Metastatic Advanced Pancreas Sorafenib

NCT ID: NCT00758381

Last Updated: 2008-10-10

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2009-08-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is multicentre, open-label, randomized, phase II trial in patients with locally advanced or metastatic pancreatic cancer. Subjects will be randomized in a 1:1 ratio to receive gemcitabine/cisplatin in combination with Sorafenib (arm A) or gemcitabine/cisplatin alone (arm B), as first-line chemotherapy.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Up to date no standard treatment is available for pancreatic cancer. Although gemcitabine is commonly used in patients with pancreatic cancer with the purpose of symptom palliation, there is no clear evidence of efficacy in terms of survival increase or progression control. Furthermore, attempts at improving results by combining gemcitabine with other cytotoxic drugs failed to obtain any advantage. Recently, an EGFR inhibitor (erlotinib) showed a small survival advantage when combined with gemcitabine. results obtained with a combination of gemcitabine and oxaliplatin seem more promising. A meta-analysis of randomised trials comparing gemcitabine versus gemcitabine and platinum analogues showed a statistical significant survival advantage for the combination.

Sorafenib is an inhibitor of the RAS/RAF signalling pathway. Furthermore, sorafenib is able to inhibit both VEGFR and PDGFR.

Since RAS and RAF mutations are quite common in pancreatic cancer, Sorafenib could be useful in the management of these tumours. Furthermore, it may be combined with gemcitabine and cisplatin without any pharmacokinetic interaction or enhanced toxicity.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Locally Advanced Pancreatic Cancer

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

pancreatic cancer advanced or metastatic sorafenib

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

A

Sorafenib 400 mg po bid, continuously

Gemcitabine 1000 mg/m2, Cisplatin 25 mg/m2 day 1, and 8 every 21 days.

Group Type EXPERIMENTAL

Sorafenib 400 mg po bid, continuously

Intervention Type DRUG

NEXAVAR\*112CPR RIV 200MG

Titolare AIC:

BAYER SpA

Numero di AIC dell'IMP:

037154010

B

Gemcitabine 1000 mg/m2, Cisplatin 25 mg/m2 day 1, and 8 every 21 days

Group Type ACTIVE_COMPARATOR

Gemcitabina, Cisplatino

Intervention Type DRUG

Gemcitabina 1000 mg/mq, Cisplatino 25 mg/mq day 1 and 8 every 21 days

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Sorafenib 400 mg po bid, continuously

NEXAVAR\*112CPR RIV 200MG

Titolare AIC:

BAYER SpA

Numero di AIC dell'IMP:

037154010

Intervention Type DRUG

Gemcitabina, Cisplatino

Gemcitabina 1000 mg/mq, Cisplatino 25 mg/mq day 1 and 8 every 21 days

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

L01XE05 V Sostanza attiva o descrizione del livello ATC selezionato SORAFENIB TOSILATO GEMZAR*INFUS 1FL 1G POLV Titolare AIC: ELI LILLY ITALIA SpA Numero di AIC dell'IMP: 029452012 CISPLATINO TEVA*EV 50MG 100ML TEVA PHARMA ITALIA Srl 026543025

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Signed written informed consent prior to beginning protocol specific procedures
* Male or female 18 to 75 years of age
* Diagnosis of histologically confirmed adenocarcinoma of the pancreas
* Locally advanced (non-resectable) or metastatic pancreatic cancer
* Presence of at least one uni-dimensional indicator lesion measurable by CT scan or MRI in not an irradiated area (RECIST criteria)
* Karnofsky performance status of ≥ 70 at study entry
* Neutrophils ≥ 1.5 x 109/L, platelets ≥ 100 x 109/L, and hemoglobin ≥ 9 g/dL
* Bilirubin level either normal or \< 1.5 x ULN
* ASAT and ALAT ≤ 2.5 X ULN (≤ 5 x ULN if liver metastasis are present)
* Serum creatinine \< 1.5 x ULN
* Amylase and lipase ≤ 1.5 x the upper limit of normal
* PT or INR and PTT \< 1.5 x upper limit of normal (subjects who receive anti-coagulation treatment with an agent such as warfarin or heparin will be allowed to participate provided that no evidence of underlying abnormality in these parameters exists).
* Effective contraception for both male and female patients if the risk of conception exists

