- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06122480
Surgical Resection of Synchronous Pulmonary or Hepatic Oligometastatic Pancreatic Ductal Adenocarcinoma
Perioperative Irinotecan Combined With Oxaliplatin and 5-Fluoracil/Folinic Acid (FOLFIRINOX) For Synchronous Pulmonary or Hepatic Oligometastatic Pancreatic Ductal Adenocarcinoma (PHOLIPANC): A Phase II, Open-Label, Single Arm Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Jin He, MD, PhD
- Phone Number: +1(410)614-7551
- Email: jhe11@jhmi.edu
Study Locations
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital
-
Contact:
- Jin He, MD, PhD
- Email: jhe11@jhmi.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically confirmed diagnosis of treatment-naïve limited hepatic or pulmonary metastatic adenocarcinoma of the pancreas
- Meet the definition of limited hepatic or pulmonary metastasis according to CT/MRI that is done prior to the starting of any anticancer treatment. Either CT scan of chest, abdomen, and pelvis with intravenous contrast or a combination of MRI of abdomen and pelvis and CT scan of chest is acceptable radiographic imaging. CT/MRI can be done at an outside facility, but must be reviewed by a Johns Hopkins Medicine radiologist.
- Measurable disease according to RECIST v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Being a candidate for the chemotherapy with FOLFIRINOX or modified FOLFIRINOX
- Patients ≥18 years at the time of signing the informed consent
- Patient's written informed consent prior to any trial-specific procedure
- Patient's legal capacity to consent to participation in the clinical trial
Exclusion Criteria:
- Acinar cell carcinoma and/or neuroendocrine carcinoma of the pancreas
- Symptomatic clinically significant ascites
- Evidence of any distant metastases other than limited hepatic or pulmonary metastasis as defined in inclusion criterion 1.
- Evidence of simultaneous pulmonary and hepatic metastases
- Any tumor-specific pretreatment of the adenocarcinoma of the pancreas (including but not limited to surgery, radiation therapy, chemotherapy or ablative procedures). Currently being on FOLFIRINOX or modified FOLFIRINOX (mFOLFIRINOX) is allowed, unless more than 2 treatments of FOLFIRINOX or mFOLFIRINOX has been given.
- Any malignancies other than adenocarcinoma of the pancreas in the 2 years before the start of the clinical trial except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, breast cancer, prostate cancer or superficial bladder tumors (Ta, Tis and T1)
- Known HIV seropositivity
- Known active or chronic Hepatitis B or Hepatitis C infection
- Any other severe concomitant disease or disorder, which could influence patient's ability to participate in the clinical trial and his/her safety during the trial or interfere with interpretation of results, e.g., severe hepatic, renal, pulmonary, cardiovascular, metabolic or psychiatric disorders
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: Treatment arm
Eligible patients will undergo neoadjuvant FOLFIRINOX chemotherapy with the following order and dosing schedule: Irinotecan hydrochloride trihydrate is administered intravenously over approximately 90 minutes at a dose of 180 mg/m^2. Oxaliplatin is given intravenously over 2 hours at a dosage of 85 mg/m^2. 5-Fluorouracil is administered intravenously over approximately 46 hours at a dosage of 2400 mg/m^2. This treatment regimen is a modified FOLFIRINOX protocol. |
Perioperative Irinotecan Combined with Oxaliplatin and 5-Fluoracil/Folinic Acid (FOLFIRINOX)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival after R0/R1 resection (OS-res) (only patients with R0/R1 resection)
Time Frame: 48 months
|
To assess the efficacy of neoadjuvant FOLFIRINOX chemotherapy followed by R0/R1 resection in patients with hepatic or pulmonary oligometastatic adenocarcinoma of the pancreas
|
48 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
R0/R1 resection rate after neoadjuvant chemotherapy
Time Frame: 48 months
|
Determine the rate of complete (R0) and near-complete (R1) tumor resections following neoadjuvant chemotherapy.
|
48 months
|
Overall Survival
Time Frame: 48 months
|
Assess the overall survival of patients receiving neoadjuvant chemotherapy for pancreatic cancer.
