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临床试验/NCT03850769
NCT03850769Unknown2 期

Prospective Phase II Single-arm Study of Neoadjuvant Nab-Paclitaxel and S-1 in Patients With Borderline Resectable Pancreatic Cancer

Peking Union Medical College Hospital1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2019年5月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
入组人数
60
试验地点
1
主要终点
R0 resection rate

研究概览

简要总结

This study was a single-arm multicenter prospective phase II clinical study, designed to evaluate the efficacy and safety of neoadjuvant nab-paclitaxel combined with S-1 in patients with borderline resectable pancreatic cancer. A total of 60 subjects who meet the criteria will receive neoadjuvant chemotherapy of nab-paclitaxel and S-1, for a maximum of 4 cycles prior to pancreatectomy. The primary endpoint is R0 resection rate, the secondary endpoints include overall survival and response rate.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients have good compliance, can understand the research process of this study, and sign a written informed consent
  • Patients with pathologically confirmed pancreatic adenocarcinoma.
  • Patients who have not received prior chemotherapy, radiotherapy or other systematic treatment for pancreatic cancer;
  • Patients with borderline resectable pancreatic cancer ( NCCN Version 1,2019 criteria).
  • ECOG PS 0-1;
  • Tumor size is measurable according to RECIST1.1 criteria
  • Expected survival over 3 months;
  • Bone marrow function: neutrophils≥1.5x109/L, platelets ≥100x109/L, hemoglobin≥ 90g/L;
  • Liver and kidney function: serum creatinine≤1.5ULT; AST and ALT≤ 2.5 ULT; total bilirubin ≤ 1.5 ULT;
  • No contraindications to the use of S-1 and nab-paclitaxel.

排除标准

  • ≥ Grade 2 existing peripheral neuropathy;
  • Any other malignancy within 5 years prior to enrollment, with the exception of adequately treated in-situ carcinoma of the cervix, uteri, bladder, or nonmelanomatous skin cancer.
  • Active, uncontrolled infection(s) requiring systemic therapy, defined as ongoing signs/symptoms related to the infection without improvement despite appropriate treatment.
  • Severe, active co-morbidity, defined as follows:
  • Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months Transmural myocardial infarction within the 6 months of study registration Uncontrolled hypertension, diabetes or arrhythmia. Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization.
  • Not able to take medicine orally.
  • Pregnancy or lactation, and women of childbearing age who refused to take appropriate contraceptive measures during the course of this study;
  • Participation in other clinical trial within 30 days before the first dose of the drug;

研究组 & 干预措施

nab-paclitaxel and S-1

Experimental

neoadjuvant chemotherapy with Nab-paclitaxel and S-1, repeat every 21 days for 4 cycles.

干预措施: nab-paclitaxel and S-1 (Drug)

结局指标

主要结局

R0 resection rate

时间窗: 3 years

proportion of patients who achieved R0 resection

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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