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Triacetyluridine and Fluorouracil Compared With Gemcitabine in Treating Patients With Unresectable Locally Advanced, or Metastatic Pancreatic Cancer

Primary Purpose

Drug/Agent Toxicity by Tissue/Organ, Pancreatic Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
fluorouracil
gemcitabine hydrochloride
triacetyluridine
Sponsored by
Wellstat Therapeutics
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Drug/Agent Toxicity by Tissue/Organ focused on measuring drug/agent toxicity by tissue/organ, stage II pancreatic cancer, stage III pancreatic cancer, recurrent pancreatic cancer, adenocarcinoma of the pancreas, stage IV pancreatic cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed adenocarcinoma of the pancreas Unresectable locally advanced or metastatic disease Stage II, III, or IV Measurable or evaluable disease No elevated tumor marker (CA 19-9) only No clinically significant third-space fluid accumulation (e.g., ascites or pleural effusion) No carcinoid, islet cell, or lymphoma of the pancreas No prior or concurrent brain or leptomeningeal metastases PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: At least 3 months Hematopoietic: WBC at least 3,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 9.5 g/dL Hepatic: Bilirubin no greater than 2.0 mg/dL ALT or AST less than 3 times upper limit of normal (ULN) (5 times ULN if liver metastases present) No uncontrolled hepatic dysfunction Renal: Creatinine less than 2.0 mg/dL No uncontrolled renal dysfunction Cardiovascular: No uncontrolled cardiovascular disease requiring therapy, including the following: Angina Arrhythmias Uncompensated cardiac failure Myocardial infarction within the past 6 months Pulmonary: No uncontrolled pulmonary dysfunction Gastrointestinal: Able to take and/or retain oral medication No uncontrolled malabsorption syndrome or any other condition that would interfere with intestinal absorption Other: No known allergy to fluorouracil (5-FU), gemcitabine, triacetyluridine, or any of their components No dihydropyrimidine-dehydrogenase deficiency No active uncontrolled infection No uncontrolled neurologic or psychiatric dysfunction No other malignancy except previously resected basal cell cancer or curatively resected stage I or less cervical cancer that has been disease free for at least 5 years Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception HIV negative PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent biologic therapy (including immunotherapy) for cancer Chemotherapy: No prior chemotherapy for cancer other than as a radiosensitizer No prior 5-FU or gemcitabine other than as a radiosensitizer No prior triacetyluridine No other concurrent chemotherapy (including leucovorin calcium) for cancer Endocrine therapy: No concurrent hormonal therapy for cancer Concurrent megestrol, oral contraceptives, or postmenopausal estrogen replacement therapy allowed Radiotherapy: Prior radiotherapy allowed No concurrent radiotherapy Surgery: See Disease Characteristics Prior resection of pancreas allowed Other: At least 30 days since prior investigational drug or therapeutic device No other concurrent anticancer therapy No other concurrent investigational drugs or devices No concurrent drugs that would interact adversely with 5-FU or gemcitabine

Sites / Locations

  • Brookwood Medical Center
  • Comprehensive Cancer Center at University of Alabama at Birmingham
  • Providence Saint Joseph Medical Center - Burbank
  • City of Hope Comprehensive Cancer Center
  • Scripps Cancer Center at Scripps Clinic
  • Northwest Oncology and Hematology Associates
  • Florida Cancer Specialists - World Plaza
  • Memorial Cancer Institute at Memorial Regional Hospital
  • Florida Oncology Associates - South Side
  • University of Miami Sylvester Comprehensive Cancer Center
  • Florida Cancer Institute - New Port Richey
  • St. Joseph's Hospital
  • Cancer Care Center
  • Cancer Center at Greater Baltimore Medical Center
  • Wellstat Therapeutics
  • CCOP - Metro-Minnesota
  • Capitol Comprehensive Cancer Care Clinic
  • David C. Pratt Cancer Center at St. John's Mercy
  • University of New Mexico Cancer Research and Treatment Center
  • Queens Medical Associates, PC
  • New York Weill Cornell Cancer Center at Cornell University
  • Summit Oncology Associates
  • Penn State Cancer Institute at Milton S. Hershey Medical Center
  • Fox Chase - Temple Cancer Center
  • Cancer Centers of the Carolinas - Eastside
  • Corpus Christi Cancer Center
  • Ottawa Regional Cancer Centre at Ottawa Hospital - General Campus
  • Regional Cancer Care at Thunder Bay Regional Health Sciences Centre
  • McGill Cancer Centre at McGill University

