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Trial to Evaluate the Efficacy and Safety of Tarceva and Capecitabine in Advanced Pancreatic Cancer Patients


2008-03


2008-08


2010-08


32

Study Overview

Trial to Evaluate the Efficacy and Safety of Tarceva and Capecitabine in Advanced Pancreatic Cancer Patients

The purpose of this study is to determine efficacy of the treatment with erlotinib in combination with capecitabine in patients with advanced pancreatic cancer.

This efficacy will be determined by objective response rate following RECIST criteria.

  • Metastatic Adenocarcinoma of the Pancreas
  • DRUG: capecitabine + erlotinib
  • ML21154
  • 2007-003206-96 (EUDRACT_NUMBER Identifier) (EUDRACT_NUMBER: )

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

2009-03-31  

N/A  

2010-08-17  

2009-03-31  

N/A  

2010-08-18  

2009-04-01  

N/A  

2010-08  

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: Unique arm

6 cycles (3 weeks each one) of : * capecitabine 1000mg/m2, bid, oral. Days: 1-14 every three weeks * erlotinib (Tarceva®) 150mg/day, oral. Days: every days

DRUG: capecitabine + erlotinib

  • 6 cycles (3 weeks each one) of : * capecitabine 1000mg/m2, bid, oral. Days: 1-14 every three weeks * erlotinib (Tarceva®) 150mg/day, oral. Days: every days
Primary Outcome MeasuresMeasure DescriptionTime Frame
Objective response rate following RECIST criteriawithin study period
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall survivalwithin study period
6 months survival ratewithin first 6 months after study inclusion
Progression Free Survival (PFS)Time from study inclusion to disease progression
Time to treatment failure (TTF)Time from study inclusion to treatment failure
To determine the index of clinical benefitat the end of the study
To determine the safety and tolerability of erlotinib and capecitabine when administered togetherWithin study period

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. Ability to understand and willingness to sign a written informed consent 2. Informed consent signed by the patient 3. Age > 18 years old 4. Able to fulfill all criteria from the protocol 5. Performance status Karnofsky ≥ 60% (ECOG 0-2) 6. Life expectancy ≥ 12 weeks 7. Histologically or cytological (excluding endocrine pancreatic tumour), with metastatic (stage IV), following 6th edition of TNM classification 8. Measurable disease following RECIST criteria 9. Adequate bone marrow function as determined by:

  • Absolute Neutrophil account (ANC) ≥ 1,5 x 109/L
  • Platelets: ≥ 100 x 109/L
  • Hemoglobin: ≥ 9 g/dL. 10. Adequate liver function, as determined by:


  • Serum bilirubin (total): ≤ 1,5 x LSN
  • AST, ALT ≤ 2,5 x LSN in patients without liver metastasis. In patients with liver metastasis ≤ 5 x LSN 11. Adequate renal function, as determined by:


  • Clearance creatinine > 60.0 ml/min 12. Men or women potentially fertile (including postmenopausal women amenorrheic at least 24 months before the study) should use adequate contraceptive methods (oral contraceptives, intrauterine disposal, barrier methods together with spermicide or surgery sterilization)

  • Exclusion Criteria:
    1. Local pancreatic cancer (stage IA-IIB) or locally advance cancer (stage III), following the TNM 6th edition classification. Patients with metastatic disease that relapse after the initial diagnosis of local or advance disease could be included in this study. 2. Evidence of medullary compression, carcinomatosis meningitis or brain metastasis. In case of clinical suspicious of brain metastasis is mandatory to perform a brain TAC/MR 4 weeks prior inclusion. 3. Previous systemic treatment for metastasis pancreas cancer. Adjuvant chemotherapy is permitted ≥ 4 weeks prior de inclusion. All toxicities from the adjuvant treatment must been solve before the inclusion and should be confirmed the diseases progression (metastatic disease) alter adjuvant treatment 4. Primary tumours Developer 5 years previous to the inclusion, except in situ cérvix carcinoma or skin basocellular cancer properly treated 5. Non-controlled hypertension or cardiovascular disease clinically significant (active):

  • Cerebrovascular accident/ictus (≤ 6 weeks prior to inclusion)
  • Heart attack (≤ 6 months prior to inclusion)
  • Instable angina
  • Congestive cardiac insufficiency (grade II or superior following to New York Heart Association (NYHA)
  • Severe cardiac arrhythmia that require medication 6. Significant ophthalmology anomalies 7. Deficit in dihydropyrimidine dehydrogenase (DPD) 8. Unable to take oral drug. Previous surgical process that affect the absorption or make the needed to have intravenous feeding or parenteral nutrition with lipids. 9. Pregnancy women or in latency period. Negative pregnancy test needed 7 days prior to initiation drug study 10. Actual or 30 days previous to study treatment with other investigational drug or participation in other trial 11. Previous treatment with Capecitabine or EGFR inhibitor. 12. Any other disease, metabolic disease 13. Known hypersensibility to any study drug or any of their component, or to 5-fluorouracile

Collaborators and Investigators

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


    • STUDY_CHAIR: Rafel López López, Coordinator, Grupo Gallego de Investigaciones Oncológicas

    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