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Trial Title: Clinical Study of Multimodal Ablation Remodeling Immunosensitized PD-1 in the Treatment of Pancreatic Cancer With Liver Metastasis

NCT ID: NCT06307080

Condition: Pancreatic Cancer

Conditions: Official terms:
Neoplasm Metastasis
Pancreatic Neoplasms

Conditions: Keywords:
liver metastases

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: Multi-mode thermal ablation device
Description: The tumor tissue was rapidly frozen until the ice ball exceeded 5mm of the lesion tissue, kept for 5 minutes, then thawed and warmed. Then, complete ablation was performed according to the radiofrequency temperature control mode of multimodal tumor therapy to ensure that the ablation area included a safe range of 5~10mm around the tumor.
Arm group label: Multi-mode thermal ablation combined with intravenous anti-PD-1 and chemotherapy

Intervention type: Drug
Intervention name: Intravenous anti-PD-1 and chemotherapy
Description: intravenous anti-PD-1 and chemotherapy
Arm group label: Intravenous anti-PD-1 and chemotherapy
Arm group label: Multi-mode thermal ablation combined with intravenous anti-PD-1 and chemotherapy

Summary: 1. Clinical evaluation of multimodal ablation system for pancreatic cancer with hepatic metastatic malignancies. 2. Construction of a combined treatment system of multimodal ablation therapy combined with immunotherapy and chemotherapy. 3. Transformation and clinical application of multimodal ablation system for pancreatic cancer with hepatic metastatic malignancies.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. age 18-70 years old, gender is not limited; 2. Newly diagnosed pancreatic cancer with liver metastasis confirmed by pathology or consistent with clinical diagnosis, and no metastases to organs other than the liver; 3. Imaging evaluable tumors with safe access to puncture; 4. The number of half liver tumors ≤3 and the size of each tumor ≤3 cm; 5. ECOG PS score ≤2 points, expected survival > 3 months. Exclusion Criteria: 1. Liver function Child-Pugh grade C, severe jaundice, especially obstructive jaundice; 2. The liver is significantly atrophy, the tumor is too large, and the ablation range needs to reach one-third of the liver volume; 3. Expected survival < 3 months; 4. serious heart, lung, liver and kidney dysfunction and coagulation dysfunction; 5. Uncontrolled co-morbidities, including poorly controlled hypertension or diabetes, persistent active infections, or mental illness or social conditions that may affect participants' compliance with the study; 6. refractory ascites, pleural fluid or bad fluid; 7. Pregnancy or breastfeeding; 8. The researcher considers that there are any other factors that are not suitable for inclusion or affect the participant's participation in the study.

Gender: All

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Shanghai General Hospital

Address:
City: Shanghai
Zip: 200040
Country: China

Status: Recruiting

Contact:
Last name: Jiang Long, MD

Phone: +86 18017317460
Email: jiang.long@shgh.cn

Start date: October 8, 2023

Completion date: December 31, 2024

Lead sponsor:
Agency: Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Agency class: Other

Source: Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06307080

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