Trial Outcomes & Findings for ChemoRT With Adjuvant Chemo in Pancreatic Cancer (TARCEVA) (NCT NCT00313560)

NCT ID: NCT00313560

Last Updated: 2020-06-04

Results Overview

Time from surgery to recurrence

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

48 participants

Primary outcome timeframe

Up to 3 years

Results posted on

2020-06-04

Participant Flow

All patients enrolled at Johns Hopkins

Participant milestones

Participant milestones
Measure
Erlotinib and EBRT After Pancreatectomy
Patients received intensity modulated radiation therapy given concurrently with erlotinib and capecitabine.
Overall Study
STARTED
48
Overall Study
COMPLETED
48
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

ChemoRT With Adjuvant Chemo in Pancreatic Cancer (TARCEVA)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Erlotinib and EBRT After Pancreatectomy
n=48 Participants
All patients received RT, Erlotinib and Capecitabine, followed by gemcitabine/erlotinib
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=5 Participants
Age, Categorical
>=65 years
18 Participants
n=5 Participants
Age, Continuous
62 years
n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
30 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
Race (NIH/OMB)
White
41 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Region of Enrollment
United States
48 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 3 years

Time from surgery to recurrence

Outcome measures

Outcome measures
Measure
Erlotinib and EBRT After Pancreatectomy
n=48 Participants
Patients received intensity modulated radiation therapy given concurrently with erlotinib and capecitabine, followed by adjuvant chemotherapy with gemcitabine/erlotinib.
Adjuvant Gemcitabine Plus Erlotinib
Approximately 4-8 weeks after the conclusion of chemoradiation, it is recommended patients will continue treatment with 4 cycles of gemcitabine 1000 mg/m2 days 1, 8, and 15 every 28 days plus daily erlotinib 100 mg.
Recurrence Free Survival
15.6 months
Interval 13.4 to 17.9

SECONDARY outcome

Timeframe: up to 3 years

Population: 39/48 total participants received maintenance chemotherapy after chemoradiation.

Number of participants experiencing adverse events during chemoradiation and during adjuvant chemotherapy, Grade 2 or higher, as defined by National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0. This is used to determine the Toxicity profile.

Outcome measures

Outcome measures
Measure
Erlotinib and EBRT After Pancreatectomy
n=48 Participants
Patients received intensity modulated radiation therapy given concurrently with erlotinib and capecitabine, followed by adjuvant chemotherapy with gemcitabine/erlotinib.
Adjuvant Gemcitabine Plus Erlotinib
n=39 Participants
Approximately 4-8 weeks after the conclusion of chemoradiation, it is recommended patients will continue treatment with 4 cycles of gemcitabine 1000 mg/m2 days 1, 8, and 15 every 28 days plus daily erlotinib 100 mg.
Number of Participants Experiencing Adverse Events
Grade 3
15 Participants
14 Participants
Number of Participants Experiencing Adverse Events
Grade 2
24 Participants
15 Participants
Number of Participants Experiencing Adverse Events
Grade 4
1 Participants
3 Participants

SECONDARY outcome

Timeframe: Up to 3 months after completion of maintenance chemotherapy

Population: QoL data was only available for 33 participants. Paired data for time 1 was only available for 30/33 participants, and only 20/33 participants at time 2.

Quality of life (QOL) was assessed before chemoradiation therapy (CRT) was started or during the first week of its administration \[baseline (BL)\], between completion of CRT and starting maintenance chemotherapy \[time 1 (t1)\], and within 3 months after completion of maintenance chemotherapy \[time 2 (t2)\]. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) assesses quality of life on three domains: symptoms (score ranges from 7-14); function (score range 21-82); and global health status (score range 2-14). Higher or increasing scores mean worse outcomes; lower or decreasing scores mean better outcomes.

