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Combination Study of Capecitabine and Erlotinib Concurrent With Radiotherapy for Non-Operable Advanced Pancreatic Cancer

Primary Purpose

Pancreatic Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Capecitabine, Tarceva
Sponsored by
Milton S. Hershey Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer focused on measuring Radiotherapy, Non-operable pancreatic cancer, locally advanced pancreatic cancer

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologic or cytologic diagnosis of adenocarcinoma of the pancreas that is locally advanced & not amenable to resection with curative intent.
  • Must not have received prior systemic therapy for locally advanced disease.
  • ECOG performance status must be 0-2.
  • Adequate hepatic, renal & bone marrow function.
  • Radiographic evidence of disease is required.
  • Life expectancy > 12 weeks.

Exclusion Criteria:

  • Prior treatment with Capecitabine & other EGFR inhibitor.
  • Patients with GI tract disease resulting in an inability to take oral medications.
  • Significant GI disorders with diarrhea as a major symptom.
  • Uncontrolled intercurrent illness including active infection,symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmias now well controlled with medication, myocardial infarction within the previous 6 months, psychiatric illness/social situations that would limit compliance with study requirements.
  • Patients with metastases.
  • Patients who have had chemotherapy.
  • Patients may not be receiving any other investigational agents, or have participated in any investigational drug study.
  • Extensive symptomatic fibrosis of the lungs.
  • Females who are pregnant or lactating.
  • History of any other malignancy in the last 2 years, except prior history of in situ cancer, basal or squamous cell skin cancer are eligible.
  • Known DPD deficiency.
  • Receiving therapeutic doses of Coumarin-derivative anticoagulant therapy. Patients requiring anticoagulation who may be safely switched to LMWH are eligible.

Sites / Locations

  • Penn State College of Medicine, Penn State Milton S. Hershey Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single arm

Arm Description

This is a single arm dose escalation study with a cohort expansion.

Outcomes

Primary Outcome Measures

To determine optimal dosage for Capecitabine and Tarceva combination in the setting of radiation.

Secondary Outcome Measures

To assess treatment efficacy and overall survival.

Full Information

First Posted
November 29, 2007
Last Updated
May 17, 2018
Sponsor
Milton S. Hershey Medical Center
Collaborators
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00565487
Brief Title
Combination Study of Capecitabine and Erlotinib Concurrent With Radiotherapy for Non-Operable Advanced Pancreatic Cancer
Official Title
Phase I Study of Combination of Capecitabine and Erlotinib Concurrent With Radiotherapy in Patients With Non-Operable Locally Advanced Pancreatic Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
December 2007 (undefined)
Primary Completion Date
August 5, 2014 (Actual)
Study Completion Date
August 5, 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Milton S. Hershey Medical Center
Collaborators
Genentech, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary purpose of this study is to determine the best dosage of Capecitabine and Tarceva combination in the setting of radiation and to assess treatment effectiveness, progression-free survival and overall survival.
Detailed Description
Over the past several decades, 5-fluorouracil based chemoradiation has been the cornerstone for the treatment of locally advanced non-operable pancreatic cancer. However, the survival of these patients is disappointing. The majority of the patients suffer either local progression or metastatic disease. With the availability of Capecitabine, a few pilot studies showed the the drug is convenient, tolerable and safe in combination with radiation therapy. Capecitabine demonstrated its superior anti-tumor activity with 14 months of median survival. However, these are small Phase I studies and the survival benefit needs to be further validated with larger studies. Epidermal growth factor receptor (EGFR) has been implicated in tumor growth and angiogenesis. Inhibiting EGFR by Tarceva has demonstrated effective treatment in metastatic pancreatic cancer. Anti-epidermal growth factor therapy in combination with radiotherapy has been demonstrated efficacious in other solid tumors such as head and neck cancer. We hypothesize that the combination of Tarceva and Capecitabine has synergistic anti-tumor effect. Hence, improvement of median survival could be potentially achieved with this novel combination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Cancer
Keywords
Radiotherapy, Non-operable pancreatic cancer, locally advanced pancreatic cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single arm
Arm Type
Experimental
Arm Description
This is a single arm dose escalation study with a cohort expansion.
Intervention Type
Drug
Intervention Name(s)
Capecitabine, Tarceva
Other Intervention Name(s)
Capecatine, Xeloda, Tarceva, Erlotinib, OSI-774
Intervention Description
Capecitabine is a self-administered (oral) medication & will be dose escalated and administered in four dose levels: Level I - 600 mg/m2 bid; Level II - 700 mg/m2 bid; Level III - 825 mg/m2 bid; Level IV - 925 mg/m2 bid. Tarceva will be self-administered(orally) in an open-label, unblinded manner to all patients enrolled in the study. During the treatment period, patients will receive single agent Tarceva 100 mg/day. Treatment of Capecitabine & Tarceva is continued daily until the completeness of the radiation or toxicity.
Primary Outcome Measure Information:
Title
To determine optimal dosage for Capecitabine and Tarceva combination in the setting of radiation.
Time Frame
Two years
Secondary Outcome Measure Information:
Title
To assess treatment efficacy and overall survival.
Time Frame
Two years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologic or cytologic diagnosis of adenocarcinoma of the pancreas that is locally advanced & not amenable to resection with curative intent. Must not have received prior systemic therapy for locally advanced disease. ECOG performance status must be 0-2. Adequate hepatic, renal & bone marrow function. Radiographic evidence of disease is required. Life expectancy > 12 weeks. Exclusion Criteria: Prior treatment with Capecitabine & other EGFR inhibitor. Patients with GI tract disease resulting in an inability to take oral medications. Significant GI disorders with diarrhea as a major symptom. Uncontrolled intercurrent illness including active infection,symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmias now well controlled with medication, myocardial infarction within the previous 6 months, psychiatric illness/social situations that would limit compliance with study requirements. Patients with metastases. Patients who have had chemotherapy. Patients may not be receiving any other investigational agents, or have participated in any investigational drug study. Extensive symptomatic fibrosis of the lungs. Females who are pregnant or lactating. History of any other malignancy in the last 2 years, except prior history of in situ cancer, basal or squamous cell skin cancer are eligible. Known DPD deficiency. Receiving therapeutic doses of Coumarin-derivative anticoagulant therapy. Patients requiring anticoagulation who may be safely switched to LMWH are eligible.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yixing Jiang, M.D.
Organizational Affiliation
Penn State College of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Penn State College of Medicine, Penn State Milton S. Hershey Medical Center
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Combination Study of Capecitabine and Erlotinib Concurrent With Radiotherapy for Non-Operable Advanced Pancreatic Cancer

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