Pancreas Cancer
Conditions
Keywords
pancreatic cancer, radiation therapy, adenovirus, gene therapy
Brief summary
Replication-competent Adenovirus-mediated Double Suicide Gene Therapy (Theragene®,Ad5-yCD/mutTKSR39rep-ADP) showed safety and anti-cancer effect in patients with pancreatic cancer in phase I study. From the experience of phase I study, the safety and efficacy of combination with standard chemotherapy and radiation therapy with Theragene treatment will be assessed in this study.
Detailed description
Phase IIa study of Replication-competent Adenovirus-mediated Double Suicide Gene Therapy (Theragene®,Ad5-yCD/mutTKSR39rep-ADP) with radiation therapy
Interventions
Theragene®,Ad5-yCD/ mutTKSR39rep-ADP with radiation therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with borderline resectable or locally advanced pancreatic cancer * Patients with histologically confirmed pancreatic adenocarcinoma * Patients with no evidence of peritoneal or hematogenous metastasis * Patients with ECOG performance status 0-1 * Patients with renal function (Serum creatinine ≤ 1.5 mg/dL or creatinine clearance ≥ 50 mL/min/m²) * Patients with bone marrow function (WBC \> 4,000/uL or absolute neutrophil count ≥ 1500/uL, PLT ≥ 100,000/uL, and Hemoglobin \> 10 g/dL) * Patients with liver function (Bilirubin \< 2.0 mg/dL and SGOT and SGPT \< 3 times upper limit of normal (ULN)) * Patients with agreement with informed consent
Exclusion criteria
* Patients with a history of other cancer * Patients with recurred pancreatic cancer * Patients with a history of radiation on more than 25% of bone marrow * Patients with a history of major surgery except laparoscopic examination, endoscopic intervention, or gastrojejunostomy * Patients who have contraindication of radiation therapy * Patients with HIV infection, chronic hepatitis B, chronic hepatitis C, or liver cirrhosis * Female patients with childbearing age or pregnancy or breast feeding * Patients who are considered as inappropriate candidate by investigators
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective Response Rate | 24 weeks | the proportion of patients with advanced or metastatic cancer who have achieved complete response or partial response |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease control rate | 24 weeks | the proportion of patients with advanced or metastatic cancer who have achieved complete response, partial response or stable disease |
| Tumor marker test | 24 weeks | change of tumor marker in the process of assigned treatment |
| Overall survival | 2 years | median time from beginning of treatment to death |
Countries
South Korea