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Randomized Phase 3 Trial Comparing Upfront Surgery versus Neoadjuvant modified FOLFIRINOX in Patients with Resectable Pancreatic Cancer

Randomized Phase 3 Trial Comparing Upfront Surgery versus Neoadjuvant modified FOLFIRINOX in Patients with Resectable Pancreatic Cancer

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CRIS
Registry ID
KCT0007327
Enrollment
314
Registered
2022-05-24
Start date
2022-11-14
Completion date
Unknown
Last updated
2026-06-15

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

Conditions

None listed

Interventions

Drug : Eligible participants will be stratified base on tumor location (pancreatic head vs pancreatic body/tail) and randomly assigned in a 1:1 ratio to one of two arm as follows. - Arm A : modified F

Sponsors

Asan Medical Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. The subject may provide signed subject consent, including compliance with the requirements and restrictions described in the Informed Consent Form (ICF) and this clinical trial protocol. 2. From at least 19 years of age inclusive, at study entry. 3. Has cytological or histological confirmed diagnosis of pancreatic cancer. 4. participant with resectable pancreatic cancer according to NCCN criteria without prior chemotherapy (determined by CT, MRI, or PET-CT results, borderline resectable pancreatic cancer is not included) 5. Have a performance status of 0 or 1 on the ECOG performance scale 6. weight > 30 kg 7. Normal organ and bone marrow function - platelet = 100 x 109/L, Absolute neutrophil count = 1.5 x 109/L and emoglobin > 9 g/dL(Blood transfusion is allowed if it is 7 days before screening) - Creatinine <1.5 x ULN - Total bililubin = 2 x ULN - ALT and AST = 2.5 x ULN 8. The subject is willing and able to comply with the clinical test protocol during the trial period, including administration and scheduled visits and examinations, including follow-up. 9. The subject has no non-melanoma skin cancer, cervical intraepithelial carcinoma, localized prostate cancer, papillary thyroid cancer, or other malignant disease, except for all other cancers that have been previously treated for the purpose of cure for more than 5 years without evidence of recurrence.

Exclusion criteria

Exclusion criteria: 1. has a medical or psychiatric condition that threatens participant’s ability to provide consent or to comply with the protocol, or a history of non-compliance. 2. has an obstructed gastrointestinal tract. 3. has active gastrointestinal bleeding. 4. has had a myocardial infarction within 6 months prior to administration of the test drug and has other clinically significant heart disease(unstable angina, congestive heart failure or uncontrolled hypertension) 5. has the opinion that participant’s participation in the test is undesirable or has a rationale of severe or uncontrolled systemic disease or pathogenesis that threatens protocol compliance. 6. adenosquamous carcinoma and neuroendocrine tumor are excluded 7. has a history of another primary malignancy except for the following. a. was treated for curative purpose, had no known active disease for at least 5 years prior to the first IP administration, and has a malignant tumor with a low potential risk for recurrence. b. had no evidence of disease and had properly treated nonmelanoma skin cancer or malignant melanoma. c. had no evidence of disease and had properly treated carcinoma in situ. d. had no evidence of disease and had properly treated prostate cancer or papillary thyroid carcinoma 8. pregnant or breastfeeding, or has no intention to use effective contraception from screening to 12 months(Male) & 15months(Female) after the last administration of chemotherapy after surgery. 9. known to be allergic or hypersensitive to any of the test drugs or to any of the test drug additives. 10. judges him/herself that participant is not suitable for his/her participation in the study and it is unlikely that participant will comply with the test procedures, restrictions and requirements. 11. being administered prohibited drugs according to domestic approvals. 12. has an active infection requiring systemic therapy. 13. has had or is currently suffering from uncontrolled HIV, hepatitis B (HBV DNA < 2000 IU/mL can be registered for chronic hepatitis B or HBV carrier) or hepatitis C.

Design outcomes

Primary

MeasureTime frame
Event-Free Survival

Secondary

MeasureTime frame
Overall Survival;toxicity(safety) profiles by NCI-CTCAE v5;Biomarker

Countries

Korea, Republic of

Contacts

Public ContactYounglan Hong

Asan Medical Center

ykoaohg@amc.seoul.kr+82-2-3010-1727

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Jun 21, 2026