[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100335823":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":27,"centralContacts":32,"locations":41,"responsibleParty":76,"collaborators":26,"id":79,"slug":80,"hasResults":81,"nctId":82,"briefTitle":83,"officialTitle":84,"acronym":26,"eligibilityCriteria":85,"healthyVolunteers":81,"sex":86,"minAge":87,"maxAge":88,"enrollmentInfo":89,"targetDuration":26,"studyType":92,"phases":93,"briefSummary":96,"conditions":97,"keywords":99,"overallStatus":44,"whyStopped":26,"lastUpdateSubmitDate":103,"lastUpdatePostDateStruct":104,"startDateStruct":107,"completionDateStruct":109,"leadSponsor":111,"locationsCount":112},{"fullName":5,"class":6},"University of Maryland, Baltimore","OTHER",[8],{"label":9,"type":6,"description":10,"interventionNames":11},"Pancreatic Proton Therapy With Concurrent Gem + Nab-paclitaxel","Part I:\n\nGemcitabine + nab-paclitaxel:\n\n• Administered per institutional standard every 7 days for 3 weeks\n\nPart II:\n\nHypofractionated ablative pancreatic proton radiation therapy 67.5 Gy fractions once per day Monday - Friday for 3 weeks, for a total of 15 fractions.\n\nPart III:\n\nSurgery, if resectable, then adjuvant chemo per discretion of MD or no further therapy\n\nOR\n\nChemo per discretion of MD if not resectable",[12,13],"Drug: Gemcitabine","Radiation: Hypofractionated Ablative Proton Therapy",[15,22],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":20},"DRUG","Gemcitabine","see arm description",[9],[21],"Nab-Paclitaxel",{"type":23,"name":24,"description":18,"armGroupLabels":25,"otherNames":26},"RADIATION","Hypofractionated Ablative Proton Therapy",[9],null,[28],{"name":29,"affiliation":30,"role":31},"Jason Molitoris, MD","University of Maryland\u002FMaryland Proton Treatment Center","PRINCIPAL_INVESTIGATOR",[33,37],{"name":29,"role":34,"phone":35,"phoneExt":26,"email":36},"CONTACT","410-328-2328","jmolitoris@umm.edu",{"name":38,"role":34,"phone":39,"phoneExt":26,"email":40},"Jasmine A Newman, BS","410-369-5355","jasmine.newman@umm.edu",[42,63],{"facility":43,"status":44,"city":45,"state":46,"zip":47,"country":48,"countryCode":49,"cosmosGeoPoint":50,"geoPoint":55,"contacts":56},"MedStar Georgetown University Hospital","RECRUITING","Washington D.C.","District of Columbia","20007","United States","US",{"type":51,"coordinates":52},"Point",[53,54],-77.03637,38.89511,{"lat":54,"lon":53},[57,61],{"name":58,"role":34,"phone":59,"phoneExt":26,"email":60},"Nicole Villa, MSN, RN","202-687-2939","nv209@georgetown.edu",{"name":62,"role":31,"phone":26,"phoneExt":26,"email":26},"Keith Unger, MD",{"facility":64,"status":44,"city":65,"state":66,"zip":67,"country":48,"countryCode":49,"cosmosGeoPoint":68,"geoPoint":72,"contacts":73},"University of Maryland Medical Center\u002FMaryland Proton Treatment Center","Baltimore","Maryland","21201",{"type":51,"coordinates":69},[70,71],-76.61219,39.29038,{"lat":71,"lon":70},[74,75],{"name":38,"role":34,"phone":39,"phoneExt":26,"email":40},{"name":29,"role":31,"phone":26,"phoneExt":26,"email":26},{"type":31,"investigatorFullName":77,"investigatorTitle":78,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Department of Radiation Oncology","Principal Investigator","100335823","phase-1-phase-i-nab-paclitaxel-plus-gemcitabine-with-proton-therapy-for-locally-advanced-pancreatic-cancer-lapc-100335823",false,"NCT03652428","Phase I Nab-Paclitaxel Plus Gemcitabine With Proton Therapy for Locally Advanced Pancreatic Cancer (LAPC)","Phase I Study of Concurrent Nab-Paclitaxel + Gemcitabine With Hypofractionated, Ablative Proton Therapy for Locally Advanced Pancreatic Cancer","Inclusion Criteria:\n\n1. Cytologic or histologic proof of adenocarcinoma of the pancreas.\n2. Nonmetastatic pancreatic cancer. Metastatic disease includes spread to distant (non-regional) lymph nodes, organs, peritoneum and ascites.\n3. Unequivocal radiographic findings contraindicating resection including, but not limited to, solid tumor contact with any of the following: 1) the SMA \\>180º; 2) the celiac axis \\>180º; 3) the first jejunal superior mesenteric artery (SMA) branch; 4) unreconstructible superior mesenteric vein (SMV)\u002Fportal vein due to tumor involvement or occclusion; 5) the most proximal draining jejunal branch into the SMV.\n4. ECOG Performance Status 0 or 1.\n5. Absolute neutrophil count ≥1,000\u002Fmm3\n6. Platelet count ≥100,000\u002Fmm3\n7. Creatinine ≤1.5 × upper limit of normal\n8. Calculated creatinine clearance \\>45 mL\u002Fmin\n9. Total bilirubin ≤2 mg\u002FdL\n\nExclusion Criteria:\n\n1. Patients with resectable or borderline resectable pancreatic cancer are ineligible.\n2. No prior definitive resection of pancreatic cancer.\n3. No prior radiation therapy to the abdomen that would overlap fields required in this study. Prior radiotherapy for other disease is allowed.\n4. No prior chemotherapy except for FOLFIRINOX, Gem-Abrax, or Gem-Cap. A patient may be registered for the trial while undergoing chemotherapy.\n5. Any grade 4 toxicity prior to start of chemoradiotherapy that may be due to induction chemotherapy.\n6. Greater than 2 dose reductions during induction chemotherapy.\n7. Chronic concomitant treatment with strong inhibitors of CYP3A4. Patients on strong CYP3A4 inhibitors must discontinue the drug for 14 days prior to the start of study treatment. Chronic concomitant treatment with strong CYP3A4 inducers is not allowed. Patients must discontinue the drug 14 days prior to the start of study treatment.\n8. Baseline Grade ≥ 2 neuropathy. Known Gilbert's disease or known homozygosity for UGAT1A1\\*28 polymorphism.\n9. Pregnant and\u002For breastfeeding. Patient must have a negative pregnancy test within 14 days of study entry if they are in childbearing years\u002Fpremenopausal.\n10. Known HIV-positivity on combination antiretroviral therapy because of the potential for pharmacokinetic interactions with gemcitabine and nab-paclitaxel.\n11. Non-compliance with induction chemotherapy.","ALL","18 Years","75 Years",{"count":90,"type":91},24,"ESTIMATED","INTERVENTIONAL",[94,95],"PHASE1","PHASE2","The purpose of this study is to determine the maximum tolerated dose of the chemotherapy drugs nab-paclitaxel and gemcitabine when combined with hypofractionated ablative proton therapy for the treatment of locally advanced pancreatic cancer. You will receive proton therapy once a day (Monday - Friday) for 3 weeks. Participants will also receive chemotherapy on each Monday of those three weeks.",[98],"Locally Advanced Pancreatic Cancer",[100,101,102],"LAPC","Nab-paclitaxel +Gemcitabine","Proton Therapy","2026-05-05",{"date":105,"type":106},"2026-05-06","ACTUAL",{"date":108,"type":106},"2019-04-02",{"date":110,"type":91},"2026-12-31",{"name":5,"class":6},2]