Pancreatic CancerPhase 2NCT01888978
Molecularly Tailored Therapy for Pancreas Cancer
A Phase 2 study testing Gem-OX, Gem-5FU and Gem-Tax in people with Pancreatic Cancer, run by Georgetown University at 2 sites in United States.
Trial summary
Patient therapy is tailored according to the molecular profile of the patient's tumor. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreatic Cancer
- What is being tested?
- Gem-OX, Gem-5FU and Gem-Tax
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 19 participants
- Where
- 2 sitesUnited States
- Study dates
- Dec 2012to 24 Jan 2018
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically proven pancreatic adenocarcinoma with measurable disease
- Biopsy accessible tumor deposits
- ECOG performance status 0-2
- Age >/= 18 years
- Subjects with no brain metastases or history of previously treated brain metastases
- Adequate hepatic, renal, and bone marrow function
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- Partial thromboplastin time must be </= 1.5 x upper normal limit of institution's normal range and INR < 1.5
- Life expectancy > 12 weeks
- Women of childbearing potential must have a negative seum pregnancy test within 14 days prior to initiation of treatment
- Subject is capable of understanding and complying with parameters as outlines in the protocol and able to sign and date the consents
Who cannot join
- CNS metastases which do not meet criteria outlines in inclusion criteria
- Active severe infection or known chronic infection with HIV or hepatitis B virus
- Cardiovascular disease
- Life threatening visceral disease or other severe concurrent disease
- Women who are pregnant, breastfeeding, or women of childbearing potential not using dual forms of effective contraception
- Anticipated patient survival under 3 months
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- Patients receiving any other investigational agents
- History of allergic reactions attributed to compounds of similar chemical or biological composition to gemcitabine, oxaliplatin, 5-FU, docetaxel or irinotecan
- Uncontrolled intercurrent illness
Trial locations and contacts
2 sites in 1 country.
United States2 sites
MedStar Montgomery Medical Center
Olney, Maryland, 20832
Georgetown University- Lombardi Comprehensive Cancer Center
Washington D.C., District of Columbia, 20007
About this study
Official title: A Pilot Study of Molecularly Tailored Therapy for Patients With Metastatic Pancreatic Cancer
Patient therapy is tailored according to the molecular profile of the patient's tumor.
Read the detailed description
This study is for patients with metastatic pancreatic cancer (cancer that has spread to other parts of the body). The purpose of this study is to determine whether molecularly tailored therapy can improve the effectiveness of standard chemotherapy combinations for patients with metastatic pancreatic cancer. A series of special tests will be performed on a sample of tumor, and based on the results subjects will be assigned to one of seven chemotherapy treatments, with each being the combination of two standard chemotherapies. Each of these combinations has been safely used in patients with pancreatic or other types of cancer. The purpose of this study is to to determine the ability to personalize therapy in this manner, and to determine how many patients a larger study would need. A second purpose is not to determine if one doublet is better than another. Rather, this second purpose is to show that for all patients enrolled in this protocol who have been assigned a doublet based on their tumor's molecular analysis (molecular tailoring), treatment response will be better than would be expected compared to patients who have been treated in the past with no molecular tailoring.
- Conditions
- Pancreatic Cancer
- Being tested
- Gem-OX, Gem-5FU, Gem-Tax, Modified FOLFOX-6, Ox-Tax
- Keywords
- Pancreas, cancer, metastatic, chemotherapy
- Medical subject headings
- Pancreatic Neoplasms, Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gem-OXDrug
Also called Gemcitabine, Gemzar, Oxaliplatin, Eloxatin
Gem-5FUDrug
Also called Gemcitabine, Gemzar, 5-FU, 5-fluorouracil
Gem-TaxDrug
Also called Gemcitabine, Gemzar, Docetael, taxotere
Modified FOLFOX-6Drug
Also called Oxaliplatin, Eloxatin, 5-FU, 5-Fluorourcil
Ox-TaxDrug
Also called Docetaxel, Taxotere, Oxalipaltin, Eloxatin
