This study is testing a new way to deliver the chemotherapy drug Gemcitabine in pancreatic tumors using the catheter Extroducer® Infusion Catheter System. The study will include patients with Locally Advanced Pancreatic Cancer that cannot be removed with surgery. Patients will receive four treatment sessions, given every two weeks, in which Gemcitabine is infused directly into or near the tumor. The study will test up to three increasing dose levels of Gemcitabine (200 mg, 400 mg, and 100 mg). The study will enroll three groups of three patients each. After each group completes treatment, an independent safety committee will review the results to decide whether it is safe to move to the next dose per predefined study criteria. After finishing treatment, patients will be followed for six months. Each patient's total participation in the study will last about 8-9 months. The main goal of the study is to evaluate the safety and feasibility of this treatment approach.
This is a prospective, interventional, non-randomized, open-label pilot study designed to evaluate the safety and performance of the Extroducer® Infusion Catheter System for peri- and intratumoral delivery of Gemcitabine in patients with unresectable Locally Advanced Pancreatic Cancer (LAPC). The study uses a dose-escalation design with three sequential cohorts to assess the feasibility and safety of repeated peri-/intratumoral Gemcitabine infusions at dose levels of 100 mg, 200 mg, and 400 mg. Each patient is planned to receive four study treatment sessions administered every two weeks. Following completion of the treatment phase, patients will be followed for 6 months until study completion. The total study participation per patient is expected to be approximately 8-9 months. Each cohort will include three patients. After completion of study treatment by all patients in a cohort, the Data Safety Monitoring Board (DSMB) will review safety data and determine whether dose escalation is appropriate based on the occurrence of study-defined dose-limiting toxicities (DLTs), and will recommend the dose level for the next cohort. A total of nine eligible participants are planned to be enrolled at one study site in Sweden.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Gemcitabine administered via the Extroducer Infusion Catheter System for targeted delivery.
Infusion catheter system for delivery of diagnostic or therapeutic agents into the extravascular space or peripheral vasculature.
Karolinska University Hospital
Solna, Sweden
RECRUITINGExtroducer® related Serious Adverse Events
Occurrence of Extroducer® related Serious Adverse Events within 72 hours post Extroducer® treatment infusion with Gemcitabine.
Time frame: From each study treatment until 72 hours post treatment.
Gemcitabine related Serious Adverse Events
Occurrence of Gemcitabine related Serious Adverse Events from first Extroducer® treatment infusion with Gemcitabine until study completion.
Time frame: From first study treatment on Day 0 until study completion, ~8 Months.
Overall Survival
Overall Survival (OS) at 6 months after final Extroducer® treatment infusion with Gemcitabine.
Time frame: Through study completion, ~8 Months.
Progression Free Survival
Progression Free Survival (PFS) at 6 months after final Extroducer® treatment infusion with Gemcitabine.
Time frame: Through study completion, ~8 Months.
Tumor resectability
Classification of tumor resectability according to NCCN resectability criteria before (baseline) and after (Visits 11-13) Extroducer® treatment infusion with Gemcitabine.
Time frame: Through study completion, ~8 Months.
Tumor response
Classification of tumor response according to RECIST before (baseline) and after (Visits 11-13) Extroducer® treatment infusion with Gemcitabine.
Time frame: Through study completion, ~8 Months.
Tumor marker
Evaluation of the tumor marker CA-19-9 before (baseline) and after (Visits 9, 11-13) Extroducer® treatment infusion with Gemcitabine.
Time frame: Through study completion, ~8 Months.
Patient Quality of Life
Evaluation of subjects' quality of life using the EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 items) and EORTC PAN26 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Pancreatic Cancer Module 26) questionnaires before (baseline) and after (Visits 11-13) Extroducer® treatment infusion with Gemcitabine. All scales and single-item measures are scored from 1 to 100. Higher scores indicate a higher level of the measured construct. For functional scales, a higher score represents better or healthier functioning. A higher score on the Global Health Status/Quality of Life scale indicates better quality of life, whereas a higher score on symptom scales or items reflects a greater level of symptoms or problems. The two questionnaires are intended to be used together as a single module and therefore constitute one combined outcome measure.
Time frame: Through study completion, ~8 Months.
Incidence of Adverse Events and Device Deficiencies
The incidence, severity, and seriousness of Adverse Events and Device Deficiencies throughout the clinical investigation.
Time frame: Through study completion, ~8 Months.
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