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临床试验/JPRN-jRCTs031180318
JPRN-jRCTs031180318已完成2 期

A phase II trial of Down staging Chemotherapy with Nab-paclitaxel plus Gemcitabine in patients with locally advanced pancreatic cancer - CAP-005

Ohtsuka Masayuki0 个研究点目标入组 40 人开始时间: 2019年3月18日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
40

研究概览

简要总结

A phase II trial of Down staging Chemotherapy with Nab-paclitaxel plus Gemcitabine in patients with locally advanced pancreatic cancer was conducted. Of all 40 participants, the G3/4 toxicity was occurred in 19 patients (47.5%). In terms of hematological toxicity, neutropenia was commonly noted for grade 3/4 (n = 15; 37.5%) events. In terms of efficacy of down-staging GnP therapy, R0 rate (as the primary endpoint) was 55.0% in the FAS, 77.8% in the resected cases, and 87.0% in the on-protocol cohort.

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 <= 80age old(—)
性别
All

入选标准

  • 1. Invasive ductal carcinoma or invasive intraductal papillary-mucinous carcinoma proved by radiological examination (enhanced CT or MRI)
  • 2. No distant metastasis
  • 3. Borderline or unresectable locally advanced pancreatic cancer tumor abutment of the SMA,CHA,CEA tumor involving PV or SMV diameter of encased PV or SMV are less than 50% of adjacent normal PV or SMV diameter.
  • 4. patients who can tolerate the pancreatic surgery.
  • 5. Age more than 20 or less than 80
  • 6. No history of primary chemotherapy and/or radiation therapy.
  • 7. ECOG performance status 0-1
  • 8. Adequate organ function
  • 9. Without problems for oral medication
  • 10. Written informed consent

排除标准

  • 1. History of severe allergic reaction with gemcitabine, nab-paclitaxel or S-1
  • 2. Pregnant females, possibly pregnant females, females wishing to become pregnant, and females feeding babies.
  • 3. Pulmonary fibrosis or interstitial pneumonia
  • 4. History of breast or lung radiation
  • 5. Active infection
  • 6. Patients with pleural effusion
  • 7. Active double cancer
  • 8. Patients with positive for HBs antigen
  • 9. Patients under treatment with phenytoin or walfarin
  • 10. Uncontrolled heart diseases such as angina, myocardial infarction within three months,and cardiac dysfunction
  • 11. Uncontrolled diabetes or hypertension
  • 12. Sever mental disorder
  • 13. Inadequate physical condition, as diagnosed by primary physician

研究者

发起方
Ohtsuka Masayuki

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