Extrahepatic Bile Duct CancerPhase 2NCT00010088
Chemotherapy in Treating Patients With Locally Advanced or Metastatic Cancer of the Pancreas or Bile Duct
A Phase 2 study testing fluorouracil, gemcitabine hydrochloride and leucovorin calcium in people with Extrahepatic Bile Duct Cancer and Pancreatic Cancer, run by GERCOR - Multidisciplinary Oncology Cooperative Group at 50 sites in 2 countries.
Trial summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combining gemcitabine, leucovorin, and fluorouracil in treating patients who have locally… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Extrahepatic Bile Duct Cancer, Pancreatic Cancer
- What is being tested?
- fluorouracil, gemcitabine hydrochloride and leucovorin calcium
- Type of treatment
- Surgery or procedure
- How many people
- Not given
- Where
- 50 sitesin 2 countries
- Study dates
- Jan 1999to not given
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS: Histologically confirmed pancreatic or biliary duct adenocarcinoma Metastatic or locally advanced No cerebral metastasis Surgically unresectable
PATIENT CHARACTERISTICS: Age: 18 to 75 Performance status: ECOG 0-2 Life expectancy: More than 12 months Hematopoietic: Absolute neutrophil count greater than 1,500/mm3 Platelet count greater than 100,000/mm3 Hepatic: Alkaline phosphatase less than 5 times normal Bilirubin less than 1.5 times normal Renal: Creatinine less than 1.5 times normal No uncontrolled or persistent hypercalcemia Cardiovascular: No severe cardiac failure Pulmonary: No severe respiratory failure Other: No other malignant tumor considered incurable or untreatable No uncontrolled pain No psychological, familial, social, or geographical reasons that would preclude study
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy Endocrine therapy: No concurrent corticosteroids except as antiemetic Radiotherapy: No prior radiotherapy Surgery: See Disease Characteristics
Trial locations and contacts
50 sites in 2 countries.
50 sites in 2 countries
France49 sites
Clinique De Rochebelle
Alès, F-30100
Centre Hospitalier Victor Dupouy
Argenteuil, 95107
Centre D'Oncologie Du Pays-Basqu
Bayonne, F-64100
C.H.G. Beauvais
Beauvais, 60021
Institut Bergonie
Bordeaux, 33076
CMC Bligny
Briis-sous-Forges, 91640
Clinique Saint-Jean
Cagne-sur-Mer, 06800
Hopital Fontenoy
Chartres, 28018
Hopital Beaujon
Clichy, 92118
Hopital Drevon
Dijon, 21000
Centre D'Oncologie Dunkerquois
Dunkirk, 59240
Polyclinique De La Foret
Fontaineblea, 7300
CHR de Grenoble - La Tronche
Grenoble, 38043
Centre De Charlebourg
La Garenne-Colombes, 92250
Clinique Du Cap D'OR
LA Seyne Sur Me, 83500
Hopital Andre Mignot
Le Chesnay, 78157
Hopital de la Croix Rousse
Lyon, 69317
Assistance Publique Hopitaux de Marseille Hopitaux Sud
Marseille, 13274
Hopital Notre-Dame de Bon Secours
Metz, 55038
Hopital Clinique Claude Bernard
Metz, 57070
Intercommunal Hospital
Montfermeil, 93370
Centre Hospitalier De Moulins Yzeure
Moulins, 03006 Cedex
Centre Hospitalier de Mulhouse
Mulhouse, 68051
CHR Hotel Dieu
Nantes, 44093
American Hospital of Paris
Neuilly-sur-Seine, F-92202
CHR D'Orleans - Hopital de la Source
Orléans, 45067
Hopital Laennec
Paris, 75007
Clinique Du Mont Louis
Paris, 75011
Hopital Rothschild
Paris, 75012
Hopital Saint Joseph
Paris, 75014
L'Institut Mutualiste Montsouris Jourdan
Paris, 75014
Hopital Boucicaut
Paris, 75015
Hopital Saint-Louis
Paris, 75475
Hopital Saint Antoine
Paris, 75571
Hopital Tenon
Paris, 75970
Hopital De La Croix
Paris, Cedex 20
Clinique Bizet
Paris, CEDEX
Hopital Haut Leveque
Pessac, 33604
Clinique Ste-Marie
Pontoise, 95301
Hopital Claude Gallien
Quincy-sous-Sénart, 91480
Polyclinique De Courlancy
Reims, F-51100
Oncologie Medicale
Saint-Jean, 31240
Centre du Rouget
Sarcelles, 95250
C.H. Senlis
Senlis, 60300
Centre Hospitalier Intercommunal Toulon - La Seyne/Mer
Toulon, 83056
Clinique Pasteur
Toulouse, 31076
Polyclinique Flemming
Tours, 37000
Centre Saint-Yves
Vannes, 56001
Institut Gustave Roussy
Villejuif, F-94805
Luxembourg1 site
Hopital de la Ville D'Esch-sur-Alzette
Esch-sur-Alzette, L-4005
About this study
Official title: Study Of Gemcitabine, Leukovorin, And Fluorouracil Used To Treat Locally Advanced And Metastatic Pancreatic And Biliary Adenocarcinomas
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining gemcitabine, leucovorin, and fluorouracil in treating patients who have locally advanced or metastatic cancer of the pancreas or bile duct.
