PAN009-18 (PC04): Protons for Unresectable, Borderline Resectable, or Medically Inoperable Panc
-
StatusAccepting Candidates
-
Age18 Years - N/A
-
SexesAll
-
Healthy VolunteersNo
Objective
The prognosis for patients with localized pancreatic adenocarcinoma who are not surgical candidates is poor. Patients characterized as having "borderline resectable" disease treated with preoperative chemo-radiotherapy fair somewhat better * although many of these patients are not converted to resectability. It may be argued that intensification of local and regional therapy might 1.) Increase the share of patients able to undergo curative surgery and 2.) Improve the local disease control interval and extend survival for patients who remain unresectable. Therefore, the purpose of this research study is to determine if an increase in the number of surgical resection pancreatic adenocarcinoma is higher than historical data by using a combined treatment of proton radiation with capecitabine (oral chemotherapy).
Description
Participants as part of this research study will receive Proton radiation over 6 weeks with oral chemotherapy (capecitabine) only taken on radiation days.
In addition, If surgery is an option, then surgical resection will be performed at least 8 weeks after treatment with radiation and chemotherapy.
Quality of Life questionnaires are a part of this study.The Fact-Hep questionnaires will be filled out by the participant at strategic time points in the treatment course.
Details
Full study title | PAN009-18: A Phase II Trial of Escalated Dose Proton Radiotherapy with Elective Nodal Irradiation and Concomitant Chemotherapy for Patients with Unresectable, Borderline Resectable or Medically inoperable Pancreatic Adenocarcinoma (PAN009-18) |
Protocol number | OCR14759 |
ClinicalTrials.gov ID | NCT02598349 |
Phase | Phase 2 |
Eligibility
Ages 18 Years and older
Biopsy-proven unresectable adenocarcinoma of the pancreas as defined by: ? Greater than 180 degree encasement of the superior mesenteric artery (SMA). ? Encasement of the celiac axis, hepatic artery, and or left gastric artery. ? Encasement or obstruction of the superior mesenteric vein (SMV) such that no reconstructive option is feasible. ? No evidence of metastatic disease in major viscera (organs), distant metastatic disease, ascites and/or peritoneal seeding. OR Biopsy-proven borderline resectable adenocarcinoma of the pancreas defined by: ? Abutment up to 180 degrees on the SMA. ? Reconstructable involvement of the SMV. ? Regional lymph node metastases. ? No evidence of metastatic disease in major viscera (organs), distant metastatic disease, ascites and/or peritoneal seeding. OR Patients with resectable tumors who are deemed medically inoperable or who refuse surgery.
Lead researcher
-
Radiation Oncologist
Participate in a study
Here are some general steps to consider when participating in a research study:
-
Step1
Contact the research team
Call or email the research team listed within the specific clinical trial or study to let them know that you're interested. A member of the research team, such as the researcher or study coordinator, will be available to tell you more about the study and to answer any questions or concerns you may have.
Primary contact
-
Step2
Get screened to confirm eligibility
You may be asked to take part in prescreening to make sure you are eligible for a study. The prescreening process ensures it is safe for you to participate. During the prescreening process, you will be asked some questions and you may also be asked to schedule tests or procedures to confirm your eligibility.
-
Step3
Provide your consent to participate
If you are eligible and want to join the clinical trial or study, a member of the research team will ask for your consent to participate. To give consent, you will be asked to read and sign a consent form for the study. This consent form explains the study's purpose, procedures, risks, benefits and provides other important information, such as the study team's contact information.
-
Step4
Participate
If you decide to participate in a clinical trial or study, the research team will keep you informed of the study requirements and what you will need to do to throughout the study. For some trials or studies, your health care provider may work with the research team to ensure there are no conflicts with other medications or treatments.