An Open-label, Single-centre, Single-arm Phase II Study of Capecitabine Combined With Oxaliplatin and Irinotecan (Xeloxiri) as First-line Treatment in Patients With Advanced Unresectable Pancreatic Adenocarcinoma
Overview
- Phase
- Phase 2
- Intervention
- Capecitabine
- Conditions
- Pancreatic Adenocarcinoma
- Sponsor
- The University of Hong Kong
- Enrollment
- 37
- Locations
- 1
- Primary Endpoint
- Change in extent of disease
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This is an open-label, single centre, single-arm phase II study which aims to assess the efficacy and tolerability of triplet combination of capecitabine, oxaliplatin and irinotecan (Xeloxiri regimen) in treating patients with advanced unresectable pancreatic carcinoma. Clinical data from patients diagnosed with pancreatic adenocarcinoma will be collected and analyzed in this study. The patients' data will be collected and maintained in the Division of Medical Oncology of the University Department of Medicine, Queen Mary Hospital, Hong Kong.
Investigators
Dr. YAU Chung Cheung Thomas
Clinical Assistant Professor
The University of Hong Kong
Eligibility Criteria
Inclusion Criteria
- •Adults ≥ 18 years of age, male or female.
- •Histopathologically or cytologically confirmed adenocarcinoma of the pancreas.
- •ECOG performance status 0 to
- •Adequate bone marrow reserve.
- •Absolute neutrophil count \> 1x10\^9/L.
- •Total bilirubin \<3 times the upper limit of the normal range.
- •Life expectancy ≥ 12 weeks.
- •Signed written informed consent form.
Exclusion Criteria
- •Prior malignant disease other than pancreatic cancer.
- •Patients suitable for surgical or locoregional therapies.
- •Patients who have prior anticancer therapy for pancreatic cancer.
- •Patients unable to swallow oral medications.
- •Any evidence of brain metastasis (unless the patient is \>6 months from definitive therapy, has a negative imaging study within 4 weeks of study entry and is clinically stable with respect to the tumor at the time of study entry).
- •Active clinically serious infections (\> grade 2 NCI / CTC Adverse Event version 3.0).
- •History of allergy to platinum compounds.
- •Patients who have chronic inflammatory bowel disease and/or bowel obstruction.
- •Patients who have severe bone marrow failure.
- •Patients undergoing renal dialysis.
Arms & Interventions
Arm 1
Intervention: Capecitabine
Arm 1
Intervention: Oxaliplatin
Arm 1
Intervention: Irinotecan
Outcomes
Primary Outcomes
Change in extent of disease
Time Frame: Change from baseline in size approximately every 4 cycles
Objective response rate
Secondary Outcomes
- CA19.9 reduction(Change from baseline every 2 cycles)
- Progression-free survival(From date of start until the date of first documented progression or death from disease-related causes or last follow-up, whichever came first, assessed up to 18 months)
- Overall survival(From date of start until the date of death from any cause or last follow-up, whichever came first, assessed up to 18 months)