Study of Induction Chemotherapy Followed by Radiochemotherapy in Locally Advanced Pancreatic Cancer
NCT02984501 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 41
Last updated 2016-12-07
Summary
There is no a clear consensus regarding the optimal treatment of locally advanced pancreatic disease. There is a potential role for neoadjuvant therapy to treat micrometastatic disease with chemotherapy, as well as for the treatment of local disease with radiotherapy. The investigators evaluated the safety and efficacy of induction chemotherapy with oxaliplatin and gemcitabine followed by a high weekly dose of gemcitabine concurrent to radiation therapy in patients with borderline resectable and unresectable locally advanced pancreatic cancer
Conditions
Interventions
- RADIATION
-
Radiation
Radiotherapy target volumes are established by CT scan and PET-CT scan. Radiotherapy is delivered with a total dose of 54-59 Gy with fractionation of 1.8 Gy daily for 5 days a week. The Planning Target Volume (PTV) is defined by CTV with a safety margin of 1cm in all directions to include organ motion and set-up errors. Organs at risk for radiation-induced side effects are contoured on the dose planning CT and dose volume histograms (DVH) are calculated. All treatments are delivered with a 15-MV linear accelerator (Varian Medical System) with a multifield isocentric technique using a multileaf collimator. A quality-control protocol are applied for all patients with periodical digital portal images to evaluate the precision of the set-up.
- DRUG
-
The induction phase of the treatment plan is designed to administer gemcitabine 1000 mg/mq and oxaliplatin 100 mg/mq every 14 days for four doses. Chemotherapy concurrent to conformal radiation therapy is gemcitabine at the dose of 600 mg/mq weekly.
Sponsors & Collaborators
-
Campus Bio-Medico University
lead OTHER
Principal Investigators
-
Lucio Trodella, MD · Campus Bio-Medico University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-03-31
- Primary Completion
- 2016-08-31
- Completion
- 2016-08-31
More Related Trials
-
Gemcitabine, Oxaliplatin and Radiation Therapy in Pancreatic Cancer
NCT00242190 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Study of Locally Advanced Pancreatic Cancer
NCT01063192 ·Status: UNKNOWN ·Phase: PHASE2
-
Chemoradiation in Locally Advanced Pancreatic Cancer
NCT00262951 ·Status: TERMINATED ·Phase: PHASE2
-
Intra-arterial Versus Intravenous Chemotherapy for Locally Advanced Pancreatic Cancer
NCT02635971 ·Status: UNKNOWN ·Phase: PHASE2
-
A Phase II Study of Combine Modality Therapy in Locally Advanced Pancreatic Cancer
NCT00149578 ·Status: UNKNOWN ·Phase: PHASE2
-
Pancreatic Carcinoma: Chemoradiation Compared With Chemotherapy Alone After Induction Chemotherapy
NCT01827553 ·Status: COMPLETED ·Phase: PHASE3
-
Testing the Combination of Two Approved Chemotherapy Drugs and Radiation Prior to Surgery in Localized Pancreatic Cancer
NCT03492671 ·Status: RECRUITING ·Phase: PHASE2
-
Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Advanced Pancreatic Cancer
NCT00026403 ·Status: COMPLETED ·Phase: PHASE2
-
Chemoradiation and Radiosurgery Boost in Treating Patients With Locally Advance Pancreatic Cancer That May or May Not be Removed by Surgery
NCT01739439 ·Status: TERMINATED ·Phase: PHASE1
-
Chemotherapy and Radiation Therapy in Treating Patients With Locally Advanced Pancreatic Cancer
NCT00049348 ·Status: COMPLETED ·Phase: PHASE2
-
Gemcitabine or Combination Chemotherapy Followed by Chemoradiation for Stage IB, II, or III Pancreatic Cancer
NCT00960284 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Radiotherapy Combined With Oxaliplatin and Fluorouracil Followed By Gemcitabine in Treating Patients With Locally Advanced, Unresectable Pancreatic Cancer
NCT00096070 ·Status: COMPLETED ·Phase: PHASE2
-
Nab-Paclitaxel and Gemcitabine Plus Camrelizumab and Radiotherapy for Locally Advanced Pancreatic Adenocarcinoma
NCT04365049 ·Status: UNKNOWN
-
Neoadjuvant Chemotherapy and Stereotactic Radiosurgery to Pancreatectomy for Patients With Borderline Resectable Pancreatic Cancer
NCT03199144 ·Status: WITHDRAWN ·Phase: PHASE2
-
Gemcitabine and Oxaliplatin Followed By Radiation Therapy, Fluorouracil, and Oxaliplatin in Treating Patients With Locally Advanced Pancreatic Cancer That Cannot Be Removed By Surgery
NCT00275119 ·Status: UNKNOWN ·Phase: PHASE2
-
A Phase II Study to Assess the Efficacy and Safety of Preoperative Chemo With Radiation Therapy for Patients With Borderline Unresectable Adenocarcinoma of the Pancreas
NCT01240304 ·Status: TERMINATED ·Phase: PHASE2
-
Intra-arterial Gemcitabine vs. IV Gemcitabine and Nab-Paclitaxel Following Radiotherapy for LAPC
NCT03257033 ·Status: RECRUITING ·Phase: PHASE3
-
A Trial of Chemo & Radiation Therapy for Pancreatic Cancer
NCT00424827 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase I Trial of Gemcitabine and Radiation in Locally Advanced Unresectable Cancer of the Pancreas
NCT00001431 ·Status: COMPLETED ·Phase: PHASE1
-
Study of Gemcitabine and Oxaliplatin With Radiation Therapy in Patients With Pancreatic Cancer
NCT00456599 ·Status: COMPLETED ·Phase: PHASE2
-
Adjuvant Versus Neoadjuvant Plus Adjuvant Chemotherapy in Resectable Pancreatic Cancer
NCT01314027 ·Status: TERMINATED ·Phase: PHASE3
-
Chemotherapy and Radiation Therapy Before Surgery Followed by Gemcitabine in Treating Patients with Pancreatic Cancer
NCT01821612 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Nab-paclitaxel and Gemcitabine Hydrochloride Followed by Radiation Therapy Before Surgery in Treating Patients With Pancreatic Cancer That Can Be Removed by Surgery
NCT02427841 ·Status: COMPLETED ·Phase: PHASE2
-
Phase II Study of Chemo-Radiotherapy in Patients With Resectable and Borderline Resectable Pancreatic Cancer
NCT02243358 ·Status: COMPLETED ·Phase: PHASE2
-
Nab-paclitaxel Combined With Gemcitabine as Adjuvant Therapy for Pancreatic Cancer After Curative Resection
NCT02023021 ·Status: COMPLETED ·Phase: PHASE2