Advanced Pancreatic CancerPhase 1NCT01010945
Erlotinib, Gemcitabine and Nab-Paclitaxel in Advanced Pancreatic Cancer
A Phase 1 study testing erlotinib, gemcitabine and nab-paclitaxel in people with Advanced Pancreatic Cancer, run by OSI Pharmaceuticals at 5 sites in United States.
Trial summary
This is a phase 1b study to evaluate the combination of gemcitabine and Tarceva (erlotinib) and nab-paclitaxel in patients with advanced pancreatic cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Pancreatic Cancer
- What is being tested?
- erlotinib, gemcitabine and nab-paclitaxel
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 19 participants
- Where
- 5 sitesUnited States
- Study dates
- 3 Feb 2010to 25 Jan 2012
- Phase
- Phase 1
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-1
- Predicted life expectancy of >= 12 weeks
- Previous surgery
- Histologically or cytologically confirmed, measurable, locally advanced, unresectable or metastatic pancreatic adenocarcinoma
- No prior therapy for pancreatic cancer
- Adequate organ and marrow function
Show all 14Show fewer
- Absolute neutrophil count >= 1.5 x 10^9/L
- Platelets >= 100 x 10^9/L
- Total bilirubin <= institutional upper limits of normal
- AST (SGOT)/ALT(SGPT) <= 2 x institutional upper limits of normal
- Serum creatinine <= 1.5 x upper limits of normal
- Negative pregnancy test
- Informed consent
- Patient must agree not to smoke while on study
Who cannot join
- Significant history of cardiac disease unless the disease is well controlled
- Active or uncontrolled infections or serious illness or medical conditions that could interfere with the patient's ongoing participation in study
- History of any psychiatric condition that might impair the patient's ability to understand or to comply with the requirements of the study or to provide informed consent
- History of smoking within the previous 14 days before enrollment or positive cotinine test at baseline
- Pregnant or breast-feeding females
- Symptomatic brain metastases that are not stable, that require steroids, that are potentially life-threatening, or that have required radiation within the last 14 days
- History of allergic reactions attributed to compounds of similar chemical or biological composition to the study drugs
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
United States5 sites
University of Colorado Cancer Center
Aurora, Colorado, 80045
University of North Carolina
Chapel Hill, North Carolina, 27514
Vanderbilt Ingram Cancer Center
Nashville, Tennessee, 37232
Desert Comprehensive Cancer Center
Palm Springs, California, 92262
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
About this study
Official title: A Phase Ib Study of Erlotinib in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Previously Untreated Advanced Pancreatic Cancer
This is a phase 1b study to evaluate the combination of gemcitabine and Tarceva (erlotinib) and nab-paclitaxel in patients with advanced pancreatic cancer.
Read the detailed description
This is a single-arm, phase 1b study to determine the maximum tolerated dose (MTD) of the combination of erlotinib (daily), gemcitabine (weekly), nab-paclitaxel (weekly) in patients with advanced pancreatic cancer.
- Conditions
- Advanced Pancreatic Cancer
- Being tested
- erlotinib, gemcitabine, nab-paclitaxel
- Keywords
- erlotinib, nab-paclitaxel, gemcitabine, Adenocarcinoma, Advanced Pancreatic Cancer, Phase 1b
- Medical subject headings
- Adenocarcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
erlotinibDrug
Also called Tarceva, OSI-774
administered orally
gemcitabineDrug
administered intravenously
nab-paclitaxelDrug
administered intravenously
| Study group | Role | What they receive |
|---|---|---|
| erlotinib, gemcitabine, nab-paclitaxel | Experimental | Patients receive the following treatment in 28-day cycles: 1) erlotinib: orally once daily from days 1 through 28 continuous dosing; 2) gemcitabine (following nab-paclitaxel): intravenously over 30 minutes on days 1, 8 and 15 every 28 days; and 3) nab-paclitaxel: intravenously over 30 minutes on days 1, 8 and 15 every 28 days. Receives: Drug: erlotinib; Drug: gemcitabine; Drug: nab-paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Tolerated Dose
Measured: Monthly (to a maximum of 12 months)
Secondary outcomes (6)
Safety of drug combination assessed through dose limiting toxicities (DLTs)
Measured: 1 month
Safety of drug combination assessed through Adverse Events (AEs)
Measured: Monthly (to a maximum of 12 months)
Evaluate erlotinib Pharmacokinetic (PK) trough concentrations (C24h)
Measured: Days 29 (Cycle 2, Day 1) and 30
Objective Response Rate
Response will be based on the RECIST v1.1 criteria. Patients with partial and complete response will be classified as "responders".
Measured: Monthly (to a maximum of 12 months)
Progression Free Survival (PFS)
PFS will be calculated as the time from start of treatment until disease progression or death; patients who are still alive and free of progression at their last follow-up will be censored at that time.
