Unique ID issued by UMIN | UMIN000021484 |
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Receipt number | R000024781 |
Scientific Title | Randomized phase II study of gemcitabine and S-1 combination therapy versus gemcitabine and nanoparticle albumin-bound paclitaxel combination therapy as neoadjuvant chemotherapy for resectable/borderline resectable pancreatic ductal adenocarcinoma |
Date of disclosure of the study information | 2016/04/01 |
Last modified on | 2022/09/19 12:06:36 |
Randomized phase II study of gemcitabine and S-1 combination therapy versus gemcitabine and nanoparticle albumin-bound paclitaxel combination therapy as neoadjuvant chemotherapy for resectable/borderline resectable pancreatic ductal adenocarcinoma
PDAC-GS/GA-rP2, CSGO-HBP-015
Randomized phase II study of gemcitabine and S-1 combination therapy versus gemcitabine and nanoparticle albumin-bound paclitaxel combination therapy as neoadjuvant chemotherapy for resectable/borderline resectable pancreatic ductal adenocarcinoma
PDAC-GS/GA-rP2, CSGO-HBP-015
Japan |
Pancreatic ductal adenocarcinoma
Surgery in general | Hepato-biliary-pancreatic surgery |
Malignancy
NO
To examine the effectiveness and safety of the GEM /S-1 and the GEM/nab-PTX combination therapy in a randomization second aspect examination as preoperative therapy promising clinical benefit
Safety,Efficacy
Exploratory
Phase II
Progression free survival time
Rate of curative resection, dose intensity, radiological/histological responses, recurrence type (if develop), overall survival and adverse events
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Medicine |
Arm 1:Gem+S-1 q3wx2times
Patients receive S-1(80mg/m2/day,day1-14) plus Gemcitabine(1000mg/m2,day1,15) every 3 weeks,2 times.
Arm 2:Gem+nab-PTX q4wx2times
Patients receive nab-PTX(125mg/m2, day1,15,22) plus Gemcitabine(1000mg/m2, day1,15,22) every 4 weeks, 2 times.
20 | years-old | <= |
Not applicable |
Male and Female
1. Histologically or cytologically confirmed adenocarcinoma, adenocarcinoma squamous carcinoma of pancreatic cancer.
2. Patients of age =>20
3. Performance Status:0-1(ECOG)
4. Resectable pancreatic cancer
5. Life expectancy more than 6 months.
6. Sufficient organ functions.
(1) neutrophils >=1,500/mm3
(2) platelets >=100,000/mm3
(3) hemoglobin >=9.0g/dl
(4) AST(GOT)/ALT(GPT) <=150IU
(5) total bilirubin <=2.0mg/dl
(or <=3.0mg/dl if biliary drainage were present)
(6) serum creatinine <=1.2mg/dl
(7) creatinine clearance>=60ml/min
7. No treatment before application for this tumor
8. Written informed consent.
1) Unresectable pancreatic cancer
2) Lung fibrosis or intestinal pneumonia, and anamnesis or imaging findings.
3) Watery diarrhea
4) Severe infection
5) Severe complication
(heart failure, renal failure, hepatic insufficiency,hemorrhagic peptic ulcer, intestines paralysis,ileus or uncontrolled diabetes etc)
6) Massive pleural or abdominal effusion.
7) Metastasis to central nervous system.
8) Active synchronous or metachronous malignancy other than carcinoma in situ.
9) Regular use of frucitocin, fenitoin or warfarin
10) Pregnant or lactation women, or women with known or suspected pregnancy and men who want let to pregnancy
11) Severe mental illness
12) Severe allergy for drugs
13) Patients who are judged inappropriate for the entry into the study by the investigator.
100
1st name | Hidetoshi |
Middle name | |
Last name | Eguchi |
Graduate school of medicine, Osaka university
Department of Gastroenterological surgery
565-0871
2-2-E2, Yamadaoka, Suita, Osaka, Japan
06-6879-3251
heguchi@gesurg.med.osaka-u.ac.jp
1st name | Daisaku |
Middle name | |
Last name | Yamada |
Graduate school of medicine, Osaka university
Department of Gastroenterological surgery
565-0871
2-2-E2, Yamadaoka, Suita, Osaka, Japan
06-6879-3251
dyamada@gesurg.med.osaka-u.ac.jp
Clinical study group of Osaka university, Hepato-Biliary- Pancreatic group
Clinical study group of Osaka university, Hepato-Biliary- Pancreatic group
Self funding
Japan
Osaka University Clinical Research Review Committee
Yamadaoka 2-2-Inovation center 4F, Suita
0662108296
handai-nintei@hp-crc.med.osaka-u.ac.jp
NO
2016 | Year | 04 | Month | 01 | Day |
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05541-w
Unpublished
100
No longer recruiting
2016 | Year | 03 | Month | 15 | Day |
2016 | Year | 04 | Month | 20 | Day |
2016 | Year | 04 | Month | 21 | Day |
2026 | Year | 10 | Month | 25 | Day |
2016 | Year | 03 | Month | 15 | Day |
2022 | Year | 09 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024781
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