Clinical trial · Interventional
Phase I Study of Neoadjuvant Chemotherapy for Patients With Borderline Resectable Pancreatic Cancer.
Phase I Study of Neoadjuvant Chemotherapy of Gemcitabine Plus Nab-paclitaxel for Patients With Borderline Resectable Pancreatic Cancer.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Gemcitabine plus nub-paclitaxel (GEMABR) regimen was recently presented at an international oncology meeting and represents a new standard regimen in the treatment of metastatic pancreatic cancer. Therefore, it was decided to consider the balance of safety and efficacy as a preoperative chemotherapy, the investigators use the NAC-GEMABR regimen includes only two cycles (three times weekly and one week rest) of GEMABR regimen.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Pancreatic Cancer | Malignant Pancreatic Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| NAC-GEMABR | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- NAC-GEMABR
- description
- Neoadjuvant chemotherapy 2 courses of NAC-GEMABR for subsequent 10 patients.
- interventionNames
- Drug: NAC-GEMABR
Primary outcomes (1)
- measure
- Number of participants with toxicity of NAC-GEMABR therapy as neoadjuvant chemotherapy for borderline resectable pancreatic cancer.
- timeFrame
- Up to 30 weeks.
- description
- Toxicities will be assessed according to Common Terminology Criteria for Adverse Events (CTCAE) 4.0.
Secondary outcomes (2)
- measure
- The resection rate of NAC-GEMABR therapy as neoadjuvant chemothterapy for borderline resectable pancreatic cancer.
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 20 Years
- Maximum age
- 79 Years
Show eligibility criteria text
Inclusion Criteria: * Pathologically proven invasive pancreatic ductal carcinoma * Cases that meet the definition of borderline resectable pancreatic cancer 1) or 2) 1. Definition of a borderline resectable pancreatic cancer is filledin NCCN guideline version 1.2014 pancreatic adenocarcinoma 2. Patients indicated distal pancreatectomy with en bloc celiac axis resection * PS (ECOG) 0-1 * ≧20 years old and \< 80 years old * First line treatment * The following criteria must be satisfied in laboratory tests within 14 days of registration White blood cell count ≦12,000/mm3 Neutrophil count ≧1,500/mm3 Platelet count ≧100,000mm3 Total bilirubin \<2.0mg/dL Serum Creatinine ≦upper limits of normal(ULN) AST, ALT≦2.5×ULN Albumin≧3.0g/dL Hemoglobin≧9.0g/dL * Written informed consent to participate in this study Exclusion Criteria: * Severe drug hypersensitivity * Multiple primary cancers within 5 years * Severe infection * With grade2 or more severe peripheral neuropathy * With intestinal paralysys, ileus * Interstitial pneumonia or pulmonary * With uncontrollable pleural effusion or ascites * Receiving atazanavir sulfate * With uncontrollable diabetes * With uncontrollable heart failure, angina, hypertension, arrhythmia * With severe psychological symptoms * With watery diarrhea * Pregnant or lactating women, or women with known or suspected pregnancy * Inappropriate patients for entry on this study in the judgment of the investigator
References
Publications (1)
- DERIVEDOkada KI, Hirono S, Kawai M, Miyazawa M, Shimizu A, Kitahata Y, Ueno M, Hayami S, Yamaue H. Phase I Study of Nab-Paclitaxel plus Gemcitabine as Neoadjuvant Therapy for Borderline Resectable Pancreatic Cancer. Anticancer Res. 2017 Feb;37(2):853-858. doi: 10.21873/anticanres.11389. PMID 28179342