Phase II study to evaluate the efficacy of a chemotherapy combination with Imatinib (Glivec®) and 5-FU/leucovorin in patients with advanced carcinoma of the gallbladder and bile duct - TUD-Glivec-012
- Conditions
- advanced carcinoma of the gallbladder and bile duct
- Registration Number
- EUCTR2006-003451-20-DE
- Lead Sponsor
- Technical University Dresden
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 44
1. Histologically/Cytologically confirmed diagnosis of advanced / metastatic carcinoma of the gallbladder or bill duct, which is unresectable or metastatic and therefore incurable with any conventional multimodality approach.
2. Performance status 0, 1 or 2 (ECOG)
3.Written, voluntary informed consent
4.Age > 18 years
5.Adequate bone marrow function (Granulocytes > 1,5 x 109/l, Hb > 10 g/dl, Platelets > 100 x 109/l)
6.Adequate hepatic and renal function ( bilirubin < 1,25 x upper normal limit or < 1,5 x upper normal limit if hyperbilirubinemia is related to underlying disease, ALAT + ASAT < 1,5 x upper normal limit, in case of liver metastases < 5 x upper normal limit, creatinine < 1,25 x upper normal limit)
7.Female patients of childbearing potential must have negative pregnancy test within 7 days before initiation of study drug dosing. Female patients with child-bearing potential must perform a highly effective barrier method of birth control throughout the study with a proven efficacy of >99%. The contraception treatment should be performed for an additional six month following discontinuation from study treatment. Postmenopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Male patients of reproductive potential must agree to employ an effective barrier method of birth control throughout the study and for up to 6 months following discontinuation of study drug.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
1.Patient has received any other investigational agents within 28 days of first day of study drug dosing.
2.Patient is < 5 years free of another primary malignancy, except: if the other primary malignancy is not currently clinically significant nor requiring active intervention, or if other primary malignancy is a basal cell skin cancer or a cervical carcinoma in situ.
3.Female patients who are pregnant or breast-feeding.
4.Patient has a severe and/or uncontrolled medical disease.
5.The concurrent use of warfarin or acetaminophen are not allowed with imatinib mesylate and need to be replaced by other medications (e.g. by low molecular heparins in case of warfarin).
6.Radiotherapy or any major abdominal or thoracic surgery < 4 weeks before study entry (excluding diagnostic biopsy or port implantation)
7.Patient has received neoadjuvant imatinib mesylate or fluoropyrimidines prior to study entry
8.Patient with Grade III/IV cardiac problems as defined by the New York Heart Association Criteria. (i.e., congestive heart failure, myocardial infarction within 6 months of study)
9.Known incompatibility of imatinib,5-FU, or leucovorin
10.Known brain metastases
11.Concurrent systemic chemotherapy, immuntherapy, hormone therapy
12.History of severe psychiatric illness
13.Drug- or alcohol abuse
14.Patient has know chronic liver disease (i.e., chronic active hepatitis, and cirrhosis)
15.Patients with dihydropyrimidine dehydrogenase deficiency (i.e. Treatment with Zostexâ)
16.Patients that are associated with or dependend of the investigator or sponsor
17.Patients with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent.
18.Patients with a creatinine clearance of < 50ml/min.
19.Patients with a severe decrease of bone marrow function
20.Patients with acute infections
21.Patients with severe decrease of liver function
22.Patients in reduced performance status (ECOG > 2)
23.No active vaccinations should be peformed while being on study treatment
24.Anemia caused by vitamin B12 deficiency
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: To test the efficacy of a combination chemotherapy of imatinib and 5-FU in advanced or metastatic cholangiocellular carcinoma.<br><br>Primary endpoint:Disease Control Rate (DCR) <br><br>;Secondary Objective: Secondary endpoints: <br><br>Progression-free survival (PFS) <br>Response rate (RR)<br>Overall survival<br>Toxicity<br>Evaluation of molecular predictive markers for response and toxicity;Primary end point(s): To determine the disease control rate (DCR) as defined as DCR = CR+PR+SD following Imatinib mesylate in combination with 5-FU/leucovorin as assessed by radiographic means. All tumor measurements will be validated by an external review (radiologist).
- Secondary Outcome Measures
Name Time Method