Study of Combined RHUMAB VEGF and Capecitabine-based Chemoradiation for Patients With Locally Advanced Pancreatic Cancer

NCT ID: NCT00047710

Last Updated: 2012-08-01

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-09-30

Study Completion Date

2006-07-31

Brief Summary

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The goal of this clinical research study is to find the highest safe dose of the drug Bevacizumab that can be given in combination with chemoradiation for the treatment of pancreatic cancer. The effect that this combination treatment has on the tumor will also be studied.

Detailed Description

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This study administers 50.4 Gy of radiation for unresectable pancreatic cancer with concurrent capecitabine and an experimental drug, Bevacizumab. The drug is an antiangiogenic agent (kills tumor blood vessels) and has been shown in preclinical models to enhance the antitumor effect of radiation and chemotherapy.

Conditions

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Pancreatic Cancer

Keywords

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pancreatic cancer pancreas cancer pancreas

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bevacizumab

Radiation, Bevacizumab, and Capecitabine

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

Beginning 2 weeks prior to radiotherapy, dose of 5 mg/kg by vein then of 2.5 mg/kg during radiotherapy for four weeks every 2 weeks (three doses).

Capecitabine

Intervention Type DRUG

650mg/m\^2 taken by mouth twice a day 15-52 during the radiotherapy.

Radiotherapy

Intervention Type RADIATION

Radiography given once a day for 5 days at 50.4 Gy in 28 fractions over 5.5 weeks.

Interventions

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Bevacizumab

Beginning 2 weeks prior to radiotherapy, dose of 5 mg/kg by vein then of 2.5 mg/kg during radiotherapy for four weeks every 2 weeks (three doses).

Intervention Type DRUG

Capecitabine

650mg/m\^2 taken by mouth twice a day 15-52 during the radiotherapy.

Intervention Type DRUG

Radiotherapy

Radiography given once a day for 5 days at 50.4 Gy in 28 fractions over 5.5 weeks.

Intervention Type RADIATION

Other Intervention Names

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Avastin Anti-VEGF monoclonal antibody rhuMAb-VEGF Xeloda XRT

Eligibility Criteria

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Inclusion Criteria

* Cytology or histologic proof of adenocarcinoma of the pancreatic head, body or tail prior to treatment.
* Patients with nonmetastatic, unresectable, disease are eligible.
* Patients with regional nodal disease are eligible.
* Karnofsky performance status \>/=70.
* No upper age restriction.
* Absolute granulocyte count \>1,500 cells/mm3 and platelet count at least 100,000 cells/mm3.
* Serum bilirubin less than 5mg/dl prior to the start of therapy with adequate biliary decompression.
* Adequate bilateral renal function.
* Serum creatinine \<1.5 mg/dl.
* Adequate liver function; Alanine aminotransferase (ALT)/aspartate aminotransferase (AST)\</=5 times upper limit of normal.
* Sexually active men must practice contraception during study.
* Patients must sign study-specific consent form.

Exclusion Criteria

* History or evidence upon physical examination of CNS disease.
* Active infection requiring parenteral antibiotics on Day 0. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, or anticipation of need for major surgical procedure during the course of the study.
* Current or recent use of full-dose oral or parenteral anticoagulants or thrombolytic agent.
* Chronic, daily treatment with aspirin or nonsteroidal anti-inflammatory medications.
* Pregnancy or lactation.
* Proteinuria at baseline or impairment of renal function.
* Serious, nonhealing wound, ulcer, or bone fracture.
* Evidence of bleeding diathesis or coagulopathy
* Clinically significant cardiovascular disease, congestive heart failure, serous cardiac arrhythmia requiring medication, or significant peripheral vascular disease within 1 year prior to Day 0.
* History of aneurysms, strokes, transient ischemic attacks, and arteriovenous malformations.
* Serous concomitant medical or psychiatric disorders.
* Cohort receiving Capecitabine
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christopher H. Crane, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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University of Texas MDAnderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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http://www.mdanderson.org

UT MD Anderson Cancer Center website

Other Identifiers

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ID02-146

Identifier Type: -

Identifier Source: org_study_id