Neoadjuvant Therapy in Biliary Adenocarcinoma
NCT04480190 · Status: WITHDRAWN · Phase: PHASE1 · Type: INTERVENTIONAL
Last updated 2022-04-20
Summary
Feasibility of neoadjuvant therapy in resectable biliary adenocarcinoma.
Conditions
- Cholangiocarcinoma
- Biliary Cancer
Interventions
- DRUG
-
IV Gemcitabine 1000mg/m2 to be given on Days 1, Day 8 (Before Cisplatin); 3 week cycles
- DRUG
-
IV Cisplatin 25mg/m2 to be given on Days 1, Day 8
- DRUG
-
Infusional 5-FU 225 mg/m2/d via Continuous IV infusion, to be given Days 1-5 and 8-12 during RT
- RADIATION
-
Short course ChemoRT
Radiation Therapy: Sim: All patients will undergo 4D-CT simulation with 3 hours fasting with or without IV contrast. Compression may be used depending on the tumor motion. Radiation Target Volume: The gross tumor volume (GTV) will be defined on all relevant imaging datasets including diagnostic CT, MRI, MRCP and/or ERCP data. An iGTV will be generated using the 4D datasets. The clinical target volume (CTV) will include the entire iGTV as well as portal lymphatic and celiac nodal space for all patients with selective treatment of the SMA and pancreaticoduodenal depending on the tumor location. A 5 mm margin will be added to the CTV to generate the planning target volume (PTV). Radiation Dose: The dose will be 30 Gy in 10 fractions (3 Gy per fraction) for all patients using either 3D Conformal or Intensity Modulated Radiation Therapy techniques.
Sponsors & Collaborators
-
Jordan Kharofa
lead OTHER
Principal Investigators
-
Jordan Kharofa, MD · University of Cincinnati
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-04
- Primary Completion
- 2022-04-04
- Completion
- 2022-04-04
- FDA Drug
- Yes
- FDA Device
- Yes
Countries
- United States
Study Locations
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