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Erlotinib Combined With Gemcitabine in Treating Patients With Newly Diagnosed Locally Advanced or Metastatic Pancreatic Cancer or Other Solid Tumors

Primary Purpose

Pancreatic Cancer, Unspecified Adult Solid Tumor, Protocol Specific

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
erlotinib hydrochloride
gemcitabine hydrochloride
Sponsored by
OSI Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer focused on measuring stage II pancreatic cancer, stage III pancreatic cancer, recurrent pancreatic cancer, unspecified adult solid tumor, protocol specific, stage IV pancreatic cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed locally advanced or metastatic epithelial carcinoma of the pancreas or other malignancy considered to be potentially responsive to gemcitabine Newly diagnosed or gemcitabine naive Measurable or evaluable disease Not amenable to surgical intervention due to medical contraindications or non-resectability of the tumor No islet cell tumors or other non-epithelial cell carcinomas of the pancreas No active CNS metastases or leptomeningeal disease Treated or asymptomatic brain metastases are allowed if on a stable dose of corticosteroids and/or there is no change in brain disease status for at least 4 weeks after related therapy (e.g., whole-brain radiotherapy) PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Bilirubin no greater than 2.0 mg/dL (except for documented Gilbert's syndrome) AST or ALT less than 2 times upper limit of normal (ULN) (no greater than 5 times ULN if hepatic obstruction or metastases present) Albumin at least 2.5 g/dL Renal: Creatinine less than 1.5 times ULN OR Creatinine clearance at least 60 mL/min Cardiovascular: No significant cardiovascular disease No history of congestive heart failure currently requiring therapy No ventricular arrhythmia requiring anti-arrhythmic therapy No severe conduction disturbances No angina pectoris requiring therapy No myocardial infarction within the past 6 months Gastrointestinal: No significant gastrointestinal abnormalities including: Requirement for IV alimentation Active peptic ulcer disease Ophthalmic: No significant ophthalmologic abnormalities including: Severe dry eye syndrome Keratoconjunctivitis sicca Sjogren's syndrome Severe exposure keratopathy Disorders that would increase the risk for epithelium-related complications (e.g., bullous keratopathy, aniridia, severe chemical burns, or neutrophilic keratitis) Abnormal Schirmer test (less than 2 mm) allowed provided there is no evidence of clinically significant corneal surface abnormalities Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No known or suspected hypersensitivity to gemcitabine No uncontrolled infection HIV negative No other malignancy within the past 5 years except treated non-melanoma skin cancer or carcinoma in situ of the breast or cervix No other life-threatening illness No psychiatric disorders or altered mental status the would preclude informed consent or study PRIOR CONCURRENT THERAPY: Biologic therapy: At least 28 days since prior immunotherapy or biological response modified therapy for the primary malignancy No concurrent immunotherapy or biologic response modifier therapy for the primary malignancy Chemotherapy: See Disease Characteristics At least 28 days since prior chemotherapy for the primary malignancy No prior mitomycin or nitrosoureas for the primary malignancy No more than 6 prior courses of chemotherapy with an alkylating agent for the primary malignancy No prior gemcitabine for the primary malignancy except as a low-dose (less than 500 mg/m^2) radiosensitizer administered concurrently with or within 2 weeks after radiotherapy at least 3 months ago No other concurrent chemotherapy for the primary malignancy Endocrine therapy: See Disease Characteristics At least 28 days since prior systemic hormonal therapy (except LH-RH agonists) for the primary malignancy No concurrent systemic hormonal therapy (except LH-RH agonists) for the primary malignancy Other concurrent endocrine therapy is allowed as follows: Hormonal therapy (e.g., megestrol) for appetite stimulation Nasal, ophthalmic, or topical glucocorticoids Oral glucocorticoids for adrenal insufficiency Low-dose maintenance steroids Radiotherapy: See Disease Characteristics At least 28 days since prior radiotherapy for the primary malignancy or metastases and recovered No prior wide-field radiotherapy to 25% or more of marrow-bearing bone No prior pelvic irradiation No concurrent radiotherapy for the primary malignancy or metastases No concurrent wide-field radiotherapy for pain management Surgery: See Disease Characteristics Recovered from any prior surgery No prior surgical procedures affecting absorption Other: No prior agent for the primary malignancy targeting the epidermal growth factor receptor (EGFR) or EGFR-specific tyrosine kinase activity

Sites / Locations

  • Arizona Cancer Center at University of Arizona Health Sciences Center
  • Cancer Therapy and Research Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
April 9, 2002
Last Updated
January 8, 2018
Sponsor
OSI Pharmaceuticals
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00033241
Brief Title
Erlotinib Combined With Gemcitabine in Treating Patients With Newly Diagnosed Locally Advanced or Metastatic Pancreatic Cancer or Other Solid Tumors
Official Title
A Phase Ib Multicenter Trial To Determine The Safety, Tolerance And Preliminary Antineoplastic Activity Of Gemcitabine Administered In Combination With Escalating Oral Doses Of OSI-774 To Patient Cohorts With Recently Diagnosed, Gemcitabine-Naive, Advanced Pancreatic Carcinoma Or Other Potentially Responsive Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
July 23, 2001 (Actual)
Primary Completion Date
April 22, 2004 (Actual)
Study Completion Date
April 22, 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OSI Pharmaceuticals
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining erlotinib with gemcitabine may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of combining erlotinib with gemcitabine in treating patients who have newly diagnosed locally advanced or metastatic pancreatic cancer or other solid tumors.
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of erlotinib in combination with gemcitabine in patients with recently diagnosed, gemcitabine-naive, locally advanced or metastatic pancreatic carcinoma or other potentially responsive solid tumor. Determine the safety and tolerability of this regimen in these patients. Determine the pharmacokinetics of this regimen in these patients. Determine the objective antitumor response rate and response duration in patients treated with this regimen. Determine the time to disease progression and duration of overall survival in patients treated with this regimen. OUTLINE: This is a multicenter, dose-escalation study of erlotinib. Patients receive gemcitabine IV over 30 minutes on day 1 of weeks 1-7 and oral erlotinib once daily beginning on day 3 of week 1 and continuing for 8 weeks (course 1). Patients receive subsequent courses of therapy comprising gemcitabine once weekly for 3 weeks and erlotinib once daily. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of erlotinib until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, 12 additional patients are accrued and treated at the MTD as above. Patients are followed at 30 days. PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for this study within 3 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Cancer, Unspecified Adult Solid Tumor, Protocol Specific
Keywords
stage II pancreatic cancer, stage III pancreatic cancer, recurrent pancreatic cancer, unspecified adult solid tumor, protocol specific, stage IV pancreatic cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
erlotinib hydrochloride
Intervention Type
Drug
Intervention Name(s)
gemcitabine hydrochloride

