Trial Search Results

Testing the Use of the Usual Chemotherapy Before and After Surgery for Removable Pancreatic Cancer

This phase III trial compares perioperative chemotherapy (given before and after surgery) versus adjuvant chemotherapy (given after surgery) for the treatment of pancreatic cancer that can be removed by surgery (removable/resectable). Chemotherapy drugs, such as fluorouracil, irinotecan, leucovorin, and oxaliplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving chemotherapy before and after surgery (perioperatively) may work better in treating patients with pancreatic cancer compared to giving chemotherapy after surgery (adjuvantly).

Stanford is currently accepting patients for this trial.

Lead Sponsor:

Alliance for Clinical Trials in Oncology

Collaborator: National Cancer Institute (NCI)

Stanford Investigator(s):

Intervention(s):

  • Drug: Oxaliplatin
  • Drug: Irinotecan Hydrochloride
  • Drug: Leucovorin Calcium
  • Drug: Fluorouracil
  • Procedure: Resection
  • Other: Questionnaire Administration

Phase:

Phase 3

Eligibility


Inclusion Criteria:

PRE-REGISTRATION:

   - Pathology: Histologic or cytologic proof of pancreatic adenocarcinoma or adenosquamous
   carcinoma

   - TNM Stage: Tx-4, N0-1, M0 (M0 disease does not include spread to distant lymph nodes
   and organs)

   - Resectable Primary Tumor: Local radiographic reading must be consistent with
   resectable disease defined as the following on 1) arterial and venous phase
   contrast-enhanced abdominal/pelvic CT scan or abdominal/pelvic magnetic resonance
   imaging (MRI) scan and 2) chest CT:

      - No involvement or abutment of the celiac artery, common hepatic artery, superior
      mesenteric artery, or replaced right hepatic artery (if applicable)

      - Less than 180 degree interface between tumor and vessel wall of the portal vein
      or superior mesenteric vein, and patent portal vein/splenic vein confluence

      - No evidence of metastatic disease

   - Measurable disease or non-measurable disease o Non-measurable disease is defined as
   cytologic or histologic confirmation of adenocarcinoma of adenosquamous carcinoma by
   fine needle aspiration or core-biopsy of the pancreas without measurable disease by
   radiographic imaging

REGISTRATION:

   - Confirmation of resectable disease by real-time central imaging review by the Alliance
   Imaging Core Lab at Imaging and Radiation Oncology Core (IROC) Ohio

   - Determined to be appropriate candidate for curative-intent pancreatectomy by surgeon
   intending to perform the resection

   - No prior radiation therapy, chemotherapy, targeted therapy, investigational therapy,
   or surgery for pancreatic cancer

   - Not pregnant and not nursing, because this study involves an agent that has known
   genotoxic, mutagenic, and teratogenic effects.

   - Therefore, for women of childbearing potential only, a negative pregnancy test done =<
   14 days prior to registration is required

   - Eastern Cooperative Oncology Group (ECOG) performance status 0-1

   - Total Neuropathy Score < 2

   - Absolute neutrophil count (ANC) >= 1,500/uL

   - Platelet count >= 100,000/uL

   - Total bilirubin =< 1.5 x upper limit of normal (ULN) (If obstructive jaundice is
   present, then biliary drainage must be initiated and total bilirubin =< 3.0)

   - Creatinine =< 1.5 x ULN OR calculated (Calc.) creatinine clearance >= 30 mL/min
   (Calculated using the Cockcroft-Gault equation)

   - No known Gilbert's Syndrome or known homozygosity for UGAT1A1*28 polymorphism

   - No comorbid conditions that would prohibit curative-intent pancreatectomy

   - Chronic concomitant treatment with strong inhibitors of CYP3A4 is not allowed on this
   study. Patients on strong CYP3A4 inhibitors must discontinue the drug prior to
   registration

   - Chronic concomitant treatment with strong inducers of CYP3A4 is not allowed on this
   study. Patients on strong CYP3A4 inducers must discontinue the drug prior to
   registration

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Now accepting new patients

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Gino Pineda
650-725-8474
Recruiting