Locally Advanced Pancreatic Carcinoma, Metastatic Pancreatic Cancer, Quality of Life
Conditions
Brief summary
Metastatic pancreatic cancer has a poor prognosis, with approximately one-third of patients experiencing poor quality of life at six months. ARACOMPLEX® is a food supplement that contains maca extract, vitamin complexes and ions, and this nutritional contribution seems to favor the improvement of the patient's quality of life. To verify this statement, this experimental study is carried out in patients with locally advanced/metastatic pancreatic cancer.
Detailed description
This study is composed of two phases: pilot phase and experimental phase. The pilot phase is also composed of two stages: first stage of pilot phase and second stage of pilot phase. There are 22 patients recruited within the first stage of the pilot phase. 11 patients will be treated with ARACOMPLEX® and 11 patients will be treated with placebo. If the results are positive, a second stage of the pilot phase will take place until 43 patients are recruited in each treatment group, that is, 32 more patients in each group. The placebo group in the pilot phase is not analyzed. In the experimental phase, a total of 234 patients are required, that is, 117 patients in each of the two study groups (ARACOMPLEX® and placebo). This phase will include the patients who participated in the pilot phase (86 patients, 43 randomized patients in each group) and 148 additional patients (74 patients in each group) up to a total of 234 patients (117 patients in each group). If the results obtained from the analysis of the data from the first stage of the pilot phase are satisfactory, according to the protocol, the sponsor will present these results to the ethics committee, at the same time that also an addition of investigational sites, to move on to the second stage of the pilot phase. The approval or authorization of the ethics committee is required to progress to the second stage of the pilot phase. The criteria for moving to the second stage is that more than 7 responders patients are achieved, after 6 months of treatment, out of the 11 patients in the experimental group. The responder patient is the one who meets an improvement in quality of life (difference of at least 10 points of quality improvement on the EORTC QLQ-C30 scale) between baseline and final time. If the expected successful results are not obtained, the study will be closed and a new study will be proposed based on the data provided at this stage. If the results obtained from the data analysis from the second stage of the pilot phase are satisfactory, according to the protocol, the sponsor will present these results to the ethics committee, at the same time as also an addition of investigational sites, if applicable. The ethics committee will be responsible for authorizing or approving the transition from the second stage of the pilot phase to the experimental phase. The criteria for moving on to the experimental phase is that more than 30 responders patients are achieved, after 6 months of treatment, out of the 43 patients in the experimental group. The responder patient is the one who meets an improvement in quality of life (difference of at least 10 points of quality improvement on the EORTC QLQ-C30 scale) between baseline and final time. In this study, the data of the patients included in the pilot phase will be counted, that is, the data of the 86 patients (ARACOMPLEX® and placebo), for which 148 additional patients are required in this phase (74 more patients in the ARACOMPLEX® group and 74 more in the placebo group) to reach a total of 234 patients.
Interventions
DIETARY_SUPPLEMENTARACOMPLEX®
ARACOMPLEX® is an authorized food supplement that contains maca extract, vitamin complexes and ions, and that improves the quality of life of the patient.
DIETARY_SUPPLEMENTplacebo
Placebo has a composition that makes its weight and organoleptic characteristics are identical to ARACOMPLEX®.
Sponsors
Fundacion para la Excelencia y la Calidad de la Oncologia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with locally advanced or metastatic pancreatic cancer without previous chemotherapy treatment. * Patients for whom chemotherapy treatment has been indicated. * Adequate bone marrow function (neutrophils ≥1500 mm3, platelets ≥100,000 mm3), adequate liver function (bilirubin ≤1.5 times the upper limit of the normal range) * Adequate renal function (glomerular filtration rate greater than or equal to 90 ml/min/1.73). * ECOG functional stage 0-1 (Karnofsky ≥ 80). * Patients must agree to carry out study visits and procedures with precise instructions.
Exclusion criteria
. * Age ≥76 years. * Endocrine or acinar pancreatic cancer. * Serious systemic diseases such as: sepsis, heart failure, severe COPD, liver failure and chronic kidney disease. * Prior radiation to areas of measurable disease. * Chronic diarrhea. * Active infection. * Significant medical history of heart disease. * Pregnancy or lactation. * Impossibility of the patient, due to medical condition, to follow the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in quality of life | 6 months | To assess the degradation of quality of life at 6 months using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) scale in patients with locally advanced/metastatic pancreatic cancer receiving chemotherapy and supplementation with ARACOMPLEX® (PILOT PHASE) and compared with patients that are treated with chemotherapy and placebo (EXPERIMENTAL PHASE). The EORTC QLQ-C30 includes the "Global Health Status/Quality of life" scales, which are composed by items 29 and 30, and they are scored from 0 (worse) to 100 (better). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nutritional status assessment | Baseline, 1 month, 3 months and 6 months. | Measured by the Malnutrition Screening Tool (MST) |
| Functional status assessment | Baseline, 1 month, 3 months and 6 months. | Measured by the Eastern Cooperative Oncology Group (ECOG) scale. The score is from 0 (better) to 5 (worse outcome, death) |
| Tumor response assessment | Assessment at the end of the third and sixth chemotherapy cycles, as per normal clinical practice. | Measured by the RECIST criteria v.1.1 |
| Compliance treatment | 1 month, 3 months and 6 months. | Measured as the percentage of tablets taken from the previous visit: (number of tablets taken since the last visit (n) / number of days since the last visit (N) ) x 100. |
| Adverse events due to chemotherapy | 1 month, 3 months and 6 months. | The assessment of adverse events due to chemotherapy is performed according to the CTCAE criteria, and are those reported as per usual clinical practice. |
Contacts
PRINCIPAL_INVESTIGATORSergio Sandiego, Doctor
Fundación Instituto Valenciano de Oncología
Outcome results
None listed