Read the detailed description
OBJECTIVES: I. Determine the response rate, in terms of WHO objectives and clinical benefit, in patients with locally advanced or metastatic pancreatic or biliary adenocarcinoma treated with gemcitabine, leucovorin calcium, and fluorouracil. II. Determine the tolerance of this regimen in this patient population. III. Determine the survival without disease progression in patients treated with this regimen. IV. Determine the overall survival in patients treated with this regimen.
OUTLINE: This is a multicenter study. Patients receive leucovorin calcium IV over 2 hours followed by fluorouracil IV over 24 hours on day 1 followed by gemcitabine IV over 80-150 minutes on day 2. Treatment repeats every 2 weeks for a minimum of 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete response may continue chemotherapy for up to 1 year. Patients with locally advanced disease after 3 months of chemotherapy may receive concurrent radiotherapy with chemotherapy for 5 weeks, or may undergo surgical resection. Fluorouracil-based chemotherapy (with or without radiotherapy) may then resume after surgery. Patients are followed for survival.
PROJECTED ACCRUAL: A total of 14-39 patients will be accrued for this study.
- Conditions
- Extrahepatic Bile Duct Cancer, Pancreatic Cancer
- Being tested
- fluorouracil, gemcitabine hydrochloride, leucovorin calcium, conventional surgery, radiation therapy
- Keywords
- stage II pancreatic cancer, stage III pancreatic cancer, unresectable extrahepatic bile duct cancer, adenocarcinoma of the extrahepatic bile duct, adenocarcinoma of the pancreas, stage IV pancreatic cancer
- Medical subject headings
- Bile Duct Neoplasms, Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
fluorouracilDrug
conventional surgeryProcedure or surgery
radiation therapyRadiation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2004 (estimated)
- Study startJan 1999
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Extrahepatic Bile Duct CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
Sponsor and investigators
- Lead sponsor
- GERCOR - Multidisciplinary Oncology Cooperative Group
- Sponsor type
- University, hospital or other
- Investigators
- Christophe Louvet, MD, PhD, Study chair, Hopital Saint Antoine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00010088
- Sponsor's protocol ID
- CDR0000068440
- Other IDs
- FRE-GERCOR-FOLFUGEM2-D99-3, EU-20024
- Status last verified
- Apr 2007
- First submitted
- 2 Feb 2001
- Last updated
- 9 Feb 2009
- Results posted
- No
Publications
Huguet F, Andre T, Hammel P, Artru P, Balosso J, Selle F, Deniaud-Alexandre E, Ruszniewski P, Touboul E, Labianca R, de Gramont A, Louvet C. Impact of chemoradiotherapy after disease control with chemotherapy in locally advanced pancreatic adenocarcinoma in GERCOR phase II and III studies. J Clin Oncol. 2007 Jan 20;25(3):326-31. doi: 10.1200/JCO.2006.07.5663.
PubMed 17235048Andre T, Noirclerc M, Hammel P, Meckenstock R, Landi B, Cattan S, Selle F, Codoul JF, Guerrier-Parmentier B, Mokhtar R, Louvet C; GERCOR. Phase II study of leucovorin, 5-fluorouracil and gemcitabine for locally advanced and metastatic pancreatic cancer (FOLFUGEM 2). Gastroenterol Clin Biol. 2004 Aug-Sep;28(8-9):645-50. doi: 10.1016/s0399-8320(04)95042-7.
