method. Chemoradiotherapy while Gemcitabine, Nab-Paclitaxel are administered. Both Gemcitabine and Nab-Paclitaxel are an interventional agents in this arm. Gemcitabine is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks. Nab-Paclitaxel is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks. Radiotherapy (a total dose of 50.4Gy) was delivered in 28 fractions.
Interventions
Gemcitabine is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.
Nab-Paclitaxel is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.
Eligibility Criteria
You may qualify if:
- Histologically or cytologically confirmed advanced pancreatic cancer
- Locally advanced pancreatic cancer is defined as the presence of a surgically unresectable tumor(involving the celiac axis or the superior mesenteric artery)
- Performance Status:0-1(ECOG)
- Patients of age =\>20 and 75\>
- White Blood Cell (WBC) \>=3,500/mm3,12,000/mm3,
- Neutrophils \>=1,500/mm3, platelets=100,000/mm3,
- Hemoglobin \>=9.5 g/dl,
- GOT \</=2.0 X Upper Limit Number (ULN),
- Glutamate Pyruvate Transaminase (GPT) \</=2.0 X ULN,
- Alkaline Phosphatase (ALP) \</=2.0 X ULN,
- Total bilirubin \<=1.5mg/dl,
- Serum creatinine \<=1.2mg/dl,
- Creatinine clearance\>=50 ml/min
- arterial O2 pressure (PaO2) \>=70torr or arterial O2 saturation (SpO2) \>=96%
- Life expectancy more than 3 months.
- +1 more criteria
You may not qualify if:
- Active infection
- Lung fibrosis or intestinal pneumonia detectable on chest X-ray and CT
- Severe complication (heart disease, cirrhosis, diabetes)
- Myocardial infarction within 3 months
- Active synchronous or metachronous malignancy
- Pregnant or lactation women, or women with known or suspected pregnancy
- Symptomatic brain metastasis
- History of severe drug allergy
- Peripheral neuropathy
- 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 Cardiovascular Diseases
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 18, 2014
First Posted
October 23, 2014
Study Start
August 1, 2013
Primary Completion
November 1, 2015
Study Completion
April 1, 2016
Last Updated
November 21, 2017
Record last verified: 2017-11