Exclusion Criteria

* Brain metastases
* Previous chemotherapy for locally advanced or metastatic pancreatic cancer.
* Adjuvant therapy if documented recurrence is within 6 months after the end of adjuvant treatment)
* Radiotherapy within 4 weeks prior to study entry
* Major surgery within 4 weeks of first dose of study drug
* Concurrent chronic systemic immune therapy
* Any investigational agent(s) 4 weeks prior to entry
* Clinically relevant coronary artery disease or a history of a myocardial infarction within the last 6 months
* Thrombotic or embolic events such as cerebrovascular accident including transient ischemic attacks within the past 6 months
* Acute or subacute intestinal occlusion or history of inflammatory bowel disease
* Known grade 3 or 4 allergic reaction to any of the components of the treatment
* Known drug abuse/ alcohol abuse
* Legal incapacity or limited legal capacity
* Medical or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or sign meaningful informed consent
* Women who are pregnant or breastfeeding
* Acute or subacute intestinal occlusion
* Any concurrent malignancy other than non-melanoma skin cancer, or carcinoma in situ of the cervix. (Patients with a previous malignancy but without evidence of disease for ≥ 5 years will be allowed to enter the trial).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Mario Negri Institute for Pharmacological Research

OTHER

Sponsor Role collaborator

Gruppo Italiano per lo studio dei Carcinomi dell'Apparato Digerente

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Fondazione GISCAD

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Stefano Cascinu, M.Professor

Role: STUDY_CHAIR

GISCAD Foundation

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

A.O. Universitaria Ospedali Riuniti Umberto I

Ancona, Ancona, Italy

Site Status RECRUITING

Ospedali Riuniti, Largo Barozzi, 1

Bergamo, Bergamo, Italy

Site Status RECRUITING

A.O. Treviglio-Caravaggio, P.le Ospedale n1

Treviglio, Bergamo, Italy

Site Status RECRUITING

A.O.Policlinico S.Orsola Malpighi

Bologna, Bologna, Italy

Site Status ACTIVE_NOT_RECRUITING

Ospedale S.Orsola Fatebenefratelli

Brescia, BS, Italy

Site Status ACTIVE_NOT_RECRUITING

A.O. Careggi-Università, Viale Pieraccini, 17

Florence, Firenze, Italy

Site Status RECRUITING

Ospedale Galliera

Genova, Genova, Italy

Site Status ACTIVE_NOT_RECRUITING

A.O. Ospedale S.Martino

Genova, GE, Italy

Site Status RECRUITING

A.O. Carlo Poma - Via Albertoni, 1

Mantova, Mantova, Italy

Site Status RECRUITING

A.O. Cà Granda, Piazza Ospedale Maggiore, 3

Milan, Milano, Italy

Site Status RECRUITING

A.O. san Paolo

Milan, MI, Italy

Site Status RECRUITING

Casa di Cura Igea

Milan, MI, Italy

Site Status NOT_YET_RECRUITING

Ospedale S.Carlo Borromeo

Milan, MI, Italy

Site Status NOT_YET_RECRUITING

A.O. S.Gerardo

Monza, MI, Italy

Site Status RECRUITING

Policlinico di modena

Modena, Modena, Italy

Site Status ACTIVE_NOT_RECRUITING

Università Campus Biomedico, Via Emilio Longoni, 83

Roma, Roma, Italy

Site Status ACTIVE_NOT_RECRUITING

A.O. S.Giovanni Calabita Fatebenefratelli

Roma, Roma, Italy

Site Status ACTIVE_NOT_RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Italy

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Stefano Cascinu, MProfessor

Role: CONTACT

Phone: +39 071 5964

Email: [email protected]

Silvia Rota, Data Manager

Role: CONTACT

Phone: +39 0331 490052

Email: [email protected]

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2007-001781-32

Identifier Type: -

Identifier Source: org_study_id