Status:

UNKNOWN

S-1, Irinotecan, and Oxaliplatin in Locally-Advanced Pancreatic Cancer

Lead Sponsor:

National Taiwan University Hospital

Collaborating Sponsors:

TTY Biopharm

Conditions:

Pancreatic Ductal Adenocarcinoma

Eligibility:

All Genders

20-79 years

Phase:

PHASE2

Brief Summary

This phase II clinical trial will enroll patients with newly-diagnosed locally-advanced pancreatic adenocarcinoma and adopt the Simon's two-stage optimum design. After 4 cycles of SIROX regimen, patie...

Detailed Description

This phase II clinical trial will enroll patients with newly-diagnosed locally-advanced pancreatic adenocarcinoma and adopt the Simon's two-stage optimum design. After 4 cycles of SIROX regimen, patie...

Eligibility Criteria

Inclusion

  • histologically or cytologically proven pancreatic adenocarcinoma
  • newly diagnosed, unresectable, locally-advanced pancreatic cancer
  • no potential of R0 resection at diagnosis
  • presence of measurable pancreatic lesion, which must meet the criteria of being ≥ 10 mm in at least one dimension by conventional CT/MRI
  • age between 20 and 79 years at registration
  • ECOG performance status (PS) of 0 or 1
  • adequate major organ functions
  • ability to take the oral study medication (S-1)
  • no clinically significant abnormal ECG findings within 28 days (4 weeks) prior to registration
  • voluntarily signed the written informed consent form

Exclusion

  • pulmonary fibrosis or interstitial pneumonitis diagnosed within 28 days prior to registration
  • presence of diarrhea ≥ CTCAE v.4.03 grade 2
  • concomitant active infection
  • significant co-morbid medical conditions, including, but not limited to , heart failure, renal failure, hepatic failure, hemorrhagic peptic ulcer, mechanical or paralytic ileus, or poorly controlled diabetes
  • moderate or severe ascites or pleural effusion that requires drainage
  • prior or concurrent malignancies within the last 3 years, with the exception of carcinoma in situ of the cervix, or basal type skin cancer
  • concomitant treatment with flucytosine, phenytoin or warfarin
  • peripheral neuropathy grade of 2 or higher
  • known Gilbert syndrome or homozygosity for UGT1A1 promoter TA repeats prone to high risk of drug toxicity (screening of UGT1A1 genotype will NOT performed routinely before study)
  • pregnant women or nursing mothers, or positive pregnancy test for women of childbearing potential. Patients of childbearing age should have effective contraception for both the patient and his or her partners during the study period
  • severe mental disorder
  • judged ineligible by physician for participation in the study due to safety concern

Key Trial Info

Start Date :

November 1 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2021

Estimated Enrollment :

35 Patients enrolled

Trial Details

Trial ID

NCT03316326

Start Date

November 1 2017

End Date

December 31 2021

Last Update

October 20 2017

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