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This study was a single-arm multicenter prospective phase II clinical study, designed to evaluate the efficacy and safety of neoadjuvant nab-paclitaxel combined with S-1 in patients with borderline resectable pancreatic cancer. A total of 60 subjects who meet the criteria will receive neoadjuvant chemotherapy of nab-paclitaxel and S-1, for a maximum of 4 cycles prior to pancreatectomy. The primary endpoint is R0 resection rate, the secondary endpoints include overall survival and response rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| nab-paclitaxel and S-1 | Experimental | neoadjuvant chemotherapy with Nab-paclitaxel and S-1, repeat every 21 days for 4 cycles. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| nab-paclitaxel and S-1 | Drug | Nab-Paclitaxel: 120 mg/m2 d1, 8, S-1: Body surface area < 1.25 m2, 80 mg/d; Body surface area ≥ 1.25 m2 < 1.50 m2, 100 mg/d; Body surface area ≥1.5 m2, 120 mg/d; Bid, d1-14; |
| Measure | Description | Time Frame |
|---|---|---|
| R0 resection rate | proportion of patients who achieved R0 resection | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
≥ Grade 2 existing peripheral neuropathy;
Any other malignancy within 5 years prior to enrollment, with the exception of adequately treated in-situ carcinoma of the cervix, uteri, bladder, or nonmelanomatous skin cancer.
Active, uncontrolled infection(s) requiring systemic therapy, defined as ongoing signs/symptoms related to the infection without improvement despite appropriate treatment.
Severe, active co-morbidity, defined as follows:
Unstable angina and/or congestive heart failure requiring hospitalization within the last 6 months Transmural myocardial infarction within the 6 months of study registration Uncontrolled hypertension, diabetes or arrhythmia. Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization.
Not able to take medicine orally.
Pregnancy or lactation, and women of childbearing age who refused to take appropriate contraceptive measures during the course of this study;
Participation in other clinical trial within 30 days before the first dose of the drug;
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| TaiPing Zhang, MD | Contact | 13520132976 | Tpingzhang@yahoo.com | |
| YueJuan Cheng, MD | Contact | 861069158315 | cnchengyuejuan@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Recruiting | Beijing | Beijing Municipality | China |
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| ID | Term |
|---|---|
| C520255 | 130-nm albumin-bound paclitaxel |
| C079198 | S 1 (combination) |
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