Outcome measures

Outcome measures
Measure
Erlotinib and EBRT After Pancreatectomy
n=33 Participants
Patients received intensity modulated radiation therapy given concurrently with erlotinib and capecitabine, followed by adjuvant chemotherapy with gemcitabine/erlotinib.
Adjuvant Gemcitabine Plus Erlotinib
Approximately 4-8 weeks after the conclusion of chemoradiation, it is recommended patients will continue treatment with 4 cycles of gemcitabine 1000 mg/m2 days 1, 8, and 15 every 28 days plus daily erlotinib 100 mg.
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Global (Time 1 vs. BL)
1 score on a scale
Interval -6.5 to 8.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Global (Time 2 vs. BL)
-1.8 score on a scale
Interval -8.1 to 4.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Global (Time 2 vs. Time 1)
4.6 score on a scale
Interval -3.3 to 12.6
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Functional (F) - Physical (Time 1 vs. BL)
0.5 score on a scale
Interval -4.8 to 5.8
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Physical (Time 2 vs. BL)
-3.2 score on a scale
Interval -8.8 to 2.3
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Physical (Time 2 vs. Time 1)
-6.2 score on a scale
Interval -11.0 to 1.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Role (Time 1 vs. BL)
-3.1 score on a scale
Interval -13.5 to 7.2
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Role (Time 2 vs. BL)
-0.3 score on a scale
Interval -13.5 to 12.9
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Role (Time 2 vs. Time 1)
-4.4 score on a scale
Interval -15.5 to 6.7
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Cognition (Time 1 vs. BL)
-2.6 score on a scale
Interval -7.4 to 2.2
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Cognition (Time 2 vs. BL)
1.2 score on a scale
Interval -6.6 to 9.1
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Cognition (Time 2 vs. Time 1)
-1.2 score on a scale
Interval -8.3 to 5.8
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Emotional (Time 1 vs. BL)
-0.4 score on a scale
Interval -5.3 to 4.4
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Emotional (Time 2 vs. BL)
2.2 score on a scale
Interval -5.2 to 9.6
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Emotional (Time 2 vs. Time 1)
-0.6 score on a scale
Interval -9.1 to 7.9
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Social (Time 1 vs. BL)
3.9 score on a scale
Interval -5.4 to 13.1
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Social (Time 2 vs. BL)
4.4 score on a scale
Interval -5.7 to 14.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
F - Social (Time 2 vs. Time 1)
-3.8 score on a scale
Interval -14.2 to 6.7
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Financial (Time 1 vs. BL)
1.7 score on a scale
Interval -4.3 to 7.6
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Financial (Time 2 vs. BL)
2.5 score on a scale
Interval -2.7 to 7.7
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
Financial (Time 2 vs. Time 1)
0 score on a scale
Interval -7.6 to 7.6
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
General Symptoms (GS) - Fatigue (Time 1 vs. BL)
5.7 score on a scale
Interval -1.1 to 12.4
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Fatigue (Time 2 vs. BL)
5.2 score on a scale
Interval -2.1 to 12.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Fatigue (Time 2 vs. Time 1)
1.7 score on a scale
Interval -6.2 to 9.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Nausea/Vomiting (Time 1 vs. BL)
2.5 score on a scale
Interval -2.9 to 7.9
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Nausea/Vomiting (Time 2 vs. BL)
0 score on a scale
Interval -7.4 to 7.4
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Nausea/Vomiting (Time 2 vs. Time 1)
1.9 score on a scale
Interval -5.3 to 9.0
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Pain (Time 1 vs. BL)
2.7 score on a scale
Interval -4.9 to 10.3
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Pain (Time 2 vs. BL)
7.2 score on a scale
Interval -2.0 to 16.4
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Pain (Time 2 vs. Time 1)
5 score on a scale
Interval -4.0 to 14.0
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Dyspnea (Time 1 vs. BL)
1.7 score on a scale
Interval 1.7 to 5.1
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Dyspnea Time 2 vs. BL)
3.8 score on a scale
Interval -5.0 to 12.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Dyspnea (Time 2 vs. Time 1)
1.2 score on a scale
Interval -7.6 to 10.1
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Insomnia (Time 1 vs. BL)
-2.5 score on a scale
Interval -9.6 to 4.6
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Insomnia (Time 2 vs. BL)
0 score on a scale
Interval -13.2 to 13.2
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Insomnia (Time 2 vs. Time 1)
2.5 score on a scale
Interval -8.8 to 13.8
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Appetite Loss (Time 1 vs. BL)
-2.5 score on a scale
Interval -11.5 to 6.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Appetite Loss (Time 2 vs. BL)
-15 score on a scale
Interval -28.9 to 1.1
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Appetite Loss (Time 2 vs. Time 1)
-5 score on a scale
Interval -18.5 to 8.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Constipation (Time 1 vs. BL)
-4.2 score on a scale
Interval -10.7 to 2.4
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Constipation (Time 2 vs. BL)
-2.5 score on a scale
Interval -7.7 to 2.7
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Constipation (Time 2 vs. Time 1)
0 score on a scale
Interval -5.4 to 5.4
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Diarrhea (Time 1 vs. BL)
14.7 score on a scale
Interval 6.8 to 22.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Diarrhea (Time 2 vs. BL)
8.8 score on a scale
Interval 0.0 to 17.5
Change in Quality of Life (QoL) as Assessed by EORTC QLQ-C30 (Version 3.0)
GS - Diarrhea (Time 2 vs. Time 1)
-6.2 score on a scale
Interval -16.9 to 4.4

