- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04110769
Development of Biomarker for the Evaluation of Response After Neoadjuvant Therapy in Patients With Pancreatic Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
BACKGROUND
- Pancreatic cancer is a rare cancer of the digestive system, but it is known to have a poor prognosis with a very poor survival rate. Five-year survival rate of all patients with pancreatic cancer is less than 6%, and only 10-20% of patients are eligible for surgery at the time of diagnosis.
- Postoperative complications of pancreatic cancer are reported in 30-50% of cases, and only 50% of patients undergoing postoperative chemotherapy at the appropriate time after surgery are reported. As a result of these concerns, the study of neoadjuvant chemotherapy (NACT) was begun. Recently, several clinical studies of chemotherapy have been performed. Cancer (BRPC), locally advanced pancreatic cancer (LAPC) patients who have had difficult surgical resection, are turning to treatment by combining surgical treatment after NACT.
- Although standard treatments for advanced chemotherapy have yet to be established through many clinical studies, the most commonly used regimens are FOLFIRINOX (fluorouracil, leucovorin, irinotecan, and oxaliplatin), gemcitabine and nab-paclitaxel. The response rate after prior chemotherapy is known as 30-50%, and the response of patients undergoing surgery after prior chemotherapy was compared with the serum markers before and after chemotherapy through CA19-9, PET-CT, and CT. The response could be estimated by the reduction, the size change in the imaging test, or the decrease in SUVmax. However, there are only a few studies on genetic and molecular studies of which patients will respond. Under these circumstances, this study on the discovery of biomarkers for the response of advanced chemotherapy in patients with pancreatic cancer may provide guidelines for the application of advanced chemotherapy and the selection of appropriate drugs, as well as clues for future research.
Primary endpoint:
-Discovery of genetic mutation in response to NACT
METHODOLOGY Recruitment and sample collection of patients undergoing NACT Identifying pancreatic cancer specific candidate genes in response to NACT
EXPECTED RESEARCH RESULTS
- Predictable genes and biomarkers of responsiveness for NACT can be identified.
- It is possible to understand the progress of pancreatic cancer widely
- The development of biomarkers that can predict the response of NACT
- In patients with BRPC or LAPC who need NACT, appropriate screening will be possible.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Song-Choel Kim, MD.PhD
- Phone Number: 82-2-3010-3933
- Email: drksc@amc.seoul.kr
Study Contact Backup
- Name: Woohyung Lee, MD
- Phone Number: 82-2-3010-3933
- Email: ywhnet@gmail.com
Study Locations
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-
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Seoul, Korea, Republic of, 05505
- Recruiting
- Asan Medical Center
-
Contact:
- Woohyung Lee
- Phone Number: 230103933
- Email: ywhnet@gmail.com
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patients who are going to administer neoadjuvant chemotherapy for borderline resectable or locally advanced pancreatic cancer
- Performance: 0-2
- No distant metastasis
- Patients who consented to and signed the consent
Exclusion Criteria:
- Distant metastasis
- Patients included in other clinical studies that may affect this study
- Patients who cannot follow the directions of the researcher
- Patients with moderate or severe comorbidities who are thought to have an impact on quality of life or nutritional status (cirrhosis, chronic kidney failure, heart failure, etc.)
- Pelvic tumor, benign tumor, malignant tumor in other organs
- Patients who received prior chemotherapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SCREENING
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Responders
The investigator will administer neoadjuvant chemotherapy After neoadjuvant chemotherapy, multidisciplinary team will decide to surgery or continuing chemotherapy based on following imaging studies and tumor markers. The patients who undergo surgery after neoadjuvant chemotherapy will be included responders. |
the investigator will compare genetic mutation between responder and non-responder using next generation sequencing examination.
|
ACTIVE_COMPARATOR: Non-responders
The patients who show cancer progression even after neoadjuvant chemotherapy will be classify with non-responder.
And the investigator will change palliative chemotherapy.
|
the investigator will compare genetic mutation between responder and non-responder using next generation sequencing examination.
The patient will be examined next generation sequencing before changing palliative chemotherapy for non-responders.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The rate of genetic mutation
Time Frame: before neoadjuvant chemotherapy
|
Discovery of genetic mutation in response to neoadjuvant chemotherapy
|
before neoadjuvant chemotherapy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
oncologic outcome
Time Frame: 3 - 5 years after surgery
|
overall survival and recurrence free survival
|
3 - 5 years after surgery
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Song-Choel Kim, MD.PhD, Asan Medical Center
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
Other Study ID Numbers
- NACTMarker-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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