PubMed 15646530
Study at a glance
From the registry record, last updated by the sponsor on 9 Feb 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study Of Gemcitabine, Leukovorin, And Fluorouracil Used To Treat Locally Advanced And Metastatic Pancreatic And Biliary Adenocarcinomas
- ClinicalTrials.gov ID
- NCT00010088
- Acronym / sponsor ID
- CDR0000068440
- Conditions
- Extrahepatic Bile Duct Cancer, Pancreatic Cancer
- Keywords
- stage II pancreatic cancer, stage III pancreatic cancer, unresectable extrahepatic bile duct cancer, adenocarcinoma of the extrahepatic bile duct, adenocarcinoma of the pancreas, stage IV pancreatic cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Lead sponsor
- GERCOR - Multidisciplinary Oncology Cooperative GroupUniversity, hospital or other
- Study start
- Jan 1999
- First posted
- 20 May 2004 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining gemcitabine, leucovorin, and fluorouracil in treating patients who have locally advanced or metastatic cancer of the pancreas or bile duct.
Detailed description
OBJECTIVES: I. Determine the response rate, in terms of WHO objectives and clinical benefit, in patients with locally advanced or metastatic pancreatic or biliary adenocarcinoma treated with gemcitabine, leucovorin calcium, and fluorouracil. II. Determine the tolerance of this regimen in this patient population. III. Determine the survival without disease progression in patients treated with this regimen. IV. Determine the overall survival in patients treated with this regimen.
OUTLINE: This is a multicenter study. Patients receive leucovorin calcium IV over 2 hours followed by fluorouracil IV over 24 hours on day 1 followed by gemcitabine IV over 80-150 minutes on day 2. Treatment repeats every 2 weeks for a minimum of 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete response may continue chemotherapy for up to 1 year. Patients with locally advanced disease after 3 months of chemotherapy may receive concurrent radiotherapy with chemotherapy for 5 weeks, or may undergo surgical resection. Fluorouracil-based chemotherapy (with or without radiotherapy) may then resume after surgery. Patients are followed for survival.
PROJECTED ACCRUAL: A total of 14-39 patients will be accrued for this study.
Study design
- Primary purpose
- Treatment
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| fluorouracil | Drug | – |
| gemcitabine hydrochloride | Drug | – |
| leucovorin calcium | Drug | – |
| conventional surgery | Procedure or surgery | – |
| radiation therapy | Radiation | – |
Primary outcome
Not reported in the source record.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Feb 2009.
- Background: PubMed 17235048Huguet F, Andre T, Hammel P, Artru P, Balosso J, Selle F, Deniaud-Alexandre E, Ruszniewski P, Touboul E, Labianca R, de Gramont A, Louvet C. Impact of chemoradiotherapy after disease control with chemotherapy in locally advanced pancreatic adenocarcinoma in GERCOR phase II and III studies. J Clin Oncol. 2007 Jan 20;25(3):326-31. doi: 10.1200/JCO.2006.07.5663.
- Results publication: PubMed 15646530Andre T, Noirclerc M, Hammel P, Meckenstock R, Landi B, Cattan S, Selle F, Codoul JF, Guerrier-Parmentier B, Mokhtar R, Louvet C; GERCOR. Phase II study of leucovorin, 5-fluorouracil and gemcitabine for locally advanced and metastatic pancreatic cancer (FOLFUGEM 2). Gastroenterol Clin Biol. 2004 Aug-Sep;28(8-9):645-50. doi: 10.1016/s0399-8320(04)95042-7.
Related trials for Extrahepatic Bile Duct Cancer
Recruiting
Photodynamic Therapy Combined With a Self-expandable Radioactive Particle-loaded Biliary Stent for Unresectable Extrahepatic Cholangiocarcinoma
Extrahepatic Cholangiocarcinoma
RecruitingPhase 1/2
A Study of CDX-1140, a CD40 Agonist, in Combination With Capecitabine and Oxaliplatin (CAPOX) and Keytruda in Subjects With Biliary Tract Carcinoma (BTC)
Biliary Cancer, Bile Duct Cancer
RecruitingObservational study
Obtaining Solid Tumor Tissue From People Having Biopsy or Surgery for Certain Types of Cancer
Colorectal Neoplasms, Gastric Neoplasms
RecruitingPhase 3
Efficacy and Safety of Zanidatamab With Standard-of-care Therapy Against Standard-of-care Therapy for Advanced HER2-positive Biliary Tract Cancer
Biliary Tract Cancer
Active, not recruitingPhase 2
Testing the Combination of Pevonedistat With Chemotherapy for Bile Duct Cancer of the Liver
Metastatic Cholangiocarcinoma, Metastatic Hepatocellular Carcinoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Christophe Louvet, MD, PhD study chair
Hopital Saint Antoine
50 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing fluorouracil, gemcitabine hydrochloride and leucovorin calcium in people with Extrahepatic Bile Duct Cancer and Pancreatic Cancer, run by GERCOR - Multidisciplinary Oncology Cooperative Group at 50 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 9 Feb 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 50 sites in France, Luxembourg. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00010088, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Feb 2009.