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed locally advanced or metastatic epithelial carcinoma of the pancreas or other malignancy considered to be potentially responsive to gemcitabine Newly diagnosed or gemcitabine naive Measurable or evaluable disease Not amenable to surgical intervention due to medical contraindications or non-resectability of the tumor No islet cell tumors or other non-epithelial cell carcinomas of the pancreas No active CNS metastases or leptomeningeal disease Treated or asymptomatic brain metastases are allowed if on a stable dose of corticosteroids and/or there is no change in brain disease status for at least 4 weeks after related therapy (e.g., whole-brain radiotherapy) PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Bilirubin no greater than 2.0 mg/dL (except for documented Gilbert's syndrome) AST or ALT less than 2 times upper limit of normal (ULN) (no greater than 5 times ULN if hepatic obstruction or metastases present) Albumin at least 2.5 g/dL Renal: Creatinine less than 1.5 times ULN OR Creatinine clearance at least 60 mL/min Cardiovascular: No significant cardiovascular disease No history of congestive heart failure currently requiring therapy No ventricular arrhythmia requiring anti-arrhythmic therapy No severe conduction disturbances No angina pectoris requiring therapy No myocardial infarction within the past 6 months Gastrointestinal: No significant gastrointestinal abnormalities including: Requirement for IV alimentation Active peptic ulcer disease Ophthalmic: No significant ophthalmologic abnormalities including: Severe dry eye syndrome Keratoconjunctivitis sicca Sjogren's syndrome Severe exposure keratopathy Disorders that would increase the risk for epithelium-related complications (e.g., bullous keratopathy, aniridia, severe chemical burns, or neutrophilic keratitis) Abnormal Schirmer test (less than 2 mm) allowed provided there is no evidence of clinically significant corneal surface abnormalities Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No known or suspected hypersensitivity to gemcitabine No uncontrolled infection HIV negative No other malignancy within the past 5 years except treated non-melanoma skin cancer or carcinoma in situ of the breast or cervix No other life-threatening illness No psychiatric disorders or altered mental status the would preclude informed consent or study PRIOR CONCURRENT THERAPY: Biologic therapy: At least 28 days since prior immunotherapy or biological response modified therapy for the primary malignancy No concurrent immunotherapy or biologic response modifier therapy for the primary malignancy Chemotherapy: See Disease Characteristics At least 28 days since prior chemotherapy for the primary malignancy No prior mitomycin or nitrosoureas for the primary malignancy No more than 6 prior courses of chemotherapy with an alkylating agent for the primary malignancy No prior gemcitabine for the primary malignancy except as a low-dose (less than 500 mg/m^2) radiosensitizer administered concurrently with or within 2 weeks after radiotherapy at least 3 months ago No other concurrent chemotherapy for the primary malignancy Endocrine therapy: See Disease Characteristics At least 28 days since prior systemic hormonal therapy (except LH-RH agonists) for the primary malignancy No concurrent systemic hormonal therapy (except LH-RH agonists) for the primary malignancy Other concurrent endocrine therapy is allowed as follows: Hormonal therapy (e.g., megestrol) for appetite stimulation Nasal, ophthalmic, or topical glucocorticoids Oral glucocorticoids for adrenal insufficiency Low-dose maintenance steroids Radiotherapy: See Disease Characteristics At least 28 days since prior radiotherapy for the primary malignancy or metastases and recovered No prior wide-field radiotherapy to 25% or more of marrow-bearing bone No prior pelvic irradiation No concurrent radiotherapy for the primary malignancy or metastases No concurrent wide-field radiotherapy for pain management Surgery: See Disease Characteristics Recovered from any prior surgery No prior surgical procedures affecting absorption Other: No prior agent for the primary malignancy targeting the epidermal growth factor receptor (EGFR) or EGFR-specific tyrosine kinase activity
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pedro Santabarbara, MD
Organizational Affiliation
OSI Pharmaceuticals
Official's Role
Study Chair
Facility Information:
Facility Name
Arizona Cancer Center at University of Arizona Health Sciences Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
Facility Name
Cancer Therapy and Research Center
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229-3271
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Dragovich T, Patnaik A, Rowinsky EK, et al.: A phase I B trial of gemcitabine and erlotinib HCL in patients with advanced pancreatic adenocarcinoma and other potentially responsive malignancies. [Abstract] Proceedings of the American Society of Clinical Oncology 22: A-895, 2003.
Results Reference
result
Links:
URL
https://astellasclinicalstudyresults.com/study.aspx?ID=61
Description
Link to results on Astellas Clinical Study Results website

Learn more about this trial

Erlotinib Combined With Gemcitabine in Treating Patients With Newly Diagnosed Locally Advanced or Metastatic Pancreatic Cancer or Other Solid Tumors

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