UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027756
Receipt number R000031746
Scientific Title Single-arm phase II study of induction Gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer
Date of disclosure of the study information 2017/07/01
Last modified on 2023/06/19 12:58:28

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Basic information

Public title

Single-arm phase II study of induction Gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer

Acronym

Induction Gem/NabPTX followed by G-CRT for LAPC, sPII

Scientific Title

Single-arm phase II study of induction Gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer

Scientific Title:Acronym

Induction Gem/NabPTX followed by G-CRT for LAPC, sPII

Region

Japan


Condition

Condition

Locally advanced pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy and safety of induction gemcitabine+nab-paclitaxel followed by gemcitabine and concurrent radiotherapy for locally advanced pancreatic cancer patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Overall survival (proportion of 2-year survival)

Key secondary outcomes

Response rate, CA19-9 response rate, distant metastasis free survival time, progression free survival time, incidecce of adverse events, dose intensity, the rate of treatment related death, the rate of early death, the rate of grade 4 nonhematological toxicity


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Induction chemotherapy:
Gem plus NabPTX (30-minute IV of nab paclitaxel at 125 mg/m2 followed by 30-minute IV of gemcitabine at 1,000 mg/m2 on day 1,8 and 15, repeated every 4 weeks, for 12 weeks in total)
Followed by Gem and concurrent radiotherapy:
1. Gem(30-minute IV of gemcitabine at 1,000 (maximum) mg/m2 on day 1,8 and 15, repeated every 4 weeks, during radiotherapy
2. Radiotherapy(50.4Gy/28fr, once a day, 5 times a week)
Additional chemotherapy:
Gem plus NabPTX(30-minute IV of nab-paclitaxel at 125 mg/m2 followed by 30-minute IV of gemcitabine at 1,000 mg/m2 on day 1,8 and 15, repeated every 4 weeks until disease progression or unacceptable toxicity.)

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) Histologically/cytologically proven adenocarcinoma by diagnostic imaging
2) Without obvious organ metastasis (UICC M0) by chest/abdominal/pelvic CT
3) Diagnosed as UICC-T4 or T3 with invasion to common hepatic artery, hepatic artery proper, or portal vein by abdominal and pelvic CT, so judged as unresectable.
4) Without ascites/pleural effusion by chest CT and abdominal/pelvic CT
5) Without active gastrointestinal ulcer
6) Age from 20 to 80 years.
7) Estimated survival more than three months
8) Without interstitial pneumonia, pulmonary fibrosis, or severe emphysema on chest CT and PO2>=80mmHg and %DLCO>=70%
9) ECOG performance status of 0 or 1
10) No peripheral motor/sensory neuropathy
11) No prior surgical treatment for pancreatic cancer
12) Adequate function of major organs
13) Written informed consent

Key exclusion criteria

1) Severe comorbidities (such as heart failure, renal failure, hepatic failure, paresis of intestine, illeus, poorly controlled diabetes(HbA1c>=10%) and poorly controlled hypertension)
2) History of unstable angina pectoris or myocardial infarction within 6 months before registration.
3) Synchronous or metachronous (within 5 years) malignancies except for early cancer.
4) Infectious disease requiring systemic treatment.
5) Female during pregnancy, within 28 days of postparturition, or during lactation and male expecting partner's pregnancy.
6) Severe psychological disorder.
7) Receiving continuous systemic corticosteroid or immunosuppressant treatment.
8) Unavailability of both allergy to bothe of iodine and gadolinium

Target sample size

34


Research contact person

Name of lead principal investigator

1st name Ryoji
Middle name
Last name Takada

Organization

Osaka International Cancer Institute

Division name

Hepatobiliary and Pancreatic Oncology

Zip code

541-8567

Address

Otemae, Chuo ku, Osaka, Japan

TEL

06-6945-1181

Email

takada-ry@mc.pref.osaka.jp


Public contact

Name of contact person

1st name Ryoji
Middle name
Last name Takada

Organization

Osaka International Cancer Institute

Division name

Hepatobiliary and Pancreatic Oncology

Zip code

541-8567

Address

Otemae, Chuo ku, Osaka, Japan

TEL

06-6945-1181

Homepage URL


Email

takada-ry@mc.pref.osaka.jp


Sponsor or person

Institute

Department of Hepatobiliary and Pancreatic Oncology
Osaka International Cancer Institute

Institute

Department

Personal name



Funding Source

Organization

Department of Hepatobiliary and Pancreatic Oncology
Osaka International Cancer Institute

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review board of Osaka international cancer institut

Address

Otemae, Chuo ku, Osaka, Japan

Tel

06-6945-1181

Email

rinri01@opho.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

大阪国際がんセンター(大阪府)
Osaka International Cancer Institute, Osaka, Japan


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

40

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2017 Year 07 Month 01 Day

Date of IRB

2017 Year 07 Month 01 Day

Anticipated trial start date

2017 Year 07 Month 01 Day

Last follow-up date

2023 Year 04 Month 30 Day

Date of closure to data entry

2023 Year 07 Month 21 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 06 Month 14 Day

Last modified on

2023 Year 06 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031746


Research Plan
Registered date File name
2017/06/28 ③医学研究計画書 inductionLAPC sPII プロトコール vol.1 final.pdf

Research case data specifications
Registered date File name

Research case data
Registered date File name