Outcomes

Primary Outcome Measures

Open Label Randomized Phase 3 Multi-Center Trial of PN401 plus high dose 5-FU versus Gemcitabine in Advanced Pancreatic Cancer Patients

Secondary Outcome Measures

Full Information

First Posted
September 13, 2001
Last Updated
June 27, 2012
Sponsor
Wellstat Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00024427
Brief Title
Triacetyluridine and Fluorouracil Compared With Gemcitabine in Treating Patients With Unresectable Locally Advanced, or Metastatic Pancreatic Cancer
Official Title
An Open Label, Randomized, Controlled, Phase III, Multi-center, Clinical Trial Of PN401 With High Dose 5-Fluorouracil (5FU) Versus Gemcitabine For Treatment Of Patients With Advanced Pancreatic Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2010
Overall Recruitment Status
Completed
Study Start Date
February 2001 (undefined)
Primary Completion Date
February 2006 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wellstat Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving the drugs in different combinations may kill more tumor cells. Chemoprotective drugs such as triacetyluridine may protect normal cells from the side effects of chemotherapy. It is not yet known which chemotherapy regimen is more effective in treating pancreatic cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of fluorouracil plus triacetyluridine with that of gemcitabine in treating patients who have locally advanced or metastatic pancreatic cancer that cannot be treated with surgery.
Detailed Description
OBJECTIVES: Compare the survival of patients with unresectable locally advanced or metastatic pancreatic cancer treated with triacetyluridine and high-dose fluorouracil vs gemcitabine. Compare the time to tumor progression, overall response rate, and response duration in patients treated with these regimens. Compare the safety of these regimens in these patients. OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to disease stage (II or III vs IV). Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive high-dose fluorouracil (5-FU) IV over 30 minutes once weekly on weeks 1-3 followed by 1 week of rest. After each dose of 5-FU, patients receive oral triacetyluridine every 8 hours for a total of 8 doses. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Arm II: Patients receive gemcitabine IV over 30 minutes once weekly on weeks 1-7 followed by 1 week of rest (course 1). Subsequent courses are given on weeks 1-3. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed for survival. PROJECTED ACCRUAL: A total of 260 patients (130 per treatment arm) will be accrued for this study within 30 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Drug/Agent Toxicity by Tissue/Organ, Pancreatic Cancer
Keywords
drug/agent toxicity by tissue/organ, stage II pancreatic cancer, stage III pancreatic cancer, recurrent pancreatic cancer, adenocarcinoma of the pancreas, stage IV pancreatic cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
250 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
fluorouracil
Other Intervention Name(s)
5-FU
Intervention Description
High dose 5-FU
Intervention Type
Drug
Intervention Name(s)
gemcitabine hydrochloride
Other Intervention Name(s)
Gemzar
Intervention Description
Normal dose to treat pancreatic cancer
Intervention Type
Drug
Intervention Name(s)
triacetyluridine
Other Intervention Name(s)
2',3',5'tri-O-acetyluridine
Intervention Description
6 grams (12 tablets)
Primary Outcome Measure Information:
Title
Open Label Randomized Phase 3 Multi-Center Trial of PN401 plus high dose 5-FU versus Gemcitabine in Advanced Pancreatic Cancer Patients
Time Frame
Disease progression

