Status:

COMPLETED

Maintenance Therapy With Sunitinib or Observation in Metastatic Pancreatic Cancer

Lead Sponsor:

IRCCS San Raffaele

Conditions:

Pancreatic Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Sunitinib malate may stop the growth of tumor cells by blocking some of the tyrosine kinases needed for angiogenesis and cell growth. It is not yet known whether sunitinib malate is effecti...

Detailed Description

OBJECTIVES: * Compare the 6-month progression-free survival of patients with metastatic pancreatic cancer without progression after 6 months of induction chemotherapy treated with sunitinib malate as...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Pathologically confirmed metastatic pancreatic adenocarcinoma
  • Stage IV disease
  • Received chemotherapy for a duration of 6 months
  • No progressive disease for ≥ 6 months since beginning of induction chemotherapy (irrespective of regimen and response: stable disease, partial response, or complete response) demonstrated by the following:
  • Two consecutive CT or MR scans separated by ≥ 6 weeks
  • Normal or no CA19.9 increase \> 20% during the last month
  • PATIENT CHARACTERISTICS:
  • Karnofsky Performance Status 50-100%
  • Adequate bone marrow, liver, and kidney function
  • Normal thyroid gland function (euthyroid)
  • Not pregnant or nursing
  • No duodenal, gastric, or intestinal infiltration
  • Able to take oral medication
  • None of the following conditions related to cardiac disease, failure, or vascular disease including any of the following:
  • QTc interval prolongation
  • Congestive heart failure
  • Serious cardiac arrhythmias
  • Active coronary artery disease
  • Myocardial infarction
  • Ischemia
  • Cerebrovascular accident
  • Evidence of pre-existing uncontrolled hypertension
  • No other malignancies except surgically cured carcinoma in situ of the cervix, basal or squamous cell carcinoma of the skin, or other adequately treated neoplasms for which the patient has been disease-free for ≥ 5 years
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • No other prior chemotherapy apart from first-line treatment for pancreatic cancer
  • More than 3 weeks and less than 8 weeks since prior chemotherapy (\> 1 week in the case of fluorouracil as continuous infusion or capecitabine)
  • No prior antiangiogenesis drugs, including any of the following:
  • Sunitinib malate
  • Sorafenib
  • Bevacizumab
  • AZD2171
  • Vatalanib
  • VEGF trap
  • Pazopanib
  • More than 1 month since prior major surgical procedure and completely recovered
  • More than 7-12 days since prior and no concurrent drugs that are known CYP3A4 inhibitors
  • No concurrent drugs with potential anti-arrhythmic activity
  • No concurrent thrombolytic agent at therapeutical dose
  • No concurrent treatment with other experimental drugs

Exclusion

    Key Trial Info

    Start Date :

    February 1 2008

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    January 1 2012

    Estimated Enrollment :

    56 Patients enrolled

    Trial Details

    Trial ID

    NCT00967603

    Start Date

    February 1 2008

    End Date

    January 1 2012

    Last Update

    February 1 2012

    Active Locations (1)

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    San Raffaele Scientific Institute

    Milan, Italy, 20132