Cancer, Pancreas Cancer
Conditions
Keywords
Whipple, brachytherapy, CivaSheet, CivaTech Oncology, radiation, intraoperative radiation, IORT, resectable pancreatic cancer, Pd-103
Brief summary
This is a Phase I evaluation to determine the usefulness of a new brachytherapy device that utilizes active components (Palladium-103) of standard devices in a novel configuration. This study may benefit resectable pancreatic cancer patients by reducing the radiation dose to adjacent critical structures, while giving a therapeutic dose to diseased tissue, such as at a surgical margin.
Interventions
The FDA Cleared CivaSheet Directional Pd103 Brachytherapy Source is a planar radiation source which utilizes gold shielding in its construction. This device is radioactive on one side only, and is capable of safely delivering high doses of radiation to target areas even when placed directly adjacent to sensitive, healthy tissue or critical structures.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject signed informed consent * Age \>/= 18 years * Biopsy confirmed adenocarcinoma pancreatic cancer * Patient capable of undergoing anesthesia * Patient is a surgical candidate * Patient selected to undergo pancreatic cancer resection * Patient will have known or suspected close/positive surgical margin * Confirmed diagnosis of resectable pancreatic adenocarcinoma * Will be prescribed standard Gemcitabine 1000 mg/m2 chemotherapy cycle
Exclusion criteria
* Pregnant or breast feeding * Patient has metastatic disease * Patient has had prior radiation therapy to the region for separate cancer * Patient has had prior chemotherapy * Any other invasive cancer in the past 5 years, except basal cell skin * Recurrent or previously resected tumors * Alcoholism/Drug abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety & Toxicity of Delivering Primary Radiation Therapy with CivaSheet using the CTCAE 4.0 scale | 1.5 years | Patients with resectable pancreatic cancer who are undergoing pancreatic cancer resection will be monitored for safety & toxicities graded using the CTCAE 4.0 scale. |
Countries
United States