Additional Treatment for Isolated Local Pancreatic Cancer Recurrence Using Stereotactic Body Radiation Therapy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUMC Utrecht

About this trial

A randomized controlled trial, nested within an existing prospective cohort (Dutch Pancreatic Cancer Project; PACAP) according to the 'trials within cohorts' (TwiCs) design in which the effect of additional local ablative therapy compared to current standard of care alone, on survival after recurrence in patients with isolated local pancreatic ductal adenocarcinoma (PDAC) recurrence. The most important secondary endpoint is quality of life. Other secondary endpoints are treatment response, acute and late toxicity, overall survival, progression-free survival, local progression-free survival, distant metastases free survival and reasons for non-eligibility or exclusion.

Eligibility criteria

Qualifiers

Participation in the PACAP cohort with written informed consent for being randomized in future studies

Isolated local recurrence after primary PDAC resection

Minimum age of 18 years

Disqualifiers

Distant metastases

Expected lifespan < 3 months

Ineligibility for MRI or CT according to the protocol of the local radiology department;

Highly selective cases with resectable, isolated local recurrence without the need for either systemic or local ablative induction therapy, eligible for re-resection according to the expert panel.

Trial design

Treatments tested in this trial

  • Additional stereotactic body radiation therapy

Treatment groups

174 Participants
are divided into 2 treatment groups

Sponsors and collaborators

UMC Utrecht

Lead sponsor

Dutch Pancreatic Cancer Group (DPCG)

Collaborator