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临床试验/JPRN-jRCTs031180085
JPRN-jRCTs031180085已完成2 期

JCOG1407: Randomized phase II study of modified FOLFIRINOX versus gemcitabine plus nab-paclitaxel combination therapy for locally advanced pancreatic cancer - LAPC-mFOLFIRINOX/GnP-rP2

Furuse Junji0 个研究点目标入组 126 人开始时间: 2019年1月17日最近更新:

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
126

研究概览

简要总结

There was no substantial difference in efficacy and safety between modified FOLFIRINOX and gemcitabine plus nab-paclitaxel for locally advanced pancreatic cancer. The efficacy of both modified FOLFIRINOX and gemcitabine plus nab-paclitaxel is superior to that of gemcitabine alone, suggesting that modified FOLFIRINOX and gemcitabine plus nab-paclitaxel are the standard chemotherapy for locally advanced pancreatic cancer.

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 <= 75age old(—)
性别
All

入选标准

  • 1) Histologically or cytologically proven adenocarcinoma and consistent with papillary adenocarcinoma, tubular adenocarcinoma, poor differentiated adenocarcinoma, or adenosquamous carcinoma by diagnostic imaging
  • 2) Without obvious organ metastasis (M0) by chest CT and enhanced abdominal/pelvic CT
  • 3) Diagnosed as UICC-T4 or UICC-T3 with invasion to common hepatic artery, hepatic artery proper, or portal vein by enhanced abdominal and pelvic CT
  • 4) Without ascites/pleural effusion by chest CT and enhanced abdominal/pelvic CT
  • 5) A measurable lesion is not required
  • 6) Age from 20 to 75 years
  • 7) ECOG performance status of 0 or 1
  • 8) No diarrhea
  • 9) No peripheral sensory neuropathy and peripheral motor neuropathy
  • 10) No prior surgical treatment for pancreatic cancer
  • 11) No previous chemotherapy or radiotherapy for other malignancies
  • 12) UGT1A1 genotype of neither *6/*6, *28/*28, nor *6/*28
  • 13) Adequate function of major organs
  • 14) Written informed consent

排除标准

  • 1) Synchronous or metachronous (within 5 years) malignancies.
  • 2) Infectious disease requiring systemic treatment (excluding hepatitis viral).
  • 3) Pyrexia of 38 degrees centigrade or higher.
  • 4) Female during pregnancy, within 28 days of postparturition, or during lactation and male expecting partner's pregnancy.
  • 5) Severe psychological disorder.
  • 6) Receiving continuous systemic corticosteroid or immunosuppressant treatment.
  • 7) Interstitial pneumonia, pulmonary fibrosis, or severe emphysema on chest CT
  • 8) Severe comorbidities (such as heart failure, renal failure, hepatic failure, paresis of intestine, illeus, poorly controlled diabetes and poorly controlled hypertension)
  • 9) History of unstable angina pectoris with new onset or exacerbation within recent 3 weeks or myocardial infarction within 6 months before registration.
  • 10) Allergy to iodine and gadolinium

研究者

发起方
Furuse Junji

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