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed adenocarcinoma of the pancreas Unresectable locally advanced or metastatic disease Stage II, III, or IV Measurable or evaluable disease No elevated tumor marker (CA 19-9) only No clinically significant third-space fluid accumulation (e.g., ascites or pleural effusion) No carcinoid, islet cell, or lymphoma of the pancreas No prior or concurrent brain or leptomeningeal metastases PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: At least 3 months Hematopoietic: WBC at least 3,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 9.5 g/dL Hepatic: Bilirubin no greater than 2.0 mg/dL ALT or AST less than 3 times upper limit of normal (ULN) (5 times ULN if liver metastases present) No uncontrolled hepatic dysfunction Renal: Creatinine less than 2.0 mg/dL No uncontrolled renal dysfunction Cardiovascular: No uncontrolled cardiovascular disease requiring therapy, including the following: Angina Arrhythmias Uncompensated cardiac failure Myocardial infarction within the past 6 months Pulmonary: No uncontrolled pulmonary dysfunction Gastrointestinal: Able to take and/or retain oral medication No uncontrolled malabsorption syndrome or any other condition that would interfere with intestinal absorption Other: No known allergy to fluorouracil (5-FU), gemcitabine, triacetyluridine, or any of their components No dihydropyrimidine-dehydrogenase deficiency No active uncontrolled infection No uncontrolled neurologic or psychiatric dysfunction No other malignancy except previously resected basal cell cancer or curatively resected stage I or less cervical cancer that has been disease free for at least 5 years Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception HIV negative PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent biologic therapy (including immunotherapy) for cancer Chemotherapy: No prior chemotherapy for cancer other than as a radiosensitizer No prior 5-FU or gemcitabine other than as a radiosensitizer No prior triacetyluridine No other concurrent chemotherapy (including leucovorin calcium) for cancer Endocrine therapy: No concurrent hormonal therapy for cancer Concurrent megestrol, oral contraceptives, or postmenopausal estrogen replacement therapy allowed Radiotherapy: Prior radiotherapy allowed No concurrent radiotherapy Surgery: See Disease Characteristics Prior resection of pancreas allowed Other: At least 30 days since prior investigational drug or therapeutic device No other concurrent anticancer therapy No other concurrent investigational drugs or devices No concurrent drugs that would interact adversely with 5-FU or gemcitabine
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lenny Smith, MS
Organizational Affiliation
Wellstat Therapeutics
Official's Role
Study Chair
Facility Information:
Facility Name
Brookwood Medical Center
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209-6804
Country
United States
Facility Name
Comprehensive Cancer Center at University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Providence Saint Joseph Medical Center - Burbank
City
Burbank
State/Province
California
ZIP/Postal Code
91505
Country
United States
Facility Name
City of Hope Comprehensive Cancer Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010-3000
Country
United States
Facility Name
Scripps Cancer Center at Scripps Clinic
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
Northwest Oncology and Hematology Associates
City
Coral Springs
State/Province
Florida
ZIP/Postal Code
33065
Country
United States
Facility Name
Florida Cancer Specialists - World Plaza
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33908
Country
United States
Facility Name
Memorial Cancer Institute at Memorial Regional Hospital
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33021
Country
United States
Facility Name
Florida Oncology Associates - South Side
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32207
Country
United States
Facility Name
University of Miami Sylvester Comprehensive Cancer Center
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Florida Cancer Institute - New Port Richey
City
New Port Richey
State/Province
Florida
ZIP/Postal Code
34655
Country
United States
Facility Name
St. Joseph's Hospital
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31419
Country
United States
Facility Name
Cancer Care Center
City
New Albany
State/Province
Indiana
ZIP/Postal Code
47150
Country
United States
Facility Name
Cancer Center at Greater Baltimore Medical Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21204-6881
Country
United States
Facility Name
Wellstat Therapeutics
City
Gaithersburg
State/Province
Maryland
ZIP/Postal Code
20878
Country
United States
Facility Name
CCOP - Metro-Minnesota
City
Saint Louis Park
State/Province
Minnesota
ZIP/Postal Code
55416
Country
United States
Facility Name
Capitol Comprehensive Cancer Care Clinic
City
Jefferson City
State/Province
Missouri
ZIP/Postal Code
65109
Country
United States
Facility Name
David C. Pratt Cancer Center at St. John's Mercy
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
University of New Mexico Cancer Research and Treatment Center
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131-5636
Country
United States
Facility Name
Queens Medical Associates, PC
City
Fresh Meadows
State/Province
New York
ZIP/Postal Code
11365
Country
United States
Facility Name
New York Weill Cornell Cancer Center at Cornell University
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Summit Oncology Associates
City
Akron
State/Province
Ohio
ZIP/Postal Code
44304
Country
United States
Facility Name
Penn State Cancer Institute at Milton S. Hershey Medical Center
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033-0850
Country
United States
Facility Name
Fox Chase - Temple Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
Country
United States
Facility Name
Cancer Centers of the Carolinas - Eastside
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29615
Country
United States
Facility Name
Corpus Christi Cancer Center
City
Corpus Christi
State/Province
Texas
ZIP/Postal Code
78412
Country
United States
Facility Name
Ottawa Regional Cancer Centre at Ottawa Hospital - General Campus
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 1C4
Country
Canada
Facility Name
Regional Cancer Care at Thunder Bay Regional Health Sciences Centre
City
Thunder Bay
State/Province
Ontario
ZIP/Postal Code
P7B 6V4
Country
Canada
Facility Name
McGill Cancer Centre at McGill University
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2W 1S6
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

Triacetyluridine and Fluorouracil Compared With Gemcitabine in Treating Patients With Unresectable Locally Advanced, or Metastatic Pancreatic Cancer

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