Pancreatic Cancer
Conditions
Keywords
Proton radiation, Chemotherapy, Pancreatic cancer, Postoperative
Brief summary
The purpose of this study is to find out what effects, good and/or bad, proton radiation combined with chemotherapy has on resected pancreatic cancer.
Detailed description
Proton radiation with concomitant chemotherapy
Interventions
Proton Radiation Therapy: R(0) negative ... 50.40 cobalt gray equivalent (CGE) at 1.8 CGE per fraction ; R(1) micro-positive ...54.00 CGE at 1.8 CGE per fraction; R(2) gross positive...59.40 CGE at 1.8 CGE per fraction
Gemcitabine 300 mg/m2 infused over 30 minutes, weekly during proton therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologic proof of primary head of pancreas invasive adenocarcinoma managed with a potentially curative resection * Post resection CA19-9 tumor marker baseline
Exclusion criteria
\- Previous history of invasive malignancy (except non-melanoma skin cancer and low to intermediate risk prostate cancer) unless the patient has been disease free for at least 5 years prior to study consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiation Toxicity | 90 days after completion of RT | Assessment of acute/late severe (defined as grade 3-5) radiation toxicity at the completion of therapy. Acute toxicity will be defined to be toxicity occurring within 90 days from the start of radiation treatment, and late toxicity will be defined as toxicity occurring more than 90 days from the start of radiation treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Survival Rate | 1 year after completion of RT | One year overall survival rate |
| Response rate via CA 19-9 | Every 3 months for 2 years, then every 6 months for 3-5 years then annually thereafter | — |
Countries
United States