RecruitingPhase 3NCT06427447

Adjuvant Chemoradiotherapy Versus Chemotherapy for Pancreatic Cancer (ADJUPANC)

Adjuvant Chemoradiotherapy Versus Chemotherapy for Post-operative Pancreatic Cancer


Sponsor

Changhai Hospital

Enrollment

770 participants

Start Date

Aug 6, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

In this trial, we aim to compare the outcomes of adjuvant chemoradiotherapy with chemotherapy for patients with resected pancreatic cancer who are at high risk of disease progressions.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria7

  • Aged 18-75 years
  • Pathologically confirmed pancreatic ductal adenocarcinoma
  • Pathologically confirmed lymph node metastasis, R1 or R2 resection or lymphovascular invasion (one of the risk factors)
  • No history of cancer treatment after surgical resection
  • No disease progression confirmed by imaging examinations
  • ECOG 0 to1 point
  • No abnormality in blood routine test, liver and kidney function test and coagulation test (White blood cell count ≥4.0×10\^9/L, neutrophil count ≥2.0×10\^9, hemoglobin level ≥100g/L, platelet count ≥100×10\^9/L, ALT and AST level \< 2.5 times the upper limit of normal, total bilirubin and creatinine level within the normal, international normalized ratio \<2)

Exclusion Criteria10

  • History of cancer treatment after surgical resection
  • History of other cancers within 5 years
  • Disease progression, including local pprogression or metastasis, confirmed by imaging examinations
  • ECOG ≥2 points
  • Significant abnormality in blood routine test, liver and kidney function test and coagulation test
  • Active inflammatory bowel disease
  • Gastrointestinal bleeding or perforation within 6 months
  • Infections requiring antibiotics
  • Heart or respirotory insufficiency
  • Pregnant women or breastfeeding women

Interventions

COMBINATION_PRODUCTAdjuvant chemoradiotherapy

Upfront chemotherapy (gemcitabine plus capecitabine) followed chemoradiotherapy (radiotherapy with concurrent capecitabine)

DRUGAdjuvant chemotherapy

Chemotherapy (gemcitabine plus capecitabine)


Locations(1)

Huojun Zhang

Shanghai, Shanghai Municipality, China

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NCT06427447


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