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A Study of Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, and Irinotecan in Metastatic Pancreatic Cancer

Primary Purpose

Adenocarcinoma, Pancreatic Neoplasms, Neoplasm, Glandular

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Nab-paclitaxel
Gemcitabine
Capecitabine
Cisplatin
Irinotecan
Nab-paclitaxel
Gemcitabine
Capecitabine
Cisplatin
Irinotecan
Sponsored by
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adenocarcinoma

Eligibility Criteria

18 Years - 76 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have histologically or cytologically confirmed untreated metastatic pancreatic adenocarcinoma.
  • Patients with the presence of at least one measurable lesion.
  • Male or non-pregnant and non-lactating female of age >18 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • Patients must have adequate organ and marrow function defined by study-specified laboratory tests.
  • Must use acceptable form of birth control while on study.
  • Ability to understand and willingness to sign a written informed consent document.

Exclusion Criteria:

  • Patients who will be considered for surgery are ineligible.
  • Patient who have had any prior chemotherapy within 5 years of enrollment.
  • Patient who have had radiotherapy for pancreatic cancer.
  • Age ≥ 76 years
  • Patient who is receiving or have received any other investigational agents within 28 days prior to Day 1 of treatment in this study.
  • Patient who has undergone major surgery, other than diagnostic surgery within 28 days prior to Day 1 of treatment in this study.
  • Patient who has known brain metastases.
  • Patient with history of hypersensitivity or allergic reactions attributed to compounds of similar chemical or biologic composition to gemcitabine, nab-paclitaxel, capecitabine, cisplatin, or irinotecan.
  • Patient with uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Patient who has serious medical risk factors involving any of the major organ systems.
  • Patient who has known history of infection with HIV, hepatitis B, or hepatitis C.
  • Pregnant or breast feeding.
  • Patient is unwilling or unable to comply with study procedures
  • Patient with clinically significant wound.

Sites / Locations

  • Sidney Kimmel Comprehensive Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Arm Description

(28 Days) - Nab-paclitaxel ,Gemcitabine, Capecitabine, Cisplatin and Irinotecan

(21 Days) - Nab-paclitaxel ,Gemcitabine, Capecitabine, Cisplatin and Irinotecan

Outcomes

Primary Outcome Measures

Part 1: Percentage of participants experiencing toxicities
Percentage of participants by grade of toxicity as defined by CTCAE version 5.
Part 2: Progression Free Survival (PFS)
Duration of time (months) from start of treatment to time of first documented progression or death, whichever occurs first.

Secondary Outcome Measures

Part 2: Response Rate (RR)
Percentage of patients who achieved complete response (CR) or partial response (PR) among all evaluable patients.
Part 2: Disease Control Rate (DCR)
Percentage of patients who achieved complete response (CR), partial response (PR), or stable disease (SD) among all evaluable patients.
Part 2: Overall survival (OS)
Duration of time (months) from start of treatment to time of death.
Part 2: Percentage of participants experiencing toxicities with GAX-CI (gemcitabine, nab-paclitaxel, capecitabine, cisplatin, and irinotecan, a combinatorial therapy).
Percentage of participants by grade of toxicity as defined by CTCAE version 5.

Full Information

First Posted
May 11, 2018
Last Updated
March 3, 2023
Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
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1. Study Identification

