- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01389440
Efficacy and Safety of a Neoadjuvant Treatment in Pancreatic Cancer (GEMCAD1003)
May 15, 2018 updated by: Grupo Espanol Multidisciplinario del Cancer Digestivo
Phase II Study Open, Not Randomized to Evaluate the Efficacy and Safety of Neoadjuvant Treatment With Gemcitabine and Erlotinib Followed by Gemcitabine, Erlotinib and Radiotherapy in Patients With Resectable Pancreatic Adenocarcinoma
This is a Phase II open study, not randomized with a neoadjuvant therapy,combination of Gemcitabine (1,000 mg/m2/week) with Erlotinib (100mg/day) (3 cycles of 4 weeks), followed by gemcitabine (300 mg/m2/week) combined with Erlotinib (100mg/day) and radiotherapy (45 Gy / day fr180 cGy) (5 cycles of 1 week) in patients with resectable pancreatic adenocarcinoma to assess the percentage of R0 resections.
They have planned a total of 21 visits.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
24
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Barcelona, Spain, 08003
- Hospital Del Mar
-
Barcelona, Spain, 08036
- Hospital Clinic de Barcelona
-
Barcelona, Spain, 08035
- Hospital Vall d'Hebron
-
Barcelona, Spain, 08007
- Institut Català d'Oncologia (ICO) de L'Hospitalet
-
Barcelona, Spain, 08041
- Hospital Santa Creu y Sant Pau, Hospital Sant Pau
-
Girona, Spain, 17007
- Instituto Catalan de Oncología
-
Murcia, Spain, 30120
- Hospital Virgen de la Arrixaca
-
Valencia, Spain, 46009
- Hospital La Fe de Valencia
-
Valencia, Spain, 46010
- Clínico Universitario de Valencia
-
-
Navarra
-
Pamplona, Navarra, Spain, 31008
- Clinica Universitaria de Navarra
-
-
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.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Able to sign the inform consent form
- Age between 18-75 years
- Subject has not undergone any chemotherapy or radiotherapy previously
- Functional status o-1 (ECOG scale)
- Satisfy all radiological inclusion criteria (MSCT performed 28 days before the treatment starts and a centralized evaluation)
- Patients with a cytologically confirmed diagnosis of pancreatic adenocarcinoma(preferably by EUS)
- Appropriate analytical as inclusion criteria (7 days before the treatment starts):
- bone marrow status: neutrophils ≥ 1,500x10^9/L; platelets ≥ 100x10^9/L; hemoglobin ≥ 9g/dL.
- INR ≤ 1.5 and PTT ≤ 1.5 x upper range of normal.
- Bilirubin ≤ 5 mg/dL
- Albumin> 34 g/L
- Renal function: creatinine ≤ 1.5 mg/dL and creatinine clearance> 50ml/min
Exclusion Criteria:
- patients treated with any of the study's drugs
- patients who has develop other primary tumors in 5 years prior to the inclusion at the clinical trial, except for cervix carcinoma in situ or basal cell skin cancer which have been treated properly.
- significant clinical cardiovascular disease: stroke (≤ 6 months before the study inclusion), heart attack (≤ 6 months before inclusion), unstable ango pectoris, congestive heart failure second grade or higher of the New York Heart Association (NYHA) or serious cardiac arrhythmia requiring medication, uncontrolled hypertension
- Total o partial bowel obstruction
- Chronic diarrhea
- Current treatment with another investigational drug or participation in another clinical trial within 30 days prior to inclusion.
- Known hypersensitivity to any of the study drugs or their components
- Currently o recent therapeutic treatment (opposite to prophylactic) with oral or parenteral anticoagulants (full dose) or thrombolytic agents. Patients who receive (or are candidates to receive) anticoagulants for prophylaxis of cardiovascular risk, should continue (or begin) treatment at baseline
- Thromboembolic event history or bleeding in the 6 months prior to treatment.
- Evidence of bleeding diathesis or coagulopathy.
- Serious problems in wounds healing, ulcers or bone fractures.
- Major surgery, open biopsy or significant traumatic injury 28 days before treatment.
- Any other disease, metabolic disorder, physical examination findings or clinical laboratory that provides reasonable evidence for suspecting a disease or condition for which it is contraindicated or patient an experimental drug at high risk of experiencing complications related to treatment .
- Patients undergoing with organ allografts requiring immunosuppressive treatment.
- Pregnant or breastfeeding woman. It requires a negative pregnancy test (serum or urine) within 7 days before previous to treatment.