FOLFIRIDrug
Also called Irinotecan, CPT-11, 5-FU, 5-Fluorouracil
Tax-IriDrug
Also called Docetaxel, Taxotere, Irinotecan, CPT-11
| Study group | Role | What they receive |
|---|---|---|
| Modified FOLFOX-6 | Experimental | Oxaliplatin 85 mg/m2 day 1 and 5-fluorouracil 400 mg/m2 day 1 and Leucovorin 400 mg/m2 day 1 and 5-fluorouracil 2400 mg/m2 over 46 hours on day 1-3 of every 14 day cycle All drugs will be administered until disease progression or unacceptable toxicity are observed Receives: Drug: Modified FOLFOX-6 |
| Ox-Tax | Experimental | Docetaxel 65 mg/m2 and Oxaliplatin 100 mg/m2 on day 1 every 3 weeks All drugs will be administered until disease progression or unacceptable toxicity are observed Receives: Drug: Ox-Tax |
| FOLFIRI | Experimental | Irinotecan 180 mg/m2 on day 1 and 5-FU 400 mg/m2 on day 1 and Leucovorin 400 mg/m2 day 1 and 5-FU 2400 mg/m2 over 46 hours, days 1-3 as a continuous infusion All drugs will be administered until disease progression or unacceptable toxicity are observed Receives: Drug: FOLFIRI |
| Tax-Iri | Experimental | 2 weeks on, 1 week off of Docetaxel 35 mg/m2/week and Irinotecan 50 mg/m2/week Both administered on day 1 of each week of treatment All drugs will be administered until disease progression or unacceptable toxicity are observed Receives: Drug: Tax-Iri |
| Gem-Ox | Experimental | Gemcitabine: 1000 mg/m2 over 100 minutes on Day 1 Oxaliplatin: 100 mg/m2 over 120 minutes on Day 2 of every 14 day cycle All drugs will be administered until disease progression or unacceptable toxicity are observed Receives: Drug: Gem-OX |
| Gem-5FU | Experimental | Gemcitabine: 1000 mg/m2 over 30 minutes 5-FU 2000/m6 as a 24 hour infusion on days 1, 8, and 15 of every 28 day cycle All drugs will be administered until disease progression or unacceptable toxicity are observed Receives: Drug: Gem-5FU |
| Gem-Tax | Experimental | Gemcitabine 1000 mg/m2 over 30 minutes and Docetaxel 35 mg/m2 over 60 minutes on days 1, 8, and 15 of every 28 day cycle Receives: Drug: Gem-Tax |
What is being measured
The primary outcome is the main question the study is designed to answer.
Timing of biopsy and treatment
The number of days from study entry to biopsy to molecular results to first dose
Measured: 1 year
Secondary outcomes (3)
Estimates for future trials
objective response rate, proportions of patients with each molecular profile, timing of biopsy and therapy results, usefulness of molecular profile results and adverse events.
Measured: 1 year
Clinical Benefit
confirmed classification of stable disease, partial response, or complete response
Measured: 1 year
Progression-free survival
Time in days from study entry until progression or death
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jun 2013 (estimated)
- Study startDec 2012
- Primary completionJun 2016
- Study completion24 Jan 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pancreatic CancerStudies of the same condition, open and under way.
- More trials run by Georgetown UniversityThe sponsor's other registered studies.
- 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
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 19 participants (actual)
Sponsor and investigators
- Lead sponsor
- Georgetown University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Michael Pishvaian, MD, Principal investigator, Georgetown University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01888978
- Sponsor's protocol ID
- 2011-384
- Status last verified
- Jul 2017
- First submitted
- 26 Jun 2013
- Last updated
- 9 Apr 2018
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 9 Apr 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pilot Study of Molecularly Tailored Therapy for Patients With Metastatic Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT01888978
- Acronym / sponsor ID
- 2011-384
- Conditions
- Pancreatic Cancer
- Keywords
- Pancreas, cancer, metastatic, chemotherapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 19 participants (actual)
- Lead sponsor
- Georgetown UniversityUniversity, hospital or other
- Study start
- Dec 2012
- Primary completion
- Jun 2016 (actual)
- Study completion
- 24 Jan 2018 (actual)
- First posted
- 28 Jun 2013 (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.
Patient therapy is tailored according to the molecular profile of the patient's tumor.
