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A randomized phase II study of gemcitabine/cisplatin with or without sorafenib to evaluate the efficacy and safety in patients with locally advanced or metastatic pancreatic cancer. MAPS trial - Metastatic Advanced Pancreas Sorafenib

Conditions
Subjects enrolled in this study must have histologically confirmed locally advanced or metastatic pancreatic adenocarcinoma. They must not have been received a first-line chemotherapy. Presence of at least one target lesion measurable by CT scan or MRI in not an irradiated area (and conform with the RECIST criteria
MedDRA version: 6.1Level: PTClassification code 10033609
Registration Number
EUCTR2007-001781-32-IT
Lead Sponsor
GISCAD
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Signed written informed consent prior to beginning protocol specific procedures

Male or female < 75 years of age

Diagnosis of histologically confirmed adenocarcinoma of the pancreas

Locally advanced (non-resectable) or metastatic pancreatic cancer

Presence of at least one uni-dimensional indicator lesion measurable by CT scan or MRI in not an irradiated area (RECIST criteria)

Karnofsky performance status of ≥ 70 at study entry

Neutrophils ≥ 1.5 x 109/L, platelets ≥ 100 x 109/L, and hemoglobin ≥ 9 g/dL

Bilirubin level either normal or < 1.5 x ULN

ASAT and ALAT ≤ 2.5 X ULN (≤ 5 x ULN if liver metastasis are present)

Serum creatinine < 1.5 x ULN

Amylase and lipase ≤ 1.5 x the upper limit of normal

PT or INR and PTT < 1.5 x upper limit of normal (subjects who receive anti-coagulation treatment with an agent such as warfarin or heparin will be allowed to participate provided that no evidence of underlying abnormality in these parameters exists).

Effective contraception for both male and female patients if the risk of conception exists
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) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Brain metastases

Previous chemotherapy for locally advanced or metastatic pancreatic cancer.

Adjuvant therapy if documented recurrence is within 6 months after the end of adjuvant treatment)

Radiotherapy within 4 weeks prior to study entry

Major surgery within 4 weeks of first dose of study drug

Concurrent chronic systemic immune therapy

Any investigational agent(s) 4 weeks prior to entry

Clinically relevant coronary artery disease or a history of a myocardial infarction within the last 6 months

Thrombotic or embolic events such as cerebrovascular accident including transient ischemic attacks within the past 6 months

Acute or subacute intestinal occlusion or history of inflammatory bowel disease

Known grade 3 or 4 allergic reaction to any of the components of the treatment

Known drug abuse/ alcohol abuse

Legal incapacity or limited legal capacity

Medical or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or sign meaningful informed consent

Women who are pregnant or breastfeeding

Acute or subacute intestinal occlusion

Any concurrent malignancy other than non-melanoma skin cancer, or carcinoma in situ of the cervix. (Patients with a previous malignancy but without evidence of disease for ≥ 5 years will be allowed to enter the trial).

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Objective: -overall Response Rate (RECIST Criteria)<br><br>-duration of response<br><br>-time to treatment failure<br><br>-overall survival time;Primary end point(s): The primary activity parameter to be determined is Progression Free Survival.;Main Objective: The primary activity parameter to be determined is Progression Free Survival.
Secondary Outcome Measures
NameTimeMethod
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