|
48 months
|
Progression-Free Survival (PFS) after R0/R1 Resection (RECIST v1.1)
Time Frame: 48 months
|
Analyze the progression-free survival (PFS) in patients who achieve R0/R1 resection status, as per the RECIST v1.1 criteria, following neoadjuvant chemotherapy.
|
48 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health Related Quality of Life (HR-QoL) adjusted Overall Survival if enrolled in the separate Institutional Review Board protocol for QoL
Time Frame: 48 months
|
Analyze the HR-QoL-adjusted overall survival if enrolled in the separate Institutional Review Board protocol for QoL
|
48 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Jin He, MD, PhD, Johns Hopkins University
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- J23143
- IRB00414679 (Other Identifier: JHM IRB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Pancreatic Ductal Adenocarcinoma
-
Roswell Park Cancer InstituteNot yet recruitingStage II Pancreatic Cancer AJCC v8 | Stage III Pancreatic Cancer AJCC v8 | Stage IV Pancreatic Cancer AJCC v8 | Metastatic Pancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal Adenocarcinoma | Advanced Pancreatic Ductal Adenocarcinoma | Unresectable Pancreatic Ductal Adenocarcinoma and other conditionsUnited States
-
Georgetown UniversityERYtech PharmaActive, not recruitingMetastatic Pancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal AdenocarcinomaUnited States
-
Gilead SciencesTerminatedPreviously Untreated Pancreatic Ductal Adenocarcinoma | Relapsed/Refractory Pancreatic Ductal AdenocarcinomaUnited States
-
SOFIERecruitingFAP | PDAC - Pancreatic Ductal AdenocarcinomaUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingBorderline Resectable Pancreatic Adenocarcinoma | Resectable Pancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal AdenocarcinomaUnited States
-
Memorial Sloan Kettering Cancer CenterRecruitingPancreatic Cancer | Pancreatic Ductal Adenocarcinoma | Metastatic Pancreatic Cancer | Metastatic Pancreatic Ductal Adenocarcinoma | Primary Pancreatic Ductal AdenocarcinomaUnited States
-
UMC UtrechtDutch Pancreatic Cancer Group (DPCG)Enrolling by invitationResectable Pancreatic Ductal Adenocarcinoma | Recurrent Pancreatic Ductal AdenocarcinomaNetherlands
-
Sidney Kimmel Comprehensive Cancer Center at Johns...Bristol-Myers SquibbRecruitingPancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal Adenocarcinoma (PDAC)United States
-
OHSU Knight Cancer InstituteGenentech, Inc.; Oregon Health and Science University; American Association for... and other collaboratorsRecruitingStage II Pancreatic Cancer AJCC v8 | Stage III Pancreatic Cancer AJCC v8 | Stage IV Pancreatic Cancer AJCC v8 | Metastatic Pancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal Adenocarcinoma | Unresectable Pancreatic Ductal AdenocarcinomaUnited States
-
Sohag UniversityCompletedPancreatic Adenocarcinoma
Clinical Trials on FOLFIRINOX chemotherapy
-
Medical University of South CarolinaTerminatedAdenocarcinoma of Head of PancreasUnited States
-
University Hospital, RouenFederation Francophone de Cancerologie Digestive; UNICANCER; Federation of Research... and other collaboratorsUnknownResectable Pancreatic Duct AdenocarcinomaFrance
-
University Hospital, BordeauxActive, not recruiting
-
University of Erlangen-Nürnberg Medical SchoolCompleted
-
Ability Pharmaceuticals SLCompletedPancreatic CancerSpain, United States, France, Israel
-
Sun Yat-sen UniversityUnknownHepatocellular CarcinomaChina
-
Institut du Cancer de Montpellier - Val d'AurelleRecruitingRectal Carcinoma | Locally Advanced Malignant NeoplasmFrance
-
Fox Chase Cancer CenterRecruitingMetastatic Pancreatic CancerUnited States
-
Academisch Medisch Centrum - Universiteit van Amsterdam...CompletedCholangiocarcinomaNetherlands
-
Seoul National University HospitalHospicare Inc.UnknownCancer, PancreasKorea, Republic of