Advanced biliary tract cancer with carcinomatous ascites
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with pathologically confirmed biliary tract cancer 2) Patients with cytologically confirmed cacinomatous ascites 3) Patients of age >= 20 years 4) Patients with Eastern Chemotherapy Oncology Group(ECOG) performance status of 0-2 5) Patients have an adequate organ function defined as white cell count >= 3,000/mm3, platelet count >= 100,000/mm3, hemoglobin >= 9g/dl, total bilirubin <= 3 times the upper limit of normal, AST and ALT <= 5 times the upper limit of normal, creatinine <= 1.5 times the upper limit of normal, and creatinine clearance >= 50ml/min. no abnormal clinical findings in ECG. 6) Patients have an ability for a sufficient oral intake 7) Patients refractory to gemcitabine 8) Patients recovery from prior adverse events 9) Written informed consent is required from all patients.
Exclusion criteria
Exclusion criteria: 1) Patients with synchronous or metachronous concomitant malignancies 2) Patients with uncontrolled diabetes mellitus 3) Patients with uncontrolled hypertension 4) Patients with renal failure undergoing hemodialysis 5) Patients with prior myocardial infarction or unstable angina within 6 months 6) Patients with liver cirrhosis 7) Patients with intestinal pneumonia, pulmonary fibrosis, and severe pulmonary emphysema 8) Pregnant or lactating female and patients who is considering pregnancy 9) Patients with contraindication for S-1 or paclitaxel 10) Inappropriate patients for entry on this study in the judgement of the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Progression-free survival Anti-tumor effect(Response rate, Disease control rate) Effect for carcinomatous ascites One-year survival rate Drug administration compliance(Drug intensity, Drug feasibility) | — |
Countries
Japan
Contacts
The University of Tokyo Gastroenterology