SECONDARY outcome

Timeframe: 3 months

Population: QoL data was only available for 33 participants. Paired data for time 1 was only available for 30/33 participants, and only 20/33 participants at time 2.

Quality of life (QOL) was assessed before CRT was started or during the first week of its administration (baseline \[BL\]), between completion of CRT and starting maintenance chemotherapy (time 1 \[t1\]), and within 3 months after completion of maintenance chemotherapy (time 2 \[t2\]). QLQ-PAN 26 questionnaire includes 26 questions, organized into 7 scales, with scores for each ranging from 0-100. Higher scores indicate worse health state. Therefore, decreasing (negative) scores indicate a better outcome.

Outcome measures

Outcome measures
Measure
Erlotinib and EBRT After Pancreatectomy
n=33 Participants
Patients received intensity modulated radiation therapy given concurrently with erlotinib and capecitabine, followed by adjuvant chemotherapy with gemcitabine/erlotinib.
Adjuvant Gemcitabine Plus Erlotinib
Approximately 4-8 weeks after the conclusion of chemoradiation, it is recommended patients will continue treatment with 4 cycles of gemcitabine 1000 mg/m2 days 1, 8, and 15 every 28 days plus daily erlotinib 100 mg.
Change in QoL as Assessed by QLQ-PAN 26
Pancreatic Pain (t1 vs. BL)
-1.9 score on a scale
Interval -6.8 to 3.0
Change in QoL as Assessed by QLQ-PAN 26
Pancreatic Pain (t2 vs. BL)
-3.8 score on a scale
Interval -11.7 to 4.1
Change in QoL as Assessed by QLQ-PAN 26
Pancreatic Pain (t2 vs. t1)
2.4 score on a scale
Interval -4.3 to 9.2
Change in QoL as Assessed by QLQ-PAN 26
Digestive (t1 vs. BL)
-0.9 score on a scale
Interval -9.1 to 7.3
Change in QoL as Assessed by QLQ-PAN 26
Digestive (t2 vs. BL)
-4.6 score on a scale
Interval -13.6 to 4.4
Change in QoL as Assessed by QLQ-PAN 26
Digestive (t2 vs. t1)
-1.4 score on a scale
Interval -7.4 to 4.6
Change in QoL as Assessed by QLQ-PAN 26
Altered Bowel Habits (t1 vs. BL)
14.7 score on a scale
Interval 6.0 to 23.5
Change in QoL as Assessed by QLQ-PAN 26
Altered Bowel Habits (t2 vs. BL)
7.2 score on a scale
Interval -2.7 to 17.1
Change in QoL as Assessed by QLQ-PAN 26
Altered Bowel Habits (t2 vs. t1)
-4.9 score on a scale
Interval -12.0 to 2.3
Change in QoL as Assessed by QLQ-PAN 26
Jaundice (t1 vs. BL)
-1.3 score on a scale
Interval -6.7 to 4.0
Change in QoL as Assessed by QLQ-PAN 26
Jaundice (t2 vs. BL)
-2 score on a scale
Interval -12.1 to 8.1
Change in QoL as Assessed by QLQ-PAN 26
Jaundice (t2 vs. t1)
0 score on a scale
Interval -5.2 to 5.2
Change in QoL as Assessed by QLQ-PAN 26
Body Image (t1 vs. BL)
-6.2 score on a scale
Interval -13.2 to 0.7
Change in QoL as Assessed by QLQ-PAN 26
Body Image (t2 vs. BL)
-3.1 score on a scale
Interval -10.7 to 4.4
Change in QoL as Assessed by QLQ-PAN 26
Body Image (t2 vs. t1)
-0.7 score on a scale
Interval -10.2 to 8.9
Change in QoL as Assessed by QLQ-PAN 26
Satisfaction with healthcare (t1 vs. BL)
4.1 score on a scale
Interval -5.8 to 13.9
Change in QoL as Assessed by QLQ-PAN 26
Satisfaction with health care (t2 vs. BL)
3.1 score on a scale
Interval -12.3 to 18.5
Change in QoL as Assessed by QLQ-PAN 26
Satisfaction with health care (t2 vs. t1)
0 score on a scale
Interval -11.4 to 11.4
Change in QoL as Assessed by QLQ-PAN 26
Sexual function (t1 vs. BL)
-0.5 score on a scale
Interval -10.8 to 9.7
Change in QoL as Assessed by QLQ-PAN 26
Sexual function (t2 vs. BL)
14.7 score on a scale
Interval 2.6 to 26.8
Change in QoL as Assessed by QLQ-PAN 26
Sexual function (t2 vs. t1)
14.1 score on a scale
Interval 3.0 to 25.2

