Gemcitabine or Gemcitabine and Cisplatin in the Treatment of Advanced Pancreatic Cancer (GIP-1)
Primary Purpose
Pancreatic Cancer
Status
Unknown status
Phase
Phase 3
Locations
Italy
Study Type
Interventional
Intervention
gemcitabine
cisplatin
Sponsored by
About this trial
This is an interventional treatment trial for Pancreatic Cancer focused on measuring chemotherapy, advanced cancer, inoperable, Stage II, III, IV
Eligibility Criteria
Inclusion Criteria:
- Histologic or cytologic diagnosis pancreatic cancer
- inoperable stage II or stage III or IV disease(UICC, 1997)
- Age 18 to 75 years
- Karnofsky Performance status > 50
- Signed informed consent
Exclusion Criteria:
- Previous chemotherapy
- Cerebral metastases
- Previous malignancies in past 5 years excluding adequately treated basal or spinocellular skin cancers and insitu cervical cancer
- Leukocytes < 4000 or neutrophils < 2000 or platelets < 100000 or hemoglobin < 10 g/dl
- Creatinine value > upper normal limit
- GOT or GPT > 2.5 times upper normal limit or bilirubin > 1.5 times upper normal limit in absence of hepatic metastases
- Congestive heart failure, severe cardiac arrhythmias or coronary ischemic disease
- Other concurrent disease that would, in the investigator's opinion, contraindicate the use of the study drugs
- Inability to provide informed consent
- Inability to comply with follow-up.
Sites / Locations
- Ospedal Miulli
- Ospedale Regionale Torrette
- Presidio Osp. Alto Garda e Ledro
- Centro Riferimento Oncologico
- Istituto Oncologico Giovanni Paolo II
- Azienda Ospedaliera G. Rummo
- Ospedale Fatebenefratelli
- Ospedale Riuniti
- Ospedale degli Infermi
- Ospedale Regionale
- Policlinico Universitario
- Ospedale A. Cardarelli
- Ospedale Ramazzini
- Centro Catanese di Oncologia
- Università di Chieti "D'Annunzio"
- Ospedale Valduce
- Ospedale Santa Croce
- Azienda Ospedaliera Universitaria
- Azienda Ospedale Careggi
- Azienda Ospedaliera Vito Fazzi
- Ospedale Umberto I
- Pres. Osp. di Manerbio
- Ospedale L. Sacco
- Ospedale San Paolo
- Ospedale G. Moscati
- Ospedale San Gerardo
- Istituto Nazionale Tumori
- Ospedale Cardarelli
- Ospedale Civile
- Casa di Cura La Maddalena
- Policlinico Giaccone
- Ospedale San Salvatore-Muraglia
- Ospedale Guglielmo da Saliceto
- Ospedale San Carlo
- Azienda Policlinico S. Andrea
- Ospedale Fatebenefratelli
- Ospedale San Raffaele
- Policlinico Militare Celio
- Polo Oncologico Istituto Regina Elena
- Ospedale Civile
- Ospedale Civile
- Centro Oncologico
- Ospedale Santa Chiara
- Azienda Ospedaliera Treviglio-Caravaggio
- Ospedale San Bortolo
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
A
B
Arm Description
cisplatin + gemcitabine
gemcitabine
Outcomes
Primary Outcome Measures
overall survival
Secondary Outcome Measures
clinical benefit response
quality of life
objective response
time to progression
Full Information
NCT ID
NCT00813696
First Posted
December 22, 2008
Last Updated
December 22, 2008
Sponsor
Istituti Tumori Giovanni Paolo II
Collaborators
Gruppo Oncologico Italia Meridionale, Gruppo Italiano per lo studio dei Carcinomi dell'Apparato Digerente, Gruppo Oncologico Italiano di Ricerca Clinica, Cattedra di Endocrinochirurgia, Università di Verona
1. Study Identification
Unique Protocol Identification Number
NCT00813696
Brief Title
Gemcitabine or Gemcitabine and Cisplatin in the Treatment of Advanced Pancreatic Cancer
Acronym
GIP-1
Official Title
Gemcitabine vs Gemcitabine + Cisplatin in the Treatment of Advanced Pancreatic Cancer (Stage II III IV)
Study Type
Interventional
2. Study Status
