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Metastatic Pancreatic AdenocarcinomaPhase 1/2NCT02324543

Study of Gemcitabine/Taxotere/Xeloda (GTX) in Combination With Cisplatin and Irinotecan in Subjects With Metastatic Pancreatic Cancer

A Phase 1/2 study testing Gemcitabine, Taxotere and Xeloda in people with Metastatic Pancreatic Adenocarcinoma, run by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will be looking at whether gemcitabine, taxotere, and xeloda (GTX) in combination with cisplatin and irinotecan is effective (anti-tumor activity) and safe in patients with metastatic pancreatic cancer. Read more about this study

Who is it for?
Ages 18 to 76 years
Conditions the study is for
Metastatic Pancreatic Adenocarcinoma
What is being tested?
Gemcitabine, Taxotere and Xeloda
Could I receive a placebo?
No, everyone receives an active treatment
How many people
47 participants
Where
1 siteUnited States
Study dates
Feb 2015to Feb 2020
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 76 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed untreated metastatic pancreatic adenocarcinoma.
  • Have measurable disease.
  • Male or non-pregnant and non-lactating female of age >18 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 . ECOG 0 indicates that the patient is fully active and able to carry on all pre-disease activities without restriction; and, ECOG 1 indicates that the patient is restricted in physically strenuous activity but is ambulatory and able to carry out work of a light or sedentary nature
  • Subjects must have adequate organ and marrow function.
  • Must use acceptable form of birth control prior to study and and for the duration of study.
  • Willing and able to comply with study procedures

Who cannot join

  • Patient who have had any prior chemotherapy within 5 years of enrollment.
  • Patient who have had radiotherapy for pancreatic cancer.
  • Age ≥ 76 years
  • Patient who is receiving or have received any other investigational agents within 28 days prior to Day 1 of treatment in this study.
  • Patient who has undergone major surgery, other than diagnostic surgery within 28 days prior to Day 1 of treatment in this study.
  • Patient who has known brain metastases.
Show all 13Show fewer
  • Patient with history of hypersensitivity or allergic reactions attributed to compounds of similar chemical or biologic composition to gemcitabine, taxotere, xeloda, cisplatin, or irinotecan.
  • Patient with uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Patient who has serious medical risk factors involving any of the major organ systems.
  • Patient who has known history of infection with HIV, hepatitis B, or hepatitis C.
  • Pregnant or breast feeding.
  • Patient is unwilling or unable to comply with study procedures
  • Patient with clinically significant wound

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

    Baltimore, Maryland, 21231

Other trials in United States

About this study

Official title: Phase 1/2 Study of Gemcitabine/Taxotere/Xeloda (GTX) in Combination With Cisplatin and Irinotecan in Subjects With Metastatic Pancreatic Cancer

This study will be looking at whether gemcitabine, taxotere, and xeloda (GTX) in combination with cisplatin and irinotecan is effective (anti-tumor activity) and safe in patients with metastatic pancreatic cancer.

Read the detailed description

The study is being done in 2 parts. The first part is the dose escalation (Phase I) part of the study where the dose of irinotecan is increased until the highest safe dose of irinotecan is defined that can be given with gemcitabine, taxotere, xeloda, and cisplatin.

After the safe dose of irinotecan in combination with gemcitabine, taxotere, xeloda, and cisplatin is defined, the second part of the study (Phase 2) will use these defined doses to look at how effective these drugs are against advanced pancreatic cancer.

