Italian Multicenter Study Comparing FOLFOXIRI Versus Gemcitabine as Adjuvant Treatment for Resected Pancreatic Cancer

NCT ID: NCT02355119

Last Updated: 2015-02-04

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

PHASE3

Total Enrollment

310 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2018-12-31

Brief Summary

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Patients with resected pancreatic cancer who fulfill the selection criteria will be randomized to receive one of the two treatment arms for a period of 6 months: Gemcitabine, the standard arm, or FOLFOXIRI (the combination of 5-Fluorouracil/Folinic Acid, Oxaliplatin and Irinotecan), the experimental arm.

A total of 310 patients will be enrolled in about 50 Italian centers.

Detailed Description

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Patients with resected stage I-III pancreatic cancer who fulfill the selection criteria will be randomized to receive one of the two treatment arms for a period of 6 months: Gemcitabine, the standard arm, or FOLFOXIRI (the combination of 5-Fluorouracil/Folinic Acid, Oxaliplatin and Irinotecan), the experimental arm.

A total of 310 patients will be enrolled in about 50 Italian centers. All the patients will be followed up during and after the treatment until disease progression and death or for a minimum of 60 months.

Main objective:

To show an increase in disease-free survival with an HR of 0.70 for patients enrolled into the experimental arm compared with standard arm.

Secondary objectives:

To show an increase in overall survival with an HR of 0.70 for patients enrolled into the experimental arm compared with standard arm.

To show the tolerability of the experimental treatment in this setting.

Principal inclusion criteria:

* histological diagnosis of pancreatic cancer
* surgical resection with curative intent within 10 weeks before of enrollment (stage I-III)
* absence of evidence of metastases (cM0)
* age 18-75
* ECOG performance status 0-1
* adequate bone marrow, liver and renal function
* written informed consent

Principal exclusion criteria:

* evidence of metastases
* CA19.9 higher than 2.5 x ULN (upper limit of normal range)
* precedent chemotherapy or radiotherapy
* coexisting malignancies
* relevant coexisting diseases that could contraindicate the participation to the study
* hypersensitivity/intolerance to the drugs in study
* pregnancy or breastfeeding
* neurotoxicity of grade \> 1
* malabsorption syndrome

Primary end-point:

Disease-free survival, defined as the time from enrollment to the evidence of progression of disease or death.

Secondary end-points:

Overall survival, defined as the time from enrollment to the evidence of death. Toxicity, defined according to NCI-CTC

Conditions

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Pancreatic Cancer

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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Gemcitabine

Gemcitabine 1000 mg/sqm on days 1,8,15 every 28 days

Group Type ACTIVE_COMPARATOR

Gemcitabine

Intervention Type DRUG

FOLFOXIRI

Group Type EXPERIMENTAL

FOLFOXIRI

Intervention Type DRUG

Combination of 5-Fluorouracil/Folinic Acid, Irinotecan, Oxaliplatin

Interventions

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FOLFOXIRI

Combination of 5-Fluorouracil/Folinic Acid, Irinotecan, Oxaliplatin

Intervention Type DRUG

Gemcitabine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* histological diagnosis of pancreatic cancer
* surgical resection with curative intent within 10 weeks before of enrollment (stage I-III)
* absence of evidence of metastases (cM0)
* age 18-75
* ECOG performance status 0-1
* adequate bone marrow, liver and renal function
* written informed consent

Exclusion Criteria

* evidence of metastases
* CA19.9 higher than 2.5 x ULN (upper limit of normal range)
* precedent chemotherapy or radiotherapy
* coexisting malignancies
* relevant coexisting diseases that could contraindicate the participation to the study
* hypersensitivity/intolerance to the drugs in study
* pregnancy or breastfeeding
* neurotoxicity of grade \> 1
* malabsorption syndrome
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliero, Universitaria Pisana

OTHER

Sponsor Role lead

Responsible Party

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Enrico Vasile

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Enrico Vasile, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliero, Universitaria Pisana

Locations

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Azienda Ospedaliero-Universitaria Pisana

Pisa, PI, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Enrico Vasile, MD, PhD

Role: CONTACT

Facility Contacts

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Enrico Vasile, MD, PhD

Role: primary

+39 050 992466

Other Identifiers

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GIP-2

Identifier Type: -

Identifier Source: org_study_id

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