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Efficacy Study of Gemcitabine, Paclitaxel, and Irradiation in the Treatment of Pancreatic Cancer


2003-03


2010-06


2012-06


0

Study Overview

Efficacy Study of Gemcitabine, Paclitaxel, and Irradiation in the Treatment of Pancreatic Cancer

The purpose of this study is to find out what effects, good and bad, the chemotherapy drugs gemcitabine (Gemzar) and paclitaxel (Taxol) have in combination with twice daily radiation treatment on locally advanced pancreatic cancer.

Based on our previous experience with the use of a weekly paclitaxel dose of 60 mg/m2 and hyperfractionated radiation therapy 63.8 Gy, we are conducting this study incorporating the use of Gemcitabine at a dose level of 75 mg/m2/week in addition to our prior protocol.

  • Carcinoma, Pancreatic Ductal
  • DRUG: Paclitaxel and gemcitabine
  • NYM # 179; AM-05

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

2005-09-23  

N/A  

2020-09-16  

2005-09-23  

N/A  

2020-09-18  

2005-09-27  

N/A  

2020-09  

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:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Paclitaxel and Gemcitabine

Radiation Therapy: 63.80 Gy (1.1 Gy twice a day X 58 fractions), Paclitaxel: 60 mg/m2 / week by 1- hour IV infusion on days 1, 8, 15, 22, 29, and 36. Gemcitabine: 75 mg/m2 / week on days 1, 8, 15, 22, 29, and 36.

DRUG: Paclitaxel and gemcitabine

  • Radiation Therapy: 63.80 Gy (1.1 Gy twice a day X 58 fractions) Paclitaxel: 60 mg/m2 / week by 1- hour IV infusion on days 1, 8, 15, 22, 29, and 36. Gemcitabine: 75 mg/m2 / week on days 1, 8, 15, 22, 29, and 36.
Primary Outcome MeasuresMeasure DescriptionTime Frame
One-year overall survival rateFollow up for survival will be done to know this outcomeUp to June 2010
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Occurrence of grade 3 or higher toxicity in the gastrointestinal or pulmonaryFollow up for occurrence of adverse events will be done to know this outcomeyear 2010
Occurrence of pathological response or shrinkage of the tumor (becomes resectable)Follow up for tumor response will be done to know this outcomeyear 2010

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:

    Inclusion Criteria:
    1. Pathologically confirmed adenocarcinoma of the pancreas. 2. Patients must have locally advanced/unresectable disease based on institutional standardized criteria of unresectability. 3. Patients with residual disease after resection (R-1 or -2, micro and macroscopic residual) are eligible. 4. Patients with biliary or gastroduodenal obstruction must have drainage prior to starting chemoradiation. 5. All malignant disease must be encompassed within a single irradiation field (12 x 12 cm maximum). 6. All patients must have radiographically assessable disease. 7. Electrocardiogram (EKG), chest x-ray, abdominal computed tomography (CT)/magnetic resonance imaging (MRI) scan must be obtained within four weeks of study entry. 8. Eastern Cooperative Oncology Group (ECOG) performance status 0-1. 9. Required entry laboratory parameters: granulocytes >/= 1,800/µl, platelet count >/= 100,000/µl, bilirubin < 2.0 mg/dL, alanine aminotransferase (ALT) < 3 x upper limit of normal, and creatinine < 3.0 mg/dL. 10. Signed study-specific consent form prior to study entry.
    Exclusion Criteria:
    1. Patients who have evidence of metastatic disease in the major viscera and/or peritoneal seeding or ascites. 2. Previous irradiation to the planned field; or previous chemotherapy for pancreatic cancer (Gemzar® or Taxol®). 3. Malignancy (within the past two years) except for non-melanomatous skin cancer or carcinoma in situ of the cervix, uterus, or bladder. 4. Patients who have significant infection or other coexistent medical condition that would preclude protocol therapy.

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Hani Ashamalla, MD, FCCP, New York Presbyterian Brooklyn Methodist Hospital

    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

    • Ashamalla H, Zaki B, Mokhtar B, Colella F, Selim H, Krishnamurthy M, Ross P. Hyperfractionated radiotherapy and paclitaxel for locally advanced/unresectable pancreatic cancer. Int J Radiat Oncol Biol Phys. 2003 Mar 1;55(3):679-87. doi: 10.1016/s0360-3016(02)03791-4.