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Pancreatic Cancer clinical trials

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NCT ID: NCT03374293 Recruiting - Pancreatic Cancer Clinical Trials

Combination of Radiation Therapy and Anti-PD-1 Antibody in Treating Patients With Pancreatic Cancer

Start date: December 1, 2017
Phase: Phase 2
Study type: Interventional

The objective of this study is to evaluate the efficacy and safety of radiation therapy combined with anti-PD-1 antibody in patients with pancreatic cancer

NCT ID: NCT03366038 Recruiting - Pancreatic Cancer Clinical Trials

Shark Mouth Modified Pancreaticojejunostomy

SMMP
Start date: December 8, 2017
Phase:
Study type: Observational [Patient Registry]

Pancreaticoduodenectomy (PD) is one of the most complicated surgical procedure and one of the standard treatments for benign and malignant disease of pancreatic head and periampullary region. Improvements in surgical techniques and the perioperative management of patients undergoing PD have reduced the surgical mortality rates to less than 3% in high-volume medical centers. However, the incidence of postoperative complication remains high, which ranges from 30% to 50% and the pancreatic fistula rate ranges from 5% to 40%. The key point of PD is still the enteric reconstruction of pancreatic stump. There were different techniques of enteric reconstruction, including: invagination pancreaticojejunostomy, binding pancreaticojejunostomy, duct-to-mucosa pancreaticojejunostomy, Roux-en-Y pancreaticojejunostomy, and pancreaticogastrostomy and each technique had its advantages and disadvantages. We established a new digestive reconstruction technique named shark mouth modified pancreaticojejunostomy, which had theoretical advantages including easier performed; lower tension and less complication. The shark mouth modified pancreaticojejunostomy is an end-to-end pancreaticojejunostomy procedure which is between invagination pancreaticojejunostomy and binding pancreaticojejunostomy.The remnant of jejunum is shaped as shark mouth and then sutured with the pancreas remnant. After the surgery, the patients will be well followed up. The pancreaticojejunostomy time, post-operation complication, mortality and hospital stay will be documented to study the safety, efficiency and advantage of this new procedure.

NCT ID: NCT03334708 Recruiting - Pancreatic Cancer Clinical Trials

A Study of Blood Based Biomarkers for Pancreas Adenocarcinoma

Start date: October 30, 2017
Phase:
Study type: Observational

The purpose of this study is to develop a minimally invasive test to diagnose pancreatic cancer at early stages of disease and monitor response to treatment.

NCT ID: NCT03323944 Recruiting - Pancreatic Cancer Clinical Trials

CAR T Cell Immunotherapy for Pancreatic Cancer

Start date: September 15, 2017
Phase: Phase 1
Study type: Interventional

Phase I study to establish the safety and feasibility of both intravenous administration and local delivery of lentiviral transduced huCART-meso cells in patients with histologically confirmed unresectable or metastatic pancreatic adenocarcinoma

NCT ID: NCT03322995 Recruiting - Pancreatic Cancer Clinical Trials

Pancreatic Cancer Adaptive Neoadjuvant Chemotherapy Trial

PANC
Start date: June 21, 2018
Phase: Phase 2
Study type: Interventional

This is an open-label, phase II study in patients with resectable and borderline resectable pancreas cancer.

NCT ID: NCT03311776 Recruiting - Pancreatic Cancer Clinical Trials

BIOmarkers in Patients With Pancreatic Cancer ("BIOPAC")

BIOPAC
Start date: July 3, 2008
Phase:
Study type: Observational

No validated biomarkers to identify PC at an early stage and to predict treatment outcomes in the individual patient exist. The objective of the present study is to find diagnostic, prognostic and predictive biomarkers.

NCT ID: NCT03267173 Recruiting - Pancreatic Cancer Clinical Trials

Evaluate the Safety and Efficacy of CAR-T in the Treatment of Pancreatic Cancer.

Start date: June 15, 2017
Phase: Early Phase 1
Study type: Interventional

Immunotherapy has become the major breakthrough and the most promising treatment, with the host of development of tumor biology, molecular biology and immunology. It has become the fourth tumor treatment model after traditional tumor therapies (surgery, chemotherapy, radiotherapy) . Mesothelin, PSCA, CEA, HER2, MUC1 and EGFRvIII are potential targets and spectacular paradigm in the diagnosis and treatment of pancreatic cancer. This study is for evaluation of the safety and efficacy of Mesothelin, PSCA, CEA, HER2, MUC1, EGFRvIII targeted and other CAR-T cell immunotherapy for pancreatic cancer.

NCT ID: NCT03214991 Recruiting - Pancreatic Cancer Clinical Trials

Circulating Tumor DNA as a Prognostic Marker in Patients With Pancreatic Cancer

Start date: May 12, 2017
Phase: N/A
Study type: Observational

The aim of this study is to determine the usefulness of circulating tumor DNA as a prognostic factor in patients with pancreatic cancer.

NCT ID: NCT03190941 Recruiting - Pancreatic Cancer Clinical Trials

Administering Peripheral Blood Lymphocytes Transduced With a Murine T-Cell Receptor Recognizing the G12V Variant of Mutated RAS in HLA-A*11:01 Patients

Start date: September 21, 2017
Phase: Phase 1/Phase 2
Study type: Interventional

Background: A new cancer therapy involves taking white blood cells from a person, growing them in the lab, genetically modifying them, then giving them back to the person. This therapy is called gene transfer using anti-KRAS G12V mTCR cells. Objective: To see if anti-KRAS G12 V mTCR cells are safe and can shrink tumors. Eligibility: Adults at least 18 years old with cancer that has the KRAS G12V molecule on the surface of tumors. Design: In another protocol, participants will: Be screened Have cells harvested and grown Have leukapheresis In this protocol, participants will have the procedures below. Participants will be admitted to the hospital. Over 5 days, participants will get 2 chemotherapy medicines as an infusion via catheter in the upper chest. A few days later, participants will get the anti-KRAS G12V mTCR cells via catheter. For up to 3 days, participants will get a drug to make the cells active. A day after getting the cells, participants will get a drug to increase their white blood cell count. This will be a shot or injection under the skin. Participants will recover in the hospital for 1-2 weeks. They will have lab and blood tests. Participants will take an antibiotic for at least 6 months. Participants will have visits every few months for 2 years, and then as determined by their doctor. Visits will be 1-2 days. They will include lab tests, imaging studies, and physical exam. Some visits may include leukapheresis or blood drawn. Participants will have blood collected over several years.

NCT ID: NCT03175224 Recruiting - Lung Cancer Clinical Trials

APL-101 Study of Subjects With NSCLC With c-Met EXON 14 Skip Mutations and c-Met Dysregulation Advanced Solid Tumors

SPARTA
Start date: September 27, 2017
Phase: Phase 2
Study type: Interventional

To assess: - efficacy of APL-101 as monotherapy for the treatment of NSCLC harboring MET Exon 14 skipping mutations, NSCLC harboring MET amplification, solid tumors harboring MET amplification, solid tumors harboring MET fusion, primary CNS tumors harboring MET alterations, solid tumors harboring wild-type MET with overexpression of HGF and MET - efficacy of APL-101 as an add-on therapy to EGFR inhibitor for the treatment of NSCLC harboring EGFR activating mutations and developed acquired resistance with MET amplification and disease progression after documented CR or PR with 1st line EGFR inhibitors (EGFR-I)