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Gemcitabine is not the first choice for most pancreatic cancer patients nowdays
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Depression and anxiety accompany with advanced cancer. The effect of anti-anxiety depression has not evaluated in special cancers. Mirtazapine is a drug anti-anxiety depression and has a high risk increase weight. So the investigators assume Mirtazapine would not only improve the anxiety and depression of metastasis pancreas cancer but also would improve the appetite of such patients which would improve dyscrasia of pancreas cancer patients. The drug may improve the quality of life in advanced pancreatic cancer which is of short survival.
The investigators design a phase II/III trial to compared Mirtazapine plus gemcitabine with gemcitabine in metastasis pancreatic cancer. The investigators planed to enroll 33 patients for each arm after randomization.
The inclusion criteria included:
The investigators will evaluated the quality of life by SF-36 scale as primary outcome. The second outcomes include anxious and depression scores, objective response rate, progress free survival, overall Survival and chemotherapy induced nausea and vomiting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo plus gemcitabine | Placebo Comparator | we design placebo plus gemcitabine as control arm |
|
| Mirtazapine plus gemcitabine | Experimental | We design Mirtazapine plus gemcitabine as experimental arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mirtazapine plus gemcitabine | Drug | Mirtazapine,15mg/day for 3 days, If patients is durable, the dosage increase to 30mg/day, if the patient is durable, the doctor then will decided whether to increase to 45mg. Gemcitabine 1000mg/M2,d1,d8,q3w |
| Measure | Description | Time Frame |
|---|---|---|
| quality of life | primary outcome is the quality of life evaluated by SF-36 scale | up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| anxiety and depression scores | The second outcomes include anxious and depression scores | up to 3 years |
| objective response rate | up to 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yi Ba, MD, PHD | Tianjin Medical University Cancer Institute and Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| TianjinCIH | Tianjin | Tianjin Municipality | 300060 | China |
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| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
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| ID | Term |
|---|---|
| D000078785 | Mirtazapine |
| D000093542 | Gemcitabine |
| ID | Term |
|---|---|
| D003984 | Dibenzazepines |
| D006575 | Heterocyclic Compounds, 3-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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|
| Gemcitabine, placebo | Drug | Gemcitabine 1.0g/m2,d1,d8,q3w placebo |
|
|
| progress free survival, | up to 3 years |
| overall Survival | up to 3 years |
| chemotherapy induced nausea and vomiting | up to 3 years |
| D004066 |
| Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |