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Gemcitabine With or Without Oxaliplatin in Treating Patients With Locally Advanced or Metastatic Unresectable Pancreatic Adenocarcinoma

Phase 3
Conditions
Pancreatic Cancer
Registration Number
NCT00075452
Lead Sponsor
GERCOR - Multidisciplinary Oncology Cooperative Group
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as gemcitabine and oxaliplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether gemcitabine is more effective with or without oxaliplatin in treating pancreatic adenocarcinoma.

PURPOSE: This randomized phase III trial is studying gemcitabine and oxaliplatin to see how well they work compared to gemcitabine alone in treating patients with locally advanced or metastatic unresectable pancreatic adenocarcinoma.

Detailed Description

OBJECTIVES:

Primary

* Compare the overall survival of patients with locally advanced or metastatic unresectable pancreatic adenocarcinoma treated with gemcitabine with or without oxaliplatin.

Secondary

* Compare the time of response in patients treated with these regimens.

* Compare the clinical benefit of and tolerance to these regimens in these patients.

* Compare the quality of life of patients treated with these regimens.

* Compare the progression-free survival of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, ECOG performance status (0 or 1 vs 2), and extent of disease (locally advanced vs metastatic). Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive gemcitabine IV over 30 minutes once weekly on weeks 1-7 and 9-11 in the absence of disease progression or unacceptable toxicity.

* Arm II: Patients receive gemcitabine IV over 100 minutes on day 1 and oxaliplatin IV over 2 hours on day 2. Courses repeat every 14 days for up to 3 months in the absence of disease progression or unacceptable toxicity.

After the completion of chemotherapy, patients with locally advanced disease receive chemoradiotherapy.

Quality of life is assessed at baseline and then every 2 months.

PROJECTED ACCRUAL: A total of 230 patients (115 per treatment arm) will be accrued for this study within 24 months.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survival
Secondary Outcome Measures
NameTimeMethod
Quality of life
Progression-free survival
Time to response
Clinical benefit

Trial Locations

Locations (38)

C.H.G. Beauvais

🇫🇷

Beauvais, France

Hopital Saint Andre

🇫🇷

Bordeaux, France

Centre Paul Papin

🇫🇷

Angers, France

CMC Bligny

🇫🇷

Briis Sous Forges, France

Hopital de la Croix Rousse

🇫🇷

Lyon, France

Hopital Notre-Dame de Bon Secours

🇫🇷

Metz, France

Intercommunal Hospital

🇫🇷

Montfermeil, France

C.H. Senlis

🇫🇷

Senlis, France

CHU Ambroise Pare

🇫🇷

Boulogne Billancourt, France

Hopital Louis Pasteur

🇫🇷

Chartres, France

Chu-Hopital Gabriel Montpied

🇫🇷

Clermont Ferrand, France

Centre Hospitalier Departemental

🇫🇷

La Roche Sur Yon, France

Hopital Saint - Louis

🇫🇷

La Rochelle, France

Centre Hospitalier de Lagny

🇫🇷

Lagny Sur Marne, France

Hopital Andre Mignot

🇫🇷

Le Chesnay, France

Hopital Europeen Georges Pompidou

🇫🇷

Paris, France

Hopital Bichat - Claude Bernard

🇫🇷

Paris, France

American Hospital of Paris

🇫🇷

Neuilly Sur Seine, France

Centre Jean Bernard

🇫🇷

Le Mans, France

Hopital Tenon

🇫🇷

Paris, France

Hopital Haut Leveque

🇫🇷

Pessac, France

Centre Hospitalier Lyon Sud

🇫🇷

Pierre Benite, France

Polyclinique De Courlancy

🇫🇷

Reims, France

Institut Gustave Roussy

🇫🇷

Villejuif, France

Clinique Ste - Marie

🇫🇷

Pontoise, France

Hopital Beaujon

🇫🇷

Clichy, France

Hopital Louis Mourier

🇫🇷

Colombes, France

C. H. Du Mans

🇫🇷

Le Mans, France

Centre Hospital Universitaire Hop Huriez

🇫🇷

Lille, France

Hopital de la Croix St. Simon

🇫🇷

Paris, France

Hopital Saint-Louis

🇫🇷

Paris, France

Hopital Saint Antoine

🇫🇷

Paris, France

Hopital Drevon

🇫🇷

Dijon, France

Hopital Robert Boulin

🇫🇷

Libourne, France

CHU Pitie-Salpetriere

🇫🇷

Paris, France

Maison Medicale Marzet

🇫🇷

Pau, France

Clinique Saint Jean

🇫🇷

Lyon, France

C. H. De Saumur

🇫🇷

Saumur, France

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