Pancreatic Neoplasms
Conditions
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
Study design
Intervention model description
• Tamoxifen: 10 mg orally twice daily.
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival (PFSn) | 1 month | Time from enrollment to disease progression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival (OS) | 1 month | OS of subjects from recruiting to the time of death from any cause |
| disease control rate (DCR) | 1 month | disease control rate (DCR = CR + PR + SD) |
Countries
China