Multicenter Phase II-trial to Investigate Safety and Efficacy of an Adjuvant Therapy With Gemcitabine and Erbitux® in Patients With R0 or R1 Resected Pancreatic Cancer
Overview
- Phase
- Phase 2
- Intervention
- Cetuximab (Erbitux®) and Gemcitabine
- Conditions
- Adenocarcinoma
- Sponsor
- Carmen Schade-Brittinger
- Enrollment
- 76
- Locations
- 8
- Primary Endpoint
- disease free survival
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
This is an open-label, non-randomized Phase II study to evaluate immunochemotherapy in patients with R0 OR R1-resected pancreatic cancer.
Detailed Description
Available study data indicated a possible benefit from adjuvant chemotherapy for patients with resected pancreatic cancer. The optimal therapy regimen has yet to be determined. Based on the experiences with cetuximab (Erbitux®)and gemcitabine in advanced pancreatic cancer and with gemcitabine as adjuvant therapy, the aim of this study was to evaluate the feasibility of the combined treatment of cetuximab and gemcitabine in patients with R0 or R1-resectable pancreatic cancer and to evaluate if the disease free survival can be increased by the addition of an EGFR-targeted therapy.
Investigators
Carmen Schade-Brittinger
Philipps University
Philipps University Marburg Medical Center
Eligibility Criteria
Inclusion Criteria
- •Provided signed written informed consent.
- •Men and woman age \> 18 years
- •Histologically confirmed R0 OR R1 resected ductal adenocarcinoma of the pancreas
- •Life expectancy \>12 weeks
- •Patients with performance status of ECOG ≤ 2
- •Patients without metastasis
Exclusion Criteria
- •Women of child bearing potential (WOCP) who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and follow-up to 4 weeks after the study.
- •Women who are pregnant or breastfeeding.
- •Women with a positive pregnancy test on enrollment or prior to study drug administration.
- •Dementia, altered mental status, or any psychiatric condition that would prohibit the understanding or rendering of informed consent.
- •Any concurrent malignancy other than non-melanoma skin cancer, or carcinoma in situ of the cervix. (Patients with a previous malignancy but without evidence of disease for \> 5 years will be allowed to enter the trial).
- •Inadequate hematologic function defined by an absolute neutrophils count (ANC) \< 1,500/mm³, a platelet count \< 100,000/mm³ and a hemoglobin \< 9 g/dL.
- •Inadequate hepatic function defined by the upper limit of normal (ULN), AST and ALT levels \> 5 times the ULN.
- •Serum bilirubin \> 1.5 times the ULN.
- •Inadequate renal function defined by a serum creatinine \> 1.5 times the ULN.
- •Prior cetuximab or other therapy that targets the EGF pathway.
Arms & Interventions
one arm study
Cetuximab (Erbitux®) and Gemcitabine treatment over 6 months
Intervention: Cetuximab (Erbitux®) and Gemcitabine
Outcomes
Primary Outcomes
disease free survival
Time Frame: 18 months after registration
Secondary Outcomes
- Incidence of Adverse Events(19 months since registration)
- Overall survival
- Quality of life