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Brief Title: NEO-adjuvant Chemo-immunotherapy in Pancreatic Cancer
Official Title: NEO-adjuvant Chemo-Immunotherapy in Pancreatic Cancer
Study ID: NCT06094140
Brief Summary: To determine the safety and tolerability of adding durvalumab to mFOLFIRINOX prior to surgery in patients with resectable or borderline resectable pancreatic adenocarcinoma.
Detailed Description: Despite curative surgery, pancreatic cancer patients have five-year survival rates of 20%. Adjuvant chemotherapy has improved survival in resected pancreatic cancer patients but only 10-15% are suitable for surgery and 30% of the resected pancreatic cancer patients miss out on adjuvant chemotherapy due to postoperative complications. Neoadjuvant chemotherapy has improved the resection rates in the patients with non-metastatic pancreatic cancer. There is a growing interest to combine chemotherapy with checkpoint inhibitors to improve disease control in the early stage of pancreas cancer. The investigators propose a pilot study to evaluate the feasibility and safety of combining modified FOLFIRINOX (mFOLFIRINOX) with durvalumab (MEDI4736) in patients with resectable or borderline resectable pancreatic adenocarcinoma.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
GenesisCare North Shore, Sydney, New South Wales, Australia
Wollongong Hospital, Wollongong, New South Wales, Australia
Warringal Private Hospital, Melbourne, Victoria, Australia
Name: Lorraine Chantrill, Professor
Affiliation: AGITG
Role: STUDY_CHAIR