Health Condition 1: C23- Malignant neoplasm of gallbladder Health Condition 2: C249- Malignant neoplasm of biliary tract, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically proven carcinoma of biliary tract, deemed unresectable but non-metastatic based on multidisciplinary evaluation upfront or post Neo-adjuvant chemotherapy. 2. Age 18 or above 3. ECOG Performance Status 0,1,2 4. Written informed consent obtained 5. Adequate organ function (Hematologic- Hb- more than 9gm per dL ,TLC more than 4000 per dL, hepatic = TB less than 3, and renal parameters within institutional limits) 7. Patients planned for definitive concurrent chemo radiotherapy (Def-CTRT) 8. Imaging-confirmed non-metastatic status (CT/MRI and PET-CT if needed)
Exclusion criteria
Exclusion criteria: 1. Histology other than carcinoma (e.g. sarcoma, lymphoma) 2. Prior RT to upper abdomen 3. Evidence of distant metastasis 4. History of another malignancy within last 5 years 5. Uncontrolled concurrent illness (e.g., active infection, uncontrolled diabetes, tuberculosis) 6. Pregnancy or lactation 7. Patients with obstructive jaundice not relieved or unfit for biliary drainage 8. Presence of ascites or ECOG more than 2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess progression free survival (PFS) in patients with unresectable, non-metastatic biliary tract cancer treated with CTRT.Timepoint: 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate overall survival (OS)Timepoint: 12 months;Analyze the toxicity profile of concurrent chemo radiotherapy using CTCAE criteria.(Version 5.0)Timepoint: 12 months;Explore patterns of failure (local, regional, distant) post-CTRTTimepoint: 12 months | — |
Countries
India
Contacts
Mahamana Pandit Madan Mohan Malviya Cancer Centre, Varanasi