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Trial registered on ANZCTR
Registration number
ACTRN12605000361606
Ethics application status
Approved
Date submitted
9/09/2005
Date registered
9/09/2005
Date last updated
27/06/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Adjuvant Chemotherapies in Resectable Pancreatic Cancer
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Scientific title
Adjuvant Chemotherapies in Resectable Pancreatic Cancer
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Secondary ID [1]
153
0
ESPAC-3
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Secondary ID [2]
154
0
National Clinical Trials Registry: NCTR405
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Universal Trial Number (UTN)
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Trial acronym
ESPAC-3
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Histologically proven ductal or ampullary cancer of the pancreas having undergone 'curative' resection
456
0
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Condition category
Condition code
Cancer
532
532
0
0
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Pancreatic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Gemcitabine vs 5-FU/leucovorin
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Intervention code [1]
426
0
Treatment: Drugs
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Comparator / control treatment
Observation
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Control group
Historical
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Outcomes
Primary outcome [1]
613
0
2 year survival
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Assessment method [1]
613
0
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Timepoint [1]
613
0
At 2 years.
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Secondary outcome [1]
1279
0
Toxicity
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Assessment method [1]
1279
0
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Timepoint [1]
1279
0
Baseline, weekly during treatment then 3 monthly for 5 years
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Secondary outcome [2]
1280
0
Quality of Life
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Assessment method [2]
1280
0
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Timepoint [2]
1280
0
Baseline, 3, 6, 9, 12 months and annually thereafter for 5 years
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Secondary outcome [3]
1281
0
5-year survival
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Assessment method [3]
1281
0
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Timepoint [3]
1281
0
5 years post study entry
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Eligibility
Key inclusion criteria
* Patients who have undergone complete macroscopic resection for ductal adenocarcinoma of the pancreas (R0 or R1 resection) or patients with other cancers may be included who have had complete macroscopic resection (R0 or R1 resection) for (i) unusual malignancies of the pancreas, such as acinar cell carcinoma, cystadenocarcinoma etc.; (ii) cancers of the periampullary region; (iii) cancers of the intra-pancreatic part of the bile duct; (iv) periampullary cancers of uncertain origin. Patients with tumours as in 1(b) will be analysed separately and will be in addition to the recruitment of pancreatic cancer patients.* Histological confirmation of the primary diagnosis.* Histological examination of all resection margins.* No evidence of malignant ascites, liver metastasis, spread to other distant abdominal organs, peritoneal metastasis, spread to extra-abdominal organs.* WHO performance status < 2* Fully recovered from the operation and fit to take part in the trial. Life-expectancy of more than 3 months.* Able to attend for administration of the adjuvant therapy.* Able to attend for long-term follow-up.* No previous or concurrent malignancy diagnoses (except curatively-treated basal cell carcinoma of skin, carcinoma in situ of cervix).* No serious medical or psychological condition precluding adjuvant treatment.* Fully informed written consent given.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Use of neo-adjuvant chemotherapy or other concomitant chemotherapy.
* Patients with pancreatic lymphoma.
* Macroscopically remaining tumour (R2 resection)
* Patients with TNM Stage IVb disease.
* Patients younger than 18 years.
