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Anti-metabolites

Neoadjuvant Therapy for Pancreatic Cancer

Phase 2
Recruiting
Led By Davendra Sohal, Sohal
Research Sponsored by University of Cincinnati
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age ≥18 years.
ECOG performance status ≤ 1.
Must not have
Patients with uncontrolled intercurrent illness or comorbidities that would prevent receipt of standard of care chemotherapy, radiation or surgery.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 5 years
Awards & highlights
All Individual Drugs Already Approved
Approved for 10 Other Conditions
No Placebo-Only Group

Summary

This trial is testing if a new cancer treatment can help people with pancreatic adenocarcinoma by increasing the rate at which the cancer can be surgically removed.

Who is the study for?
This trial is for adults with confirmed pancreatic carcinoma or adenocarcinoma who haven't had prior treatment for it. They must be in good health otherwise, not have other serious illnesses that could affect the study, and agree to use contraception. People with controlled HIV or cured hepatitis are eligible, but pregnant women and those unable to follow the study plan can't join.
What is being tested?
The trial tests if neoadjuvant therapy (treatment given before main treatment) increases the chance of successfully removing pancreatic tumors through surgery. It involves a combination of chemotherapy drugs like Gemcitabine and Folfirinox, along with radiation therapy before a pancreatectomy.
What are the potential side effects?
Possible side effects include nausea, fatigue, lowered blood cell counts leading to increased infection risk, hair loss from chemotherapy; skin irritation from radiation; and complications related to surgery such as bleeding or infection.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am 18 years old or older.
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I am fully active and can carry on all my pre-disease activities without restriction.
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I have not received any treatment for my pancreatic cancer.
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My diagnosis is pancreatic carcinoma or adenocarcinoma, confirmed by a tissue sample.
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My hepatitis B virus is under control with treatment.
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My tumor can possibly be removed with surgery, as determined by a scan.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not have any health conditions that would stop me from receiving standard cancer treatments.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Measuring the proportion of patients undergoing surgical resection using historical data compared to 32 patients in current study.
Secondary study objectives
Measuring Disease-free survival after resection calculated as time from surgical resection to either disease recurrence or death, whichever comes first.
Measuring the Pathologic response to neoadjuvant therapy as Complete Response, Partial Response, Progressive Disease, or Stable Disease.
Measuring the Proportion of patients undergoing R0 resection, by Calculation of patients undergoing resection versus not able to undergo resection.
+4 more

Awards & Highlights

All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 10 Other Conditions
This treatment demonstrated efficacy for 10 other conditions.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Neoadjuvant therapyExperimental Treatment4 Interventions
All patients will receive Neoadjuvant therapy.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Gemcitabine
FDA approved
Pancreatectomy
2012
Completed Phase 2
~160
Irinotecan
FDA approved
radiation therapy
1994
Completed Phase 3
~13390

Find a Location

Who is running the clinical trial?

University of CincinnatiLead Sponsor
439 Previous Clinical Trials
638,716 Total Patients Enrolled
Davendra Sohal, SohalPrincipal Investigator - University of Cincinnati
University of Cincinnati Medical Center

Media Library

Folfirinox (Anti-metabolites) Clinical Trial Eligibility Overview. Trial Name: NCT04594772 — Phase 2
Pancreatic Cancer Research Study Groups: Neoadjuvant therapy
Pancreatic Cancer Clinical Trial 2023: Folfirinox Highlights & Side Effects. Trial Name: NCT04594772 — Phase 2
Folfirinox (Anti-metabolites) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04594772 — Phase 2
~0 spots leftby Jan 2025