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Home > "G" Clinical Trials Conditions > Gemcitabine Plus Oxaliplatin in Treating Patients With Refractory Locally Advanced or Metastatic Pancreatic Cancer

Gemcitabine Plus Oxaliplatin in Treating Patients With Refractory Locally Advanced or Metastatic Pancreatic Cancer



Gemcitabine Plus Oxaliplatin in Treating Patients With Refractory Locally Advanced or Metastatic Pancreatic Cancer

For Condition: duct cell adenocarcinoma of the pancreas,recurrent pancreatic cancer,stage 4B pancreatic cancer,stage 4A pancreatic cancer,stage 3 pancreatic cancer
Status: Completed
Sponsor(s): National Cancer Institute (NCI) , North Central Cancer Treatment Group
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combining gemcitabine and oxaliplatin in treating patients who have refractory locally advanced or metastatic pancreatic cancer.
Details: OBJECTIVES: I. Determine the safety and tolerability of gemcitabine plus oxaliplatin in patients with refractory metastatic or locally advanced pancreatic cancer (phase I portion of the study closed as of 7/5/00). II. Determine the objective tumor response rate to this combination regimen in this patient population. PROTOCOL OUTLINE: This is a dose escalation and efficacy study. Patients receive gemcitabine IV over 30 minutes on days 1 and 8 immediately followed by oxaliplatin IV over 2 hours on day 1. Treatment repeats every 3 weeks. Patients achieving stable disease, partial response, or regressive disease continue with therapy. Patients achieving complete response for two consecutive evaluations receive an additional 2 courses of therapy. Phase I (closed as of 7/5/00): Cohorts of 3-6 patients receive escalating doses of gemcitabine and oxaliplatin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose limiting toxicity. Phase II: Patients receive the MTD of gemcitabine and oxaliplatin as in phase I. Patients are followed every 3 months for 1 year, and then every 6 months for 4 years. PROJECTED ACCRUAL: A total of 32-52 patients (12 patients to phase I (phase I closed as of 7/5/00) and 20-40 to phase II) will be accrued for this study within approximately 11-28 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed ductal or undifferentiated primary pancreatic cancer for which no standard curative therapy exists; Progressive locally advanced disease after combined chemotherapy and radiotherapy OR Not a candidate for combined therapy OR Metastatic disease - No islet cell, acinar cell, or cystadenocarcinomas - Measurable or evaluable disease - No known brain metastases --Prior/Concurrent Therapy-- - Biologic therapy: At least 4 weeks since prior biologic therapy or immunotherapy; No concurrent immunotherapy - Chemotherapy: No prior chemotherapy for metastatic disease; At least 6 months since prior adjuvant chemotherapy, including cisplatin or gemcitabine, for radiosensitization in locally advanced disease; No prior cisplatin or gemcitabine for locally advanced disease; No other concurrent chemotherapy - Endocrine therapy: Not specified - Radiotherapy: No prior radiotherapy to 25% or more of bone marrow No concurrent radiotherapy - Surgery: Not specified - Other: No other concurrent investigational agents --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-2; Karnofsky 50-100% - Life expectancy: Not specified - Hematopoietic: WBC at least 3,500/mm3; Absolute neutrophil count at least 1,500/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin no greater than upper limit of normal (ULN); SGOT no greater than 2.5 times ULN - Renal: Creatinine no greater than ULN OR Creatinine clearance at least 60 mL/min - Cardiovascular: No symptomatic congestive heart failure; No unstable angina; No cardiac arrhythmia - Other: No other uncontrolled illness; No active infection; No allergy to platinum compounds, gemcitabine, or antiemetics; No other malignancy within the past 5 years except basal cell skin cancer or carcinoma in situ of the cervix; No evidence of neuropathy except preexisting grade I or II; Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
StevenAlberts,  Study Chair,  North Central Cancer Treatment Group

CCOP - Illinois Oncology Research Association
Peoria,  Illinois,  61602
United States
 

CCOP - Cedar Rapids Oncology Project
Cedar Rapids,  Iowa,  52403-1206
United States
 

CCOP - Scottsdale Oncology Program
Scottsdale,  Arizona,  85259-5404
United States
 

Saskatchewan Cancer Agency
Regina,  Saskatchewan,  S4S 6X3
Canada
 

CCOP - Missouri Valley Cancer Consortium
Omaha,  Nebraska,  68131
United States
 

CCOP - Toledo Community Hospital Oncology Program
Toledo,  Ohio,  43623-3456
United States
 

CCOP - Sioux Community Cancer Consortium
Sioux Falls,  South Dakota,  57105-1080
United States
 

CCOP - Geisinger Clinical and Medical Center
Danville,  Pennsylvania,  17822-2001
United States
 

Quain & Ramstad Clinic, P.C.
Bismark,  North Dakota,  58501
United States
 

CCOP - Carle Cancer Center
Urbana,  Illinois,  61801
United States
 

CCOP - Wichita
Wichita,  Kansas,  67214-3882
United States
 

CentraCare Clinic
St. Cloud,  Minnesota,  56303
United States
 

CCOP - Ann Arbor Regional
Ann Arbor,  Michigan,  48106
United States
 

CCOP - Merit Care Hospital
Fargo,  North Dakota,  58122
United States
 

CCOP - Duluth
Duluth,  Minnesota,  55805
United States
 

CCOP - Iowa Oncology Research Association
Des Moines,  Iowa,  50309-1016
United States
 

Rapid City Regional Hospital
Rapid City,  South Dakota,  57709
United States
 

Mayo Clinic Cancer Center
Rochester,  Minnesota,  55905
United States
 

Siouxland Hematology-Oncology
Sioux City,  Iowa,  51101-1733
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067431;  NCCTG-984351
Study Start Date: October 1999
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004190

Other Stage 3 Pancreatic Cancer Studies:
1. 3-AP and Gemcitabine in Treating Patients With Unresectable or Metastatic Pancreatic Cancer

2. Tipifarnib and Radiation Therapy in Treating Patients With Unresectable Locally Advanced Pancreatic Cancer

3. Cisplatin, Metronomic Low-Dose Interferon alfa, Gemcitabine, and Fever-Range Whole-Body Hyperthermia in Treating Patients With Inoperable or Metastatic Pancreatic Cancer

4. CCI-779 in Treating Patients With Locally Advanced or Metastatic Pancreatic Cancer

5. Nitrocamptothecin or Fluorouracil in Treating Patients With Recurrent or Refractory Pancreatic Cancer

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