* Pregnancy.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Open Randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer software with blocking as stratification
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/10/2002
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
1090
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,ACT,QLD,SA,WA,TAS
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Recruitment outside Australia
Country [1]
191
0
New Zealand
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State/province [1]
191
0
North Island
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Country [2]
192
0
New Zealand
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State/province [2]
192
0
South Island
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Funding & Sponsors
Funding source category [1]
591
0
Government body
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Name [1]
591
0
NHMRC Project Grant
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Address [1]
591
0
N/A
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Country [1]
591
0
Australia
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Funding source category [2]
285310
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Charities/Societies/Foundations
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Name [2]
285310
0
Cancer Council Australia
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Address [2]
285310
0
N/A
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Country [2]
285310
0
Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Gastro-Intestinal Trials Group (AGITG)
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Address
Level 6, Medical Foundation Building The University of Sydney 92-94 Parramatta Road, Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
480
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None
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Name [1]
480
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N/A
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Address [1]
480
0
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Country [1]
480
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1650
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Alfred Hospital
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Ethics committee address [1]
1650
0
Commercial Road, Melbourne VIC 3004
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Ethics committee country [1]
1650
0
Australia
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Date submitted for ethics approval [1]
1650
0
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Approval date [1]
1650
0
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Ethics approval number [1]
1650
0
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Ethics committee name [2]
1651
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Adelaide Cancer Centre
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Ethics committee address [2]
1651
0
Suite 10, Level 1, Tennyson Centre 520 South Road, Kurralta Park SA 5037
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Ethics committee country [2]
1651
0
Australia
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Date submitted for ethics approval [2]
1651
0
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Approval date [2]
1651
0
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Ethics approval number [2]
1651
0
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Ethics committee name [3]
1652
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Austin Repatriation Medical Centre
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Ethics committee address [3]
1652
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145 Studley Road, Heidelberg VIC 3084
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Ethics committee country [3]
1652
0
Australia
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Date submitted for ethics approval [3]
1652
0
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Approval date [3]
1652
0
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Ethics approval number [3]
1652
0
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Ethics committee name [4]
1653
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Bankstown-Lidcombe Hospital
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Ethics committee address [4]
1653
0
70 Eldridge Road, Bankstown NSW 2200
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Ethics committee country [4]
1653
0
Australia
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Date submitted for ethics approval [4]
1653
0
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Approval date [4]
1653
0
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Ethics approval number [4]
1653
0
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Ethics committee name [5]
1654
0
Border Medical Oncology
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Ethics committee address [5]
1654
0
Suite 1/69 Nordsvan Drive, Wodonga VIC 3690
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Ethics committee country [5]
1654
0
Australia
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Date submitted for ethics approval [5]
1654
0
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Approval date [5]
1654
0
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Ethics approval number [5]
1654
0
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Ethics committee name [6]
1655
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Campbelltown Hospital
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Ethics committee address [6]
1655
0
Therry Rd, Campbelltown NSW 2560
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Ethics committee country [6]
1655
0
Australia
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Date submitted for ethics approval [6]
1655
0
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Approval date [6]
1655
0
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Ethics approval number [6]
1655
0
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Ethics committee name [7]
1656
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Canberra Hospital
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Ethics committee address [7]
1656
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The Canberra Hospital /Yamba Drive, Garran ACT 2605
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Ethics committee country [7]
1656
0
Australia
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Date submitted for ethics approval [7]
1656
0
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Approval date [7]
1656
0
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Ethics approval number [7]
1656
0
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Ethics committee name [8]
1657
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Christchurch Hospital
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Ethics committee address [8]
1657
0
Riccarton Avenue, Christchurch 8011
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Ethics committee country [8]
1657
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New Zealand
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Date submitted for ethics approval [8]
1657
0
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Approval date [8]
1657
0
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Ethics approval number [8]
1657
0
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Ethics committee name [9]
1658
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Flinders Medical Centre
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Ethics committee address [9]
1658
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Flinders Drive, Bedford Park SA 5042
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Ethics committee country [9]
1658
0
Australia
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Date submitted for ethics approval [9]
1658
0
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Approval date [9]
1658
0
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Ethics approval number [9]
1658
0
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Ethics committee name [10]
1659
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Frankston Hospital
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Ethics committee address [10]
1659
0
Hastings Road, Frankston VIC 3199
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Ethics committee country [10]
1659
0
Australia
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Date submitted for ethics approval [10]
1659
0
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Approval date [10]
1659
0
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Ethics approval number [10]
1659
0
