A Trial of NS/GEMOX Chemotherapy in Patients With Untreated Pancreatic Cancer ( HZ-NS/GEMOX-PC )
Study Details
Study Description
Brief Summary
This is a Phase II , Open-label , Investigator-initiated Trail of Sequential GEMOX/NS Chemotherapy in Patients With untreated Pancreatic cancer.
This study aims to evaluate the safety and efficacy of Sequential GEMOX/NS Chemotherapy as a first-line treatment of untreated Pancreatic cancer.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Chemotherapy Albumin-binding paclitaxel+S1 / gecitabine+oxaliplatin Interchanged every 2 cycles |
Drug: Albumin-bound paclitaxel
Albumin-bound paclitaxel is paclitaxel formulated as albumin-bound nanoparticles with a mean particle size of approximately 130 nanometers.
Drug: S-1
a combination preparation of tegafur, gimeracil, and oteracil potassium
Drug: Oxaliplatin
The compound features a square planar platinum(II) center. In contrast to cisplatin and carboplatin, oxaliplatin features the bidentate ligand 1,2-diaminocyclohexane in place of the two monodentate ammine ligands. It also features a bidentate oxalate group.
Drug: Gemcitabine
Gemcitabine is a synthetic pyrimidine nucleoside prodrug-a nucleoside analog in which the hydrogen atoms on the 2' carbon of deoxycytidine are replaced by fluorine atoms.
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Outcome Measures
Primary Outcome Measures
- PFS [from the first drug administration up to 6 months]
progression-free survival
- OS [from the first drug administration up to 1 year]
overall survival
Eligibility Criteria
Criteria
Inclusion Criteria:
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Voluntarily participate in the trial and sign the informed consent form
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18 years old <age <75 years old
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Histopathological or cytologically confirmed (inoperable) locally advanced or recurrent metastatic pancreatic ductal adenocarcinoma with lesions measurable according to RECIST criteria
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ECOG score 0-1
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Life expectancy > 3 months
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There must be a CT or MRI examination within a week
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at least one lesion that can be measured by the RECIST v1.1 standard
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No chemotherapy has been performed (the interval between postoperative adjuvant chemotherapy must be more than 6 months)
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without radiation therapy (unless there is at least one measurable target lesion in the non-irradiated area)
Exclusion Criteria:
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pregnant or lactating women; or those who have fertility but refuse to take contraceptive measures;
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Severe active infections requiring intravenous antibiotic treatment during enrollment;
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those who are allergic to the test drug;
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There is ≥2 neuropathy (CTCAE 4.0);
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uncontrolled, symptomatic brain metastases or those with a history of uncontrollable psychiatric disorders; severe intellectual or cognitive dysfunction;
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Congestive heart failure, uncontrollable arrhythmia, myocardial infarction within 6 months, unstable angina, stroke or transient ischemic attack;
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Have other malignant tumors within 5 years, except for fully treated cervical carcinoma in situ or squamous cell carcinoma of the skin, or basal cell carcinoma of the skin that has been basically controlled;
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Patients who are unable to follow the protocol or who are unable to follow up;
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Yanqiao Zhang
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HZ-NS/GEMOX-PC