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Clinical Trial Record

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Phase I-II to Evaluate Efficacy/Safety of Sorafenib+Gemcitabine+Radiotherapy in Locally Advanced Pancreatic Carcinoma

2007-12

2011-01

2012-01

12

Study Overview

Phase I-II to Evaluate Efficacy/Safety of Sorafenib+Gemcitabine+Radiotherapy in Locally Advanced Pancreatic Carcinoma

Phase I: Safety profile and to determine maximum tolerated dose (MTD) / Recommended Dose (DR) of Sorafenib in combination with Gemcitabine and Radiotherapy Phase II: Activity profile evaluating Progression-free rates (PFR) at 6 months, Response rate, Overall survival, Toxicity profile

Safety profile and to determine maximum tolerated dose (MTD) / Recommended Dose (DR) of Sorafenib in combination with Gemcitabine and Radiotherapy Definition of maximum tolerated dose (MTD): The MTD is defined as the highest dose level which can be given to 6 patients such that no more than 1 patient experiences a DLT . Definition of Recommended Dose (DR): Is the MTD Definition of Dose-limiting toxicity (DLT): DLT will be defined as any of the following occurring during the period of treatment and regarded as related to the combination regimen. * Grade 4 thrombocytopenia persisting greater than 4 days, or with bleeding requiring platelet transfusion * Grade 4 neutropenia lasting more than 7 days * Febrile neutropenia (≥ 38.5oC) with an absolute neutrophil count ≤ 1000/mm3 * Any grade 3 or 4 non-hematologic toxicity related to the combination [occurring despite optimal supportive care, if applicable] except hyperglycemia, hypoglycemia, deep venous thrombosis, or hyperbilirubinemia secondary to stent malfunction. * Hypertension that is symptomatic and not managed by maximal use of three different classes of antihypertensives, or any episode of malignancy hypertension (Detailed Dose Modifications and G-CSF use in case of febrile neutropenia will be outlined in the full protocol version) Phase II Primary objective: Activity profile evaluating Progression-free rates (PFR) at 6 months Secondary objective: Response rate Overall survival Toxicity profile

  • Pancreatic Cancer
  • DRUG: Gemcitabine
  • RADIATION: Radiotherapy
  • DRUG: Sorafenib
  • GEMCAD 0701

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

2008-11-11  

N/A  

2012-11-28  

2008-11-12  

N/A  

2012-11-29  

2008-11-13  

N/A  

2012-11  

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: Sorafenib + gemcitabine + radiotherapy

DRUG: Gemcitabine

  • 300 mg/m2/one per week, i.v., during 5 weeks.

RADIATION: Radiotherapy

  • 1.8 Gy/day 5 days per week during 5 weeks (total dose 45Gy)

DRUG: Sorafenib

  • 200-800 mg/day p.o. during 5 weeks
Primary Outcome MeasuresMeasure DescriptionTime Frame
SAFETYEnd of Study
EFFICACYEnd of Study
TO DETERMINE MTDTreatment (5 weeks)
Secondary Outcome MeasuresMeasure DescriptionTime Frame
RESPONSE (ACCORDING TO RECIST)End of Study

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. -Patients with histological or cytological confirmed locally advanced pancreatic adenocarcinoma pancreatic carcinoma or metastatic pancreatic carcinoma for phase I. 2. -Patients with measurable (according to RECIST) disease. 3. -Male or female patients > or = 18 years old 4. -ECOG 0-1 5. -Adequate bone marrow, liver , and renal function: Absolute neutrophil count ( ANC) >= 1,500/mm3 Platelets> or = 100,000/µl Hemoglobin >=9.0 g/dl Total bilirubin < 1.5 x the upper limit of normal. ALT and AST <= 2.5 x upper limit of normal ( <= 5X upper limit of normal for patients with liver involvement ) Serum creatinine <= 1.5 times x the upper limit of normal. Patients with creatinine clearance >= 45mL/min PT( prothrombin time ) or INR( international normalized ratio ) and PTT ( partial thromboplastin time ) < =1.5 x 6. -Women of childbearing potential and men must agree to use adequate contraception (barrier method of birth control) prior to study entry and for the duration of study participation. Men should use adequate birth control for at least six months after the last administration of sorafenib 7. -Signed informed consent prior to any study specific procedures
    Exclusion Criteria:
    1. -Patients with previous treatment for pancreatic carcinoma 2. -PTV ( planning target volume ) >500 cm3 or 5 cm (maximum diameter) 3. -Patients with known or suspected allergy to iodated contrasts or renal impairment which prevents from radiological tests. 4. -Pregnant or nursing patients. Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of treatment 5. -General medical or psychological conditions that would preclude appropriate informed consent or compliance with the protocol. 6. -Previous cancer that is distinct in primary site or histology from NSCLC except cervical cancer in-situ, treated basal cell carcinoma, superficial bladder tumors (Ta and Tis) or any cancer curatively treated > 3 years prior to study entry 7. -Concurrent treatment with other experimental drugs (within 30 days prior to study entry). 8. -Concurrent treatment with other anti-cancer therapy. 9. -Therapeutic anticoagulation with Vitamin K antagonists such as warfarin or with heparins or heparinoids. Low dose warfarin is permitted if INR is <1.5 . Low dose aspirin is permitted . 10. -Patients with any medical condition which could jeopardize their safety while his participation in the study . 11. -Significant weight loss (> or equal 10% body weight during preceding 6 weeks) 12. -Major surgery within 3 previous weeks, or laparoscopic biopsy or significant traumatic injury within 2 weeks of prior to first dose of study drug. 13. -Known or suspected allergy to sorafenib or any agent given in the course of this trial . 14. -Patients with evidence or history of bleeding diathesis or coagulopathy 15. -Thrombotic or embolic events such as cerebrovascular accident including transient ischemic attacks within the past 6 months 16. -Uncontrolled hypertension defined as systolic blood pressure > 150 mm Hg or diastolic pressure > 90 mm Hg, despite optimal medical management 17. -Cardiac disease: Congestive heart failure > class II NYHA. Patients must not have unstable angina or new-onset angina (began within the last 3 months) or myocardial infarction within the last 6 months 18. -Patients with Child-Pugh class C hepatic impairment 19. -Patients with severe renal impairment (calculated creatinine clearance of < 30 ml/min) or who require dialysis 20. -Active clinically serious infections > CTCAE Grade 2 21. -Serious, non-healing wound, ulcer, or bone fracture 22. -Patients with concomitant ketoconazole, itraconazole,ritonavir,rifampicin or St. John's Wort (Hypericum perforatum). 23. -Known brain metastasis. Patients with neurological symptoms should undergo a CT scan/MRI of the brain to exclude brain metastasis 24. -Any instable condition that may interfere with the patients participation in the study

Collaborators and Investigators

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

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

  • Aparicio J, Garcia-Mora C, Martin M, Petriz ML, Feliu J, Sanchez-Santos ME, Ayuso JR, Fuster D, Conill C, Maurel J. A phase I, dose-finding study of sorafenib in combination with gemcitabine and radiation therapy in patients with unresectable pancreatic adenocarcinoma: a Grupo Espanol Multidisciplinario en Cancer Digestivo (GEMCAD) study. PLoS One. 2014 Jan 9;9(1):e82209. doi: 10.1371/journal.pone.0082209. eCollection 2014.
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