NCT02745847

Brief Summary

The safety and efficacy of re-irradiation with stereotactic body radiotherapy for relapsed pancreatic cancer will be evaluated.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at P25-P50 for not_applicable pancreatic-cancer

Timeline
Completed

Started May 2016

Longer than P75 for not_applicable pancreatic-cancer

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

April 15, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 20, 2016

Completed
11 days until next milestone

Study Start

First participant enrolled

May 1, 2016

Completed
7.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2023

Completed
Last Updated

May 25, 2023

Status Verified

May 1, 2023

Enrollment Period

7.6 years

First QC Date

April 15, 2016

Last Update Submit

May 24, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • The toxicities following SBRT will be determined.

    The toxicities following SBRT will be assessed by CTCAE v4.0

    3 years

Secondary Outcomes (5)

  • Overall survival

    3 years

  • Local recurrence-free survival

    3 years

  • Objective response rates

    3 years

  • The quality of life will be analyzed.

    3 years

  • The quality of life will be analyzed.

    3 years

Study Arms (1)

Re-irradiation with SBRT

EXPERIMENTAL

Patients with relapsed pancreatic cancer meeting all inclusion criteria will receive re-irradiation with SBRT.

Radiation: Re-irradiation with SBRT

Interventions

Patients previously treated with SBRT with relapsed pancreatic cancer will be re-irradiated with SBRT.

Re-irradiation with SBRT

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age≥18
  • KPS≥70
  • Pancreatic malignancy need to be confirmed by histological or cytological valuation or clinical diagnosis (MDT with typical clinical manifestations, radiological features of pancreatic cancer via MRI and PET-CT).
  • Patients were previously treated with SBRT in Shanghai Changhai hospital
  • The time from the end of prior SBRT to local recurrence is more than 6 months
  • In-field recurrences of pancreatic cancer confirmed by Imaging examinations.
  • Blood routine examination: Absolute neutrophil count (ANC) ≥ 1.5 ×10\^9/L, leukocyte count≥ 3.5 ×10\^9/L, platelets ≥ 70×10\^9/L, hemoglobin ≥ 80 g/L
  • Blood routine examination: Absolute neutrophil count (ANC) ≥ 1.5 ×10\^9/L, leukocyte count≥ 3.5 ×10\^9/L, platelets ≥ 70×10\^9/L, hemoglobin ≥ 80 g/L
  • INR \< 2 (0.9-1.1), PPT \<1.5 × ULN
  • Ability of the research subject or authorized legal representative to understand and the willingness to sign a written informed consent document.

You may not qualify if:

  • Age\<18
  • KPS\<70
  • Prior anti-tumor treatment (surgery, chemotherapy, radiation etc.) for the relapsed pancreatic cancer.
  • Evidences of metastatic disease or invasion of the stomach or duodenum confirmed by Imaging examinations.
  • The time from the end of prior SBRT to local recurrence is less than 6 months
  • Patients with active inflammatory bowel diseases or peptic ulcer
  • Gastrointestinal bleeding or perforation within 6 months
  • Abnormal results of blood routine examinations and liver and kidney tests
  • Female who is pregnant or nursing, or is of childbearing potential and not using a reliable method of contraception
  • Patients with a history of any other malignancy (except basal cell carcinoma and carcinoma in situ of cervix)
  • Contraindication to SBRT
  • Inability of the research subject or authorized legal representative to understand and the willingness to sign a written informed consent document

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Huojun Zhang

Shanghai, Shanghai Municipality, China

Location

Related Publications (20)

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    PMID: 10401733BACKGROUND
  • HUGUET F H P V D. Impact of chemoradiation on local control and time without treatment in patients with locally advanced pancreatic cancer included in the international phase III LAP 07 study. Journal of Clinical Oncology 5s(32): 4001, 2014.

    BACKGROUND
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    PMID: 25183386BACKGROUND
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    PMID: 23560842BACKGROUND
  • Yechieli RL, Robbins JR, Mahan M, Siddiqui F, Ajlouni M. Stereotactic Body Radiotherapy for Elderly Patients With Medically Inoperable Pancreatic Cancer. Am J Clin Oncol. 2017 Feb;40(1):22-26. doi: 10.1097/COC.0000000000000090.

    PMID: 24879474BACKGROUND
  • Kim CH, Ling DC, Wegner RE, Flickinger JC, Heron DE, Zeh H, Moser AJ, Burton SA. Stereotactic body radiotherapy in the treatment of pancreatic adenocarcinoma in elderly patients. Radiat Oncol. 2013 Oct 16;8:240. doi: 10.1186/1748-717X-8-240.

    PMID: 24131503BACKGROUND
  • Rwigema JC, Parikh SD, Heron DE, Howell M, Zeh H, Moser AJ, Bahary N, Quinn A, Burton SA. Stereotactic body radiotherapy in the treatment of advanced adenocarcinoma of the pancreas. Am J Clin Oncol. 2011 Feb;34(1):63-9. doi: 10.1097/COC.0b013e3181d270b4.