Being tested
Gemcitabine, Taxotere, Xeloda, Cisplatin, Irinotecan

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GemcitabineDrug

    Also called Gemzar

    IV on days 4 and 11 of a 21 day cycle

  • TaxotereDrug

    Also called Docetaxel

    IV on days 4 and 11 of a 21 day cycle

  • XelodaDrug

    Also called Capecitabine

    Twice a day orally on days 1 through 14 of a 21 day cycle

  • CisplatinDrug

    Also called Platinol

    IV on days 4 and 11 of a 21 day cycle

  • IrinotecanDrug

    Also called Camptosar

    IV on days 4 and 11 of a 21 day cycle

Study groups in NCT02324543
Study groupRoleWhat they receive
Dose level 1 - Phase 1Experimental* Gemcitabine - 400 mg/m^2 * Taxotere - 20 mg/m^2 * Xeloda - 500 mg/twice daily (BID) * Cisplatin - 15 mg/m^2 * Irinotecan - 20 mg/m^2
Receives: Drug: Gemcitabine; Drug: Taxotere; Drug: Xeloda; Drug: Cisplatin; Drug: Irinotecan
Dose Level 2 - Phase 1Experimental* Gemcitabine - 400 mg/m^2 * Taxotere - 20 mg/m^2 * Xeloda - 500 mg/BID * Cisplatin - 15 mg/m^2 * Irinotecan - 40 mg/m^2
Receives: Drug: Gemcitabine; Drug: Taxotere; Drug: Xeloda; Drug: Cisplatin; Drug: Irinotecan
Dose Level 3 - Phase 1Experimental* Gemcitabine - 400 mg/m^2 * Taxotere - 20 mg/m^2 * Xeloda - 500 mg/BID * Cisplatin - 15 mg/m^2 * Irinotecan - 60 mg/m^2
Receives: Drug: Gemcitabine; Drug: Taxotere; Drug: Xeloda; Drug: Cisplatin; Drug: Irinotecan
Dose Level 1a - Phase 1Experimental* Gemcitabine - 500 mg/m^2 * Taxotere - 20 mg/m^2 * Xeloda - 500 mg/BID * Cisplatin - 20 mg/m^2 * Irinotecan - 20 mg/m^2
Receives: Drug: Gemcitabine; Drug: Taxotere; Drug: Xeloda; Drug: Cisplatin; Drug: Irinotecan
Dose level 1b - Phase 1Experimental* Gemcitabine - 500 mg/m^2 * Taxotere - 20 mg/m^2 * Xeloda - 500 mg/BID * Cisplatin - 20 mg/m^2 * Irinotecan - 40 mg/m^2
Receives: Drug: Gemcitabine; Drug: Taxotere; Drug: Xeloda; Drug: Cisplatin; Drug: Irinotecan
Phase 2Experimental* Gemcitabine - 500 mg/m^2 * Taxotere - 20 mg/m^2 * Xeloda - 500 mg/BID * Cisplatin - 20 mg/m^2 * Irinotecan - 20 mg/m^2
Receives: Drug: Gemcitabine; Drug: Taxotere; Drug: Xeloda; Drug: Cisplatin; Drug: Irinotecan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Tolerated Dose (MTD) of Gemcitabine

    Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2.

    Measured: 28 days

  2. Maximum Tolerated Dose (MTD) of Docetaxel

    Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2.

    Measured: 28 days

  3. Maximum Tolerated Dose (MTD) of Capecitabine

    Dose escalation (phase I portion of the trial only) to determine the MTD in mg for twice daily (BID) use.

    Measured: 28 days

  4. Maximum Tolerated Dose (MTD) of Cisplatin

    Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2.

    Measured: 28 days

  5. Maximum Tolerated Dose (MTD) of Irinotecan

    Dose escalation (phase I portion of the trial only) to determine the MTD in mg/m^2.

    Measured: 28 days

  6. Overall Survival (OS) Rate at 9 Months

    OS will be measured as the percentage of subjects alive at 9 months. (OS will be censored on the date the subject was last known to be alive for subjects without documentation of death at the time of analysis). Estimation based on the Kaplan-Meier curve. (Phase 2 data only)

    Measured: 9 months

Secondary outcomes (4)
  1. Response Rate (RR) Using RECIST 1.1 Criteria

    RR is defined as the percentage of participants achieving a complete response (CR) or partial response (PR) based on the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) at any time during the study. CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, progressive disease (PD) is >20% increase in sum of diameters of target lesions, stable disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions.

    Measured: 43 months

  2. Disease Control Rate (DCR) Using RECIST 1.1 Criteria

    DCR is defined as the percentage of participants achieving a complete response (CR) or partial response (PR) and stable disease (SD) based on the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) at any time during the study. CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, progressive disease (PD) is >20% increase in sum of diameters of target lesions, stable disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions.

    Measured: 43 months

  3. Progression-free Survival (PFS) Using RECIST 1.1 Criteria

    PFS is defined as the number of months from the date of first dose to disease progression (progressive disease [PD] or relapse from complete response [CR] as assessed using RECIST 1.1 criteria) or death due to any cause. Per RECIST 1.1 criteria, CR = disappearance of all target lesions, Partial Response (PR) is =>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is >20% increase in sum of diameters of target lesions, Stable Disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve.

    Measured: 5 years

  4. Overall Survival (OS)

    OS will be measured (in months) from date of first dose until death or end of follow-up (OS will be censored on the date the subject was last known to be alive for subjects without documentation of death at the time of analysis). Estimation based on the Kaplan-Meier curve.

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Dec 2014 (estimated)
  2. Study startFeb 2015
  3. Primary completionJun 2019
  4. Study completionFeb 2020

Resources

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
47 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02324543
Sponsor's protocol ID
J14161
Other IDs
J14161, IRB00053208
Status last verified
Jul 2023
First submitted
19 Dec 2014
Last updated
21 Jul 2023
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Christenson ES, Lim SJ, Durham J, De Jesus-Acosta A, Bever K, Laheru D, Ryan A, Agarwal P, Scharpf RB, Le DT, Wang H. Cell-free DNA Predicts Prolonged Response to Multi-agent Chemotherapy in Pancreatic Ductal Adenocarcinoma. Cancer Res Commun. 2022 Nov 11;2(11):1418-1425. doi: 10.1158/2767-9764.CRC-22-0343. eCollection 2022 Nov.

    PubMed 36970054

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Gemcitabine, Taxotere and Xeloda in people with Metastatic Pancreatic Adenocarcinoma, run by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins at 1 site 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 7 inclusion and 13 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 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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 combined 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.

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?

Yes. Results are posted in the registry (first posted 14 Sep 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 (MTD) of Gemcitabine (time frame: 28 days). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02324543, which also lists 1 linked publication.

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 Jul 2023.

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