resectable pancreatic cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) invasive ductal carcinoma of the pancreas 2) resectable (R0/1) stage III or IV pancreatic cancer (classification of Japan Pancreas Society) 3) no prior therapy except pancreatectomy 4) ECOG PS: 0-1 5) sufficient organ functions within a week before surgery WBC > 4000/mm3, < 12000/mm3 Neutrophil > 2000/mm3 Plt > 100000/mm3 Hb > 9.5g/dl T-Bil < 2.0mg/dl AST,ALT < 150 IU/L Creatinine clearance > 60mL/min 6) no liver damage, Child-Pugh Grade A 7) no abnormal electrocardiogram 8) enable to oral intake 9) written informed consent
Exclusion criteria
Exclusion criteria: 1) serious intra- or postoperative complications 2) regular use of fenitoin, warfarin or frucitocin 3) systemic administration of other fluorouracil 4) intractable watery diarrhea 5) severe psychological disease 6) active infection 7) serious complications (bowel paralysis, bowel obstruction, uncontrollable diabetes mellitus, heart failure, renal failure, active peptic ulcer, deep venous thrombosis and so on) 8) serious myelosuppression 9) interstitial pneumonia or pulmonary fibrosis 10) radiotherapy to the chest 11) pleural effusion or ascites 12) active malignancy in other organ 13) allergic reaction for gemcitabine or S-1 14) chronic liver damage 15) impossible insertion of the catheter to the portal vein 16) pregnant or breast feeding 17) Patients judged inappropriate for the study by the physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival | — |
Secondary
| Measure | Time frame |
|---|---|
| disease free survival, adverse effect, proportion of treatment completion, relative dose intensity, rate of liver metastasis | — |
Countries
Japan
Contacts
Nagoya University Graduate School of Medicine Department of Surgery II (Gastroenterological surgery)