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Voorbehandeling met bestraling en chemotherapie gevolgd door operatie versus alleen operatie voor operatief verwijderbare of mogelijk verwijderbare alvleesklierkanker. Een gerandomiseerd fase III onderzoek.

Conditions
resectable pancreatic carcinoma or borderline resectable pancreatic carcinomaresectabel of borderline resectabel pancreascarcinoom.
Registration Number
NL-OMON22251
Lead Sponsor
Academic Medical CenterDepartment of radiation oncologyMeibergdreef 91105 AZ AmsterdamThe NetherlandsPhone: +31 20 5665591E-mail: g.vantienhoven@amc.uva.nl
Brief Summary

Van Tienhoven G, Gouma, DJ, Richel DJ. Neoadjuvant chemoradiotherapy has a potential role in pancreatic carcinoma Therapeutic Advances in Medical Oncology, 2011;3:27-33

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
244
Inclusion Criteria

1. Histologically or cytologically confirmed adenocarcinoma of the pancreas;

2. Primarily resectable tumours or Borderline resectable tumours (see table 1, p7 and hereunder) (exception, T1 centrally located tumours with no vascular involvement at all);

Exclusion Criteria

1. T1 resectable tumours, centrally located with no connection to the SMA, Celiac axis, CHA or SMV/PV;

2. Clearly locally advanced, irresectable, tumours (see table 1, p7 and hereabove);

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survival.
Secondary Outcome Measures
NameTimeMethod
To compare between the study arms:<br /><br>1. The resection rate;<br /><br>2. The microscopically complete (R0) resection rate;<br /><br>3. The disease free survival;<br /><br>4. The time to locoregional failure;<br /><br>5. The time to distant metastases;<br /><br>6. The postoperative complications and morbidity.<br><br /><br /><br>To assess in the experimental arm:<br /><br>1. The radiological response rates after preoperative radiochemotherapy (RECIST criteria);<br /><br>2. The pathological response rates after preoperative radiochemotherapy;<br /><br>3. The toxicity of preoperative radiochemotherapy according to Common Terminology Criteria for Adverse Events 4 (CTC-AE 4).
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