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临床试验/NCT03998566
NCT03998566已完成不适用

Early Feasibility Study For Evaluation Of The TraceIT® Tissue Spacer For Creating Space Between The Duodenum And Pancreas In Patients With Localized Pancreatic Cancer Undergoing Radiation Therapy

Boston Scientific Corporation3 个研究点 分布在 1 个国家目标入组 6 人开始时间: 2019年4月24日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
6
试验地点
3
主要终点
Safety Endpoint

研究概览

简要总结

An early feasibility study to evaluate feasibility, radiotherapy benefits and safety when using TraceIT tissue spacer to create space between pancreas and duodenum in patients with localized Pancreatic Cancer.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Age ≥18 years old
  • •Biopsy-confirmed localized pancreatic cancer in the head or neck of the pancreas as defined by the NCCN guidelines
  • •Tumor is clearly delineable from duodenum and no clear evidence of invasion of the duodenum is seen at time of EUS performed for either diagnosis or fiducial placement.
  • •Subject is able to comply with motion management guidelines.
  • •Radiotherapy or chemoradiotherapy for treatment of the disease is indicated.
  • •In Investigator's opinion, medically fit to undergo endoscopy for fiducial marker implantation and TraceIT administration.
  • •Subjects Screening/Baseline laboratory testing must meet the following laboratory value criteria:
  • •White blood cell count: ≥ 3.0 x 109/L
  • •Absolute neutrophil count (ANC): ≥ 1.5 x 109/L
  • •Platelets: ≥ 100 x 109/L
  • •Total bilirubin: ≤ 2.0 times upper limit of normal (ULN)
  • •AST and ALT: ≤ 3.0 times institutional upper normal limit
  • •Serum creatinine: < 1.5 times ULN e
  • •INR: < 1.5
  • •Serum pregnancy: Negative
  • •Hemoglobin: ≥ 8.0 g/dl
  • •Zubrod Performance Status 0-2
  • •Subject or authorized representative, has been informed of the nature of the study and has provided written informed consent, approved by the appropriate Institutional Review Board (IRB) of the respective clinical site.
  • •Life expectancy of at least 9 months

排除标准

  • •Patients for whom radiotherapy is contraindicated
  • •Previous thoracic or abdominal radiotherapy
  • •Any GI abnormality that would interfere with the ability to access the injection site
  • •Presence of tumor invasion of the duodenum detected on EUS at time of biopsy
  • •Previous Whipple procedure or other resection of pancreatic tumor prior to screening
  • •Active gastroduodenal ulcer or uncontrolled watery diarrhea
  • •History of Chronic Renal Failure.
  • •Documented history of uncontrolled diabetes (i.e., symptomatic hyperglycemia that cannot be medically managed, fasting blood glucose level above 300 mg/dL, and/or frequent swings between hyperglycemia and hypoglycemia)
  • •Currently enrolled in another investigational drug or device trial that clinically interferes with this study.
  • •Unable to comply with the study requirements or follow-up schedule.
  • •Any condition or comorbidity that the Investigator believes would interfere with the intent of the study or would make participation not in the best interest of the subject.
  • •Women who are pregnant or breast-feeding; women of child-bearing age must use contraceptives.

研究组 & 干预措施

TraceIT Tissue Spacer

Experimental

干预措施: TraceIT Tissue Spacer implantation (Device)

结局指标

主要结局

Safety Endpoint

时间窗: 2-6 week assessment post-procedure

Number of subjects with TraceIT procedure-related event which resulted in a delay in initiation for RT (radio-therapy).

次要结局

  • Progression Free and Overall Survival(18 months post procedure)
  • Changes From Baseline at the Final RT Appointment, 3 Month, 6 Month, 12 Month and 18 Month in EORTC QoL (QLQ-C30)(Changes in baseline at the Final RT appointment, 3 month, 6 month, 12 month and 18 month)
  • Radio-Therapy Benefits of TraceIT(2-6 week assessment)
  • Feasibility of TraceIT(2-6 week assessment post-procedure)
  • TraceIT Persistence (at 6-months Post-treatment)(2-6 weeks and 6 month post procedure)
  • Theoretical Dose Escalation From Post-TraceIT Treatment Plan(2-6 week assessment Post-procedure)
  • Incidence of Resection Following the Completion of Radiation Therapy (RT)(2-6 weeks post procedure)
  • Incidence of Acute (Within 3 Months) and Late (>3 Months) Duodenal Toxicity Summarized by CTCAE Grade and Timing(18 months post procedure)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (3)

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