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Gemcitabine Hydrochloride in Treating Patients With Pancreatic Cancer That Has Been Removed by Surgery


2011-06


2015-01


2015-09


120

Study Overview

Gemcitabine Hydrochloride in Treating Patients With Pancreatic Cancer That Has Been Removed by Surgery

RATIONALE: Studying samples of blood from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer. It may also help doctors predict how patients will respond to treatment. PURPOSE: This clinical trial is studying gemcitabine hydrochloride in treating patients with pancreatic cancer that has been removed by surgery.

OBJECTIVES: Primary * To determine the ability of cytidine deaminase (CDA) to predict the occurrence of early (during the first 2 courses) severe hematological toxicity (grade 3 or 4), induced by gemcitabine hydrochloride in patients with resected pancreatic adenocarcinoma. Secondary * To determine the ability of CDA to predict the occurrence of severe non-hematological toxicity (grade 3 or 4), early (during the first 2 courses), and during the following courses, induced by gemcitabine hydrochloride. * To determine the ability of CDA to predict the occurrence of severe hematological toxicity (grade 3 or 4) during all courses, induced by gemcitabine hydrochloride. * To determine the impact of CDA status on gemcitabine hydrochloride pharmacokinetics and the ratio of gemcitabine hydrochloride/dFdU metabolization. * To study genotype to phenotype of the CDA gene. * To identify new mutations on the CDA gene. * To evaluate the relationship between CDA status and global survival. (Exploratory) OUTLINE: This is a multicenter study. Within 8 weeks of resection, patients receive adjuvant gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15. Treatment repeats every 4 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Blood samples are collected periodically for pharmacogenetic and biomarker studies. Some patients may undergo blood sample collection for pharmacokinetic studies. After completion of study, patients are followed up periodically.

  • Pancreatic Cancer
  • DRUG: gemcitabine hydrochloride
  • CDR0000703689
  • FFCD-1004
  • EU-21118
  • EUDRACT-2010-022987-11

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

2011-08-12  

N/A  

2016-05-27  

2011-08-12  

N/A  

2016-05-30  

2011-08-15  

N/A  

2016-05  

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

gemcitabine

DRUG: gemcitabine hydrochloride

Primary Outcome MeasuresMeasure DescriptionTime Frame
capability of CDA to predict the occurrence of early severe hematological toxicity upon gemcitabine2 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall Survival2 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:

    DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the pancreas


  • No metastatic or locally advanced (nonresectable) disease
  • Must have undergone curative surgical resection


  • Must have macroscopically complete (R0 or R1) surgical outcome
  • Adjuvant treatment with gemcitabine hydrochloride (for 6 months) is necessary, and able to start treatment within 8 weeks of surgical resection
  • No ampullomas or endocrine carcinomas

  • PATIENT CHARACTERISTICS:

  • WHO performance status 0-2
  • Neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Alkaline phosphatases ≤ 5 times upper limit of normal
  • Total bilirubin ≤ 50 µmol/L
  • Creatinine clearance ≥ 60 mL/min
  • Not pregnant or nursing
  • Able to start adjuvant chemotherapy within 8 weeks of surgery
  • No evolving infectious syndrome (fever > 38°C or abscess)
  • No contraindication for gemcitabine hydrochloride
  • No prior malignant tumor except for cutaneous basocellular carcinoma or in situ cervical epithelioma (prior history of malignant tumor diagnosed and treated more than 10 years ago allowed, except for breast cancer and melanoma)

  • PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No chemotherapy or radiotherapy within the past 10 years
  • No prior ablation surgery leaving macroscopic tumor residues (R2)

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Laetitia Dahan, MD, CHU de la Timone

    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

    • Serdjebi C, Gagniere J, Desrame J, Fein F, Guimbaud R, Francois E, Andre T, Seitz JF, Monterymard C, Arsene D, Volet J, Abakar-Mahamat A, Lecomte T, Guerin-Meyer V, Legoux JL, Deplanque G, Guillet P, Ciccolini J, Lepage C, Dahan L. FFCD-1004 Clinical Trial: Impact of Cytidine Deaminase Activity on Clinical Outcome in Gemcitabine-Monotherapy Treated Patients. PLoS One. 2015 Aug 26;10(8):e0135907. doi: 10.1371/journal.pone.0135907. eCollection 2015.