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Trial Title: Efficacy and Safety of Endoscopic Ultrasound Guided Fine-needle Injection of Dendritic Cells Vaccination Into Unresectable Pancreatic Cancer

NCT ID: NCT01897636

Condition: Pancreatic Cancer

Conditions: Official terms:
Pancreatic Neoplasms

Conditions: Keywords:
endoscopic ultrasound-guided fine-needle injection
dendritic cell
vaccination

Study type: Interventional

Study phase: N/A

Overall status: Unknown status

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: EUS-guided fine-needle injection of DCs vaccinations
Arm group label: EUS-guided fine-needle injection of DCs vaccinations

Summary: Pancreatic cancer is the second most frequent gastrointestinal malignancy. The overall survival is dismal. Especially for advanced pancreatic cancer, the conventional approaches are typically not curative and provide only minor increases in survivals in most cases. Dendritic cells (DCs) are powerful antigen-presenting cells (APCs) that play a pivotal role in the initiation, programming, and regulation of tumor-specific immune responses. Isolated DCs loaded with tumor antigen ex vivo and administered as a cellular vaccine have been found to induce protective and therapeutic anti-tumor immunity in experimental animals. Some clinical trials of DC vaccination for cancer patients have shown the induction of anti-tumor immune responses and tumor regression. Endoscopic ultrasound (EUS) is an established technique for the diagnosis and staging of pancreatic cancer. Endoscopic ultrasound guided fine-needle direct injection of dendritic cells vaccination into pancreatic tumors may be a promising treatment modality.Therefore, The purpose of the study is to evaluate the efficacy and safety of endoscopic ultrasound guided fine-needle injection of DCs vaccination into advanced pancreatic cancer

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Histologically or cytologically confirmed adenocarcinoma of the pancreas. 2. Patients must be deemed unresectable due to involvement of important vasculature, adjacent organ invasion, presence of metastasis, or other medical condition making surgical resection unfavorable. 3. Life expectancy of >3 months. 4. Karnofsky performance status >50%. 5. Patients must have adequate clotting and coagulation function (platelet > 100k; INR<1.4). 6. Able and willing to sign a written informed consent. Exclusion Criteria: 1. Patients receiving anticoagulation therapy. 2. Steroids or immunosuppressing agent dependant status 3. Patients who have received prior gemcitabine or radiation therapy in the past 4 weeks 4. Ongoing infection 5. Pregnancy or breast-feeder 6. Other concurrent diseases including other malignancy,psychiatric illness,heart, lung and renal disfunctions 7. Massive ascites 8. Decision of unsuitableness by principal investigator or physician-in-charge

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Nanjing Drum-Tower Hospital

Address:
City: Nanjing
Zip: 210008
Country: China

Contact:
Last name: Ying Lv, MD

Phone: 86-13770755008
Email: 13770755008@126.com

Start date: December 2013

Completion date: March 2017

Lead sponsor:
Agency: The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Agency class: Other

Source: The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01897636

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