Status:
COMPLETED
Chemoradiation With Gemcitabine in Combination With Panitumumab for Patients With Locally Advanced Pancreatic Cancer
Lead Sponsor:
Amsterdam UMC, location VUmc
Collaborating Sponsors:
Amgen
Conditions:
Pancreatic Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE1
PHASE2
Brief Summary
The purpose of this study is to investigate whether the addition of panitumumab to radiotherapy plus gemcitabine will increase the number of patients who are alive and progression free at 7 months.
Detailed Description
This is a phase I/II, multi-center dose escalation study. Phase I: Patients will be enrolled in cohorts of 3 per dose level until the MTD of panitumumab has been established. Phase II: Up to appro...
Eligibility Criteria
Inclusion
- Histological or cytological confirmed pancreatic cancer.
- Not eligible for curative resection.
- No distant metastases present.
- Previously untreated with chemotherapy and anti-cancer biologicals for current malignancy.
- No other current malignant disease, except for basal cell carcinoma of the skin.
- Measurable or evaluable disease as defined by RECIST 1.1 criteria.
- Performance status 0-2 Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) Scale.
- Age ≥ 18 years.
- Adequate haematological and biological functions:
- Bone marrow function:
- Neutrophils ≥ 1.5 x 109/L
- Platelets ≥ 100 x 109/L
- Hb ≥ 6 mmol/L
- Hepatic function:
- AST/ALT and alkaline phosphatase (ALP) ≤ 2.5 x institutional upper limit of normal (ULN)
- Bilirubin ≤ 1.5 times institutional ULN
- Renal function:
- eGFR \>50ml/min
- • Metabolic Function:
- Magnesium ≥ lower limit of normal
- Calcium ≥ lower limit of normal.
- No imminent bowel obstruction.
- No active bleeding.
- No uncontrolled infection.
- Patients with reproductive potential must use effective contraception. Female patients must have a negative pregnancy test.
- Signed informed consent.
Exclusion
- Participation in another therapeutic clinical study within 30 days of enrollment or during this clinical study.
- No adequate radiation therapy possible: based on the opinion of the radiation oncologist when radiation therapy cannot be performed because radiation field is too large (PTV volume too large or OAR too high)
- History of allergic reactions to gemcitabine or antibody treatment.
- Presence of any serious concomitant systemic disorders incompatible with the clinical study (e.g. uncontrolled inter-current illness including ongoing or active infection, uncontrolled hypertension).
- Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) within 1 year before enrolment/randomization
- History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan
- Presence of any significant central nervous system or psychiatric disorder(s) that would hamper the patient's compliance.
- Pregnant or breastfeeding women.
- Absence of adequate contraception for both male and female fertile patients for the duration of the study; and also for six months after last treatment.
- Known positive status for HIV and/or hepatitis B or C.
- Any reason why, in the investigator's opinion, the patient should not participate in the study.
- Drug or alcohol abuse.
Key Trial Info
Start Date :
July 8 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2016
Estimated Enrollment :
18 Patients enrolled
Trial Details
Trial ID
NCT01175733
Start Date
July 8 2010
End Date
May 1 2016
Last Update
March 20 2017
Active Locations (1)
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1
VU University Medical Center
Amsterdam, Netherlands, 1081HV