- Men and women of childbearing potential (including women who have had their last menstrual period in less than 2 years) not using effective contraception precautions
- Positive HIV status
- Addiction to alcohol or other drugs
- Known liver cirrhosis
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Gemcitabine, Erlotinib and radiotherapy
Gemcitabine + Erlotinib follow by Gemcitabine + Erlotinib + radiotherapy
|
Administration of gemcitabine (300mg/m2/weekly)with Erlotinib (100 mg/daily) and radiotherapy (45 Gy/daily) after a period of infusion with a full dose of Gemcitabine (1.000mg/m2/weekly) and Erlotinib (100 mg/daily)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Percentage of ancients undergoing with neoadjuvant chemoradiotherapy and R0 resection
Time Frame: 3 years
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To describe the safety of the treatment
Time Frame: 3 years
|
Based in safety population, all safety parameters will be analyzed and they will be recorded in lists and spread sheets. Most extreme intensity will be used for the notification of adverse events. Safety population will include all subjects that have taken at least one study medication dose. |
3 years
|
Evaluate the response rate using RECIST criteria
Time Frame: 3 years
|
3 years
|
|
Evaluate the percentage of resectability
Time Frame: 3 years
|
3 years
|
|
Evaluate the percentage of lymphatic nodes removed
Time Frame: 3 years
|
3 years
|
|
Evaluate the percentage of lymphatic nodes involved
Time Frame: 3 years
|
3 years
|
|
Evaluate the pathological regression stage (primary tumor and lymphatic nodes)
Time Frame: 3 years
|
3 years
|
|
Relate RECIST criteria with the pathological regress stage
Time Frame: 3 years
|
3 years
|
|
Measure the progression free survival (time from the inclusion date to the progression of the disease or death)
Time Frame: 3 years
|
3 years
|
|
Evaluate the overall survival time
Time Frame: 3 years
|
3 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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 Major Dates
Study Start
May 1, 2011
Primary Completion (Actual)
November 1, 2016
Study Completion (Actual)
January 22, 2017
Study Registration Dates
First Submitted
July 1, 2011
First Submitted That Met QC Criteria
July 7, 2011
First Posted (Estimate)
July 8, 2011
Study Record Updates
Last Update Posted (Actual)
May 18, 2018
Last Update Submitted That Met QC Criteria
May 15, 2018
Last Verified
August 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Protein Kinase Inhibitors
- Gemcitabine
- Erlotinib Hydrochloride
Other Study ID Numbers
- GEMCAD1003
- 2010-021738-72 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Pancreatic Adenocarcinoma
-
Fudan UniversityUnknownStage IA Pancreatic Adenocarcinoma | Stage IB Pancreatic Adenocarcinoma | Stage IIA Pancreatic Adenocarcinoma | Stage IIB Pancreatic AdenocarcinomaChina
-
Roswell Park Cancer InstituteNot yet recruitingStage II Pancreatic Cancer AJCC v8 | Stage III Pancreatic Cancer AJCC v8 | Stage IV Pancreatic Cancer AJCC v8 | Metastatic Pancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal Adenocarcinoma | Advanced Pancreatic Ductal Adenocarcinoma | Unresectable Pancreatic Ductal Adenocarcinoma and other conditionsUnited States
-
Xian-Jun YuCompletedStage IA Pancreatic Adenocarcinoma | Stage IB Pancreatic Adenocarcinoma | Stage IIA Pancreatic Adenocarcinoma | Stage IIB Pancreatic AdenocarcinomaChina
-
Xian-Jun YuCompletedStage IA Pancreatic Adenocarcinoma | Stage IB Pancreatic Adenocarcinoma | Stage IIA Pancreatic Adenocarcinoma | Stage IIB Pancreatic AdenocarcinomaChina
-
Scandion Oncology A/SAlcedis GmbHRecruitingMetastatic Pancreatic Adenocarcinoma | Locally Advanced Pancreatic Adenocarcinoma | Inoperable Disease | Localized Pancreatic AdenocarcinomaDenmark, Germany
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingBorderline Resectable Pancreatic Adenocarcinoma | Resectable Pancreatic Ductal Adenocarcinoma | Locally Advanced Pancreatic Ductal AdenocarcinomaUnited States
-
Memorial Sloan Kettering Cancer CenterRecruitingPancreatic Cancer | Pancreatic Cancer Metastatic | Pancreatic Cancer Stage IV | Metastatic Pancreatic Carcinoma | Metastatic Pancreatic Adenocarcinoma | Pancreatic Carcinoma | Metastatic Pancreatic Cancer | Pancreatic Cancer Non-resectable | Metastatic Pancreatic Ductal Adenocarcinoma | Pancreatic Carcinoma... and other conditionsUnited States
-
Wake Forest University Health SciencesNational Cancer Institute (NCI)RecruitingPancreas Adenocarcinoma | Locally Advanced Pancreatic Adenocarcinoma | Borderline Resectable Pancreatic AdenocarcinomaUnited States
-
Jean-Luc Van LaethemCelgene CorporationCompletedPancreatic Adenocarcinoma Resectable | Pancreatic Adenocarcinoma Metastatic | Pancreatic Adenocarcinoma Locally AdvancedBelgium
-
Lawson Health Research InstituteLondon Health Sciences FoundationNot yet recruitingBorderline Resectable Pancreatic Adenocarcinoma | Resectable Pancreatic Adenocarcinoma
Clinical Trials on Gemcitabine and Erlotinib
-
Spanish Cooperative Group for the Treatment of...Hoffmann-La RocheCompleted
-
Dana-Farber Cancer InstituteWithdrawnPancreatic Cancer, MetastaticUnited States
-
Tragara Pharmaceuticals, Inc.CompletedPancreatic Cancer | Metastatic Pancreatic CancerUnited States
-
Centro Nacional de Investigaciones Oncologicas...Apices Soluciones S.L.; Hospital Universitario de Fuenlabrada; Grupo Hospital...CompletedAdvanced Pancreatic CarcinomaSpain
-
NovaceaSchering-PloughSuspended
-
Albert Einstein College of MedicineShanghai Proton and Heavy Ion CenterCompletedCancer | Pancreatic CancerUnited States, China
-
Xinjiang Medical UniversityUnknownNon-Small Cell Lung CancerChina
-
Samsung Medical CenterCompletedUnresectable, Metastatic Biliary Tract CarcinomaKorea, Republic of
-
Hunan Province Tumor HospitalRecruitingCarcinoma, Non-Small Cell Lung | EGFR Gene MutationChina
-
National Cancer Institute (NCI)CompletedAdenocarcinoma of the Pancreas | Recurrent Pancreatic Cancer | Stage III Pancreatic Cancer | Stage II Pancreatic CancerUnited States