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Safety/Effectiveness of the NanoKnife IRE for Stage 3 Pancreatic Cancer

28-001-ONC: A Randomized, Multicenter, Controlled, Unblinded Study to Assess the Safety and Efficacy of the NanoKnife® System for the Ablation of Unresectable Stage 3 Pancreatic Adenocarcinoma

  • Clinical Trial Information

    Trial Contact: De Leon, Ma Theresa; Walton, Sherri

    Trial Phone: 321.841.8284 ; 321.841.1907

  • IRB No: 19.194.06

    Protocol Abbrev: ANGIO Trial

    Principal Investigator: Debashish Bose, MD

    Phase: Drug: Phase III

    Age Group: Adult

    Secondary Protocol No: 28-001-ONC

    Treatment: Experimental: IRE Drug: Modified FOLFIRINOX Regimen Chemotherapy regimen of leucovorin, fluorouracil, irinotecan, and oxaliplatin Device: NanoKnife System IRE using NanoKnife System Active Comparator: Control Drug: Modified FOLFIRINOX Regimen Chemotherapy regimen of leucovorin, fluorouracil, irinotecan, and oxaliplatin

    Therapies Involved: Chemotherapy

    ClinicalTrials.gov ID: NCT03899636

  • Objective

    To evaluate the safety and effectiveness of the NanoKnife System for the ablation of unresectable Stage 3 pancreatic denocarcinoma (Stage 3 pancreatic cancer)

  • Key Eligibility

    Inclusion Criteria:
    1.Provision of signed and dated informed consent form.
    2.Subject is 18 years of age and older.
    3.Subject has a diagnosis of unresectable Stage 3 pancreatic adenocarcinoma cancer cytologically or pathologically confirmed per American Joint Committee on Cancer (AJCC) staging criteria.
    4.Subject has a tumor evaluated as Stage 3 according to National Comprehensive Cancer Network (NCCN) guidelines, based on radiographic imaging or exploratory surgery.
    5.Maximum axial and anterior to posterior tumor dimension of ≤3.5cm, after receiving three months of treatment with the modified FOLFIRINOX regimen.
    6.Subject has received 3 months of treatment with the modified FOLFIRINOX regimen.
    7.Subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
    8.Subject has an American Society of Anesthesiologists (ASA) classification of physical health status of 1 or 2.

    Exclusion Criteria:
    1.Subjects who are or may be pregnant as determined by a positive pregnancy test or breastfeeding or male or female patients of reproductive potential who are not willing to employ highly effective birth control from screening to 6 months after the last dose of chemotherapy.
    2.Subjects who are unable to tolerate general anesthetic with full skeletal muscle blockade.
    3.Subjects who are actively bleeding, anticoagulated, coagulopathy, or have any of the following hematology results: hemoglobin less than 10 g/dL without the support of growth factors or transfusions absolute neutrophil count less than 1500 cells/mL; or platelet count less than 100,000.
    4.Subjects with the presence of implanted cardiac pacemakers, defibrillators, electronic devices or implanted devices with metal parts in the thoracic cavity at the time of IRE.
    5.Subjects with history of epilepsy or other neurological disease.
    6.Subjects with renal, cardiac, liver, or hematological abnormalities of concern to the investigator.
    7.Subjects with Stage 3, 4, or 5 chronic kidney disease.
    8.Subjects receiving IRE for margin accentuation.
    9.Subjects who at 3 months after FOLFIRINOX treatment have evidence of disease progression.
    10.Participation in another interventional trial for pancreatic cancer.
    11.Subjects who did not meet study defined criteria for adequacy of induction treatment at the end of the 3 months.