Phase II Trial Evaluating Stereotactic Body Radiation Therapy (SBRT) After Induction Chemotherapy for Patients With Locally Advanced Unresectable Pancreatic Cancer
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Pancreatic Cancer
- Sponsor
- Istituto Clinico Humanitas
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Overall survival
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this phase II study is to assess the efficacy and safety of sequentially integrated treatment of FOLFIRINOX or Gemcitabine-Abraxane and SBRT in patients with unresectable pancreatic cancer.
Detailed Description
The aim of this prospective mono-institutional phase II study is to assess the efficacy and safety of sequentially integrated treatment of FOLFIRINOX or Gemcitabine-Abraxane and SBRT with a total dose of 54 Gy in 6 fractions of 9 Gy /fractions in patients with locally unresectable pancreatic cancer. Primary endpoint is to evaluate overall survival (OS); the overall survival time will be calculated from the start of chemotherapy to death. Secondary end points are to evaluate acute and late toxicities, freedom from local progression (FFLP) and progression free-survival (PFS). Acute and late toxicities will be scored according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Local progression will be defined according to RECIST criteria. Time to toxicity and time to local or distant progression will be defined from the start of chemotherapy. Technical success will be defined as the ability to implant at least 2 fiducials in the tumor area. Migration will be defined as a change in inter-fiducial distance. Clinical success will be defined as the ability to guide the application of SBRT by using the fiducials. Any adverse event will be recorded (acute pancreatitis, clinically relevant upper GI bleeding requiring blood transfusion, abscesses in the area of the fiducials, sepsis).
Investigators
Michele Tedeschi
MD
Istituto Clinico Humanitas
Eligibility Criteria
Inclusion Criteria
- •Histologically and/or radiologically (CT scan and/or MRI scan and/or FDG-PET) proven unresectable locally advanced pancreatic cancer, discussed multidisciplinary by tumor board.
- •Eighteen years of age or older,
- •Minimum Karnofsky Performance Status of
- •Lesions cannot exceed 5 cm in maximum diameter.
- •Absence of lymph-nodal metastases
- •Patients received 4-6 months of FOLFIRINOX or Gemcitabine-Abraxane before SBRT was administered.
- •Baseline total body CT scan performed no more than 2 months before treatment.
- •Placing fiducial markers through endoscopes is permitted (EUS-guided fiducials placement before the treatment).
- •Acceptable organ and bone marrow function.
- •Ability to maintain the set-up position during RT.
Exclusion Criteria
- •Metastatic disease
- •Prior abdominal radiotherapy
- •Other malignancies diagnosed within 5 years
- •Gastric or duodenal obstruction.
- •Concurrent chemotherapy.
Outcomes
Primary Outcomes
Overall survival
Time Frame: 2 years
Evaluation of SBRT after induction CT with FOLFIRINOX or Gemcitabine-Abraxane in terms of overall survival time that will be calculated from the start of chemotherapy to death.
Secondary Outcomes
- Incidence of acute toxicities(2 years)
- Freedom from local progression in treated patients(2 years)
- Incidence of late toxicities(4 years)
- Progression free-survival of treated patients(2 years)