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Combination Chemotherapy and Radiation Therapy in Treating Patients With Pancreatic Cancer


2001-09


2005-12


2010-06


81

Study Overview

Combination Chemotherapy and Radiation Therapy in Treating Patients With Pancreatic Cancer

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy and radiation therapy in treating patients who have locally advanced pancreatic cancer.

OBJECTIVES: * Determine the overall survival of patients with locally advanced non-metastatic pancreatic adenocarcinoma treated with gemcitabine, fluorouracil, and radiotherapy. * Determine the time to progression in patients treated with this regimen. * Determine the overall clinical response in patients treated with this regimen. * Determine the toxicity of this regimen in these patients. OUTLINE: This is a multicenter study. Patients receive gemcitabine IV over 30 minutes once weekly and fluorouracil IV continuously on days 1-5 weekly for 6 weeks. Patients concurrently undergo radiotherapy 5 days a week for 6 weeks. Three weeks after the completion of chemoradiotherapy, patients receive gemcitabine IV over 30 minutes once weekly on weeks 1-3. Treatment repeats every 4 weeks for a total of 4 courses in the absence of disease progression or unacceptable toxicity. Patients are followed every 2 months for 1 year and then every 3 months for 2 years. PROJECTED ACCRUAL: A total of 78 patients will be accrued for this study within 24 months.

  • Pancreatic Cancer
  • DRUG: fluorouracil
  • DRUG: gemcitabine hydrochloride
  • RADIATION: radiation therapy
  • CALGB-80003
  • U10CA031946 (U.S. NIH Grant/Contract)
  • CDR0000068988 (REGISTRY Identifier) (REGISTRY: NCI Physician Data Query)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2001-11-09  

N/A  

2016-07-15  

2003-01-26  

N/A  

2016-07-19  

2003-01-27  

N/A  

2016-07  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Non Randomized


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Gemcitabine + 5FU + XRT

Chemo and radiation therapy in the treatment of non-metastatic pancreatic cancer

DRUG: fluorouracil

  • 200mg/sq m/d CIVI 5/7 days during radiation therapy (wks 1-6)

DRUG: gemcitabine hydrochloride

  • 200mg/sq m IV infusion over 30 min wkly (on d 1, 2, OR 3) during radiation tx (wks 1-6) 1000mg/sq m IV infusion over 30 min wkly for 3 weeks during ea chemotherapy cycle

RADIATION: radiation therapy

  • 4500cGy total in 25 fractions M-F followed by 540cGy in 3 fractions (Total dose 5040cGy)during radiation tx (wks 1-6)
Primary Outcome MeasuresMeasure DescriptionTime Frame
Overall Survival9 months up to 3 years post treatment
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Time to progressionAfter 2 cycles of tx, then q 2 mon for 1 yr then q 3 mon for 2 yrs
Clinical Responseq 2 mon for Yr 1 post Tx, then q 3 mon for 2 yrs
CA19-9 LevelsBiomarker responseq cycle, then q 2 mon for 1 yr, then q 3 mon for 2 yrs
Toxicityq cycle

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    DISEASE CHARACTERISTICS:

  • Histologically confirmed pancreatic adenocarcinoma


  • Non-metastatic disease that is unresectable due to any of the following:


  • Tumor greater than 5 cm
  • Bulky lymph nodes greater than 2 cm, but within the radiation port
  • Vascular involvement or impingement of major vessels
  • Involvement of colon, adrenal glands, or kidney
  • Measurable or evaluable disease
  • No prior therapy for pancreatic adenocarcinoma
  • No peritoneal seeding or other evidence of metastatic disease by laparotomy or laparoscopy

  • PATIENT CHARACTERISTICS:
    Age:

  • 18 and over

  • Performance status:

  • CTC 0-2

  • Life expectancy:

  • Not specified

  • Hematopoietic:

  • WBC at least 3,000/mm^3
  • Platelet count at least 100,000/mm^3

  • Hepatic:

  • Bilirubin no greater than 2.0 mg/dL
  • AST no greater than 3 times upper limit of normal

  • Renal:

  • Creatinine no greater than 2.0 mg/dL

  • Cardiovascular:

  • No myocardial infarction within the past 6 months

  • Other:

  • No other uncontrolled serious medical or psychiatric illness that would preclude study compliance
  • No other malignancy within the past 5 years except limited or curatively treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

  • PRIOR CONCURRENT THERAPY:
    Biologic therapy:

  • See Disease Characteristics

  • Chemotherapy:

  • See Disease Characteristics

  • Endocrine therapy:

  • See Disease Characteristics

  • Radiotherapy:

  • No prior abdominal radiotherapy

  • Surgery:

  • At least 2 weeks since prior major surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • National Cancer Institute (NCI)

  • STUDY_CHAIR: Harvey J. Mamon, MD, PhD, Dana-Farber/Brigham and Women's Cancer Center

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • Mamon HJ, Niedzwiecki D, Hollis DR, et al.: Preliminary analysis of Cancer and Leukemia Group B (CALGB) 80003: a phase II trial of gemcitabine, 5-fluorouracil (5FU), and radiation therapy (RT) in locally advanced non-metastatic pancreatic adenocarcinoma. [Abstract] Int J Radiat Oncol Biol Phys 63 (Suppl 1): A-22, S13, 2005.