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RecruitingNCT02843945Updated Jun 17, 2025

Initial Feasibility Study to Treat Borderline Resectable Pancreatic Cancer With a Planar LDR Source

A Phase 1/2 interventional study of Directional Brachytherapy Source Implant in Pancreatic Cancer, sponsored by CivaTech Oncology. Recruiting at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-17.

Sponsored by CivaTech Oncology · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started May 2017; still recruiting 9 years 4 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Initial study to evaluate local control and the preferred method of attachment of the CivaSheet in the setting of suspected close or positive margins at the time of surgical tumor removal.

Read the detailed description

This is a Feasibility study to determine the safety and efficacy of a new brachytherapy device that provides unidirectional radiation which utilizes active components (Palladium-103) of standard devices in a novel configuration.This pilot study may benefit pancreatic cancer patients by reducing the radiation dose to adjacent critical structures, while giving a therapeutic dose to diseased tissue, such as at a surgical margin. The appropriate dose and local control rate will be recorded the primary endpoint in order to provide an efficacy assessment.

02

Conditions studied

  • Pancreatic Cancer

Keywords

  • brachytherapy
  • CivaSheet
  • CivaTech
  • whipple
  • radiation
  • borderline resectable
  • locally advanced
  • Pd-103
  • intraoperative radiation
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's planned enrollment of 80 is above the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

CivaTech Oncology is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    • Subject signed inform consent

      • Age > 18 years
      • Not pregnant or breast feeding
      • Patient capable of undergoing anesthesia
      • Patient selected to undergo Whipple procedure or distal pancreatectomy
      • Patient does not have metastatic disease
      • Patients will have close margins
      • No prior radiation therapy to the region for separate cancer
      • Confirmed diagnosis of borderline resectable or locally advanced pancreatic adenocarcinoma
      • Patient Received neoadjuvant chemoradiation (4-10 weeks prior to surgery)
      • Chemotherapy was administered for 2-6 cycles with any combination of the following agents:
      • Gemcitabine + nb-paclitaxel
      • FOLFIRINOX
      • Neoadjuvant Chemoradiation was administered as IMRT or 3DCRT (up to 56 Gy), or SBRT (up to 36 Gy) with Pre-operative External beam dose (NCCN)
      • up to 56 Gy (1.8-2.0 Gy per fractions) with concurrent gemcitabine, capecitabine, or infusional 5-fluorouracil

Exclusion criteria

Exclusion Criteria:

  • Not surgical candidate
  • Any other invasive cancer in the past 5 years, except basal cell or squamous cell skin cancer
  • An IRE candidate (IRE is Percutaneous irreversible electroporation)
  • Recurrent or previously resected tumors
  • Documented History of Alcoholism and or drug abuse
  • Participant in other clinical trials
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Directional Brachytherapy Source Implant

    Patients undergoing a pancreatic cancer resection will receive a CivaSheet LDR directional brachytherapy implant at the time of surgery. The directional nature of the FDA cleared CivaSheet is expected to allow physicians to increase the radiation dose given to the surgical margin safely, reducing risk of recurrence without increasing radiation side effects.

    Device: Directional Brachytherapy Source Implant

Interventions

  • DeviceDirectional Brachytherapy Source Implant

    The FDA Cleared CivaSheet Directional Pd103 Brachytherapy Source is a planar radiaiton source which utilizes gold shielding in its construction. This device is radioactive on one side only, and is capable of safely delivering high doses of radiation to target areas even when placed directly adjacent to sensitive, healthy tissue or critical structures.

06

What researchers measure

Primary outcomes

  1. Safety of CivaSheet Radiation Treatement

    Patients will be monitored for any adverse radiation toxicity effects from the CivaSheet device.

    Time frame: 1 Year

Secondary outcomes

  1. Efficacy of CivaSheet Radiation Treatment

    Patients will be monitored for one year to determine the local cancer recurrence rate

    Time frame: 1 Year

  2. Morbidity of patients following surgery and radiation

    2 year survival rates for patients post surgery and CivaSheet radiation treatment

    Time frame: 2 Year

  3. Post Operative Radiation Dosimetry Calculation

    Post procedure 3D treatment planning will be performed to determine if the radiation dose delivered was satisfactory

    Time frame: 1 Month

  4. Length of Hospital Stay

    Length of hospital stay will be monitored to determine if CivaSheet radiation treatment alters the typical length of hospital stay for patients after surgery.

    Time frame: 1 Month

07

Study locations

1 of 6 sites recruiting
  • Tampa General Hospital
    Tampa, Florida 33612, United States
    • Raegen Einsmann · Contact · reinsmann@usf.edu · 813-974-7247
    • Timothy Nywening, MD · Principal investigator
    Not yet recruiting
  • Rush University Cancer Center
    Chicago, Illinois 60612, United States
    Completed
  • Advocate Christ Medical Center
    Oak Lawn, Illinois 60453, United States
    Recruiting
  • University Medical Center LSU
    New Orleans, Louisiana 70112, United States
    Completed
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
    Completed
  • Virginia Commonwealth University Massey Cancer Center
    Richmond, Virginia 23298, United States
    Completed
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02843945
Lead sponsor
CivaTech Oncology
Responsible party
Sponsor
First posted
Jul 26, 2016
Start date
May 31, 2017
Primary completion
Oct 29, 2027 (estimated)
Completion
Oct 30, 2028 (estimated)
Last update
Jun 17, 2025

Study contacts

Carra Castagnero
Contact
ccastagnero@civatechoncology.com
919-314-5515
Kristy Perez, PhD
Contact
kperez@civatechoncology.com
9193145515
Joshua Meyer, MD
principal investigator · Fox Chase Cancer Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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