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Brief Title: Trial Comparing Adjuvant Chemotherapy With Gemcitabine Versus mFolfirinox to Treat Resected Pancreatic Adenocarcinoma
Official Title: Multicentric Randomized Phase III Trial Comparing Adjuvant Chemotherapy With Gemcitabine Versus 5-fluorouracil, Leucovorin, Irinotecan and Oxaliplatin (mFolfirinox) in Patients With Resected Pancreatic Adenocarcinoma
Study ID: NCT01526135
Brief Summary: This is a multicentric randomized phase III trial comparing adjuvant chemotherapy with gemcitabine versus 5-fluorouracil, leucovorin, irinotecan and oxaliplatin (mFolfirinox) in patients with resected pancreatic adenocarcinoma.
Detailed Description: STUDY DESIGN/ Evaluation criteria Main criterion: efficacy The main criterion is the disease-free survival at 3 years. Disease-free survival is the time delay between the date of randomization and the date at which the 1st cancer-related event such as local relapse, distant metastasis, a second cancer or death from any cause is observed. Patients without event at the time of anlaysis will be censored at the date of last follow-up visit. Locoregional relapse is a disease relapse occurring at the site of primary resection, in the pancreas or in the associated regional lymph nodes. Metastatic relapse is the distant disease recurrence involving any possible sites of relapse (peritoneal, hepatic, pulmonary, and distant lymph nodes). Secondary criteria Overall and specific survival Overall survival is the time delay between the date of randomization and the patient's death, irrespective of its cause. Patients who are still living at the time of analysis will be censored at the date of last follow-up visit. Specific survival is the time delay between the date of randomization and the patient's death due to the treated cancer or a treatment-related complication. Metastasis-free survival Metastasis-free survival is the time delay between the date of randomization and the date of the 1st distant event occurrence (peritoneal, hepatic, pulmonary, and lymph nodes). Loco-regional events will be discarded and patients still living without metastasis at the time of analysis will be censored at the date of last follow-up examination objectively assessing this type of event. Tolerance Patients evaluable for toxicity must have received at least one course or injection of the treatment.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Tom Baker Cancer Centre, Calgary, Alberta, Canada
BCCA - Vancouver Cancer Centre, Vancouver, British Columbia, Canada
CancerCare Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
Dr Leon Richard Oncology Centre, Moncton, New Brunswick, Canada
The Royal Victoria Hospital - Cancer Care Program, Barrie, Ontario, Canada
Juravinski Cancer centre at Hamilton Health Sciences, Hamilton, Ontario, Canada
Cancer Centre of Southeastern Ontario at Kingston General Hospital, Kingston, Ontario, Canada
Ottawa Health Research Institute, Ottawa, Ontario, Canada
Niagara Health System, St. Catharines, Ontario, Canada
Department of Medical Oncology Health Sciences North, Sudbury, Ontario, Canada
General Surgery - TGH Site, Univ. Health Network, Toronto, Ontario, Canada
CHUM - Hopital Notre-Dame, Montreal, Quebec, Canada
McGill University (Department of Oncology), Montreal, Quebec, Canada
Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
Allain Blair Cancer Centre, Regina, Saskatchewan, Canada
Saskatoon Cancer Centre, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
The Moncton Hospital, Moncton, , Canada
CHUQ - Hotel-Dieu de Quebec, Quebec, , Canada
Algoma District Cancer Program, Sault Area Hospital, Sault Ste. Marie, , Canada
CHU Nord, Amiens, , France
ICO Paul Papin, Angers, , France
Hôpital Avicenne, Bobigny, , France
Institut Bergonié, Bordeaux, , France
CHU Côte de Nacre, Caen, , France
Hôpital Beaujon, Clichy, , France
Hôpital Louis Pasteur, Colmar, , France
CHU de Dijon - Site Bocage, Dijon, , France
CHD Vendée, La Roche Sur Yon, , France
Hôpital Huriez, Lille, , France
Centre Léon Bérard, Lyon, , France
Hôpital de la Croix-Rousse, Lyon, , France
Hôpital Privé Jean Mermoz, Lyon, , France
CHU Nord, Marseille, , France
CHU Timone Adulte, Marseille, , France
Fondation Ambroise Paré / Hôpital Européen, Marseille, , France
Institut Paoli Calmettes, Marseille, , France
CH Layné, Mont de Marsan, , France
CHU De ST Eloi, Montpellier, , France
CRCL Val d'Aurelle, Montpellier, , France
Centre Antoine-Lacassagne, Nice, , France
CHR Orléans - La Source, Orleans, , France
Groupe Hospitalier Paris Saint Joseph, Paris, , France
Groupe Hospitalier Pitié-Salpêtrière, Paris, , France
Hôpital Saint-Jean, Perpignan, , France
Hôpital Haut-Lévêque, Pessac, , France
Centre hospitalier de Reims, Reims, , France
CHU Rouen, Rouen, , France
Centre René Gauducheau, Saint Herblain, , France
Centre Paul Strauss, Strasbourg, , France
Hôpital Trousseau, Tours, , France
Centre Alexis Vautrin, Vandoeuvre Les Nancy, , France
Hôpital de Brabois-CHU de Nancy, Vandœuvre-lès-Nancy, , France
Name: Thierry CONROY, PROF
Affiliation: Centre Alexis Vautrin-VANDOEUVRE LES NANCY
Role: PRINCIPAL_INVESTIGATOR