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Combination Chemotherapy and Radiation Therapy in Treating Patients With Pancreatic Cancer

Phase 2
Completed
Conditions
Pancreatic Cancer
Interventions
Registration Number
NCT00026130
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy and radiation therapy in treating patients who have locally advanced pancreatic cancer.

Detailed Description

OBJECTIVES:

* Determine the overall survival of patients with locally advanced non-metastatic pancreatic adenocarcinoma treated with gemcitabine, fluorouracil, and radiotherapy.

* Determine the time to progression in patients treated with this regimen.

* Determine the overall clinical response in patients treated with this regimen.

* Determine the toxicity of this regimen in these patients.

OUTLINE: This is a multicenter study.

Patients receive gemcitabine IV over 30 minutes once weekly and fluorouracil IV continuously on days 1-5 weekly for 6 weeks. Patients concurrently undergo radiotherapy 5 days a week for 6 weeks.

Three weeks after the completion of chemoradiotherapy, patients receive gemcitabine IV over 30 minutes once weekly on weeks 1-3. Treatment repeats every 4 weeks for a total of 4 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed every 2 months for 1 year and then every 3 months for 2 years.

PROJECTED ACCRUAL: A total of 78 patients will be accrued for this study within 24 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
81
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Gemcitabine + 5FU + XRTradiation therapyChemo and radiation therapy in the treatment of non-metastatic pancreatic cancer
Gemcitabine + 5FU + XRTgemcitabine hydrochlorideChemo and radiation therapy in the treatment of non-metastatic pancreatic cancer
Gemcitabine + 5FU + XRTfluorouracilChemo and radiation therapy in the treatment of non-metastatic pancreatic cancer
Primary Outcome Measures
NameTimeMethod
Overall Survival9 months up to 3 years post treatment
Secondary Outcome Measures
NameTimeMethod
Clinical Responseq 2 mon for Yr 1 post Tx, then q 3 mon for 2 yrs
CA19-9 Levelsq cycle, then q 2 mon for 1 yr, then q 3 mon for 2 yrs

Biomarker response

Toxicityq cycle
Time to progressionAfter 2 cycles of tx, then q 2 mon for 1 yr then q 3 mon for 2 yrs

Trial Locations

Locations (77)

Northeast Alabama Regional Medical Center

🇺🇸

Anniston, Alabama, United States

Rebecca and John Moores UCSD Cancer Center

🇺🇸

La Jolla, California, United States

Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

Naval Medical Center - San Diego

🇺🇸

San Diego, California, United States

Veterans Affairs Medical Center - San Diego

🇺🇸

San Diego, California, United States

UCSF Comprehensive Cancer Center

🇺🇸

San Francisco, California, United States

Veterans Affairs Medical Center - San Francisco

🇺🇸

San Francisco, California, United States

CCOP - Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Lombardi Cancer Center at Georgetown University Medical Center

🇺🇸

Washington, District of Columbia, United States

Walter Reed Army Medical Center

🇺🇸

Washington, District of Columbia, United States

Scroll for more (67 remaining)
Northeast Alabama Regional Medical Center
🇺🇸Anniston, Alabama, United States

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