New Chemotherapy Regimen in the Treatment of Advanced Gallbladder Carcinoma

NCT ID: NCT01053390

Last Updated: 2013-12-20

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

PHASE3

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2013-12-31

Brief Summary

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Objective Primary:

Determine the objective response rate in patients with advanced gallbladder treated with new Chemotherapy regimen

Secondary:

Determine time to progression-free survival and overall survival of patients treated with this regimen.

Determine quality of life of patients treated with this regimen. Determine the toxicity of new chemotherapy regimen

Detailed Description

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Study Design: Treatment, Randomized, Open Label, controlled,Multicenter Group Assignment, Safety/Efficacy Study

Chemotherapy regimen:

Group A: Conventional chemotherapy regimen Group B: New chemotherapy regimen: conventional regimen plus SST(somatostatin) Cycles repeat every 4 weeks and 6 cycles in total

Patients: A total of 260 patients (130 per group) will be accrued for this study.

Patients distribution:

10patients per center are enrolled in the study and 30 centers (hospitals) in total which meet the total number of patients in trial.

Clinical Outcome Assessments:

Primary: the objective response rate (response evaluation criteria in solid tumors ,RECIST criteria) Secondary: progression-free survival, overall survival, quality of life,the adverse event

Safety Assessments:

Physical exam, laboratory test, probably occurred adverse event.

Conditions

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Gallbladder Neoplasms

Keywords

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gallbladder neoplasmas Gallbladder Neoplasms,Advanced Stage,Chemotherapy,Somatostatin

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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epirubicin,cisplatin,LV(Leucovorin)、5-FU (5-Fluorouracil)

conventional regimen

Group Type ACTIVE_COMPARATOR

epirubicin, cisplatin, LV(Leucovorin)、 5-FU(5-Fluorouracil)

Intervention Type DRUG

Somatotatin

Conventional chemotherapy regimen plus somatostatin

Group Type EXPERIMENTAL

Somatostatin

Intervention Type DRUG

Somatostatin 3mg+NS(normal saline)60ml, a continuous intravenous infusion, q12h

epirubicin, cisplatin, LV(Leucovorin)、 5-FU(5-Fluorouracil)

Intervention Type DRUG

Interventions

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Somatostatin

Somatostatin 3mg+NS(normal saline)60ml, a continuous intravenous infusion, q12h

Intervention Type DRUG

epirubicin, cisplatin, LV(Leucovorin)、 5-FU(5-Fluorouracil)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients with unresectable locally advanced disease or unresectable local recurrence, including:

* Patients with unresectable advanced gallbladder cancer (≥ Nevin staging IV or TNM( tumor node metastasis) classification)
* Patients with complication who have no indication for surgery
* Patients with unresectable local recurrence lesions
2. Age between 18-75, no gender-based constraints
3. Estimated life expectancy ≥12 weeks
4. KPS(Karnofsky performance status )≥60
5. Each patient gave written informed consent
6. \< 2 previous chemotherapy regimes
7. No chemotherapy done in the last 4 weeks
8. Laboratory test criteria:Haemoglobin ≥ 10g/dl, white blood cell count \> 3,000/mm3 ;Platelet \>100,000/mm3 Total bilirubin \<5.0mg/dl ALT(alanine transaminase)、 AST(aspartate aminotransferase)≤ 2.5 times upper limit of normal BUN(blood urea nitrogen)≤ 2 times upper limit of normal; serum creatinine \<1.5mg/dl: creatinine clearance rate \< 60 ml/min
9. Patients are required to have histologically confirmed diagnosis via puncture based at least on computed tomography (CT) or ultrasound
10. Jaundice should be reduced to standard level before chemotherapy (Total bilirubin \<5.0 mg/dl)

Exclusion Criteria

1. Patients with extensive metastasis and generally poor condition who can not tolerate chemotherapy
2. Patients who are pregnant or breastfeeding.
3. Patients with other clinically significant laboratory abnormalities, uncontrolled infection, concurrent severe medical problems unrelated to malignancy
4. Patients who had a history of previous carcinoma in the last 5 years.
5. Patients who are allergic to somatostatin or fluorouracil
6. Patients who refuse chemotherapy, or to sign the informed consent and chemotherapy consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xuanwu Hospital, Beijing

OTHER

Sponsor Role collaborator

Capital Medical University

OTHER

Sponsor Role collaborator

Peking University First Hospital

OTHER

Sponsor Role collaborator

Tianjin Medical University Cancer Institute and Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Dalian Medical University

OTHER

Sponsor Role collaborator

China Medical University, China

OTHER

Sponsor Role collaborator

The first clinical college of harbin medical university

UNKNOWN

Sponsor Role collaborator

The Second Affiliated Hospital of Harbin Medical University

OTHER

Sponsor Role collaborator

Shengjing Hospital

OTHER

Sponsor Role collaborator

Jilin University

OTHER

Sponsor Role collaborator

The people's hospital of Heilongjiang province

UNKNOWN

Sponsor Role collaborator

Eastern Hepatobiliary Surgery Hospital

OTHER

Sponsor Role collaborator

Shanghai Changzheng Hospital

OTHER

Sponsor Role collaborator

Shandong Provincial Hospital

OTHER_GOV

Sponsor Role collaborator

Qilu Hospital of Shandong University

OTHER

Sponsor Role collaborator

Air Force Military Medical University, China

OTHER

Sponsor Role collaborator

Tang-Du Hospital

OTHER

Sponsor Role collaborator

Qinghai People's Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Qinghai University

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role collaborator

Daping Hospital and the Research Institute of Surgery of the Third Military Medical University

OTHER

Sponsor Role collaborator

First People's Hospital of Kunming

OTHER

Sponsor Role collaborator

Lanzhou University Second Hospital

OTHER

Sponsor Role collaborator

Xi'an Central Hospital

OTHER

Sponsor Role collaborator

The first people's hospital of Guiyang

UNKNOWN

Sponsor Role collaborator

Southwest Hospital, China

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Kunming Medical University

OTHER

Sponsor Role collaborator

Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Zhi-wei Quan

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhi-wei Quan, MD

Role: STUDY_CHAIR

Xinhua hospital affiliated shanghai jiaotong university school of medicine

Locations

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Xinhua hospital affiliated shanghai jiaotong

Shanghai, , China

Site Status

Countries

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China

Other Identifiers

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xh2009-35

Identifier Type: -

Identifier Source: org_study_id