Proton Radiotherapy for Upper Gastrointestinal Malignancies

Not Applicable

Completed

Brief Summary: The primary objectives are to determine feasibility and the acute toxicity profile of proton therapy with concurrent continuous infusion 5-FU chemotherapy. Secondary objectives are to determine late toxicities and to generate preliminary data on clinical efficacy.

Detailed Description: This protocol invites patients with cancer of the upper digestive tract who will receive simultaneous proton radiation therapy and chemotherapy. The purpose of this study is to use a newer form of radiation therapy called proton radiation and to determine if its use is safe and effective in people with this type of cancer. Doctors will assess the safety of this method of treatment, record the side effects participants experience while receiving the standard dose of proton radiation.

Recruitment & Eligibility

Inclusion Criteria

Patients with histologic diagnosis of adenocarcinoma of the upper gastrointestinal tract, including patients with any of the following diagnoses and settings who are candidates to receive radiation which concurrent continuous infusion 5-FU chemotherapy: Pancreatic adenocarcinoma (unresected and adjuvant), Duodenal adenocarcinoma (unresected or adjuvant), Cholangiocarcinoma (unresected or adjuvant), Gastric adenocarcinoma (unresected or adjuvant), Gastroesophageal junction adeno carcinoma (adjuvant)
Patient must be >18 years of age.
Patient must have an ECOG Performance Status of 0-2, and a life expectancy of greater than or equal to 3 months.
Patient must be able to provide informed consent.
Women of child-bearing potential as long as she agrees to use a recognized method of birth control (e.g. oral contraceptive, IUD, condoms or other barrier methods etc.). Hysterectomy or menopause must be clinically documented.

Exclusion Criteria

Prior or simultaneous malignancies within the past two years (other than cutaneous squamous or basal cell carcinoma, melanoma in situ or thyroid carcinoma)
Pregnant women, women planning to become pregnant and women that are nursing.
Patients who experience surgical complications which prevent radiation from starting for 3 months or more.

Arm && Interventions

Group	Intervention	Description
Proton RT	Proton therapy	Subjects receive proton radiation

Primary Outcome Measures

Name	Time	Method
Serious Adverse Events	90 days	Serious Adverse Events preventing more than 25% of planned treatments using proton radiotherapy.
Acute Toxicity	90 days	Measured by experience of adverse events

Secondary Outcome Measures