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临床试验/NCT04603586
NCT04603586已完成不适用

A Prospective Phase Ⅱ Clinical Study of Stereotactic Radiotherapy Combined With Chemotherapy With Different Biological Effective Doses (<70gy vs. >70Gy) in Locally Advanced Pancreatic Cancer

Changhai Hospital2 个研究点 分布在 1 个国家目标入组 119 人开始时间: 2020年11月10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
已完成
入组人数
119
试验地点
2
主要终点
Progression-Free-Survival

研究概览

简要总结

The aim of this study is to compare the safety and efficacy of SBRT in LAPC with different biological effective dose (BED) (<70Gy Vs.>70Gy ) , to identify a dose range that could achieve better survival benefit and minimize the toxicity of radiotherapy.

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 (Participant, Care Provider, Investigator, Outcomes Assessor)

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

  • Cytologically or histologically verified pancreatic adenocarcinoma
  • Imaging examinations confirmed locally advanced pancreatic cancer
  • No previous radiotherapy, chemotherapy, immunotherapy or targeted therapy
  • ECOG of 0 to1
  • Age of 18 years or older
  • Adequate bone marrow function, defined as: Absolute neutrophil count (ANC) ≥ 1.5×10^9 cells/L, leukocyte count≥ 3.5×10^9 cells/L, platelets ≥ 70×10^9 cells/L, hemoglobin ≥ 8.0 g/dl
  • Adequate liver and renal, defined as: Albumin > 2.5 g/dL, total bilirubin < 3 mg/dL, creatinine < 2.0 mg/dL, AST<2.5 × ULN (Upper Limit of Normal) (0-64U/L), ALT<2.5 × ULN (0-64U/L)
  • Adequate blood clotting function, defined as: international normalized ratio (INR) < 2 (0.9-1.1)
  • Ability of the research subject or authorized legal representative to understand and the willingness to sign a written informed consent document

排除标准

  • Previously receiving radiotherapy, immunotherapy or targeted therapy
  • Evidences of metastatic disease confirmed by chest CT or PET-CT
  • Age <18 years
  • Secondary malignancy
  • Abnormal results of blood routine examinations and liver and kidney and coagulation tests
  • Patients with active inflammatory bowel diseases or peptic ulcer
  • Gastrointestinal bleeding or perforation within 6 months
  • Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals
  • Medical history of symptomatic congestive heart failure: New York Heart Association Class III to IV
  • Medical history of respiratory insufficiency
  • Women who are pregnant or breastfeeding
  • Participation in another clinical treatment trial
  • Inability of the research subject or authorized legal representative to understand and the willingness to sign a written informed consent document

研究组 & 干预措施

Arm A

Active Comparator

SBRT of BED<70Gy combined with Gemcitabine + albumin-bound paclitaxel

干预措施: SBRT (Radiation)

Arm A

Active Comparator

SBRT of BED<70Gy combined with Gemcitabine + albumin-bound paclitaxel

干预措施: Chemotherapy (Drug)

Arm B

Experimental

SBRT of BED >70Gy combined with Gemcitabine + albumin-bound paclitaxel

干预措施: SBRT (Radiation)

Arm B

Experimental

SBRT of BED >70Gy combined with Gemcitabine + albumin-bound paclitaxel

干预措施: Chemotherapy (Drug)

结局指标

主要结局

Progression-Free-Survival

时间窗: 3 years

Progression-Free-Survival

次要结局

  • Overall Survival(3 years)
  • Adverse Events(3 years)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Zhang Huo Jun

Director

Changhai Hospital

研究点 (2)

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