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Two Chemotherapy Regimens Compared With Observation in Treating Patients With Completely Resected Pancreatic Cancer



Two Chemotherapy Regimens Compared With Observation in Treating Patients With Completely Resected Pancreatic Cancer

For Condition: stage 4A pancreatic cancer,duct cell adenocarcinoma of the pancreas,stage 3 pancreatic cancer,acinar cell adenocarcinoma of the pancreas,stage 1 pancreatic cancer,stage 2 pancreatic cancer
Status: Recruiting
Sponsor(s): National Cancer Research Institute (NCRI) , National Cancer Institute of Canada,Australasian Gastro-Intestinal Trials Group
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known which chemotherapy regimen is more effective, or whether chemotherapy is more effective than observation, in treating pancreatic cancer after surgery. PURPOSE: Phase III trial to compare the effectiveness of two chemotherapy regimens with no further therapy in treating patients who have completely resected pancreatic cancer.
Details: OBJECTIVES: Primary - Compare the efficacy of adjuvant gemcitabine vs fluorouracil and leucovorin calcium (vs observation only in patients with ampullary or other pancreatic malignancy), in terms of 2-year survival rate, in patients with completely resected pancreatic cancer. Secondary - Compare the toxicity of these regimens in these patients. - Compare the quality of life and 5-year survival of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to histology (ductal adenocarcinoma vs ampullary or other pancreatic malignancy), resection margin status, and participating country. Patients are randomized to 1 of 2 treatment arms. Randomization for patients with ampullary or other pancreatic malignancy includes an observation arm. - Arm I: Patients receive leucovorin calcium IV and fluorouracil IV on days 1-5. - Arm II: Patients receive gemcitabine IV over 30 minutes on days 1, 8, and 15. - Arm III (patients with ampullary or other pancreatic malignancy only): Patients undergo observation. Treatment in arms I and II repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline, 3, 6, and 12 months, and then annually for 5 years. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 660 patients with pancreatic adenocarcinoma (330 per arms I and II) will be accrued for this study within 5 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed ductal adenocarcinoma of the pancreas OR - Histologically confirmed diagnosis of 1 of the following types of cancer: - Acinar cell carcinoma or cystadenocarcinoma of the pancreas - Cancers of the periampullary region - Cancers of the intrapancreatic part of the bile duct - Periampullary cancers of uncertain origin - Complete macroscopic resection (R0 or R1 resection) - Histological examination of all resection margins required - No stage IVB disease - No evidence of malignant ascites - No liver or peritoneal metastases - No evidence of spread to other distant abdominal or extra-abdominal organs - No pancreatic lymphoma PATIENT CHARACTERISTICS: Age - 18 and over Performance status - WHO 0-2 Life expectancy - More than 3 months Hematopoietic - Not specified Hepatic - Not specified Renal - Not specified Other - Not pregnant - Able to participate in long-term follow-up - No other prior or concurrent malignancy except curatively treated basal cell skin cancer or carcinoma in situ of the cervix - No serious medical or psychological condition that would preclude study treatment PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - No neoadjuvant chemotherapy - No other concurrent chemotherapy Endocrine therapy - Not specified Radiotherapy - Not specified Surgery - See Disease Characteristics - Recovered from prior resection
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JohnNeoptolemos,  Study Chair,  University of Liverpool

CancerCare Manitoba *Recruiting*
Winnipeg,  Manitoba,  R3E 0V9
Canada
Recruiting Ralph  Wong 204-235-3044

Uppsala University Hospital *Recruiting*
Uppsala,  ,  S-75185
Sweden
Recruiting Bengt  Glimelius 46-18-611-5513

Agia Olga Hospital *Recruiting*
Athens,  ,  G-15233
Greece
Recruiting Christos  Dervenis 30-10-277-5467

Policlinico Borgo Roma *Recruiting*
Verona,  ,  37134
Italy
Recruiting Claudio  Bassi 39-045-807-4553

Nova Scotia Cancer Centre *Recruiting*
Halifax,  Nova Scotia,  B3H 1V7
Canada
Recruiting Daniel  Rayson 902-473-6002

