SWOG clinical trial number
R9704

A Phase III Study of Pre and Post Chemoradiation 5-FU vs. Pre and Post Chemoradiation Gemcitabine for Postoperative Adjuvant Treatment of Resected Pancreatic Adenocarcinoma

Closed
Phase
Published
Abbreviated Title
PANCREAS
Activated
05/01/1999
Participants
NCORP, Members, Radiation Oncologists, Surgeons

Research committees

Gastrointestinal Cancer

Treatment

5-Fluorouracil Gemcitabine hydrochloride

Eligibility Criteria Expand/Collapse

Pt must have histologic proof of Stage T1-4, N0-1 pancreatic adenocarcinoma and have undergone a potentially curative resection. Maximum diameter/dimension of the primary tumor as obtained from the pathologic specimen is req'd at registration as well as the tumor status at the surgical margin. Red cell phenotype for Lewis A and Lewis B antigens must be done and if positive, blood must be drawn for CA19-9 testing. Protocol tx must begin w/in 3-8 wks of surgery and w/in 5 business days of randomization. Pt must be >= 18. Pt must have Karnofsky PS of >=60. Pt should be able to maintain adequate oral nutrition and be free of significant nausea and vomiting. Pt must sign informed consent which includes a section on the possibility of the need for deep line access. Pt must have WBC >= 3000, PLT >= 100,000, bili & creatinine <= 1.5 times IULN and SGOT <= 5 times IULN.

Publication Information Expand/Collapse

2020

Impact of Diabetes and Insulin Use on Prognosis in Patients With Resected Pancreatic Cancer: An Ancillary Analysis of NRG Oncology RTOG 9704

D Bitterman;K Winter;T Hong;C Fuchs;W Regine;R Abrams;H Safran;J Hoffman;A Benson;T Kasunic;M Mulcahy;T DiPetrillo;P Stella;Y Chen;J Plastaras;C Crane International Journal of Radiation Oncology Biology Physics (IJROBP) Aug 26;S0360-3016(20)34137-7. doi: 10.1016/j.ijrobp.2020.08.042.

PMid: PMID32858111 | PMC number: PMC7736166

2017

Impact of diabetes and insulin use on prognosis in patients resected pancreatic cancer

TS Hong;KA Winter;CS Fuchs;WF Regine;RA Abrams;H Safran;JP Hoffman;AB Benson;JS MacDonald;TC Kasunic;JF Strauss;T DiPetrillo;PJ Stella;Y Chen;RA Burger;CH Crane J Clin Oncol 35, 2017 (suppl 4S; abstract 369); ASCO GI Cancers Symposium (Jan 19-21, 2017, San Francisco, CA), poster, abst.#369

2012

Failure to adhere to protocol specified radiation therapy guidelines was associated with decreased survival in RTOG 9704 - a phase III trial of adjuvant chemotherapy and chemoradiotherapy for patients with resected adenocarcinoma of the pancreas [PMID21277694; PMC3038247]

RA Abrams;KA Winter;WF Regine;H Safran;JP Hoffman;R Lustig;A Konski;AB Benson;JS Macdonald;TA Rich;CG Willett International Journal of Radiation Oncology Biology Physics 82(2):809-816;

PMid: PMID21277694 | PMC number: PMC3038247

Predictive markers of gemcitabine treatment response in pancreas cancer: a pharmacogenomic pathyway approach

J Farrell;J Wong;J Moughan;W Regine;P Schaefer;A Benson;J Macdonald;X Liu;Y Yen;R Lai;Z Zheng;G Bepler;H Elsaleh Gastroenterology Vol. 142, Issue 5, Supplement 1, page S-113; Digestive Disease Week Annual Meeting, oral presentation, plenary session);

Five year results of US Intergroup/RTOG 9704 with postoperative CA 19-9 < 90 U/mL and comparison to the CONKO-001 Trial

AC Berger;K Winter;JP Hoffman;WF Regine;RA Abrams;H Safran;G Freedman;AB Benson;J Macdonald;CG Willett International Journal of Radiation Oncology, Biology & Physics 84(3):e291-297

PMid: PMID22682806 | PMC number: n/a

2011

The influence of total nodes examined, number of positive nodes, and lymph node ratio on survival after surgical resection and adjuvant chemoradiation for pancreatic cancer: a secondary analysis of RTOG 9704 [PMID20934270; PMC3038247]

TN Showalter;KA Winter;AC Berger;WF Regine;RA Abrams;H Safran;JP Hoffman;AB Benson;JS Macdonald;CG Willett International Journal of Radiation Oncology Biology Physics 81(5):1328-1335

Fluorouracil-based chemoradiation with either gemcitabine or fluorouracil chemotherapy after resection of pancreatic adenocarcinoma: 5-year analysis of the U.S. Intergroup/RTOG 9704 phase III trials [PMID21499862]

W Regine;KA Winter;R Abrams;H Safran;JP Hoffman;A Konski;A Benson;J Macdonald;TA Rich;CG Willett Annals of Surgical Oncology 18(5):1319-1326

2009

Human equilibrative nucleoside transporter 1 levels predict response to gemcitabine in patients with pancreatic cancer [PMID18992248]

JJ Farrell;H Elsaleh;M Garcia;R Lai;A Ammar;WF Regine;R Abrams;A Benson;J Macdonald;CE Cass;AP Dicker;JR Mackey Gastroenterology 136(1):187-195

2008

Postresection CA 19-9 predicts overall survival in patients with pancreatic cancer treated with adjuvant chemoradiation: a prospective validation by RTOG 9704 [PMID19029412; PMC2645109]

AC Berger;M Garcia;JP Hoffman;WF Regine;RA Abrams;H Safran;A Konski;A Benson;J Macdonald;CG Willett Journal of Clinical Oncology 26(36):5918-5922

2007

Correlation of RTOG 9704 (adjuvant therapy (rx) of pancreatic adenocarcinoma (pan ca)) radiation therapy quality assurance scores (RTQASc) with survival (S)

RA Abrams;KA Winter;WF Regine;H Safran;JP Hoffman;AA Konski;AB Benson;JS Macdonald;TA Rich;CG Willett Proc of the American Society of Clinical Oncology, Journal of Clinical Oncology 25(18S):#4523

2006

Rtog 9704 a phase III study of adjuvant pre and post chemoradiation (CRT) 5-fu vs. gemcitabine (G) for resected pancreatic adenocarcinoma

WF Regine;KW Winter;R Abrams;H Safran;JP Hoffman;A Konski;AB Benson;JS Macdonald;CG Willett;TA Rich Proc of the ASCO, Journal of Clinical Oncology 24(18S):#4007

Markers of folate metabolism in pancreatic cancer: thymidylate synthase, thymidine phosphorylase, and MTHFR. results from the RTOG 9704 prospective randomized adjuvant treatment trial

JJ Farrell;K Winter;M Van Rijnsoever;W Regine;R Abrams;H Safran;J Macdonald;AB Benson;C Willett;H Elsaleh ASCO 2006 Gastrointestinal Cancers Symposium #144