Preoperative, Proton- Radiotherapy Combined With Chemotherapy for Borderline Resectable Pancreatic Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEBG MedAustron GmbH

About this trial

This is an interventional, single arm, open-label, feasibility trial with gemcitabine and nab-paclitaxel, followed by concomitant proton therapy and capecitabine, followed by re-evaluation and surgery (when feasible) for patients with borderline resectable pancreatic cancer.

Eligibility criteria

Qualifiers

Patients with histologically or cytologically confirmed diagnosis of pancreatic cancer

Diagnosis of borderline resectable cancer according to the international consensus definition 2017.

Negative staging for distant metastasis

Blood test within the following limits absolute neutrophil count > 1,500 cells/mm³, platelet count > 100,000 cells/mm³, Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) < 2.5 times the upper limit of normal, total bilirubin < 2.5 times the upper limit of normal if patient had recent biliary stenting, total bilirubin < 1.5 times the upper limit of normal if no biliary stenting was done, serum creatinine within normal range (0.6-1.5 mg/dl) with a creatinine clearance > 30 ml/min (as estimated by Cockroft Gault equation)

Disqualifiers

Non-exocrine tumors

Major medical or psychiatric comorbidities that contraindicate radiation therapy, chemotherapy or surgery

Presence of distant metastasis

Pregnancy or unwilling to do adequate conception prevention

Trial design

Treatments tested in this trial

  • Proton Ions
  • Nab-PACLitaxel
  • Gemcitabine
  • Capecitabine
  • Surgical resection of the pancreas (when feasible)

Treatment groups

10 Participants
are divided into 1 treatment group

Sponsors and collaborators

EBG MedAustron GmbH

Lead sponsor

Landesklinkum Wiener Neustadt

Collaborator