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To compare the Overall survival between the patients treated with neoadjuvant chemotherapy alone vs. patients treated with neoadjuvant chemoradiation.

Phase 2
Conditions
Health Condition 1: null- Gall Bladder cancer
Registration Number
CTRI/2016/08/007199
Lead Sponsor
Tata Memorial Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
314
Inclusion Criteria

> 2 cm but < 5 cm liver invasion

Radiological involvement of antropyloric region of stomach, duodenum, hepatic flexure of colon or small intestine, but without infiltration of the mucosa on endoscopy.

Type I/II invasion â??Involvement of bile duct (common hepatic duct or proximal 1/3 of the common bile duct) on MRCP/PTBD causing obstructive jaundice

Radiological suspicion of lymph node involvement N1 {stations 8, 12, 13) Hepatic artery (Station 8), hepatoduodenal ligament (Station 12), retropancreatic/retroduodenal

(Station 13) i.e. size >1cm in short axis, round in shape, and heterogenous enhancement on PET scan.

Vascular involvement : impingement/ involvement ( <180 degree angle) of one or more of the following blood vessels CHA/RHA/MPV/RPV (stage III disease)

Patient who have undergone prior cholecystectomy having residual disease with at least one of the above features.

Biopsy/ FNAC proven adenocarcinoma

More than 18 years of age

Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

Normal hematological and renal and hepatic functions (serum bilirubin < 3mg/dl)

Exclusion Criteria

Resectable disease

Evidence of distant metastasis (Liver, Lung, peritoneum, port site etc)

Involving major part of the liver precluding restriction of full RT doses

Received any prior radiation or chemotherapy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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