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Ethics committee name [11]
1660
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Launceston General Hospital
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Ethics committee address [11]
1660
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274-280 Charles Street, Launceston TAS 7250
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Ethics committee country [11]
1660
0
Australia
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Date submitted for ethics approval [11]
1660
0
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Approval date [11]
1660
0
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Ethics approval number [11]
1660
0
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Ethics committee name [12]
1661
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Lismore Hospital
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Ethics committee address [12]
1661
0
60 Uralba Street Lismore NSW 2480
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Ethics committee country [12]
1661
0
Australia
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Date submitted for ethics approval [12]
1661
0
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Approval date [12]
1661
0
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Ethics approval number [12]
1661
0
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Ethics committee name [13]
1662
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Liverpool Hospital
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Ethics committee address [13]
1662
0
Elizabeth St, Liverpool NSW 2170
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Ethics committee country [13]
1662
0
Australia
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Date submitted for ethics approval [13]
1662
0
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Approval date [13]
1662
0
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Ethics approval number [13]
1662
0
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Ethics committee name [14]
1663
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Monash Medical Centre
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Ethics committee address [14]
1663
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246 Clayton Road, Clayton VIC
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Ethics committee country [14]
1663
0
Australia
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Date submitted for ethics approval [14]
1663
0
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Approval date [14]
1663
0
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Ethics approval number [14]
1663
0
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Ethics committee name [15]
1664
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Nepean Hospital
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Ethics committee address [15]
1664
0
Derby St, Kingswood NSW 2747
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Ethics committee country [15]
1664
0
Australia
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Date submitted for ethics approval [15]
1664
0
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Approval date [15]
1664
0
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Ethics approval number [15]
1664
0
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Ethics committee name [16]
1665
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Newcastle Mater Misericordiae Hospital
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Ethics committee address [16]
1665
0
Edith Street, Waratah NSW 2300
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Ethics committee country [16]
1665
0
Australia
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Date submitted for ethics approval [16]
1665
0
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Approval date [16]
1665
0
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Ethics approval number [16]
1665
0
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Ethics committee name [17]
1666
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Prince of Wales Hospital
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Ethics committee address [17]
1666
0
Barker Street, Randwick NSW 2031
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Ethics committee country [17]
1666
0
Australia
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Date submitted for ethics approval [17]
1666
0
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Approval date [17]
1666
0
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Ethics approval number [17]
1666
0
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Ethics committee name [18]
1667
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Queen Elizabeth Hospital
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Ethics committee address [18]
1667
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28 Woodville Road, Woodville South SA 5011
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Ethics committee country [18]
1667
0
Australia
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Date submitted for ethics approval [18]
1667
0
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Approval date [18]
1667
0
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Ethics approval number [18]
1667
0
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Ethics committee name [19]
1668
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Royal Adelaide Hospital
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Ethics committee address [19]
1668
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North Terrace, Adelaide SA 5000
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Ethics committee country [19]
1668
0
Australia
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Date submitted for ethics approval [19]
1668
0
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Approval date [19]
1668
0
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Ethics approval number [19]
1668
0
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Ethics committee name [20]
1669
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Royal Hobart Hospital
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Ethics committee address [20]
1669
0
48 Liverpool Street, Hobart TAS 7000
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Ethics committee country [20]
1669
0
Australia
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Date submitted for ethics approval [20]
1669
0
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Approval date [20]
1669
0
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Ethics approval number [20]
1669
0
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Ethics committee name [21]
1670
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Royal North Shore Hospital
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Ethics committee address [21]
1670
0
Reserve Road, St Leonards NSW 2065
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Ethics committee country [21]
1670
0
Australia
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Date submitted for ethics approval [21]
1670
0
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Approval date [21]
1670
0
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Ethics approval number [21]
1670
0
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Ethics committee name [22]
1671
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Royal Prince Alfred Hospital
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Ethics committee address [22]
1671
0
Sydney Cancer Centre, Missenden Road, Camperdown NSW 2050
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Ethics committee country [22]
1671
0
Australia
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Date submitted for ethics approval [22]
1671
0
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Approval date [22]
1671
0
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Ethics approval number [22]
1671
0
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Ethics committee name [23]
1672
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Sir Charles Gairdner Hospital
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Ethics committee address [23]
1672
0
Hospital Avenue, Nedlands, Perth 6009
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Ethics committee country [23]
1672
0
Australia
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Date submitted for ethics approval [23]
1672
0
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Approval date [23]
1672
0
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Ethics approval number [23]
1672
0
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Ethics committee name [24]
1673
