Clinical Trial

A Pivotal Study of Safety and Effectiveness of NanoKnife IRE for Stage 3 Pancreatic Cancer

Study acronym: DIRECT
Active, Not Recruiting Phase 3
View on ClinicalTrials.gov →
Record status
This record was last updated February 12, 2025 (before its estimated April 2025 completion). Its status may not reflect the trial's current state.
Summary
Subjects will be offered the opportunity to participate in a randomized, controlled, 2-arm, unblinded multicenter trial (RCT). There will be 2 study arms: the control arm receiving chemotherapy with the modified FOLFIRINOX regimen alone; and the irreversible electroporation (IRE) arm, receiving chemotherapy with the modified FOLFIRINOX regimen followed by IRE with the NanoKnife System using either an open or a percutaneous approach. All subjects will be treated with the modified FOLFIRINOX regimen for at least 3 months; randomization to either control or IRE arm will take place at the time of completion of the 3 month modified FOLFIRINOX chemotherapy regimen. Randomization will be conducted centrally. Subjects will be randomized in a 1:1 ratio and must be found to have no evidence of disease progression after completion of the 3 month modified FOLFIRINOX chemotherapy regimen in order to participate in the RCT. All radiologic assessments will be performed as consistent with the imaging protocol. All post induction and post IRE treatments are left to the discretion of the treating physician. The minimum period of follow-up will be for 24 months or until death.
Protocol Amendment History 9 amendments
This ClinicalTrials.gov record has been amended 9 times since 2019-04-01; most recent amendment 2025-02-11.
Status change: Recruiting → Active, Not Recruiting 2025-02-11
Status change: Not Yet Recruiting → Recruiting 2019-12-03
Trial Details
NCT Number NCT03899636
Lead Sponsor Angiodynamics, Inc.
Conditions Stage III Pancreatic Cancer
Enrollment 528 participants
Start Date 2021-02-23
Primary Completion 2025-04 (estimated)
Study Completion 2025-04 (estimated)
Updated on ClinicalTrials.gov 2025-02-12