Adjuvant Versus Neoadjuvant Plus Adjuvant Chemotherapy in Resectable Pancreatic Cancer
NCT01314027 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 38
Last updated 2019-07-25
Summary
The outcome of patients with resected pancreatic cancer has significantly been improved by adjuvant chemotherapy. However, a large proportion of patients cannot receive adjuvant chemotherapy due to surgical complications. Neoadjuvant chemotherapy has been shown to be safe and effective and can be applied to all patients. This study should test neoadjuvant chemotherapy in a randomized manner.
Patients with resectable cytologically proven adenocarinoma of the pancreatic head are randomized to arm A or B.
Patients randomized to arm A receive an 8-week neoadjuvant chemotherapy with gemcitabine/oxaliplatin followed by surgery. Thereafter, all patients receive adjuvant gemcitabine for six months.
Patients randomized to arm B undergo surgery and receive the same adjuvant treatment as in arm A.
The primary study-endpoint is the recurrence-free survival. Tumor recurrence are determined by computed tomography in a defined protocol.
* Trial with medicinal product
Conditions
Interventions
- DRUG
-
Neoadjuvant Chemotherapy with gemcitabine/oxaliplatin
Patients with resectable cytologically proven adenocarinoma of the pancreatic head are randomized to arm A or B. Patients randomized to arm A receive an 8-week neoadjuvant chemotherapy with gemcitabine/oxaliplatin. Thereafter, surgery is performed if the restaging does not reveal a contraindication. Finally, all patients receive adjuvant gemcitabine for six months.
- DRUG
-
adjuvant chemotherapy with gemcitabine
Patients randomized to arm B undergo surgery and receive the same adjuvant treatment as in arm A.
Sponsors & Collaborators
-
University of Zurich
lead OTHER
Principal Investigators
-
Pierre-Alain Clavien, MD, PhD · UniversitaetsSpital Zuerich
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-09-30
- Primary Completion
- 2018-12-31
- Completion
- 2019-05-31
Countries
- Belgium
- France
- Germany
- Switzerland
Study Locations
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