Record Verification Date
December 2008
Overall Recruitment Status
Unknown status
Study Start Date
April 2002 (undefined)
Primary Completion Date
March 2009 (Anticipated)
Study Completion Date
September 2009 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
Istituti Tumori Giovanni Paolo II
Collaborators
Gruppo Oncologico Italia Meridionale, Gruppo Italiano per lo studio dei Carcinomi dell'Apparato Digerente, Gruppo Oncologico Italiano di Ricerca Clinica, Cattedra di Endocrinochirurgia, Università di Verona
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the impact of the addition of cisplatin to gemcitabine in the treatment of patients with inoperable advanced pancreatic cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Cancer
Keywords
chemotherapy, advanced cancer, inoperable, Stage II, III, IV
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
400 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Arm Description
cisplatin + gemcitabine
Arm Title
B
Arm Type
Active Comparator
Arm Description
gemcitabine
Intervention Type
Drug
Intervention Name(s)
gemcitabine
Intervention Description
1000 mg/m2 IV weekly for 7 weeks. Starting at week 9, gemcitabine 1000 mg/m2 on days 1, 8, and 15 every 4 weeks
Intervention Type
Drug
Intervention Name(s)
cisplatin
Intervention Description
25 mg/m2 IV on days 1, 8, and 15 every 4 weeks
Primary Outcome Measure Information:
Title
overall survival
Time Frame
9 months
Secondary Outcome Measure Information:
Title
clinical benefit response
Time Frame
baseline and at end of every cycle of therapy
Title
quality of life
Time Frame
baseline and at end of every cycle of therapy
Title
objective response
Time Frame
after 7 weeks of therapy
Title
time to progression
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologic or cytologic diagnosis pancreatic cancer
inoperable stage II or stage III or IV disease(UICC, 1997)
Age 18 to 75 years
Karnofsky Performance status > 50
Signed informed consent
Exclusion Criteria:
Previous chemotherapy
Cerebral metastases
Previous malignancies in past 5 years excluding adequately treated basal or spinocellular skin cancers and insitu cervical cancer
Leukocytes < 4000 or neutrophils < 2000 or platelets < 100000 or hemoglobin < 10 g/dl
Creatinine value > upper normal limit
GOT or GPT > 2.5 times upper normal limit or bilirubin > 1.5 times upper normal limit in absence of hepatic metastases
Congestive heart failure, severe cardiac arrhythmias or coronary ischemic disease
Other concurrent disease that would, in the investigator's opinion, contraindicate the use of the study drugs
Inability to provide informed consent
Inability to comply with follow-up.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Giuseppe Colucci, M.D.
Organizational Affiliation
Istituto Tumori Giovanni Paolo II
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Roberto Labianca, M.D.
Organizational Affiliation
Ospedale Riuniti Bergamo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Francesco Di Costanzo, M.D.
Organizational Affiliation
Azienda Ospedaliera Careggi
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Stefano Cascinu, M.D.
Organizational Affiliation
Ospedale Riuniti Umberto I-Lancise-Salese
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Paolo Pederzoli, M.D.
Organizational Affiliation
Policlinico G.B. Rossi, Verona
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ciro Gallo, M.D., Ph.D.
Organizational Affiliation
University of Campania "Luigi Vanvitelli"
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Francesco Perrone, M.D., Ph.D.