Princess Margaret Hospital *Recruiting*
Toronto,  Ontario,  M5G 2M9
Canada
Recruiting Malcolm  Moore 416-946-2263

University of Bern *Recruiting*
Bern,  ,  CH-3012
Switzerland
Recruiting Daniel  Candinas 41-31-632-2412

Toronto General Hospital *Recruiting*
Toronto,  Ontario,  M5G 2C4
Canada
Recruiting Malcolm  Moore 416-946-2263

Flinder Medical Centres *Recruiting*
Bedford Park,  South Australia,  5042
Australia
Recruiting R.  Padbury 61-8-8204-4523

McGill University *Recruiting*
Montreal,  Quebec,  H2W 1S6
Canada
Recruiting Wilson  Miller 514-340-8222 ext. 4365

Hopital Charles Lemoyne *Recruiting*
Greenfield Park,  Quebec,  J4V 2H1
Canada
Recruiting Eric  Bergeron 450-466-5000

Universitaets-Kinderklinik Heidelberg *Recruiting*
Heidelberg,  ,  D-69120
Germany
Recruiting Markus  Buchler 49-6221-56-6205

Tampere University Hospital *Recruiting*
Tampere,  ,  33521
Finland
Recruiting Isto  Nordback 358-3-247-4608

St. Joseph's Health Centre - Toronto *Recruiting*
Toronto,  Ontario,  M6R 1B5
Canada
Recruiting John  Blondal 416-530-6586

University of Liverpool *Recruiting*
Liverpool,  England,  L69 3GA
United Kingdom
Recruiting John  Neoptolemos 44-151-706-4175

Institute for Clinical and Experimental Medicine *Recruiting*
Preha 4,  ,  14021
Czech Republic
Recruiting Miroslav  Ryska 420-2-6136-4105

British Columbia Cancer Agency - Vancouver Island Cancer Centre *Recruiting*
Victoria,  British Columbia,  V8R 6V5
Canada
Recruiting Brian  Weinerman 250-519-5501

Institute of Oncology at Prince of Wales Hospital *Recruiting*
Randwick,  New South Wales,  2031
Australia
Recruiting David  Goldstein 61-2-9382-2577

Toronto Sunnybrook Regional Cancer Centre *Recruiting*
Toronto,  Ontario,  M4N 3M5
Canada
Recruiting Scott  Berry 416-480-5248

Hopital Tenon *Recruiting*
Paris,  ,  75970
France
Recruiting Francois  Lacaine 33-1-5601-7000

Ottawa Regional Cancer Centre *Recruiting*
Ottawa,  Ontario,  K1H 1C4
Canada
Recruiting Derek  Jonker 613-737-7700 ext. 6029

Kingston Regional Cancer Centre *Recruiting*
Kingston,  Ontario,  K7L 5P9
Canada
Recruiting Wycliffe  Lofters 613-544-2630 ext. 4502

Mav Hospital *Recruiting*
Budapest,  ,  1062
Hungary
Recruiting Akos  Pap 36-1-302-0841

Cross Cancer Institute *Recruiting*
Edmonton,  Alberta,  T6G 1Z2
Canada
Recruiting Heather-Jane  Au 780-432-8762

Cancer Care Ontario-London Regional Cancer Centre *Recruiting*
London,  Ontario,  N6A 4L6
Canada
Recruiting Ian  Kerr 519-685-4006


Additional Information:
Study ID Numbers:
  CDR0000287023;  CAN-NCIC-PA2,NCRI-ESPAC-3,EU-20043,AGITG-ESPAC-3
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00058201

Other Stage 1 Pancreatic Cancer Studies:
1. Vaccine Therapy, Chemotherapy, and GM-CSF in Treating Patients With Advanced Pancreatic Cancer

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

3. Perifosine in Treating Patients With Advanced Pancreatic Cancer

4. Fluorouracil With or Without Cisplatin in Treating Patients With Advanced or Metastatic Cancer of the Pancreas

5. R115777 in Treating Patients With Locally Advanced or Metastatic Pancreatic Cancer

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Two Chemotherapy Regimens Compared With Observation in Treating Patients With Completely Resected Pancreatic Cancer

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