Measured: Monthly (to a maximum of 12 months)
Overall Survival
Survival will be calculated as the time from start of treatment until death of any cause, patients who are still alive at their last follow-up will be censored at that time.
Measured: Monthly (to a maximum of 12 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2009 (estimated)
- Study start3 Feb 2010
- Primary completion25 Jan 2012
- Study completion25 Jan 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Pancreatic 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 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 19 participants (actual)
Sponsor and investigators
- Lead sponsor
- OSI Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Astellas Pharma Global Development
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01010945
- Sponsor's protocol ID
- OSI-774-108
- Other IDs
- 09PAN01
- Status last verified
- Nov 2024
- First submitted
- 6 Nov 2009
- Last updated
- 21 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Study at a glance
From the registry record, last updated by the sponsor on 21 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase Ib Study of Erlotinib in Combination With Gemcitabine and Nab-Paclitaxel in Patients With Previously Untreated Advanced Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT01010945
- Acronym / sponsor ID
- OSI-774-108
- Conditions
- Advanced Pancreatic Cancer
- Keywords
- erlotinib, nab-paclitaxel, gemcitabine, Adenocarcinoma, Advanced Pancreatic Cancer, Phase 1b
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 19 participants (actual)
- Lead sponsor
- OSI PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 3 Feb 2010 (actual)
- Primary completion
- 25 Jan 2012 (actual)
- Study completion
- 25 Jan 2012 (actual)
- First posted
- 10 Nov 2009 (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.
This is a phase 1b study to evaluate the combination of gemcitabine and Tarceva (erlotinib) and nab-paclitaxel in patients with advanced pancreatic cancer.
Detailed description
This is a single-arm, phase 1b study to determine the maximum tolerated dose (MTD) of the combination of erlotinib (daily), gemcitabine (weekly), nab-paclitaxel (weekly) in patients with advanced pancreatic cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| erlotinib, gemcitabine, nab-paclitaxel | Experimental | Drug: erlotinib, Drug: gemcitabine, Drug: nab-paclitaxelPatients receive the following treatment in 28-day cycles: 1) erlotinib: orally once daily from days 1 through 28 continuous dosing; 2) gemcitabine (following nab-paclitaxel): intravenously over 30 minutes on days 1, 8 and 15 every 28 days; and 3) nab-paclitaxel: intravenously over 30 minutes on days 1, 8 and 15 every 28 days. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-1
- Predicted life expectancy of >= 12 weeks
- Previous surgery
- Histologically or cytologically confirmed, measurable, locally advanced, unresectable or metastatic pancreatic adenocarcinoma
- No prior therapy for pancreatic cancer
Key exclusion criteria (7 listed)
- Significant history of cardiac disease unless the disease is well controlled
- Active or uncontrolled infections or serious illness or medical conditions that could interfere with the patient's ongoing participation in study
- History of any psychiatric condition that might impair the patient's ability to understand or to comply with the requirements of the study or to provide informed consent
- History of smoking within the previous 14 days before enrollment or positive cotinine test at baseline
- Pregnant or breast-feeding females
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 |
|---|---|---|
| erlotinibAlso: Tarceva, OSI-774administered orally | Drug | erlotinib, gemcitabine, nab-paclitaxel |
| gemcitabineadministered intravenously | Drug | erlotinib, gemcitabine, nab-paclitaxel |
| nab-paclitaxeladministered intravenously | Drug | erlotinib, gemcitabine, nab-paclitaxel |
Primary outcome
Maximum Tolerated Dose
Time frame: Monthly (to a maximum of 12 months)
6 secondary outcomes
Safety of drug combination assessed through dose limiting toxicities (DLTs)
Time frame: 1 month
Safety of drug combination assessed through Adverse Events (AEs)
Time frame: Monthly (to a maximum of 12 months)
Evaluate erlotinib Pharmacokinetic (PK) trough concentrations (C24h)
Time frame: Days 29 (Cycle 2, Day 1) and 30
Objective Response Rate
Time frame: Monthly (to a maximum of 12 months)
Progression Free Survival (PFS)
Time frame: Monthly (to a maximum of 12 months)
Overall Survival
Time frame: Monthly (to a maximum of 12 months)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Nov 2024.
- Individual participant dataSharing planned: No. Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
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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.
Medical Monitor study director
Astellas Pharma Global Development
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing erlotinib, gemcitabine and nab-paclitaxel in people with Advanced Pancreatic Cancer, run by OSI Pharmaceuticals at 5 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 7 exclusion criteria. 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: finished, as of the sponsor's last update on 21 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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.
What does the primary outcome measure?
Maximum Tolerated Dose (time frame: Monthly (to a maximum of 12 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Nov 2024.