UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013031
Receipt number R000015209
Scientific Title Neoadjuvant S-1 therapy for resectable pancreatic cancer patients; A phase2 study
Date of disclosure of the study information 2014/01/31
Last modified on 2022/09/27 09:41:14

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Basic information

Public title

Neoadjuvant S-1 therapy for resectable pancreatic cancer patients; A phase2 study

Acronym

HOPS-R01

Scientific Title

Neoadjuvant S-1 therapy for resectable pancreatic cancer patients; A phase2 study

Scientific Title:Acronym

HOPS-R01

Region

Japan


Condition

Condition

pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hematology and clinical oncology Hepato-biliary-pancreatic surgery
Operative medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To verify the safety and the efficacy of neoadjuvant S-1 therapy for resectable pancreatic cancer patients

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Two year progression free survival

Key secondary outcomes

Two year overall survival, Resection rate, Pathological effect, Response rate, Adverse effect, Surgical complication


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

S-1:80mg/day(BSA<1.25/m2)
100mg/day(1.25/m2=<BSA<1.5/m2)
120mg/day(BSA=>1.5/m2), day1-28.
1 cycle 6weeks, repeat 2 cycles before surgery

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Pathologically or cytologically proven diagnosis of pancreas cancer.
2) Definition of a Resectable pancreatic cancer is filled in NCCN guidelines 2012 pancreatic adenocarcinoma
3) Without distant metastasis
4) Patients of age =>20
5) Performance Status:0-1 (ECOG)
6) Adequate oral intake
7) Good main organ function
8) Written informed consent

Key exclusion criteria

1) Treatment history of S-1
2) Treatment history of a pancreatic cancer
3) Regular use of frucitocin, fenitoin or warfarin
4) Patients who can' t receive neither iodic drug because of drug allergy
5) Lung fibrosis or intestinal pneumonia, and anamnesis or imaging findings
6) Massive pleural or abdominal effusion
7) Severe infection
8) Watery diarrhea
9) Uncontrolled diabetes
10) Simultaneous or metachronous (within 3 years) double cancers
11) Hemorrhagic peptic ulcer
12) Patients with severe disease
13) Patients requiring systemic steroids medication
14) Severe mental illness
15) Severe drug hypersensitivity
16)Pregnant females, possibly pregnant females, females wishing to become pregnant or Males that are currently attempting to produce a pregnancy
17)Patients seems inadequate for this study by investigators

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Hirano

Organization

Hokkaido University

Division name

Gastroenterological Surgery II

Zip code

060-8638

Address

N15, W7, Kita-ku, Sapporo, Hokkaido, Japan

TEL

011-706-7714

Email

satto@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Toru
Middle name
Last name Nakamura

Organization

Hokkaido University

Division name

Gastroenterological Surgery II

Zip code

060-8638

Address

N15, W7, Kita-ku, Sapporo, Hokkaido, Japan

TEL

011-706-7714

Homepage URL


Email

torunakamura@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido Pancreatic Cancer Study Group (HOPS)

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional review board of Hokkaido University Hospital

Address

N14, W5, Kita-ku, Sapporo, Hokkaido, Japan

Tel

011-706-7636

Email

crjimu@huhp.hokudai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2014 Year 01 Month 31 Day


Related information

URL releasing protocol

http://www.huhp.hokudai.ac.jp/

Publication of results

Published


Result

URL related to results and publications

https://www.nature.com/articles/s41598-022-14094-0

Number of participants that the trial has enrolled

51

Results

2year disease free survival
ITT(N=49):40.8%
2year disease free survival
Resection(N=43):46.5%
2year overall survival
ITT(N=49):73.2%
2year overall survival
Resection(N=43):76.7%

Results date posted

2019 Year 03 Month 18 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Age(y.o):median 71(range 47-83)
Gender(male/female):23/28
Pancreatic head/body:32/19

Participant flow

80 patients:Resectable over 20y.o., PS 0-1
51 patients:enrolled
49 patients:eligible
33 patients:operation
31 patients:resection

Adverse events

Grade
3/4, n (%)
Hematological
Anemia 1 (2.0)
Leukopenia 2 (4.1)
Neutropenia 4 (8.2)
Thrombocytopenia 1 (2.0)

Nonhematological  
Fatigue 1 (2.0)
Diarrhea 5 (10.2)
Anorexia 2 (4.1)
Nausea 2 (4.1)
Vomiting 2 (4.1)
Mucositis 0
Hyperpigmentation 0
Dermatitis 0
Cholangitis 3 (6.1)
Pulmonary embolism 1 (2.0)

Outcome measures

2year disease free survival

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 10 Month 16 Day

Date of IRB

2013 Year 10 Month 16 Day

Anticipated trial start date

2013 Year 11 Month 01 Day

Last follow-up date

2018 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 01 Month 31 Day

Last modified on

2022 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015209


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name