SECONDARY outcome

Timeframe: up to 5 years

Outcome measures

Outcome measures
Measure
Erlotinib and EBRT After Pancreatectomy
n=48 Participants
Patients received intensity modulated radiation therapy given concurrently with erlotinib and capecitabine, followed by adjuvant chemotherapy with gemcitabine/erlotinib.
Adjuvant Gemcitabine Plus Erlotinib
Approximately 4-8 weeks after the conclusion of chemoradiation, it is recommended patients will continue treatment with 4 cycles of gemcitabine 1000 mg/m2 days 1, 8, and 15 every 28 days plus daily erlotinib 100 mg.
Time to Death as Assessed by Median Overall Survival (Months)
24.39 months
Interval 18.87 to 29.65

Adverse Events

Erlotinib and EBRT After Prostatectomy

Serious events: 16 serious events
Other events: 31 other events
Deaths: 20 deaths

Serious adverse events

Serious adverse events
Measure
Erlotinib and EBRT After Prostatectomy
n=48 participants at risk
Patients receive oral erlotinib hydrochloride once a day for 3-5 days. Patients then proceed to surgery. erlotinib hydrochloride: Given orally
General disorders
Fever
8.3%
4/48 • Adverse Event data was collected for approximately 3 years.
Blood and lymphatic system disorders
Gastrointestinal bleeding
6.2%
3/48 • Adverse Event data was collected for approximately 3 years.
Psychiatric disorders
Altered Mental Status
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Nervous system disorders
Syncope
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Small bowel obstruction
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Blood and lymphatic system disorders
Anemia
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Abdominal pain
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Enteritis
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Respiratory, thoracic and mediastinal disorders
Pneumonia
4.2%
2/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Intractable nausea/vomiting
2.1%
1/48 • Adverse Event data was collected for approximately 3 years.

Other adverse events

Other adverse events
Measure
Erlotinib and EBRT After Prostatectomy
n=48 participants at risk
Patients receive oral erlotinib hydrochloride once a day for 3-5 days. Patients then proceed to surgery. erlotinib hydrochloride: Given orally
Blood and lymphatic system disorders
Elevated AST/elevated ALT
25.0%
12/48 • Adverse Event data was collected for approximately 3 years.
Blood and lymphatic system disorders
Elevated ALP
14.6%
7/48 • Adverse Event data was collected for approximately 3 years.
Hepatobiliary disorders
Hyperbilirubinemia
8.3%
4/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Abdominal pain
6.2%
3/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Diarrhea
39.6%
19/48 • Adverse Event data was collected for approximately 3 years.
Gastrointestinal disorders
Vomiting
16.7%
8/48 • Adverse Event data was collected for approximately 3 years.
General disorders
Nausea
64.6%
31/48 • Adverse Event data was collected for approximately 3 years.
Skin and subcutaneous tissue disorders
Dermatitis
58.3%
28/48 • Adverse Event data was collected for approximately 3 years.
General disorders
Anorexia
62.5%
30/48 • Adverse Event data was collected for approximately 3 years.
General disorders
Fatigue
60.4%
29/48 • Adverse Event data was collected for approximately 3 years.
General disorders
Weight loss
60.4%
29/48 • Adverse Event data was collected for approximately 3 years.
Blood and lymphatic system disorders
Neutropenia
20.8%
10/48 • Adverse Event data was collected for approximately 3 years.

Additional Information

Dr. Amol Narang

Sidney Kimmel Comprehensive Cancer Center

Phone: 410-502-3823

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place