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FOLFOXIRI as Primary Treatment for Locally Advanced Pancreatic Cancer

Phase 2
Completed
Conditions
Pancreatic Carcinoma Stage III
Interventions
Drug: FOLFOXIRI
Registration Number
NCT02351219
Lead Sponsor
Azienda Ospedaliero, Universitaria Pisana
Brief Summary

The study is conducted as a monocentric prospective phase II trial. Patients with unresectable stage III locally advanced pancreatic cancer (defined for extended encasement of superior mesenteric artery/celiac axis/hepatic artery or for combined venous and arterial involvement or for unreconstructible venous encasement), ECOG PS 0-1 and age 18-75 are eligible.

After multidisciplinary evaluation of resectability, treatment with FOLFOXIRI is provided for a maximum of 12 cycles with multidisciplinary evaluation of disease status every 4 cycle.

In case of tumors have deemed resectable surgery is considered. In case tumors remain unresectable, radiotherapy is evaluated after the end of chemotherapy.

Primary objective of the study is the rate of patients who become resectable and undergo radical surgical resection after chemotherapy.

Secondary objectives are: response rate, progression-free survival, overall survival, toxicity.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Stage III unresectable pancreatic cancer defined for:

    • extended encasement of superior mesenteric artery or celiac axis/hepatic artery
    • both arterial and venous (portal vein/superior mesenteric vein) encasement
    • unreconstructible vessel encasement
  • ECOG Performance Status 0-1

  • Age 18-75

  • Adequate liver, renal and bone marrow function

Exclusion Criteria
  • Evidence of distant metastases
  • Cardiovascular diseases
  • Contraindications to studied drugs

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
FOLFOXIRIFOLFOXIRI-
Primary Outcome Measures
NameTimeMethod
Radical resection rate6 months
Secondary Outcome Measures
NameTimeMethod
Progression-free survivalWithin 24 months

Trial Locations

Locations (1)

Azienda Ospedaliero-Universitaria Pisana

🇮🇹

Pisa, PI, Italy

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