- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03822936
Carbon Ions Radiation Therapy for Resectable or Borderline Resectable Pancreas Adenocarcinoma (PIOPPO)
Phase II Clinical Study on Resectable or Borderline Resectable Pancreas Adenocarcinoma Preoperative Treatment With Chemotherapy and Carbon Ions Radiation Therapy (Hadrontherapy)
Study Overview
Status
Intervention / Treatment
Detailed Description
Enrolled subjects will undergo to 3 cycles of Folfirinox before re-evaluation of the lesion. Then, 4D planning and imaging with respiratory gating end rescanning technique will be adopted to calculate the optimal treatment plan to carbon ions radiation therapy: 38.4 Gy[RBE] is the prescribed dose to CTV. 4.8 Gy[RBE]/fraction will be delivered 4 times a week in two weeks. 4/6 weeks after hadrontherapy, after a CT scan with contrast, patient will undergo to a surgery. After 4/6 weeks, Gemcitabine will be administered for 6 cycles.
Secondary endpoints of the trial are overall survival, resectability rate (operable vs borderline operable), acute toxicity within 3 months, 3-6 months, over 6 months.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Francesca Valvo, MD
- Phone Number: 612 0039(0)382078501
- Email: francesca.valvo@cnao.it
Study Contact Backup
- Name: Direzione medica
- Phone Number: 0039(0)382078501
- Email: direzionemedica@cnao.it
Study Locations
-
-
-
Pavia, Italy, 27100
- Recruiting
- CNAO
-
Contact:
- Cristina Bono, MSc
- Phone Number: +39(0)382078613
- Email: cristina.bono@cnao.it
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- histologic/cytologic diagnosis of exocrine pancreas tumour
- resectable or borderline resectable exocrine pancreatic tumour (according to operability criteria)
- no metastasis from US, CT, PET, MRI or laparotomy
- Karnofsky index >= 70
- stomach and duodenum not infiltrated by tumour
- given informed consent to study procedures
- Hb > 9 g/dL, N> 1500, PLT> 100000
- creatininemia < 1.5 mg/dL; bilirubinemia < 1.5 times upper normal values; albumin > 3 g/dL
- DPD normal activity
- contraception required and breast feeding not permitted
Exclusion Criteria:
- non resectable, locally advanced tumours
- insular cells tumour
- comorbidities excluding abdominal surgery and/or chemo- radiation therapy
- known metastasis
- DPD low activity
- inability to attend study procedures and follow ups
- pregnancy
- previous diagnosis of other tumour with more disadvantageous prognosis then the study object
- metallic biliary stent
- metallic prothesis or any other condition to prevent from target volume individuation and dose calculation
- clinical condition preventing from radiation therapy (i.e. infections in the irradiation area)
- medical and/or psychical condition preventing from radiation therapy
- past radiation therapy on abdomen.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Preoperatory chemoradiation therapy with carbon ions
Chemoradiation followed by surgery
|
Preoperative chemotherapy, carbon ion therapy, surgery
Other Names:
Preoperative chemotherapy, carbon ion therapy, surgery
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression free survival
Time Frame: The local progression free survival will be assessed at 1-year
|
The local progression free survival is measured
|
The local progression free survival will be assessed at 1-year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
overall survival
Time Frame: The overall survival of enrolled patients will be assessed at 2-years
|
the overall survival of enrolled patients is considered
|
The overall survival of enrolled patients will be assessed at 2-years
|
resectability rate R0 stratified (operable vs not operable)
Time Frame: time of surgery (4-6 weeks after radiotherapy)
|
how many surgeries completed according to the procedures and with histopathological margins free from the disease/enrolled patients
|
time of surgery (4-6 weeks after radiotherapy)
|
Incidence of acute, medium term and late toxicity according to CTCAE v 4.0 grading toxicity
Time Frame: The incidence of acute and medium term toxicity will be assessed up to 90 and 180 post-operative days respectively. The incidence of late toxicity will be assessed through study completion, an average of 1 year.
|
Incidence of acute, medium term and late toxicity according to CTCAE v 4.0 grading toxicity
|
The incidence of acute and medium term toxicity will be assessed up to 90 and 180 post-operative days respectively. The incidence of late toxicity will be assessed through study completion, an average of 1 year.
|
intra and perioperatory complications
Time Frame: The incidence of intra- and perioperatory complications will be assessed up to 30 post-operative days
|
intra and perioperatory complications
|
The incidence of intra- and perioperatory complications will be assessed up to 30 post-operative days
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Francesca Valvo, MD, CNAO National Center of Oncological Hadrontherapy
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Endocrine System Diseases
- Digestive System Neoplasms
- Endocrine Gland Neoplasms
- Pancreatic Diseases
- Adenocarcinoma
- Pancreatic Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Topoisomerase Inhibitors
- Topoisomerase I Inhibitors
- Fluorouracil
- Oxaliplatin
- Irinotecan
Other Study ID Numbers
- CNAO 35/2017 C
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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