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Sydney Haematology and Oncology Clinics
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Ethics committee address [24]
1673
0
13/49 Palmerston Road, Hornsby NSW 2077
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Ethics committee country [24]
1673
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Australia
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Date submitted for ethics approval [24]
1673
0
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Approval date [24]
1673
0
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Ethics approval number [24]
1673
0
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Ethics committee name [25]
1674
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St Vincent's Hospital, Melbourne
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Ethics committee address [25]
1674
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41 Victoria Parade, Fitzroy VIC 3065
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Ethics committee country [25]
1674
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Australia
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Date submitted for ethics approval [25]
1674
0
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Approval date [25]
1674
0
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Ethics approval number [25]
1674
0
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Ethics committee name [26]
1675
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St. Andrews Hospital
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Ethics committee address [26]
1675
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280 North Street, Toowoomba QLD 4350
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Ethics committee country [26]
1675
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Australia
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Date submitted for ethics approval [26]
1675
0
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Approval date [26]
1675
0
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Ethics approval number [26]
1675
0
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Ethics committee name [27]
1676
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Tweed Hospital
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Ethics committee address [27]
1676
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Corner Powell Street & Florence Street, Tweed Heads NSW 2485
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Ethics committee country [27]
1676
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Australia
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Date submitted for ethics approval [27]
1676
0
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Approval date [27]
1676
0
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Ethics approval number [27]
1676
0
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Ethics committee name [28]
1677
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Wellington Hospital
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Ethics committee address [28]
1677
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Riddiford Street, Newtown Wellington 6021
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Ethics committee country [28]
1677
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New Zealand
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Date submitted for ethics approval [28]
1677
0
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Approval date [28]
1677
0
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Ethics approval number [28]
1677
0
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Ethics committee name [29]
1678
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Wesley Medical Centre
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Ethics committee address [29]
1678
0
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Ethics committee country [29]
1678
0
Australia
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Date submitted for ethics approval [29]
1678
0
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Approval date [29]
1678
0
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Ethics approval number [29]
1678
0
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Ethics committee name [30]
1679
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Western Hospital
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Ethics committee address [30]
1679
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148 Gordon Street, Footscray VIC 3011
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Ethics committee country [30]
1679
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Australia
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Date submitted for ethics approval [30]
1679
0
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Approval date [30]
1679
0
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Ethics approval number [30]
1679
0
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Ethics committee name [31]
1680
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Westmead Hospital
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Ethics committee address [31]
1680
0
Corner of Hawkesbury Road and Darcy Road, Westmead NSW 2145
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Ethics committee country [31]
1680
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Australia
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Date submitted for ethics approval [31]
1680
0
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Approval date [31]
1680
0
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Ethics approval number [31]
1680
0
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Ethics committee name [32]
287327
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University of Sydney Human Research Ethics Committee (HREC)
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Ethics committee address [32]
287327
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USYD HREC - Office of Research Integrity Level 6, Jane Foss Russell Building G02 University of Sydney NSW 2006
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Ethics committee country [32]
287327
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Australia
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Date submitted for ethics approval [32]
287327
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Approval date [32]
287327
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19/02/2002
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Ethics approval number [32]
287327
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02-2002/2661
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Summary
Brief summary
Over 1,650 Australians are diagnosed with pancreatic cancer each year. In most cases, surgery will remove the tumour but it is possible that the cancer will return as a result of undetectable disease (micrometastases). The cancer will return and be incurable in the majority of patients, more than 1600 Australians die of the disease every year. This study compares the impact of adding chemotherapy to the surgery alone (the current standard of care). The study will also compare the effectiveness of two different types of chemotherapy. Surgical resection of a pancreas tumour is the current standard of care for this disease. It is possible that people treated with chemotherapy after their tumour has been surgically removed may live longer before their disease returns and may liver longer overall. This has been shown to be true in other in cancers; eg. breast and bowel. The side effects of chemotherapy are important and can be severe in some people. Recent studies in advanced pancreatic cancer have suggested that the new drug gemcitabine may be more effective than other drugs. For this reason, the trial compares the outcomes in people treated with gemcitabine to those treated with an older drug 5FU, which has been shown to improve survival in an earlier study by the European group. This trial will determine if chemotherapy in addition to surgery increases disease-free and overall survival. If it does, it should become standard practice. This study is an important international initiative that will provide unique information about effectiveness of these treatments and their impact on quality of life from the patient's perspective. This study and the previous European study are the largest of their type ever done. 900 people will take part. This study is being conducted in Australia by the Australasian Gastro-Intestinal Trials in collaboration with the Australian Hepatobilary Association and the NHMRC Clinical Trials Centre.
