GAP: Phase II gemcitabine and nab-paclitaxel for resectable pancreas cancer
- Conditions
- Resectable pancreas cancerCancer - Pancreatic
- Registration Number
- ACTRN12611000848909
- Lead Sponsor
- AGITG
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 50
Males or females with histologically or cytologically confirmed adenocarcinoma or poorly differentiated carcinoma of the pancreas. In those patients with histology or cytology highly suspicious for adenocarcinoma, the diagnosis of pancreatic adenocarcinoma will be made by integrating this histological data with the clinical and radiographic data (tumour mass visible on three phase CT scan (or MRI scan) of the pancreas). Patients with islet cell neoplasms are excluded;
-Disease is clearly resectable on the basis of physical examination and the following objective CT criteria (or MRI if indicated):
(i) no evidence of extra-pancreatic disease;
(ii) no evidence of tumour abutment of the superior mesenteric artery (SMA) or coeliac axis (T4); and
(iii) no evidence of portal vein infiltration of more than 180 degrees of the circumference or occlusion of the superior mesenteric vein (SMV) or SMV–portal vein (PTV) confluence.
- Patient considered to have a borderline resectable tumour.
- Patients with locally advanced disease.
- Evidence of systemic disease (cardiovascular, renal, hepatic, etc.) that would preclude surgery, chemotherapy or chemoradiotherapy.
- Concurrent illness including severe infection that may jeopardize the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate R0 surgical resection rate in patients with resectable pancreatic cancer following pre-operative treatment with gemcitabine and nab-paclitaxel. (R0 resection rate). <br>This will be determined by histopathological examination at the study site with a determination made if there is any microscopic disease left after surgery (R0). This will later be centrally reviewed by a histopatholgoist as quality assurance (all patients will have their slides reviewed centrally).[After Surgery]
- Secondary Outcome Measures
Name Time Method