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The purpose of this clinical trial is to study an experimental drug called pembrolizumab or MK-3475 for use in combination with chemotherapy and radiation therapy for patients with resectable (surgical removal) or borderline resectable pancreatic cancer. In general, pancreatic cancer that cannot be removed by surgery is sometimes treated with chemotherapy and radiation therapy, called neoadjuvant treatment, to shrink the tumor so that surgery might be possible. However, this is not always effective at shrinking the tumor enough to allow it to be removed with surgery. Recent discoveries suggest that the investigators own immune system might have a role in controlling the growth of tumors. Drugs such as pembrolizumab can stimulate the immune system against cancer. The purpose of this study is to investigate whether pembrolizumab can be used safely during neoadjuvant treatment and can improve the body's immune response against pancreatic cancer.
Pembrolizumab has been approved for treatment of patients with melanoma but has not been proven to be safe or helpful in patients with pancreatic cancer and is not approved by the U.S. Food and Drug Administration (FDA) for this purpose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neodjuvant CRT + Pembrolizumab | Experimental | Standard neoadjuvant chemoradiation treatment (CRT) with pembrolizumab |
|
| Neoadjuvant CRT | Active Comparator | Standard neoadjuvant chemoradiation treatment (CRT) alone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pembrolizumab | Drug | Pembrolizumab administered at a dose of 200 mg IV every 3 weeks on days 1, 22, and 43 during concurrent neoadjuvant chemoradiation treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Tumor Infiltrating Lymphocytes (TILs) per high powered field (hpf) in pancreatic tissue (resected tissue). | 2-3 years | |
| Safety: Incidence of Dose-Limiting Toxicities (DLTs) | 2-3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Disease-free survival (DFS) | 2-4 years | |
| Overall survival (OS) | 2-4 years | |
| Response Rate (RR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Justin Alicea | Contact | 434-243-5350 | xzy7tw@virginia.edu | |
| Katie Rea | Contact | 434-924-8574 | kaw3j@virginia.edu |
| Name | Affiliation | Role |
|---|---|---|
| Osama Rahma, MD | Dana-Farber Cancer Institute | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Cancer Center | Recruiting | Phoenix | Arizona | 85054 | United States |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 5, 2025 | |
| Reset | Jun 23, 2025 |
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|
| Neoadjuvant Chemoradiation | Radiation | Chemoradiation with capecitabine (825 mg/m2 orally twice daily, Monday through Friday, on days of radiation only) and radiation (50.4 Gy in 28 fractions over 28 days) |
|
| 2-3 years |
| Hartford HealthCare | Recruiting | Hartford | Connecticut | 06102 | United States |
|
| University of Miami | Completed | Miami | Florida | 33136 | United States |
| Dana-Farber Cancer Institute | Recruiting | Boston | Massachusetts | 02215 | United States |
|
| MD Anderson | Recruiting | Houston | Texas | 77030 | United States |
|
| University of Virginia Cancer Center | Recruiting | Charlottesville | Virginia | 22908 | United States |
|
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 5, 2025 | Jun 23, 2025 |
| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| D020360 | Neoadjuvant Therapy |
| ID | Term |
|---|---|
| D003131 | Combined Modality Therapy |
| D013812 | Therapeutics |
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