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


2017-11-01


2021-12-31


2021-12-31


35

Study Overview

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

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, patients will proceed to curative resection.

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, patients will proceed to curative resection. The primary endpoint of this study is resection rate after neoadjuvant chemotherapy. The first stage will enroll 18 patients. We will go into the second stage if at least 2 patients in stage I become resectable after treatment. There will be at most 35 patients enrolled. Based on this trial, we anticipate that the SIROX regimen has comparable response rate and resection rate but lower toxicities comparing to FOLFIRINOX.

  • Pancreatic Ductal Adenocarcinoma
  • DRUG: Tegafur-gimeracil-oteracil potassium
  • DRUG: Oxaliplatin
  • DRUG: Irinotecan
  • 201610076MIPB

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2017-10-16  

N/A  

2017-10-19  

2017-10-19  

N/A  

2017-10-20  

2017-10-20  

N/A  

2017-10  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: SIROX

Tegafur-gimeracil-oteracil potassium, irinotecan, oxaliplatin combination

DRUG: Tegafur-gimeracil-oteracil potassium

  • 40 mg bid, D1-14

DRUG: Oxaliplatin

  • 85 mg/m2, D1

DRUG: Irinotecan

  • 150 mg/m2, D8
Primary Outcome MeasuresMeasure DescriptionTime Frame
resection ratepatients with R0 or R1 resection of the primary tumor after study chemotherapy/patients receiving at least one dose of study chemotherapy3 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
response rate (RR)RR of SIROX3 years
Overall survival (OS)OS of all patients4 years

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Shih-Hung Yang, M.D.

Phone Number: +886-2-23123456

Email: 018500@ntuh.gov.tw

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
20 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. histologically or cytologically proven pancreatic adenocarcinoma 2. newly diagnosed, unresectable, locally-advanced pancreatic cancer 3. no potential of R0 resection at diagnosis 4. presence of measurable pancreatic lesion, which must meet the criteria of being ≥ 10 mm in at least one dimension by conventional CT/MRI 5. age between 20 and 79 years at registration 6. ECOG performance status (PS) of 0 or 1 7. adequate major organ functions 8. ability to take the oral study medication (S-1) 9. no clinically significant abnormal ECG findings within 28 days (4 weeks) prior to registration 10. voluntarily signed the written informed consent form
    Exclusion Criteria:
    1. pulmonary fibrosis or interstitial pneumonitis diagnosed within 28 days prior to registration 2. presence of diarrhea ≥ CTCAE v.4.03 grade 2 3. concomitant active infection 4. 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 5. moderate or severe ascites or pleural effusion that requires drainage 6. prior or concurrent malignancies within the last 3 years, with the exception of carcinoma in situ of the cervix, or basal type skin cancer 7. concomitant treatment with flucytosine, phenytoin or warfarin 8. peripheral neuropathy grade of 2 or higher 9. 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) 10. 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 11. severe mental disorder 12. judged ineligible by physician for participation in the study due to safety concern

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • TTY Biopharm

  • PRINCIPAL_INVESTIGATOR: Yu-Wen Tien, M.D., Ph. D., National Taiwan University Hospital

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available