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Trabectedin in Treating Patients With Metastatic Pancreatic Cancer After First-Line Chemotherapy

Phase 2
Completed
Conditions
Pancreatic Cancer
Interventions
Registration Number
NCT01339754
Lead Sponsor
IRCCS San Raffaele
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as trabectedin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.

PURPOSE: This phase II trial is studying how well trabectedin works in treating patients with metastatic pancreatic cancer after first-line chemotherapy.

Detailed Description

OBJECTIVES:

Primary

* To assess the therapeutic activity of trabectedin, in terms of progression-free survival (PFS) rate at 6 months, in patients with metastatic pancreatic adenocarcinoma progressed after gemcitabine-containing first-line chemotherapy.

Secondary

* To assess the safety profile of this drug.

* To assess the response rate and response duration.

* To assess the overall survival of these patients.

* To assess the PFS rate at 9 and 18 weeks.

* To perform blood, plasma, and tumor tissue sampling for biological studies, in order to identify biomarkers predictive for resistance or sensitivity to trabectedin, and to characterize the impact of pharmacogenomic and pharmacokinetic profile on anti-tumor activity in translational research studies.

OUTLINE: Patients receive trabectedin IV over 3 hours on day 1. Treatment repeats every 3 weeks for up to 8 courses in the absence of disease progression or unacceptable toxicity.

Blood samples and tumor tissue are analyzed for identifying biological markers predictive for resistance to treatment and pharmacogenomic and pharmacokinetic profiling on anti-tumor activity in translational research studies.

After completion of study treatment, patients are followed up periodically.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
trabectedintrabectedin1.3 mg/mq as a 3 hour continuous infusion every three weeks until progression
Primary Outcome Measures
NameTimeMethod
Progression-free survival (PFS) rate at 6 monthsevery 9 weeks

CT scan

Secondary Outcome Measures
NameTimeMethod
Response rate and response durationevery 2 months

CT scan

PFS rate at 9 and 18 weeksevery 9 weeks

CT scan

Overall survivalevery 3 weeks during therapy, every 2-3 months thereafter

outpatient visit, phone interview

Identify biomarkers predictive for resistance or sensitivity to trabectedinat trial start

tissue, blood, serum collection

Safety profileevery 3 weeks

outpatient visit, laboratory findings

Impact of pharmacogenomic and pharmacokinetic profile on anti-tumor activitybased on a pre-definid sample collection schedule

blood samples

Trial Locations

Locations (1)

Istituto Scientifico H. San Raffaele

🇮🇹

Milan, Italy

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