borderline resectable pancreatic cancer and locally advanced unresectable pancreatic cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1). Cytologically proved pancreatic adenocarcinoma or adenosquamous carcinoma; the case thought to be invasive pancreatic duct cancer. (2). Borderline resectable pancreatic cancer or locally advanced unresectable pancreatic cancer. (3). Metastatic pancreatic cancer with measurable lesion according to RECIST ver.1.1 (4). Age 20-75 years (5). ECOG Performance Status (PS) 0-1 (6). Life expectancy of at least 12 weeks (7). Meets the following criteria within 7days before enrollment absolute neutrophil count<2,000/uL, platelet count<100,000/uL, hemoglobin<9 g,/dL, white blood cell count<10,000/uL, bilirubin < ULN, AST and ALT < 2.5 X ULN, CRP<2.0mg/dl (8). Written informed consent
Exclusion criteria
Exclusion criteria: (1). Prior radiotherapy or chemotherapy (2). Grade 2 or greater peripheral neuropathy (3). Blood transfusion, administration of blood products, or hematopoietic (e.g., G-CSF) support within 7 days before enrollment (4). Having UGT1A1*6/*6, UGT1A1*28/*28, or UGT1A1*6/*28 gene (5). Moderate ascites (6). Intestinal pneumonitis or pulmonary fibrosis (7). Watery stool within 3 days before enrollment (8). Clinically significant heart disease (9). Active infection (HBS,HCV) (10). Uncontrolled diabetes mellitus (11). Serious complications (organ failure, or uncontrolled diabetes mellitus) (12). Serious complications (mental disorder, or central nervous system disorders) (13). Serious drug allergy (14). Active double cancer (15). Pregnancy (16). Treatment with atazanavir sulfate (17). Inappropriate for this study judged by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| R0 resection rate | — |
Secondary
| Measure | Time frame |
|---|---|
| resection rate, response rate, histological effect, 2-year survival, relapse free survival, feasibility, dose intensity, relative dose intensity, postoperative complication, safety | — |
Countries
Japan
Contacts
Tokyo Medical University Department of Gastrointestinal and Pediatric Surgery