Education and Training
Phase 3 Study of FOLFIRINOX (mFFX) +/- SBRT in Locally Advanced Pancreatic Cancer
The goal of this study is to determine the safety and efficacy of a chemotherapy regimen known as Modified FOLFIRINOX (mFFX) alone or with the addition of Stereotactic Body Radiotherapy (SBRT). We hope to learn if this new treatment combination helps to control the disease and improve survival for patients with locally advanced pancreatic cancer.
Stanford is currently not accepting patients for this trial.
Intervention(s):
- drug: Oxaliplatin
- drug: Irinotecan
- drug: Leucovorin
- drug: 5FU
- radiation: Stereotactic Body Radiotherapy (SBRT)
Eligibility
INCLUSION CRITERIA
- Histologically-confirmed adenocarcinoma of the pancreas
- Determined unresectable by a pancreatic cancer surgeon or a multi-disciplinary or
gastrointestinal oncology Tumor Board.
- Stable or better disease on re-staging scans
- Typically, tumors < 8.0 cm in greatest axial dimension but final determination of
eligibility based upon radiation normal tissue constraints
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0, 1, or 2
- Leukocytes (white blood cells, WBC) ≥ 3,000/mL
- Absolute neutrophil count (ANC) ≥ 1,500/mL
- Platelets ≥ 50,000/mL
- Total bilirubin ≤ 1.5 X institutional upper limit of normal (ULN)
- Aspartate aminotransferase (AST) / alanine aminotransferase (ALT) ≤ 2.5 X
institutional ULN
- Creatinine within normal institutional limits
- Ability to understand and the willingness to sign an informed consent form
- Life expectancy > 6 months
EXCLUSION CRITERIA
- Metastatic disease
- Prior radiotherapy to the upper abdomen/liver.
- Prior chemotherapy for pancreatic cancer, other than up to 4 cycles of modified
FOLFIRINOX.
- Age < 18 years
- Uncontrolled intercurrent illness including, but not limited to:
- Ongoing or active infection (or infections requiring systemic antibiotic
treatment)
- Symptomatic congestive heart failure
- Unstable angina pectoris
- Cardiac arrhythmia
- Psychiatric illness/social situations that would limit compliance with study
requirements.
- Any concurrent malignancy other than non-melanoma skin cancer, non-invasive bladder
cancer, or carcinoma in situ of the cervix. Patients with a previous malignancy
without evidence of disease for > 5 years will be allowed to enter the trial.
- Pregnant or lactating
- Women of child-bearing potential who are unwilling or unable to use an acceptable
method of birth control (hormonal or barrier method of birth control; abstinence) for
duration of the study
- Women who are not post-menopausal (as defined in Appendix III) and have a positive
urine or serum pregnancy test or refuse to take a pregnancy test
- Male subjects who are unwilling or unable to use effective contraception for duration
of the study
Ages Eligible for Study
18 Years - N/A
Genders Eligible for Study
All
Not currently accepting new patients for this trial
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Samantha Wong
650-498-8495
Not Recruiting