Neoadjuvant Chemotherapy for Resectable Cancer of the Pancreatic Head
Study Details
Study Description
Brief Summary
Neodajuvant chemotherapy with gemcitabine / cisplatin is applied to patients with resectable cancer of pancreatic head.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
Neodajuvant chemotherapy with gemcitabine / cisplatin is applied to patients with resectable cancer of pancreatic head. Two cycles of chemotherapy are given on day 1 and 15 each. After restaging excludes disease progression, a standard Whipple procedure is performed.
Staging and restaging procedures include abdominal CT, diagnostic laparoscopy, PET/CT, tumor markers (CEA, CA 19-9) and assessment of the quality of life by the QLQ-30.
- Trial with medicinal product
Study Design
Outcome Measures
Primary Outcome Measures
- Resectability rate > 70% after restaging [2007]
Eligibility Criteria
Criteria
Inclusion criteria: - Age > 18 years
-
Histologically or cytologically confirmed resectable ductal adenocarcinoma of the pancreatic head
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WHO-performance status 0-2
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Written informed consent
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Discussion in an intrdisciplinary conference
Exclusion criteria: - Insufficient renal function (calculated creatinin clearance < 60ml(min)
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Insufficient hematologic function (neutrophil count <1'000/ul, platelets < 100'000/ul)
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Uncorrectable coagulopathy
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Severe cholestasis (bilirubin >100mmol/l)
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Distant metastases in liver, lungs or other organs
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Peritoneal carcinomatosis
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Unresectable tumor (s. 4.2.)
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Contraindication for Whipple procedure
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Uncontrolled infection
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Neurotphil count > °2
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Estimated life experience < 6 months
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HIV Infection
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Severe medical or psychatric comorbidities which interefere with the participation in this trial or the informed consent
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Female patients in child-bearing age without adequate contraception
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University Hospital of Zurich, Department of Surgery | Zurich | Switzerland |
Sponsors and Collaborators
- University of Zurich
Investigators
- Study Director: 01 Studienregister MasterAdmins, UniversitaetsSpital Zuerich
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 21-2001