Invasive ductal carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pathologically proven invasive pancreatic ductal carcinoma 2. Cases that meet the definition of borderline resectable pancreatic cancer 1) or 2) 1) Definition of a borderline resectable pancreatic cancer is filled in NCCN guideline version 1.2014 pancreatic adenocarcinoma 2) Patients indicated distal pancreatectomy with en bloc celiac axis resection 3. PS (ECOG) 0-1 4. >=20 years old and < 80 years old 5. First line treatment 6. The following criteria must be satisfied in laboratory tests within 14 days of registration White blood cell count <=12,000/mm3 Neutrophil count >=1,500/mm3 Platelet count >=100,000mm3 Total bilirubin <2.0mg/dL Serum Creatinine <=upper limits of normal(ULN) AST, ALT<=2.5xULN Albumin>=3.0g/dL Hemoglobin>=9.0g/dL 7. Written informed consent to participate in this study
Exclusion criteria
Exclusion criteria: 1. Severe drug hypersensitivity 2. Multiple primary cancers within 5 years 3. Severe infection 4. With grade2 or more severe peripheral neuropathy 5. With intestinal paralysys, ileus 6. Interstitial pneumonia or pulmonary 7. With uncontrollable pleural effusion or ascites 8. Receiving atazanavir sulfate 9. With uncontrollable diabetes 10.With uncontrollable heart failure, angina, hypertension, arrhythmia 11.With severe psychological symptoms 12.With watery diarrhea 13.Pregnant or lactating women, or women with known or suspected pregnancy 14.Inappropriate patients for entry on this study in the judgment of the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adverse event | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. R0 resection rate 2. Resection rate 3. Optimal duration before surgery to perform neoadjuvant chemotherapy 4. QOL evaluation about peripheral neuropathy using FACT-NTX(Version4) | — |
Countries
Japan
Contacts
Wakayama Medical University Second Department of Surgery