Adaptive Neoadjuvant Chemotherapy for Pancreatic Cancer
(PANC Trial)
Trial Summary
Do I need to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the drug Gemcitabine with Nab-Paclitaxel for pancreatic cancer?
Is adaptive neoadjuvant chemotherapy for pancreatic cancer safe for humans?
The safety of treatments like FOLFIRINOX and gemcitabine plus nab-paclitaxel has been studied in pancreatic cancer patients. FOLFIRINOX can cause more severe side effects like neutropenia (low white blood cell count), febrile neutropenia (fever with low white blood cell count), and diarrhea, while gemcitabine plus nab-paclitaxel may lead to anemia and less severe nausea. Both treatments have different safety profiles, so careful monitoring and patient selection are important.678910
How is the adaptive neoadjuvant chemotherapy for pancreatic cancer unique?
This treatment is unique because it uses a combination of drugs like FOLFIRINOX and gemcitabine with nab-paclitaxel, which are typically used separately, to potentially improve outcomes by adapting to the patient's response, offering a more personalized approach compared to standard treatments.1112131415
What is the purpose of this trial?
This is an open-label, phase II study in patients with resectable and borderline resectable pancreas cancer.
Research Team
Kathleen Christians, MD
Principal Investigator
Professor
Eligibility Criteria
Adults with confirmed pancreatic adenocarcinoma that's resectable or borderline so, who haven't had extensive prior treatments and are in fairly good health (ECOG <2). They must have certain blood and organ function levels, not be pregnant or breastfeeding, use contraception if of childbearing potential, and can't have HIV/HBV/HCV or other serious conditions.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Chemotherapy
Participants receive standard chemotherapy for pancreatic cancer, with treatment response assessed by imaging, biomarkers, and performance status
Chemoradiation
Participants receive chemoradiation (50.4 Gy in 28 fractions) if they complete four months of chemotherapy
Surgical Resection
Participants are offered surgical resection if there is no local or metastatic disease progression
Follow-up
Participants are monitored for progression-free survival and overall survival
Treatment Details
Interventions
- Chemoradiation
- First-line Chemotherapy
- Second-line Chemotherapy
First-line Chemotherapy is already approved in European Union, United States, Japan for the following indications:
- Metastatic pancreatic cancer
- Metastatic pancreatic cancer
- Metastatic pancreatic cancer
- Metastatic pancreatic cancer
- Metastatic pancreatic cancer
- Metastatic pancreatic cancer
Find a Clinic Near You
Who Is Running the Clinical Trial?
Medical College of Wisconsin
Lead Sponsor