Two Chemotherapy Regimens Plus or Minus Bevacizumab

NCT ID: NCT03351296

Last Updated: 2024-05-08

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-26

Study Completion Date

2028-12-31

Brief Summary

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Compare the effect of capecitabine (cape) + temozolomide (temo) and of 5FU + streptozotocin (strepto) given with a new schedule (LV5FU2 + strepto), two of the most used chemotherapy regimens in the treatment of well differentiated pancreatic neuroendocrine tumors alone or in combination with bevacizumab (beva) on progression-free survival (PFS) and compare the chemotherapy regimens alone or with beva (two by two design) on the same criteria.

Detailed Description

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Conditions

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Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Comparative phase II trial with two randomizations
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LV5FU2 + streptozotocin

Group Type EXPERIMENTAL

LV5FU2

Intervention Type DRUG

LV5FU2 (Folinic Acid D, L 400 mg/m² day 1, 5FU 400 mg/m² IV bolus, 5FU 2400 mg/m² 48 hours continuous infusion)

Streptozocin

Intervention Type DRUG

streptozotocin 800 mg/m² day 1 every 14 days

Capecitabine + temozolomide

Group Type EXPERIMENTAL

Capecitabine

Intervention Type DRUG

Capecitabine 750 mg/m² twice daily, days 1-14

Temozolomide

Intervention Type DRUG

temozolomide 200 mg/m² once daily, days 10-14, every 28 days

LV5FU2 + streptozotocin + Bevacizumab

Group Type EXPERIMENTAL

LV5FU2

Intervention Type DRUG

LV5FU2 (Folinic Acid D, L 400 mg/m² day 1, 5FU 400 mg/m² IV bolus, 5FU 2400 mg/m² 48 hours continuous infusion)

Streptozocin

Intervention Type DRUG

streptozotocin 800 mg/m² day 1 every 14 days

Bevacizumab

Intervention Type DRUG

bevacizumab 5 mg/kg every 14 days

Capecitabine + temozolomide + Bevacizumab

Group Type EXPERIMENTAL

Capecitabine

Intervention Type DRUG

Capecitabine 750 mg/m² twice daily, days 1-14

Temozolomide

Intervention Type DRUG

temozolomide 200 mg/m² once daily, days 10-14, every 28 days

Bevacizumab

Intervention Type DRUG

bevacizumab 5 mg/kg every 14 days

Interventions

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LV5FU2

LV5FU2 (Folinic Acid D, L 400 mg/m² day 1, 5FU 400 mg/m² IV bolus, 5FU 2400 mg/m² 48 hours continuous infusion)

Intervention Type DRUG

Streptozocin

streptozotocin 800 mg/m² day 1 every 14 days

Intervention Type DRUG

Capecitabine

Capecitabine 750 mg/m² twice daily, days 1-14

Intervention Type DRUG

Temozolomide

temozolomide 200 mg/m² once daily, days 10-14, every 28 days

Intervention Type DRUG

Bevacizumab

bevacizumab 5 mg/kg every 14 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Disease accessible to resection or percutaneous method of destruction
2. Any known allergy or contraindication to the treatments used in the trial
3. Patients with a complete DPD deficiency; defined as an uracil concentration ≥150ng/ml Note: patients with a suspicion of partial DPD deficiency, defined as a uracil concentration ≥ 16 ng/ml and \< 150 ng/ml, will receive an adapted 1st cycle dose, according to a clinic-biological discussion. The dose can be then readapted for the second cycle according to the tolerability of the treatment during the 1st cycle.
4. Patient previously treated with chemotherapy for the neuroendocrine tumour
5. Patient have received any other antitumor therapy: chemotherapy, immunotherapy
6. Other serious diseases such as respiratory failure or congestive heart failure, angina pectoris not medically controlled; history of myocardial infarction within 6 months prior to study entry, uncontrolled hypertension and arrhythmias, concomitant severe infection or uncontrolled diabetes mellitus
7. Subjects with a history of chronic or acute hepatitis C or B infection.
8. Surgery during the 5 weeks preceding the randomization
9. History of cancer (except basal cell skin or carcinoma in situ carcinoma of the cervix) within 5 years prior to entry into the trial. But patients with cancers that have been treated more than 5 years ago and are considered as cured are eligible.
10. Neurological or psychiatric pathology that may interfere with adherence to treatment
11. Patients have received yellow fever vaccine within 30 days prior to the first dose of trial treatment.
12. Patient with pernicious anaemia and other megaloblastic anaemias secondary to the lack of Vitamin B12
13. Hypersensitivity to Chinese Hamster Ovary (CHO) cell products or other recombinant human or humanised antibodies
14. Hypersensitivity to study drugs or any of its excipients
15. Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent
16. Pregnant or breast feeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, France

OTHER_GOV

Sponsor Role collaborator

Gustave Roussy, Cancer Campus, Grand Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre Antoine Lacassagne

Nice, Alpes-Maritimes, France

Site Status

CHU de Caen

Caen, Calvados, France

Site Status

CHU de Dijon

Dijon, Côte d'Or, France

Site Status

Hôpital Haut-Lévêque

Pessac, Gironde, France

Site Status

IUCT - Hôpital Rangueil

Toulouse, Haute-Garonne, France

Site Status

Hôpital Beaujon

Clichy, Hauts-de-Seine, France

Site Status

ICM Val d'Aurelle

Montpellier, Hérault, France

Site Status

Hôpital Trousseau CHU Tours

Chambray-lès-Tours, Indre-et-Loire, France

Site Status

Institut de Cancérologie de l'Ouest site René Gauducheau

Saint-Herblain, Loire-Atlantique, France

Site Status

CHR d'Orléans

Orléans, Loiret, France

Site Status

CHU Angers

Angers, Maine-et-Loire, France

Site Status

Hôpital Haut-Lévêque

Reims, Marne, France

Site Status

Institut de Cancérologie de Lorraine

Vandœuvre-lès-Nancy, Meurthe-et-Moselle, France

Site Status

Hôpital Edouard Herriot

Lyon, Rhône, France

Site Status

Gustave Roussy

Villejuif, Val De Marne, France

Site Status

Hôpital Croix St Simon

Paris, , France

Site Status

Hôpital Saint-Antoine

Paris, , France

Site Status

Hôpital Cochin

Paris, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Centre Eugène Marquis

Rennes, Île-et-Vilaine, France

Site Status

Countries

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France

Other Identifiers

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2017/2523

Identifier Type: OTHER

Identifier Source: secondary_id

2017-000741-46

Identifier Type: -

Identifier Source: org_study_id

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