Pancreas Cancer
Conditions
Keywords
pancreatic cancer, mistletoe, supportive treatment, long-term study, non-interventional cohort study, controlled study with parallel groups
Brief summary
Efficacy and safety of a supportive treatment with European mistletoe extract Iscador® Qu (quercus, i.e. from oak tree) in patients with pancreatic cancer (Union for International Cancer Control, UICC stages II-IV), in addition to conventional oncological therapy (radio-, chemo-, targeted therapy) as compared to a parallel group with conventional therapy only. Primary Endpoints: Reduction of adverse effects of conventional therapy; reduction of therapy or disease induced symptoms (both are quality of life parameters and evaluated after 1 year); prolongation of disease free and/or overall survival (DFS, OS) after 3 years. Prospective observational confirmation study of previous retrospective cohort study. As this is a non-interventional cohort study, all therapies and measurements are performed on directive by the treating physician and/or request by the patient only.
Detailed description
see summary
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of pancreatic cancer, adenocarcinoma, UICC stage II-IV * Age between 18 (Austria: 19) and 85 years * No previous malign tumor * ECOG 0-2 * Estimated life expectancy \> 3 months * Surgical resection of the tumor (R0, R1) or determination of interoperability * Conventional oncological therapy and measurements, or passive after-care (best care) * Follow-up for several years feasible * Patient gives written consent to use the anonymized date for evaluation
Exclusion criteria
* Other Iscador® sorts than Qu in the test group * Other mistletoe preparations in the test group * Any mistletoe preparation in the control group * Non-oncological immunomodulating, -stimulating or -suppressive drugs (e.g. Echinacea, interferons, Polyerga®, BCG, azathioprine). Allowed are approved tumor inhibiting immuno- or targeted therapies (e.g. bevacizumab, cetuximab) and tumor specific vaccines * HIV infection, Aids, organ transplantation * Contraindications for Iscador® Qu (allergy against mistletoe, acute inflammatory disease or fever \> 38.5°C, active tuberculosis, hyperthyreosis with not-adjusted metabolism, primary brain or spinal tumor, brain metastases) * Patients participating in another clinical study with non-approved substances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival time (OS). | 3 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with at least one therapy or disease induced symptom (surrogate parameter for quality of life) | 1 year | As key symptom, the fatigue syndrome will be evaluated separately. |
| Mean values of Karnofsky performance status, Eastern Cooperative Oncology Group (ECOG) score | 1 year | — |
| Safety of Iscador® Qu (number of patients with systemic or local AE to Iscador® Qu) | 3 years | — |
| Number of patients with adverse events (AE) contributed to conventional oncological therapy (radio-, chemo-, targeted therapy). | 1 year | — |
Countries
Austria, Germany