3-AP and Gemcitabine in Treating Patients With Recurrent, Unresectable, or Metastatic Pancreatic Cancer
This study is currently recruiting patients.
Sponsored by: |
Princess Margaret Hospital
|
Information provided by: |
National Cancer Institute (NCI) |
Purpose
RATIONALE: Drugs used in chemotherapy, such as 3-AP and gemcitabine, work in different ways to stop tumor cells from dividing
so they stop growing or die. 3-AP may help gemcitabine kill more tumor cells by making them more sensitive to the drug.
PURPOSE: Phase II trial to study the effectiveness of combining 3-AP with gemcitabine in treating patients who have recurrent,
unresectable, or metastatic pancreatic cancer.
Condition
|
Treatment or Intervention |
Phase |
adenocarcinoma of the pancreas recurrent pancreatic cancer stage II pancreatic cancer stage III pancreatic cancer stage IVA pancreatic cancer stage IVB pancreatic cancer
|
Drug: 3-AP Drug: gemcitabine Procedure: chemosensitization/potentiation Procedure: chemotherapy
|
Phase II
|
MedlinePlus related topics: Pancreatic Cancer
Study Type: Interventional
Study Design: Treatment
Official Title: Phase II Study of 3-AP (Triapine®) and Gemcitabine in Patients With Recurrent, Unresectable, or Metastatic Pancreatic Cancer
Further Study Details:
OBJECTIVES: Primary
- Determine the antitumor activity of 3-AP (Triapine®) and gemcitabine, in terms of complete and partial response and 6-month
progression-free disease, in patients with recurrent, unresectable, or metastatic pancreatic cancer.
Secondary
- Determine the objective response rates, median survival, 1-year survival rate, duration of response or stable disease, and
progression-free survival of patients treated with this regimen.
- Determine the safety and tolerability of this regimen in these patients.
OUTLINE: This is a multicenter study.
Patients receive 3-AP (Triapine®) IV over 2 hours and gemcitabine IV over 30 minutes on days 1, 8, and 15. Treatment repeats
every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Patients achieving a complete
or partial response receive an additional 2 courses of therapy beyond response.
Patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 28-50 patients will be accrued for this study within 7-13 months.
Eligibility
Ages Eligible for Study:
18 Years and above,
Genders Eligible for Study:
Both
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed pancreatic adenocarcinoma
- Recurrent, unresectable, or metastatic disease
- At least 1 unidimensionally measurable lesion
- At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
- Prior radiation field must not have encompassed the only site of measurable disease
- No known brain metastases
PATIENT CHARACTERISTICS: Age
Performance status
- ECOG 0-2 OR
- Karnofsky 60-100%
Life expectancy
Hematopoietic
- WBC ≥ 3,000/mm^3
- Absolute neutrophil count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- No G6PD deficiency
Hepatic
- Bilirubin ≤ 1.5 times normal
- AST and ALT ≤ 2.5 times upper limit of normal
Renal
- Creatinine ≤ 1.5 times normal OR
- Creatinine clearance ≥ 60 mL/min
Cardiovascular
- No unstable angina pectoris
- No cardiac arrhythmia
- No symptomatic congestive heart failure
Pulmonary
- No severe pulmonary disease
- No dyspnea at rest
- No dependence on supplemental oxygen use
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after study treatment
- No prior allergic reaction attributed to compounds of similar chemical or biological composition to study drugs
- No ongoing or active infection
- No psychiatric illness or social situation that would preclude study compliance
- No other concurrent uncontrolled illness that would preclude study participation
PRIOR CONCURRENT THERAPY: Biologic therapy
Chemotherapy
- No prior chemotherapy except fluorouracil given as adjuvant therapy OR as a radiosensitizer during radiotherapy
- More than 4 weeks since prior adjuvant fluorouracil therapy
Endocrine therapy
Radiotherapy
- See Disease Characteristics
- See Chemotherapy
- More than 4 weeks since prior radiotherapy and recovered
Surgery
Other
- No other concurrent investigational agents
- No other concurrent anticancer therapy
- No concurrent combination antiretroviral therapy for HIV-positive patients
Location
and Contact
Information
Canada, Ontario Cancer Care Ontario-London Regional Cancer Centre, London,
Ontario,
N6A 4L6,
Canada; Recruiting
Ian Graham Kerr, MD
519-685-8500
Margaret and Charles Juravinski Cancer Centre, Hamilton,
Ontario,
L8V 5C2,
Canada; Recruiting
David Saltman, MD, PhD
905-387-9711
Ottawa Regional Cancer Centre, Ottawa,
Ontario,
K1H 1C4,
Canada; Recruiting
Princess Margaret Hospital, Toronto,
Ontario,
M5G 2M9,
Canada; Recruiting
Malcolm J. Moore, MD
416-946-2263
Study chairs or principal investigators
David Saltman, MD, PhD, Principal Investigator, Margaret and Charles Juravinski Cancer Centre
More Information
Clinical trial summary from the National Cancer Institute's PDQ® database
Study ID Numbers:
CDR0000353205; PMH-PHL-023; NCI-6271
Record last reviewed:
August 2004
Record first received:
March 8, 2004
ClinicalTrials.gov Identifier:
NCT00078975Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2004-10-22