Detailed description
This study is for patients with metastatic pancreatic cancer (cancer that has spread to other parts of the body). The purpose of this study is to determine whether molecularly tailored therapy can improve the effectiveness of standard chemotherapy combinations for patients with metastatic pancreatic cancer. A series of special tests will be performed on a sample of tumor, and based on the results subjects will be assigned to one of seven chemotherapy treatments, with each being the combination of two standard chemotherapies. Each of these combinations has been safely used in patients with pancreatic or other types of cancer. The purpose of this study is to to determine the ability to personalize therapy in this manner, and to determine how many patients a larger study would need. A second purpose is not to determine if one doublet is better than another. Rather, this second purpose is to show that for all patients enrolled in this protocol who have been assigned a doublet based on their tumor's molecular analysis (molecular tailoring), treatment response will be better than would be expected compared to patients who have been treated in the past with no molecular tailoring.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Modified FOLFOX-6 | Experimental | Drug: Modified FOLFOX-6Oxaliplatin 85 mg/m2 day 1 and 5-fluorouracil 400 mg/m2 day 1 and Leucovorin 400 mg/m2 day 1 and 5-fluorouracil 2400 mg/m2 over 46 hours on day 1-3 of every 14 day cycle All drugs will be administered until disease progression or unacceptable toxicity are observed |
| Ox-Tax | Experimental | Drug: Ox-TaxDocetaxel 65 mg/m2 and Oxaliplatin 100 mg/m2 on day 1 every 3 weeks All drugs will be administered until disease progression or unacceptable toxicity are observed |
| FOLFIRI | Experimental | Drug: FOLFIRIIrinotecan 180 mg/m2 on day 1 and 5-FU 400 mg/m2 on day 1 and Leucovorin 400 mg/m2 day 1 and 5-FU 2400 mg/m2 over 46 hours, days 1-3 as a continuous infusion All drugs will be administered until disease progression or unacceptable toxicity are observed |
| Tax-Iri | Experimental | Drug: Tax-Iri2 weeks on, 1 week off of Docetaxel 35 mg/m2/week and Irinotecan 50 mg/m2/week Both administered on day 1 of each week of treatment All drugs will be administered until disease progression or unacceptable toxicity are observed |
| Gem-Ox | Experimental | Drug: Gem-OXGemcitabine: 1000 mg/m2 over 100 minutes on Day 1 Oxaliplatin: 100 mg/m2 over 120 minutes on Day 2 of every 14 day cycle All drugs will be administered until disease progression or unacceptable toxicity are observed |
| Gem-5FU | Experimental | Drug: Gem-5FUGemcitabine: 1000 mg/m2 over 30 minutes 5-FU 2000/m6 as a 24 hour infusion on days 1, 8, and 15 of every 28 day cycle All drugs will be administered until disease progression or unacceptable toxicity are observed |
| Gem-Tax | Experimental | Drug: Gem-TaxGemcitabine 1000 mg/m2 over 30 minutes and Docetaxel 35 mg/m2 over 60 minutes on days 1, 8, and 15 of every 28 day cycle |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Histologically proven pancreatic adenocarcinoma with measurable disease
- Biopsy accessible tumor deposits
- ECOG performance status 0-2
- Age >/= 18 years
- Subjects with no brain metastases or history of previously treated brain metastases
Key exclusion criteria (9 listed)
- CNS metastases which do not meet criteria outlines in inclusion criteria
- Active severe infection or known chronic infection with HIV or hepatitis B virus
- Cardiovascular disease
- Life threatening visceral disease or other severe concurrent disease
- Women who are pregnant, breastfeeding, or women of childbearing potential not using dual forms of effective contraception
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 |
|---|---|---|
| Gem-OXAlso: Gemcitabine, Gemzar, Oxaliplatin, Eloxatin | Drug | Gem-Ox |
| Gem-5FUAlso: Gemcitabine, Gemzar, 5-FU, 5-fluorouracil | Drug | Gem-5FU |
| Gem-TaxAlso: Gemcitabine, Gemzar, Docetael, taxotere | Drug | Gem-Tax |
| Modified FOLFOX-6Also: Oxaliplatin, Eloxatin, 5-FU, 5-Fluorourcil | Drug | Modified FOLFOX-6 |
| Ox-TaxAlso: Docetaxel, Taxotere, Oxalipaltin, Eloxatin | Drug | Ox-Tax |
| FOLFIRIAlso: Irinotecan, CPT-11, 5-FU, 5-Fluorouracil | Drug | FOLFIRI |
| Tax-IriAlso: Docetaxel, Taxotere, Irinotecan, CPT-11 | Drug | Tax-Iri |
Primary outcome
Timing of biopsy and treatment
Time frame: 1 year
The number of days from study entry to biopsy to molecular results to first dose
3 secondary outcomes
Estimates for future trials
Time frame: 1 year
Clinical Benefit
Time frame: 1 year
Progression-free survival
Time frame: 1 year
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 9 Apr 2018.
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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.
Michael Pishvaian, MD principal investigator
Georgetown University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Gem-OX, Gem-5FU and Gem-Tax in people with Pancreatic Cancer, run by Georgetown University at 2 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 10 inclusion and 9 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 9 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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 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?
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?
Timing of biopsy and treatment (time frame: 1 year). 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 9 Apr 2018; AzTrials last refreshed its copy on 6 Nov 2026.