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临床试验/NCT05802394
NCT05802394招募中不适用

The Value of Molecular Residual Disease Monitoring Based on ctDNA in Borderline Resectable or Locally Advanced Pancreatic Cancer

Peking Union Medical College Hospital1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2023年2月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
招募中
入组人数
100
试验地点
1
主要终点
Resection rate

研究概览

简要总结

The goal of this clinical trial is to explore the value of molecular residual disease (MRD) monitoring based on ctDNA in borderline resectable or locally advanced pancreatic cancer. The main questions it aims to answer are:

  • prognostic value of baseline MRD;
  • the role of MRD dynamic changes after treatment in guiding treatment. Peripheral blood derived from participants will be obtained for MRD test before conversion therapy initiation and at the first imaging assessment after chemotherapy.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
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

入选标准

  • patients with histologically confirmed borderline resectable or locally advanced pancreatic cancer;
  • conversion therapy was planned;
  • both sexes, age ≥18 years old;
  • ECOG performance status score ≤2;
  • the expected survival time was ≥3 months.

排除标准

  • a known diagnosis of pancreatic cancer other than ductal adenocarcinoma;
  • treated with any systemic antitumor treatment before first-line chemotherapy onset;
  • died or lost to follow-up within one month after the initiation of first-line chemotherpay;
  • combined with other primary malignances.

研究组 & 干预措施

MRD-guided

Experimental

Patients with elevated MRD from baseline at the first imaging assessment but without radiographic progressive disease will receive a later-line therapy.

干预措施: Later-line therapy (Drug)

结局指标

主要结局

Resection rate

时间窗: Baseline until operation, PD or death, whichever occurs first (up to approximately 24 months)

Proportion of patients who receive surgical resection

次要结局

  • Overall survival(Baseline until PD or death, whichever occurs first (up to approximately 24 months))
  • Progression-free survival(Baseline until PD or death, whichever occurs first (up to approximately 24 months))
  • R0 resection rate(Baseline until operation, PD or death, whichever occurs first (up to approximately 24 months))
  • Major pathological response(Baseline until operation, PD or death, whichever occurs first (up to approximately 24 months))

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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