Unique Protocol Identification Number
NCT03535727
Brief Title
A Study of Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, and Irinotecan in Metastatic Pancreatic Cancer
Official Title
A Phase I/II Study of Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, and Irinotecan (GAX-CI) in Combination in Metastatic Pancreatic Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 21, 2018 (Actual)
Primary Completion Date
September 2025 (Anticipated)
Study Completion Date
September 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the clinical activity of gemcitabine, nab-paclitaxel, capecitabine, cisplatin, and irinotecan (GAX-CI) in patients with metastatic pancreatic cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adenocarcinoma, Pancreatic Neoplasms, Neoplasm, Glandular, Neoplasms, Neoplasms Pancreatic, Digestive System Neoplasm, Endocrine Gland Neoplasms, Digestive System Disease, Pancreatic Diseases, Endocrine System Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
86 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
(28 Days) - Nab-paclitaxel ,Gemcitabine, Capecitabine, Cisplatin and Irinotecan
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
(21 Days) - Nab-paclitaxel ,Gemcitabine, Capecitabine, Cisplatin and Irinotecan
Intervention Type
Drug
Intervention Name(s)
Nab-paclitaxel
Other Intervention Name(s)
Abraxane
Intervention Description
IV over 30 minutes; Days 1 and 15
Intervention Type
Drug
Intervention Name(s)
Gemcitabine
Other Intervention Name(s)
Gemzar
Intervention Description
IV over 30 minutes; Days 1 and 15
Intervention Type
Drug
Intervention Name(s)
Capecitabine
Other Intervention Name(s)
Xeloda
Intervention Description
PO twice daily (BID); Days 1-7, 15-21
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Other Intervention Name(s)
Platinol
Intervention Description
IV over 60 minutes; Days 1 and 15
Intervention Type
Drug
Intervention Name(s)
Irinotecan
Other Intervention Name(s)
Camptosar
Intervention Description
IV over 30 minutes; Days 1 and 15
Intervention Type
Drug
Intervention Name(s)
Nab-paclitaxel
Other Intervention Name(s)
Abraxane
Intervention Description
IV over 30 minutes; Days 4 and 11
Intervention Type
Drug
Intervention Name(s)
Gemcitabine
Other Intervention Name(s)
Gemzar
Intervention Description
IV over 30 minutes; Days 4 and 11
Intervention Type
Drug
Intervention Name(s)
Capecitabine
Other Intervention Name(s)
Xeloda
Intervention Description
PO BID; Days 1- 14
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Other Intervention Name(s)
Platinol
Intervention Description
IV over 60 minutes; Days 4 and 11
Intervention Type
Drug
Intervention Name(s)
Irinotecan
Other Intervention Name(s)
Camptosar
Intervention Description
IV over 30 minutes; Days 4 and 11
Primary Outcome Measure Information:
Title
Part 1: Percentage of participants experiencing toxicities
Description
Percentage of participants by grade of toxicity as defined by CTCAE version 5.
Time Frame
4 years
Title
Part 2: Progression Free Survival (PFS)
Description
Duration of time (months) from start of treatment to time of first documented progression or death, whichever occurs first.
Time Frame
4 years
Secondary Outcome Measure Information:
Title
Part 2: Response Rate (RR)
Description
Percentage of patients who achieved complete response (CR) or partial response (PR) among all evaluable patients.
Time Frame
4 years
Title
Part 2: Disease Control Rate (DCR)
Description
Percentage of patients who achieved complete response (CR), partial response (PR), or stable disease (SD) among all evaluable patients.
Time Frame
4 years
Title
Part 2: Overall survival (OS)
Description
Duration of time (months) from start of treatment to time of death.
Time Frame
4 years
Title
Part 2: Percentage of participants experiencing toxicities with GAX-CI (gemcitabine, nab-paclitaxel, capecitabine, cisplatin, and irinotecan, a combinatorial therapy).
Description
Percentage of participants by grade of toxicity as defined by CTCAE version 5.
Time Frame
4 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
76 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have histologically or cytologically confirmed untreated metastatic pancreatic adenocarcinoma. Patients with the presence of at least one measurable lesion. Male or non-pregnant and non-lactating female of age >18 years. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1. Patients must have adequate organ and marrow function defined by study-specified laboratory tests. Must use acceptable form of birth control while on study. Ability to understand and willingness to sign a written informed consent document. Exclusion Criteria: Patients who will be considered for surgery are ineligible. Patient who have had any prior chemotherapy within 5 years of enrollment. Patient who have had radiotherapy for pancreatic cancer. Age ≥ 76 years Patient who is receiving or have received any other investigational agents within 28 days prior to Day 1 of treatment in this study. Patient who has undergone major surgery, other than diagnostic surgery within 28 days prior to Day 1 of treatment in this study. Patient who has known brain metastases. Patient with history of hypersensitivity or allergic reactions attributed to compounds of similar chemical or biologic composition to gemcitabine, nab-paclitaxel, capecitabine, cisplatin, or irinotecan. Patient with uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. Patient who has serious medical risk factors involving any of the major organ systems. Patient who has known history of infection with HIV, hepatitis B, or hepatitis C. Pregnant or breast feeding. Patient is unwilling or unable to comply with study procedures Patient with clinically significant wound.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Joann Santmyer, RN
Phone
410-614-3644
Email
GIClinicaltrials@jhmi.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dung Le, MD
Organizational Affiliation
Johns Hopkins Medical Institution
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sidney Kimmel Comprehensive Cancer Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21231
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joann Santmyer, RN
Phone
410-614-3644
Email
GIClinicaltrials@jhmi.edu

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

A Study of Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, and Irinotecan in Metastatic Pancreatic Cancer

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