Weekly Dosing of an Integrative Chemotherapy Combination to Treat Advanced Pancreatic Cancer

NCT ID: NCT00323583

Last Updated: 2007-05-08

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

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as paclitaxel, oxaliplatin, leucovorin and 5-fluoruracil, work in different ways separately and in combination to stop tumor cells from dividing so they stop growing or die. The use of metronomic dosing of chemotherapy minimizes side effects and increases efficacy by anti-angiogenic effects. The pilot study demonstrated promising responses in all patients. It is not yet known how effective this drug and dosing combination is in treating advanced pancreatic cancer.

PURPOSE: This non-randomized phase II trial is studying giving weekly doses of paclitaxel, oxaliplatin, leucovorin and 5-fluorouracil together as second or third-line therapy in treating patient with locally advanced unresectable or metastatic adenocarcinoma of the pancreas following demonstrated progression after first-line gemcitabine.

Detailed Description

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OBJECTIVES:

* The primary objective is to determine the effectiveness the chemotherapy combination in improving the experience of those with advanced pancreatic cancer in

* Pain control and other aspects of quality of life
* Reduction of the tumor size or stabilization of tumor growth
* Progression free survival
* Overall survival
* The secondary objective is to determine the safety of this chemotherapy combination by monitoring and the managing the potential side effects

DOSE REGIMEN OUTLINE: Paclitaxel 60mg/m2 IV weekly; Oxaliplatin 50mg/m2 IV weekly; Leucovorin 20 mg/m2 IV weekly, minimum of 40 mg; 5FU 425mg/m2 IV weekly; Weekly for 12 weeks; Calcium and magnesium 1gram each IV prior to and after Oxaliplatin therapy; Glutathione 1500mg/m2 prior to Oxaliplatin

DURATION OF STUDY PERIOD: Patient will continue study treatment until death, disease progression, unacceptable toxicity, patient refusal, or treatment delay greater than 3 weeks, 12 weeks initially, can than continue at discretion of investigator.

EXPECTED NUMBER OF PATIENTS: A total of 80 patients (40 second line of treatment and 40 third line or greater of treatment) will be enrolled for this study beginning in May 2006.

QUALITY OF LIFE: Quality of life will be assessed at baseline, each month of treatment and at the end of study therapy.

Conditions

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Adenocarincoma of Pancreas Stage III Pancreatic Cancer Stage IVA Pancreatic Cancer Stage IVB Pancreatic Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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paclitaxel

Intervention Type DRUG

oxaliplatin

Intervention Type DRUG

leucovorin

Intervention Type DRUG

5-fluorouracil

Intervention Type DRUG

glutathione

Intervention Type DRUG

calcium and magnesium

Intervention Type DRUG

Chemotherapy

Intervention Type PROCEDURE

Chemoprotection

Intervention Type PROCEDURE

Complementary and alternative therapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Both

Prior Therapy:

* For advanced disease allowed as above;
* Oxaliplatin or 5-FU will be allowed but a subset analysis will be done for this group of patients;
* Tarceva and/or Erbitux allowed, but subset analysis will be done.

Allergies:

* No known allergy to one of the study drugs

PATIENT CHARACTERISTICS:

* No CNS metastases
* No peripheral neuropathy \> grade 2
* ECOG Performance Status \<=2
* Age ≤ 65
* No other serious concomitant illness
* Fully recovered from any prior therapy

Lower Age Limit:

* \>18

Upper Age Limit:

* ≤ 65

Laboratory:

* ANC \>1500
* Platelets \>75,000
* Creatinine \<=2.0

Other:

* For female patient of childbearing potential, neither pregnant nor breastfeeding, and under active contraception

Exclusion Criteria

* Performance state \>=3
* Uncontrolled serious concomitant disease
* Radiotherapy within the 6 weeks before Cycle 1' Day 1
* Surgery within the 2 weeks before Cycle 1' Day 1
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seattle Cancer Treatment and Wellness Center

OTHER

Sponsor Role lead

Principal Investigators

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Ben Chue, MD

Role: PRINCIPAL_INVESTIGATOR

Seattle Cancer Treatment and Wellness Center

Locations

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Seattle Cancer Treatment and Wellness Center

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ben Chue, MD

Role: CONTACT

206-292-2277

Nick Chen, MD

Role: CONTACT

206-292-2277

Facility Contacts

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Nick Chen, MD

Role: primary

206-292-2277

Jerry Kaufman

Role: backup

206-292-2277

Other Identifiers

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CTCA06-02

Identifier Type: -

Identifier Source: org_study_id