Metastatic Pancreatic Cancer
Conditions
Brief summary
This phase Ⅱ study was designed to evaluate the efficacy and safety of mFOLFIRINOX as first-line treatment for metastatic pancreatic cancer in China.
Detailed description
Although FOLFIRINOX regimen was recently presented to be effective for metastatic pancreatic cancer in selected patients who have good physical condition, there is still insufficient evidence on this regimen in treating patients with metastatic pancreatic cancer in China. Since for many tumors, different races may show different responses to the same regimen, we design this open, multicenter phase Ⅱ study to evaluate the the efficacy and safety of mFOLFIRINOX as first-line treatment for metastatic pancreatic cancer in China.
Interventions
DRUGmFOLFIRINOX
Patients will receive mFOLFIRINOX every 2 weeks: Oxaliplatin 65 mg/m2 IV over 3 hours on Day 1; Irinotecan 150 mg/m2 IV over 90 minutes on Day 1; Leucovorin(l-LV) 200 mg/m2 IV over 2 hours on Day 1; followed by 5-Fluorouracil 2.4 g/m2 for 46 hours continuous infusion.
Sponsors
Yuhong Li
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients have provided a signed Informed Consent Form * ECOG performance status of 0-1 * BMI ≥ 18.5 * Age: 18-65 years old * Histologically confirmed diagnosis of metastatic pancreatic cancer * No prior palliative chemotherapy * Measurable disease in at least 1 diameter by CT scan or MRI as per RECIST 1.1 criteria * Life expectancy ≥ 3 months * Patient has adequate bone marrow and organ function * Absolute Neutrophil Count (ANC) ≥ 2.0 x 109/L * Platelets ≥ 90 x 109/L * Hemoglobin ≥ 90 g/L * Patient has adequate liver function * AST and ALT not more than 2.5 times ULN (not more than 5.0 times ULN if there is liver metastasis) * Serum bilirubin ≤ 1.2 x ULN * Creatinine ≤ 1.25 times ULN * Good compliance
Exclusion criteria
* Pregnant or lactating women * Brain metastasis or only with bone metastasis. * Patients with severe gastrointestinal hemorrhage which need frequent blood transfusions. * Refuse to take appropriate contraceptive measures (including male patients). * Allergic to Oxaliplatin, Irinotecan, Leucovorin or 5-Fluorouracil. * Severe systemic disease out of control such as unstable or uncompensated respiratory, cardiac, liver, renal diseases. * Patient has a concurrent malignancy or has a malignancy within 5 years of study enrollment, (with the exception of non-melanoma skin cancer or cervical carcinoma in situ). * Psychiatric illness that would prevent the patient from giving informed consent. * Patient is concurrently using other antineoplastic agent * Patient has used investigational antineoplastic agent within 4 weeks prior to entry. * Known HIV-positivity. * No history of chronic diarrhea, nausea or vomit. * No ≥ grade 2 sensory peripheral neuropathy. * A history of transmural myocardial infarction (within 6 months prior to entry), congestive heart failure, and unstable angina. * Infectious disease or inflammation with body temperature ≥ 38 ℃.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease control rate | Up to 24 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival | From the date of first drug administration until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months | — |
| Overall survival | From the date of first drug administration until the date of death, assessed up to 60 months | — |
| Number of participants with AEs and SAEs as a measure of Safety | Each follow up visit, assessed up to 24 weeks | Safety data will be assessed at each study visit using NCI CTCAE version 3.0 |
| EORTC QLQ-C30 | Each follow up visit, assessed up to 24 weeks | Quality of life will be assessed at each study using EORTC QLQ-C30 |
Countries
China
Outcome results
None listed