    PMID: 20308870BACKGROUND
  • Gurka MK, Collins SP, Slack R, Tse G, Charabaty A, Ley L, Berzcel L, Lei S, Suy S, Haddad N, Jha R, Johnson CD, Jackson P, Marshall JL, Pishvaian MJ. Stereotactic body radiation therapy with concurrent full-dose gemcitabine for locally advanced pancreatic cancer: a pilot trial demonstrating safety. Radiat Oncol. 2013 Mar 1;8:44. doi: 10.1186/1748-717X-8-44.

    PMID: 23452509BACKGROUND
  • Mahadevan A, Miksad R, Goldstein M, Sullivan R, Bullock A, Buchbinder E, Pleskow D, Sawhney M, Kent T, Vollmer C, Callery M. Induction gemcitabine and stereotactic body radiotherapy for locally advanced nonmetastatic pancreas cancer. Int J Radiat Oncol Biol Phys. 2011 Nov 15;81(4):e615-22. doi: 10.1016/j.ijrobp.2011.04.045. Epub 2011 Jun 12.

    PMID: 21658854BACKGROUND
  • Mukherjee S, Hurt CN, Bridgewater J, Falk S, Cummins S, Wasan H, Crosby T, Jephcott C, Roy R, Radhakrishna G, McDonald A, Ray R, Joseph G, Staffurth J, Abrams RA, Griffiths G, Maughan T. Gemcitabine-based or capecitabine-based chemoradiotherapy for locally advanced pancreatic cancer (SCALOP): a multicentre, randomised, phase 2 trial. Lancet Oncol. 2013 Apr;14(4):317-26. doi: 10.1016/S1470-2045(13)70021-4. Epub 2013 Mar 6.

    PMID: 23474363BACKGROUND
  • Taniguchi CM, Murphy JD, Eclov N, Atwood TF, Kielar KN, Christman-Skieller C, Mok E, Xing L, Koong AC, Chang DT. Dosimetric analysis of organs at risk during expiratory gating in stereotactic body radiation therapy for pancreatic cancer. Int J Radiat Oncol Biol Phys. 2013 Mar 15;85(4):1090-5. doi: 10.1016/j.ijrobp.2012.07.2366. Epub 2012 Dec 27.

    PMID: 23273994BACKGROUND
  • Sperti C, Moletta L, Merigliano S. Multimodality treatment of recurrent pancreatic cancer: Mith or reality? World J Gastrointest Oncol. 2015 Dec 15;7(12):375-82. doi: 10.4251/wjgo.v7.i12.375.

    PMID: 26689800BACKGROUND
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    PMID: 24238124BACKGROUND
  • Lominska CE, Unger K, Nasr NM, Haddad N, Gagnon G. Stereotactic body radiation therapy for reirradiation of localized adenocarcinoma of the pancreas. Radiat Oncol. 2012 May 18;7:74. doi: 10.1186/1748-717X-7-74.

    PMID: 22607687BACKGROUND
  • Dagoglu N, Callery M, Moser J, Tseng J, Kent T, Bullock A, Miksad R, Mancias JD, Mahadevan A. Stereotactic Body Radiotherapy (SBRT) Reirradiation for Recurrent Pancreas Cancer. J Cancer. 2016 Jan 10;7(3):283-8. doi: 10.7150/jca.13295. eCollection 2016.

    PMID: 26918041BACKGROUND
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    PMID: 21587185BACKGROUND
  • Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, de Haes JC, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993 Mar 3;85(5):365-76. doi: 10.1093/jnci/85.5.365.

    PMID: 8433390BACKGROUND
  • Fitzsimmons D, Johnson CD, George S, Payne S, Sandberg AA, Bassi C, Beger HG, Birk D, Buchler MW, Dervenis C, Fernandez Cruz L, Friess H, Grahm AL, Jeekel J, Laugier R, Meyer D, Singer MW, Tihanyi T. Development of a disease specific quality of life (QoL) questionnaire module to supplement the EORTC core cancer QoL questionnaire, the QLQ-C30 in patients with pancreatic cancer. EORTC Study Group on Quality of Life. Eur J Cancer. 1999 Jun;35(6):939-41. doi: 10.1016/s0959-8049(99)00047-7.

    PMID: 10533475BACKGROUND

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

Re-IrradiationRadiosurgery

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

RadiotherapyTherapeuticsRetreatmentStereotaxic TechniquesNeurosurgical ProceduresSurgical Procedures, OperativeInvestigative Techniques

Study Officials

  • Huo Jun Zhang, MD., PH.D

    Changhai Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Re-irradiation with SBRT
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Radiation Oncology Department

Study Record Dates

First Submitted

April 15, 2016

First Posted

April 20, 2016

Study Start

May 1, 2016

Primary Completion

December 1, 2023

Study Completion

December 1, 2023

Last Updated

May 25, 2023

Record last verified: 2023-05

Locations