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Tamoxifen for Advanced Solid Pseudopapillary Tumor of the Pancreas

Tamoxifen for Advanced Solid Pseudopapillary Tumor of the Pancreas

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06914674
Acronym
SPTP
Enrollment
30
Registered
2025-04-06
Start date
2025-03-20
Completion date
2028-02-28
Last updated
2025-04-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pancreatic Neoplasms

Keywords

Solid Pseudopapillary Tumor of the Pancreas, Malignant, Advanced, Recurrence, Metastasis

Brief summary

Tamoxifen for Solid Pseudopapillary Tumor of the Pancreas

Detailed description

Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm, predominantly affecting young females, with unclear pathogenesis and hormonal receptor (estrogen/progesterone receptor) expression potentially influencing tumor behavior. While surgical resection is the standard treatment, patients with advanced, metastatic, or recurrent disease lack effective therapies. Case reports suggest tamoxifen, a selective estrogen receptor modulator, may improve outcomes in hormone receptor-positive SPTP. This trial aims to evaluate tamoxifen's efficacy and safety in advanced SPTP.

Interventions

Tamoxifen: 10 mg orally twice daily. Combination therapy: Chemotherapy, radiotherapy, surgery, or other treatments per NCCN guidelines and patient condition.

Sponsors

Fudan University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

• Tamoxifen: 10 mg orally twice daily.

Eligibility

Sex/Gender
ALL
Age
14 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

1. Age 14-80 years. 2. Histologically confirmed advanced SPTP with ER/PR+. 3. Advanced disease: * Unresectable primary tumor or distant metastasis (liver, lung, peritoneum, etc.). * Recurrent or refractory after prior surgery/systemic therapy. 4. ≥1 measurable lesion. 5. ECOG performance status 0-2. 6. Life expectancy ≥1 month. 7. Able to comply with study visits and oral medication.

Exclusion criteria

1. Non-SPTP pathology. 2. Active gastrointestinal inflammation/infection (e.g., pancreatitis). 3. Pregnancy/lactation. 4. Severe organ dysfunction (renal, cardiac, hepatic, or pulmonary). 5. Uncontrolled comorbidities (e.g., CNS disorders, unstable angina). 6. Conditions compromising patient safety or data integrity.

Design outcomes

Primary

MeasureTime frameDescription
Progression-free survival (PFSn)1 monthTime from enrollment to disease progression

Secondary

MeasureTime frameDescription
Overall survival (OS)1 monthOS of subjects from recruiting to the time of death from any cause
disease control rate (DCR)1 monthdisease control rate (DCR = CR + PR + SD)

Countries

China

Contacts

Primary ContactHuanyu Xia MD
xiahuanyu@fudanpci.org86 21 64031446

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026