Locally advanced pancreatic adenocarcinoma without distant metastases, according to the Dutch Pancreatic Cancer Group (DPCG) definition.
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Written informed consent according to ICH/GCP, and national/local regulations prior to any screening procedures. •Histological or cytological confirmed diagnosis of pancreatic ductal adenocarcinoma. •Locally advanced pancreatic cancer according to DPCG criteria (SMA, celiac axis or CHA contact >90° or SMV-PV contact 50 ml / min / 1.73 m2 • AST and ALT =65 years) yes F.1.3.1 Number of subjects for this age range 56
Exclusion criteria
Exclusion criteria: •WHO performance status = 3 •Distant metastases on abdominal or thoracic CT scan.* •Previous surgical, local ablative, chemotherapy or radiotherapy for pancreatic cancer except for a surgical exploration with no options for resection. • Pregnancy •Patients who in the investigators’ opinion may be unwilling, unable or unlikely to comply with requirements of the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): Disease control: The percentage of patients who had a complete response, partial response, or stable disease according to RECIST 1.1 measured after 2 cycles of nab-paclitaxel plus gemcitabine and confirmed at restaging after 4 cycles of nab-paclitaxel plus gemcitabine.;Timepoint(s) of evaluation of this end point: After 2 cycles of nab-paclitaxel plus gemcitabine and after 4 cycles: 2 months and 4 months respectively.;Main Objective: To investigate disease control after nab-paclitaxel plus gemcitabine in patients with locally advanced pancreatic cancer. ;Secondary Objective: To investigate toxicity, progression-free survival, overall survival, tumor marker response, resection rate and quality of life after nab-paclitaxel plus gemcitabine in patients with locally advanced pancreatic cancer | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Toxicity according to the NCI CTC Version 4.0 grading system Median overall survival Progression free survival CA19-9 and CEA response Resection rate and margin-free resection Quality of life;Timepoint(s) of evaluation of this end point: Follow-up: 1, 3, 6, 9, 12 months. | — |
Countries
Netherlands
Contacts
Academic Medical Center Amsterdam