Advanced Pancreatic Adenocarcinoma
Conditions
Keywords
Advanced pancreatic adenocarcinoma
Brief summary
This study will determine whether \[18F\]-fluorodeoxyglucose-positron emission tomography (FDG-PET) can be used to screen for the activity of novel pancreatic cancer treatments.
Interventions
Patients will receive gemcitabine-based therapy as prescribed by their treating physician. FDG-PET/CT scans will be performed at baseline following enrollment, and after 3 and 6-7 weeks of therapy. Volumetric CT scans will be performed at baseline following enrollment, and after 3 and 6-7 weeks of therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient has a diagnosis of Stage IV pancreatic adenocarcinoma with distant metastases * Patient is scheduled to receive standard chemotherapy containing gemcitabine * Patient has not received prior systemic therapy for advanced pancreatic adenocarcinoma * Patient must be available for periodic blood sampling, study-related assessments, and management at the treating institution
Exclusion criteria
* Patient has had open abdominal surgery within 6 weeks of the screening visit * Patient has had radiotherapy to the thorax, abdomen, or pelvis within 6 months of the screening visit * Patient has an active infection, inflammation, or unresolved bowel obstruction * Patient has poorly controlled diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Association of changes in FDG uptake with overall survival (OS) | Week 3 and at least 7 months after the last patient is treated |
Secondary
| Measure | Time frame |
|---|---|
| Association of metabolic response with OS | Baseline, Week 3, and at least 7 months after the last patient is treated |
| Correlation between FDG standardized uptake values (SUV) at Week 3 and Week 6-7 | Week 3 and Week 6-7 |