Chemotherapy in Treating Patients With Locally Advanced or Metastatic Cancer of the Pancreas or Bile Duct

NCT ID: NCT00010088

Last Updated: 2009-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

1999-01-31

Brief Summary

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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, leucovorin, and fluorouracil in treating patients who have locally advanced or metastatic cancer of the pancreas or bile duct.

Detailed Description

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OBJECTIVES: I. Determine the response rate, in terms of WHO objectives and clinical benefit, in patients with locally advanced or metastatic pancreatic or biliary adenocarcinoma treated with gemcitabine, leucovorin calcium, and fluorouracil. II. Determine the tolerance of this regimen in this patient population. III. Determine the survival without disease progression in patients treated with this regimen. IV. Determine the overall survival in patients treated with this regimen.

OUTLINE: This is a multicenter study. Patients receive leucovorin calcium IV over 2 hours followed by fluorouracil IV over 24 hours on day 1 followed by gemcitabine IV over 80-150 minutes on day 2. Treatment repeats every 2 weeks for a minimum of 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete response may continue chemotherapy for up to 1 year. Patients with locally advanced disease after 3 months of chemotherapy may receive concurrent radiotherapy with chemotherapy for 5 weeks, or may undergo surgical resection. Fluorouracil-based chemotherapy (with or without radiotherapy) may then resume after surgery. Patients are followed for survival.

PROJECTED ACCRUAL: A total of 14-39 patients will be accrued for this study.

Conditions

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Extrahepatic Bile Duct Cancer Pancreatic Cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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fluorouracil

Intervention Type DRUG

gemcitabine hydrochloride

Intervention Type DRUG

leucovorin calcium

Intervention Type DRUG

conventional surgery

Intervention Type PROCEDURE

radiation therapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically confirmed pancreatic or biliary duct adenocarcinoma Metastatic or locally advanced No cerebral metastasis Surgically unresectable

PATIENT CHARACTERISTICS: Age: 18 to 75 Performance status: ECOG 0-2 Life expectancy: More than 12 months Hematopoietic: Absolute neutrophil count greater than 1,500/mm3 Platelet count greater than 100,000/mm3 Hepatic: Alkaline phosphatase less than 5 times normal Bilirubin less than 1.5 times normal Renal: Creatinine less than 1.5 times normal No uncontrolled or persistent hypercalcemia Cardiovascular: No severe cardiac failure Pulmonary: No severe respiratory failure Other: No other malignant tumor considered incurable or untreatable No uncontrolled pain No psychological, familial, social, or geographical reasons that would preclude study

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy Endocrine therapy: No concurrent corticosteroids except as antiemetic Radiotherapy: No prior radiotherapy Surgery: See Disease Characteristics
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GERCOR - Multidisciplinary Oncology Cooperative Group

