Pancreatic Cancer
Conditions
Brief summary
The purpose of this study is to evaluate the clinical safety and efficacy of Gemcitabine plus nab-Paclitaxel chemoradiotherapy and to determine the Maximal Tolerated Dose (MTD) for unresectable locally advanced pancreatic adenocarcinoma.
Detailed description
Gemcitabine plus nab-Paclitaxel is one of the standard chemotherapy for metastatic pancreatic adenocarcinoma. Gemcitabine plus nab-Paclitaxel realize the favorable anti-tumor effect and tolerable toxicity. Gemcitabine plus nab-Paclitaxel is a promising regimen for concurrent chemoradiotherapy, but the investigators need to know the safety in the case of the concurrent chemoradiotherapy.
Interventions
Gemcitabine is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.
Nab-Paclitaxel is administered with 30 min intravenous infusion on day 1,8 and 15 every 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed advanced pancreatic cancer * Locally advanced pancreatic cancer is defined as the presence of a surgically unresectable tumor(involving the celiac axis or the superior mesenteric artery) * Performance Status:0-1(ECOG) * Patients of age =\>20 and 75\> * White Blood Cell (WBC) \>=3,500/mm3,12,000/mm3, * Neutrophils \>=1,500/mm3, platelets=100,000/mm3, * Hemoglobin \>=9.5 g/dl, * GOT \</=2.0 X Upper Limit Number (ULN), * Glutamate Pyruvate Transaminase (GPT) \</=2.0 X ULN, * Alkaline Phosphatase (ALP) \</=2.0 X ULN, * Total bilirubin \<=1.5mg/dl, * Serum creatinine \<=1.2mg/dl, * Creatinine clearance\>=50 ml/min * arterial O2 pressure (PaO2) \>=70torr or arterial O2 saturation (SpO2) \>=96% * Life expectancy more than 3 months. * Written informed consent.
Exclusion criteria
* Active infection * Lung fibrosis or intestinal pneumonia detectable on chest X-ray and CT * Severe complication (heart disease, cirrhosis, diabetes) * Myocardial infarction within 3 months * Active synchronous or metachronous malignancy * Pregnant or lactation women, or women with known or suspected pregnancy * Symptomatic brain metastasis * History of severe drug allergy * Peripheral neuropathy * Patients who are judged inappropriate for the entry into the study by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients with Adverse Events | 1 years |
Secondary
| Measure | Time frame |
|---|---|
| Response Rate | 1 years |
| Overall Survival time | 2 years |
Countries
Japan