Comparing adjuvant chemoradiotherapy and chemotherapy for pancreatic cancer
Official title: Adjuvant Chemoradiotherapy Versus Chemotherapy for Post-operative Pancreatic Cancer
Run by Changhai Hospital · NCT06427447 · Data updated 2026-11-12
This study is testing whether a combination of chemotherapy and radiation works better than just chemotherapy for patients with pancreatic cancer who have had surgery and are at high risk of their cancer coming back.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 770 (estimated) |
| Sponsor | Changhai Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | August 6, 2024 |
| Main results expected | June 30, 2028 |
| Study ends | June 30, 2029 |
| Registry record updated | February 4, 2025 |
| Trial ID | NCT06427447 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18-75 with pathologically confirmed pancreatic ductal adenocarcinoma and specific risk factors after surgical resection.
✕Probably not a fit
Patients with a history of cancer treatment after surgical resection or those with disease progression will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial aims to compare the effectiveness of adjuvant chemoradiotherapy versus chemotherapy in patients with resected pancreatic cancer who are at high risk for disease progression. The study focuses on patients with specific risk factors such as lymph node metastases, R1 or R2 resection, or lymphovascular invasion. By evaluating patient outcomes, the trial seeks to clarify which treatment may offer better survival benefits. The study is conducted at Changhai Hospital in Shanghai, China.
Why it matters
Potential benefit: If successful, this study could identify a more effective treatment option for patients with high-risk pancreatic cancer, potentially improving survival rates.
How similar studies have gone: Previous meta-analyses have suggested that adjuvant chemoradiotherapy may provide survival benefits over chemotherapy for certain high-risk patients, indicating potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 18-75 years * Pathologically confirmed pancreatic ductal adenocarcinoma * Pathologically confirmed lymph node metastasis, R1 or R2 resection or lymphovascular invasion (one of the risk factors) * No history of cancer treatment after surgical resection * No disease progression confirmed by imaging examinations * ECOG 0 to1 point * No abnormality in blood routine test, liver and kidney function test and coagulation test (White blood cell count ≥4.0×10\^9/L, neutrophil count ≥2.0×10\^9, hemoglobin level ≥100g/L, platelet count ≥100×10\^9/L, ALT and AST level \< 2.5 times the upper limit of normal, total bilirubin and creatinine level within the normal, international normalized ratio \<2) Exclusion Criteria: * History of cancer treatment after surgical resection * History of other cancers within 5 years * Disease progression, including local pprogression or metastasis, confirmed by imaging examinations * ECOG ≥2 points * Significant abnormality in blood routine test, liver and kidney function test and coagulation test * Active inflammatory bowel disease * Gastrointestinal bleeding or perforation within 6 months * Infections requiring antibiotics * Heart or respirotory insufficiency * Pregnant women or breastfeeding women
Where it's running
-
Huojun Zhang
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Principal investigator: Huojun Zhang, M.D. — Changhai Hospital
- Study coordinator: Xiaofei Zhu
- Email: zhuxiaofei_zxf@163.com
- Phone: 86-021-31162222
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Integrated genomic and clinical database for cancer biomarker discovery
Researchers are building a combined genomic and clinical database at Samsung Medical Center to test biomarkers for cancer diagnosis, treatment choice, and predicting how well treatments work.
-
Using contrast-enhanced ultrasound to check for local pancreatic cancer recurrence after surgery
This pilot test uses contrast-enhanced ultrasound to see if it can help detect return of pancreatic cancer after surgery in patients being watched with CT scans.
-
Combination of ivermectin with standard skin-protective care for daraxonrasib-related skin toxicity in pancreatic cancer
This study tests whether adding ivermectin to standard preventive skin care helps people with pancreatic cancer who develop skin side effects from daraxonrasib.
-
Becotatug Vedotin Plus Anti-PD-1 and S-1 in EGFR-Positive Advanced Pancreatic Cancer
This study tests a three-drug regimen (becotatug vedotin, an anti-PD-1 therapy, and S-1) in adults with EGFR-positive advanced pancreatic cancer who have not responded to at least one prior therapy.
-
Blood protein biomarkers to help diagnose pancreatic cancer in adults
This study tests whether blood protein biomarkers can help detect pancreatic ductal adenocarcinoma and tell it apart from chronic pancreatitis and mucinous pancreatic lesions, and whether combining markers with CA 19-9 improves accuracy.
-
Lm-LLO-TT and Gemcitabine in Unresectable Pancreatic Cancer (Phase 1)
This early-stage study tests whether giving Lm-LLO-TT directly into the belly with low-dose gemcitabine is safe and tolerable for adults with previously treated, unresectable or metastatic pancreatic cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.