Borderline Resectable Pancreatic Cancer
Conditions
Brief summary
The aim of this study is to clarify the efficacy and safety of neoadjuvant FOLFIRINOX and nab-paclitaxel + gemcitabine for borderline resectable pancreatic cancer.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Borderline resectable pancreatic cancer (based on NCCN guideline version 2.2015) 2. first treatment for pancreatic cancer 3. performance status 0 or 1 4. adequate one marrow function 5. adequate renal function 6. obtained informed consent
Exclusion criteria
1. other active concomitant malignancies 2. other severe medical conditions; contraindication of FOLFIRINOX, paclitaxel and gemcitabine 3. pregnant women 4. no informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| R0 resection rate | 3 months | surgery is supposed to be performed 3 months after the initiation of chemotherapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| relative dose intensity | 3 months | chemotherapy is supposed to take 3 months |
| adverse event | 3 months | chemotherapy is supposed to take 3 months |
| tumor response | 3 months | tumor response to chemotherapy will be assessed based on Response Evaluation Criteria In Solid Tumor (RECIST). CR: Complete Response, PR: Partial Response, PD: Progression, SD: Stable Disease, NE: Not Evaluable |
| completion rate of chemotherapy | 3 months | chemotherapy is supposed to take 3 months |
| overall survival | 3 years after the surgery | — |
| surgical complication | 1 month after the surgery | — |
| quality of the tumor | 3 months | Chemotherapy is supposed to take 3 months. After the completion of chemotherapy, the quality of the tumor will be assessed by imaging findings, such as CT number and Standardized uptake value. |
| disease free survival | 3 years after the surgery | — |