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Gemcitabine, Bevacizumab and Erlotinib in Pancreatic Cancer


2006-08


2008-08


2011-07


32

Study Overview

Gemcitabine, Bevacizumab and Erlotinib in Pancreatic Cancer

The main purpose of this study is to learn whether or not the combination of gemcitabine, bevacizumab and erlotinib works in treating patients with advanced or metastatic pancreatic cancer. Bevacizumab is a new anti-cancer drug. It is an antibody that works to slow or stop cell growth in cancerous tumors by decreasing the blood supply to the tumors. It is approved by the FDA for the treatment of colorectal cancer but is still considered investigational for treating pancreatic cancer.

* Participants will receive study treatment as an outpatient. The study treatment will be given in time periods called cycles. Each treatment cycle will be 28 days. * Gemcitabine will be given intravenously on days 1, 8, and 15 (once per week for the first three weeks) of the treatment cycle. * Bevacizumab will be given intravenously on days 1 and 15 (once every 2 weeks) of the treatment cycle. * Erlotinib will be taken orally every day of the treatment cycle. * Participants will see the doctor or nurse practitioner every week for the first 28 days of treatment. During all of the following cycles, they will see the doctor or nurse practitioner on day 1 and day 15 of each cycle. * Each 4-week cycle can be repeated until the participant or the doctor decided that they should be removed from the study.

  • Pancreatic Cancer
  • Adenocarcinoma of the Pancreas
  • DRUG: Bevacizumab
  • DRUG: Erlotinib
  • DRUG: Gemcitabine
  • 05-234

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

2006-08-17  

2017-02-14  

2017-04-07  

2006-08-17  

2017-02-14  

2017-05-15  

2006-08-21  

2017-03-31  

2017-04  

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
OTHER: Gemcitabine, Bevacizumab and Erlotinib

single-arm, no masking

DRUG: Bevacizumab

  • Given intravenously on days 1 and 25 of every 28-day cycle (one every 2 weeks). Participants may continue to receive study treatment as long as there is no disease progression or serious side effects.

DRUG: Erlotinib

  • Taken orally every day. Participants may continue to receive study treatment as long as there is no disease progression or serious side effects.

DRUG: Gemcitabine

  • Given intravenously on days 1, 8 and 15 of each 28-day cycle. Participants may continue to receive study treatment as long as there is no disease progression or serious side effects.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Time to Tumor ProgressionTime to tumor progression (TTP) = time from date of initial treatment to first objective documentation of progressive disease or death; patients who die without a reported prior progression will be considered to have progressed on the day of their death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.all patients will be followed for a minimum of 4 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Response RateResponse rate using RECIST criteria and latest time point available. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.after at least one 28-day cycle of treatment
Toxicity ProfileGrade 3-4 treatment-related toxicities (treatment-related = possible, probable, or definite) Grading system: 1= mild, 2 = moderate, 3 = severe, 4 = life-threateningduring and after first 28-day cycle of treatment
Overall Survivaloverall survival (OS) = time from study entry until death from any cause5 years

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:

  • Previously untreated patients with unresectable or metastatic adenocarcinoma of the pancreas
  • ECOG Performance Status 0-2
  • 18 years of age or older
  • Radiographically measurable disease
  • Expected survival of at least 4 months
  • Creatinine of
  • Adequate hepatic function
  • Adequate hematopoietic function
  • Use of effective means of contraception in subjects of child-bearing potential

  • Exclusion Criteria:

  • Warfarin anticoagulation
  • Prior treatment with a tyrosine kinase inhibitor, EGFR inhibitor, or VEGF inhibitor
  • Coexistent malignant disease
  • Current or recent (within 4 weeks) participation in a clinical trial
  • Pregnancy
  • Documented invasion of adjacent organs or major blood vessels
  • Blood pressure of > 150/100mmHg
  • Unstable angina
  • NYHA Grade II or greater congestive heart failure
  • History of myocardial infarction or stroke within 6 months
  • Clinically significant peripheral vascular disease
  • Evidence of bleeding diathesis of coagulopathy
  • Presence of CNS or brain metastases
  • Major surgical procedure, open biopsy, or significant traumatic event within 28 days
  • Minor surgical procedures, fine needle aspirations or core biopsies within 7 days
  • History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months
  • Serious non-healing wound, ulcer or bone fracture

Collaborators and Investigators

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

  • Genentech, Inc.
  • Beth Israel Deaconess Medical Center
  • Dana-Farber Cancer Institute

  • PRINCIPAL_INVESTIGATOR: Lawrence S. Blaszkowsky, MD, Massachusetts General 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

No publications available