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Research on the use of lactitol (a medication that regulates the intestinal environment) for advanced pancreatic cancer treatment

A Multicenter Single-Arm Pilot Study Evaluating the Efficacy of Lactitol-Combined Chemotherapy for Unresectable Advanced Pancreatic Cancer

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs041250217
Enrollment
50
Registered
2026-03-27
Start date
2026-03-27
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unresectable advanced pancreatic cancer

Interventions

In addition to chemotherapy with GnP, lactitol 6 g is administered twice daily (morning and evening). The trial treatment period consists of an initial 3-month phase followed by a subsequent 3-month p

Sponsors

Abiru Seigo
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: (1) Patients diagnosed with pancreatic cancer that is unresectable or has distant metastases on contrast-enhanced CT, with elevated levels of CA19-9, Dupan-2, or CEA. (2) Patients who have not previously received chemotherapy for pancreatic cancer. (3) Patients who are considering treatment with GnP (gemcitabine hydrochloride + nab-paclitaxel). (4) Patients with an ECOG PS of 0-2. (5) Patients who are 20 years of age or older at the time of informed consent and have the capacity to make decisions.

Exclusion criteria

Exclusion criteria: Patients for whom Gemzar and Abraxane are contraindicated (1) Patients with severe bone marrow suppression [bone marrow suppression may worsen and be life-threatening] (2) Patients with interstitial pneumonia or pulmonary fibrosis evident on a plain chest X-ray and accompanied by clinical symptoms [symptoms may worsen and be life-threatening] (3) Patients undergoing radiation therapy to the chest (4) Patients with severe infections [Infections may worsen and become life-threatening.] (5) Patients with a history of severe hypersensitivity to any component of this drug (6) Pregnant patients (7) Patients whom the treating physician considers unable to participate in this study

Design outcomes

Primary

MeasureTime frame
To investigate whether lactitol enhances antitumor effects, the response rate will be compared three months after the start of the test treatment.

Secondary

MeasureTime frame
Using GnP as the baseline, compare the response rates at 3 months between the lactitol-free group and the lactitol-combination group with an external control group of GnP cases.

Contacts

Public ContactRyuta Takeda

NHO Saga Hospital

takeda.ryuta.tv@mail.hosp.go.jp+81-952-30-7141

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026