OTHER

Sponsor Role lead

Principal Investigators

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Christophe Louvet, MD, PhD

Role: STUDY_CHAIR

Hopital Saint Antoine

Locations

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Clinique De Rochebelle

Alès, , France

Site Status

Centre Hospitalier Victor Dupouy

Argenteuil, , France

Site Status

Centre D'Oncologie Du Pays-Basqu

Bayonne, , France

Site Status

C.H.G. Beauvais

Beauvais, , France

Site Status

Institut Bergonie

Bordeaux, , France

Site Status

CMC Bligny

Briis-sous-Forges, , France

Site Status

Clinique Saint-Jean

Cagne-sur-Mer, , France

Site Status

Hopital Fontenoy

Chartres, , France

Site Status

Hopital Beaujon

Clichy, , France

Site Status

Hopital Drevon

Dijon, , France

Site Status

Centre D'Oncologie Dunkerquois

Dunkirk, , France

Site Status

Polyclinique De La Foret

Fontaineblea, , France

Site Status

CHR de Grenoble - La Tronche

Grenoble, , France

Site Status

Centre De Charlebourg

La Garenne-Colombes, , France

Site Status

Clinique Du Cap D'OR

LA Seyne Sur Me, , France

Site Status

Hopital Andre Mignot

Le Chesnay, , France

Site Status

Hopital de la Croix Rousse

Lyon, , France

Site Status

Assistance Publique Hopitaux de Marseille Hopitaux Sud

Marseille, , France

Site Status

Hopital Notre-Dame de Bon Secours

Metz, , France

Site Status

Hopital Clinique Claude Bernard

Metz, , France

Site Status

Intercommunal Hospital

Montfermeil, , France

Site Status

Centre Hospitalier De Moulins Yzeure

Moulins, , France

Site Status

Centre Hospitalier de Mulhouse

Mulhouse, , France

Site Status

CHR Hotel Dieu

Nantes, , France

Site Status

American Hospital of Paris

Neuilly-sur-Seine, , France

Site Status

CHR D'Orleans - Hopital de la Source

Orléans, , France

Site Status

Hopital Laennec

Paris, , France

Site Status

Clinique Du Mont Louis

Paris, , France

Site Status

Hopital Rothschild

Paris, , France

Site Status

Hopital Saint Joseph

Paris, , France

Site Status

L'Institut Mutualiste Montsouris Jourdan

Paris, , France

Site Status

Hopital Boucicaut

Paris, , France

Site Status

Hopital Saint-Louis

Paris, , France

Site Status

Hopital Saint Antoine

Paris, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

Hopital De La Croix

Paris, , France

Site Status

Clinique Bizet

Paris, , France

Site Status

Hopital Haut Leveque

Pessac, , France

Site Status

Clinique Ste-Marie

Pontoise, , France

Site Status

Hopital Claude Gallien

Quincy-sous-Sénart, , France

Site Status

Polyclinique De Courlancy

Reims, , France

Site Status

Oncologie Medicale

Saint-Jean, , France

Site Status

Centre du Rouget

Sarcelles, , France

Site Status

C.H. Senlis

Senlis, , France

Site Status

Centre Hospitalier Intercommunal Toulon - La Seyne/Mer

Toulon, , France

Site Status

Clinique Pasteur

Toulouse, , France

Site Status

Polyclinique Flemming

Tours, , France

Site Status

Centre Saint-Yves

Vannes, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Hopital de la Ville D'Esch-sur-Alzette

Esch-sur-Alzette, , Luxembourg

Site Status

Countries

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France Luxembourg

References

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Huguet F, Andre T, Hammel P, Artru P, Balosso J, Selle F, Deniaud-Alexandre E, Ruszniewski P, Touboul E, Labianca R, de Gramont A, Louvet C. Impact of chemoradiotherapy after disease control with chemotherapy in locally advanced pancreatic adenocarcinoma in GERCOR phase II and III studies. J Clin Oncol. 2007 Jan 20;25(3):326-31. doi: 10.1200/JCO.2006.07.5663.

Reference Type BACKGROUND
PMID: 17235048 (View on PubMed)

Andre T, Noirclerc M, Hammel P, Meckenstock R, Landi B, Cattan S, Selle F, Codoul JF, Guerrier-Parmentier B, Mokhtar R, Louvet C; GERCOR. Phase II study of leucovorin, 5-fluorouracil and gemcitabine for locally advanced and metastatic pancreatic cancer (FOLFUGEM 2). Gastroenterol Clin Biol. 2004 Aug-Sep;28(8-9):645-50. doi: 10.1016/s0399-8320(04)95042-7.

Reference Type RESULT
PMID: 15646530 (View on PubMed)

Other Identifiers

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FRE-GERCOR-FOLFUGEM2-D99-3

Identifier Type: -

Identifier Source: secondary_id

EU-20024

Identifier Type: -

Identifier Source: secondary_id

CDR0000068440

Identifier Type: -

Identifier Source: org_study_id

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