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Trial website
http://www.gicancer.org.au/; http://www.ctc.usyd.edu.au/
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Trial related presentations / publications
Conference Paper: Continuation of an adjuvant therapy trial in the light of new evidence: Revised design of the European Study Group for Pancreatic Cancer 3 trial (ESPAC-3) (2003). Clinical Oncological Society of Australia (COSA) Annual Scientific Meeting Authors: Padbury, R;Goldstein, D;Knight, E;Dhillon, H;Tebbutt, N;Yip, S;Simes, J Journal Article: Adjuvant 5-fluorouracil and folinic acid vs observation for pancreatic cancer: composite data from the ESPAC-1 and -3(v1) trials. (2009), 100(2): 246-250 , BRIT J CANCER. Authors: Neoptolemos, J P;Stocken, DD;Tudur Smith, C;Bassi, C;Ghaneh, P;Owen, E;Moore, M;Padbury, R;Doi, R;Smith, D;Buchler, MW Conference Paper: ESPAC-3(v2): a multicentre, international, open label, randomised controlled phase III trial of adjuvant 5-fluorouracil/folinic acid versus gemcitabine in patients with resected pancreatic ductal adenocarcinoma. (2009), 27(18S): Abs#LBA4505, American Society of Clinical Oncology Annual Meeting, J CLIN ONCOL. Authors: Neoptolemos, J;Büchler, M;Stocken, DD;Ghaneh, P;Smith, D;Bassi, C;Moore, M;Cunningham, D;Dervenis, C;Goldstein, D Journal Article: Adjuvant chemotherapy with fluorouracil plus folinic acid vs gemcitabine following pancreatic cancer resection: a randomized controlled trial. (2010), 304(10): 1073–1081, JAMA. Authors: Neoptolemos, JP;Stocken, DD;Bassi, C;Ghaneh, P;Cunningham, D;Goldstein, D;Padbury, R;Moore, MJ;Gallinger, S;Mariette, C;Wente, MN;Izbicki, JR;Friess, H;Lerch, MM;Dervenis, C;Olah, A;Butturini, G;Doi, R;Lind, PA;Smith, D;Valle, JW;Palmer, DH;Buckels, JA;Thompson, J;McKay, CJ;Rawcliffe, CL;Buchler, MW;Cancer, for the European Study Group for Pancreatic Cancer. Conference Paper: Ampullary cancer ESPAC-3 (v2) trial: A multicenter, international, open-label, randomized controlled phase III trial of adjuvant chemotherapy versus observation in patients with adenocarcinoma of the ampulla of Vater.(2011), 29(S): Abs#LBA4006, American Society of Clinical Oncology Annual Meeting, J CLIN ONCOL. Authors: Neoptolemos, JP;Moore, MJ;Cox, TF;Valle, JW;Palmer, DH;McDonald, A;Carter, R;Tebbutt, NC;Dervenis, C;Smith, D;Glimelius, B;Coxon, FY;Lacaine, F;Middleton, R;Ghaneh, P;Bassi, C;Halloran, C;Olah, A;Rawcliffe, CL;Büchler, MW;Cancer, European Study Group for Pancreatic Cancer.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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ESPAC-3 Trial Coordinator
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Address
9615
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National Health and Medical Research Council (NHMRC) Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
9615
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Australia
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Phone
9615
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+61 2 9562 5000
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Fax
9615
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+61 2 9562 5094
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Email
9615
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[email protected]
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Contact person for scientific queries
Name
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ESPAC-3 Trial Coordinator
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Address
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National Health and Medical Research Council (NHMRC) Clinical Trials Centre Locked Bag 77 Camperdown NSW 1450
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Country
543
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Australia
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Phone
543
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+61 2 9562 5000
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Fax
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