Organizational Affiliation
National Cancer Institute, Naples
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ospedal Miulli
City
Acquaviva delle Fonti
Country
Italy
Facility Name
Ospedale Regionale Torrette
City
Ancona
Country
Italy
Facility Name
Presidio Osp. Alto Garda e Ledro
City
ARco
Country
Italy
Facility Name
Centro Riferimento Oncologico
City
Aviano
Country
Italy
Facility Name
Istituto Oncologico Giovanni Paolo II
City
Bari
Country
Italy
Facility Name
Azienda Ospedaliera G. Rummo
City
Benevento
Country
Italy
Facility Name
Ospedale Fatebenefratelli
City
Benevento
Country
Italy
Facility Name
Ospedale Riuniti
City
Bergamo
Country
Italy
Facility Name
Ospedale degli Infermi
City
Biella
Country
Italy
Facility Name
Ospedale Regionale
City
Bolzano
Country
Italy
Facility Name
Policlinico Universitario
City
Cagliari
Country
Italy
Facility Name
Ospedale A. Cardarelli
City
Campobasso
Country
Italy
Facility Name
Ospedale Ramazzini
City
Carpi
Country
Italy
Facility Name
Centro Catanese di Oncologia
City
Catania
Country
Italy
Facility Name
Università di Chieti "D'Annunzio"
City
Chieti
Country
Italy
Facility Name
Ospedale Valduce
City
Como
Country
Italy
Facility Name
Ospedale Santa Croce
City
Fano
Country
Italy
Facility Name
Azienda Ospedaliera Universitaria
City
Ferrara
Country
Italy
Facility Name
Azienda Ospedale Careggi
City
Firenze
Country
Italy
Facility Name
Azienda Ospedaliera Vito Fazzi
City
Lecce
Country
Italy
Facility Name
Ospedale Umberto I
City
Lugo
Country
Italy
Facility Name
Pres. Osp. di Manerbio
City
Manerbio
Country
Italy
Facility Name
Ospedale L. Sacco
City
Milano
Country
Italy
Facility Name
Ospedale San Paolo
City
Milano
Country
Italy
Facility Name
Ospedale G. Moscati
City
Monteforte Irpino
Country
Italy
Facility Name
Ospedale San Gerardo
City
Monza
Country
Italy
Facility Name
Istituto Nazionale Tumori
City
Napoli
Country
Italy
Facility Name
Ospedale Cardarelli
City
Napoli
Country
Italy
Facility Name
Ospedale Civile
City
Olbia
Country
Italy
Facility Name
Casa di Cura La Maddalena
City
Palermo
Country
Italy
Facility Name
Policlinico Giaccone
City
Palermo
Country
Italy
Facility Name
Ospedale San Salvatore-Muraglia
City
Pesaro
Country
Italy
Facility Name
Ospedale Guglielmo da Saliceto
City
Piacenza
Country
Italy
Facility Name
Ospedale San Carlo
City
Potenza
Country
Italy
Facility Name
Azienda Policlinico S. Andrea
City
Roma
Country
Italy
Facility Name
Ospedale Fatebenefratelli
City
Roma
Country
Italy
Facility Name
Ospedale San Raffaele
City
Roma
Country
Italy
Facility Name
Policlinico Militare Celio
City
Roma
Country
Italy
Facility Name
Polo Oncologico Istituto Regina Elena
City
Roma
Country
Italy
Facility Name
Ospedale Civile
City
Rovereto
Country
Italy
Facility Name
Ospedale Civile
City
Rovigo
Country
Italy
Facility Name
Centro Oncologico
City
S. Vito al Tagliamento
Country
Italy
Facility Name
Ospedale Santa Chiara
City
Trento
Country
Italy
Facility Name
Azienda Ospedaliera Treviglio-Caravaggio
City
Treviglio
Country
Italy
Facility Name
Ospedale San Bortolo
City
Vicenza
Country
Italy
12. IPD Sharing Statement
Citations:
PubMed Identifier
20194854
Citation
Colucci G, Labianca R, Di Costanzo F, Gebbia V, Carteni G, Massidda B, Dapretto E, Manzione L, Piazza E, Sannicolo M, Ciaparrone M, Cavanna L, Giuliani F, Maiello E, Testa A, Pederzoli P, Falconi M, Gallo C, Di Maio M, Perrone F; Gruppo Oncologico Italia Meridionale (GOIM); Gruppo Italiano per lo Studio dei Carcinomi dell'Apparato Digerente (GISCAD); Gruppo Oncologico Italiano di Ricerca Clinica (GOIRC). Randomized phase III trial of gemcitabine plus cisplatin compared with single-agent gemcitabine as first-line treatment of patients with advanced pancreatic cancer: the GIP-1 study. J Clin Oncol. 2010 Apr 1;28(10):1645-51. doi: 10.1200/JCO.2009.25.4433. Epub 2010 Mar 1.
Results Reference
derived
Learn more about this trial
Gemcitabine or Gemcitabine and Cisplatin in the Treatment of Advanced Pancreatic Cancer
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