Status:
TERMINATED
Cetuximab and Bevacizumab With or Without Gemcitabine to Treat Metastatic Pancreatic Cancer
Lead Sponsor:
Eli Lilly and Company
Conditions:
Metastatic Pancreatic Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
Eligible patients with metastatic pancreatic cancer will be treated with dual agent monoclonal antibody consisting of cetuximab and bevacizumab alone or in combination with gemcitabine
Eligibility Criteria
Inclusion
- The patient has provided signed written informed consent.
- The patient is ≥18 years of age.
- The patient has histologically or cytologically-confirmed pancreatic adenocarcinoma not amenable to curative treatment with surgery or has documented or suspected extrapancreatic metastases.
- The patient has either (a) measurable disease as defined by Response Evaluation Criteria in Solid Tumors Version 1.0 (RECIST) or (b) non-measurable disease with an elevated baseline CA19-9 level (≥2 x the upper limit of normal \[ULN\]).
- The patient's Eastern Cooperative Oncology Group (ECOG) performance status is ≤2.
- The patient has adequate hematologic function as defined by an absolute neutrophil count (ANC) ≥1500/mm3 and a platelet count ≥100,000/mm3 obtained within 2 weeks prior to the first dose of study medication.
- The patient has adequate hepatic function as defined by a total bilirubin ≤2.0 mg/dL and transaminases ≤5.0 x ULN obtained within 2 weeks prior to the first dose of study medication.
- The patient has adequate renal function as defined by serum creatinine ≤2.0 x ULN and urine dipstick for proteinuria ≤1+ obtained within 2 weeks prior to the first dose of study medication. If urine dipstick is ≥2+, then a 24-hour urine for protein must demonstrate \< 1000 mg of protein in 24 hours to allow participation in the study. Urinalysis is also acceptable.
- If the patient is on full-dose anticoagulation therapy (eg, warfarin or low molecular weight \[LMW\] heparin), the following criteria must be met:
- The patient has an in-range International Normalized Ratio (\[INR\]usually between 2 and 3) on a stable dose of oral anticoagulant or be on a stable dose of LMW heparin
- The patient has no active bleeding or pathological condition that carries a high risk of bleeding (e.g., tumor involving major vessels or known varices)
- If the patient is not on full-dose anticoagulation therapy, the following criteria must be met:
- The patient has adequate coagulation function as defined by INR ≤1.5
- The patient has a partial thromboplastin (PTT) ≤ULN obtained within 2 weeks prior to the first dose of study medication
- If a woman, the patient agrees to use an accepted and effective method of contraception (hormonal or barrier methods, abstinence) prior to study entry and for the duration of the study. If a male and sexually active, the patient agrees to use effective contraception.
- The patient is accessible for treatment and follow-up. Patients enrolled in this trial must be treated at the participating center.
Exclusion
- Endocrine tumors or lymphoma of the pancreas
- Known brain metastases
- Prior therapy with an epidermal growth factor receptor (EGFR) inhibitor or vascular endothelial growth factor (VEGF) inhibitor
- Prior chemotherapy, hormonal therapy, or radiation therapy for advanced pancreatic cancer, patients who received chemotherapy and/or radiation therapy in the adjuvant setting will be eligible as long as the adjuvant therapy was completed \>6 months prior
- Concurrent malignancy other than non-melanomatous skin cancer or carcinoma in situ of the cervix
- Concurrent treatment with other anti-cancer therapy, including other chemotherapy, immunotherapy, hormonal therapy, radiotherapy, chemoembolization, or targeted therapy
- Ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations
- History of arterial thrombotic events within 9 months
- History of uncontrolled hypertension (\>150/100 mmHg) not on a stable regimen of anti-hypertensive therapy
- History of significant bleeding events or upper or lower gastrointestinal bleeding within 9 months
- History of gastrointestinal perforation within 12 months
- Serious non-healing wound ulcer, bone fracture, or major surgical procedure with 28 days
- If a woman, is pregnant or lactating
- An employee of the investigator or study center as well as family members of the employees
Key Trial Info
Start Date :
May 1 2006
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 1 2008
Estimated Enrollment :
61 Patients enrolled
Trial Details
Trial ID
NCT00326911
Start Date
May 1 2006
End Date
December 1 2008
Last Update
May 25 2011
Active Locations (16)
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1
ImClone Investigational Site
Jonesboro, Arkansas, United States, 72401
2
ImClone Investigational Site
San Francisco, California, United States, 94115
3
ImClone Investigational Site
Stamford, Connecticut, United States, 06902
4
ImClone Investigational Site
Miami, Florida, United States, 33176