Status:
COMPLETED
Dasatinib and Gemcitabine Hydrochloride or Gemcitabine Hydrochloride Alone in Treating Patients With Pancreatic Cancer Previously Treated With Surgery
Lead Sponsor:
Translational Oncology Research International
Conditions:
Acinar Cell Adenocarcinoma of the Pancreas
Duct Cell Adenocarcinoma of the Pancreas
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as gemcitabine hydrochloride, work in different ways to...
Detailed Description
PRIMARY OBJECTIVES: I. To compare disease-free survival at 18 months between dasatinib-gemcitabine combination therapy and single-agent gemcitabine. SECONDARY OBJECTIVES: I. To evaluate effects on dis...
Eligibility Criteria
Inclusion
- Written informed consent before beginning any protocol specified procedures
- Histologically proven pancreatic adenocarcinoma
- Any T, any N, M0 disease that has had all gross disease resected (R0 or R1 resection)
- ECOG Performance status index 0 or 1
- Absolute Neutrophils \>= 1.5 x 10\^9/L
- Platelets \>= 100 x 10\^9/L
- Hemoglobin \>= 10 g/dL
- Total bilirubin =\< 2.0 x UNL; subjects with Gilbert's syndrome, confirmed by genotyping or invader UGTIA1 molecular assay before study entry must have total bilirubin \< 3 x UNL
- ASAT (SGOT) and ALAT (SGPT) =\< 2.5 x UNL
- Alkaline Phosphatase =\< 5 x UNL
- Creatinine \< 1.5 x UNL
- Serum Na, K+, Magnesium, Phosphate and Calcium \>= LNL
- First study treatment must be given within 60 days after surgery and within 7 days after randomization
- Patients must be accessible for treatment and follow-up and compliant with study procedures
- Negative pregnancy test (urine or serum) within 7 days before first study treatment for all women of childbearing potential, whom also must implement adequate non-hormonal contraceptive measures during study treatment and for at least 3 months after the last dose of study therapy
- Ability to take oral medication (dasatinib must be swallowed whole)
Exclusion
- Prior or concurrent systemic anticancer therapy (immunotherapy, hormonal therapy, biological therapy, or chemotherapy) for pancreatic cancer
- Prior or concurrent radiation therapy for pancreatic cancer
- Pregnant or lactating patients
- M1 pancreatic cancer
- Concurrent congestive heart failure, unstable angina pectoris, or M1 within the 6 months before first study treatment
- Uncontrolled hypertension or high-risk uncontrolled arrhythmias
- Any history of clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, or torsades de pointes)
- Diagnosed or suspected congenital long QT syndrome
- Prolonged QTc interval on pre-entry electrocardiogram (\> 450 msec)
- History of significant neurologic or psychiatric disorders including psychotic disorders, dementia or seizures that would prohibit the understanding and giving of informed consent
- Past or current history of neoplasm other than pancreatic adenocarcinoma, except for: curatively treated non-melanoma skin cancer; in situ carcinoma of the cervix; other cancer curatively treated and with no evidences of disease for at least 1 year
- Concurrent treatment with other experimental drugs or treatment with investigational drugs within 30 days of first study treatment
- Currently receiving drugs with known significant CYP 3A4 inhibitory effects (such as ketoconazole, itraconazole, troleandomycin, erythromycin, diltiazem, verapamil, ritonavir, indinavir)
- Concurrent administration with inducers of CYP 3A4 may result in a lower exposure to dasatinib and are therefore not allowed (e.g., phenytoin, carbamazepine, rifampicin, phenobarbital, pentobarbital, or St John's Wort)
- Known allergy reactions to dasatinib or gemcitabine or excipients used in the study
- History of significant bleeding disorders unrelated to cancer, including: diagnosed congenital bleeding disorders (e.g., Von Willebrand's disease); diagnosed acquired bleeding disorder within 1 year (e.g., acquired anti-factor VIII antibodies); ongoing or recent (=\< 3 months) significant gastrointestinal bleeding
- Patients currently taking drugs that are generally accepted to have a risk of causing Torsades De Pointes including: quinidine, procainamide, disopyramide; amiodarone, sotalol, ibutilide, dofetilide; erythromycins, clarithromycin; chlorpromazine, haloperidol, mesoridazine, thioridazine, pimozide; cisapride, bepridil, droperidol, methadone, arsenic, chloroquine, domperidone, halofantrine, levomethadyl, pentamidine, sparfloxacin, lidoflazine
- Concurrent treatment with intravenous bisphosphonates; prior treatment should be stopped at least 2 weeks before first dose of study treatment
- Concurrent medical condition which may increase the risk of toxicity, including pleural or pericardial effusion or any grade
- Active uncontrolled infection requiring parenteral antimicrobials
Key Trial Info
Start Date :
January 13 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 27 2017
Estimated Enrollment :
8 Patients enrolled
Trial Details
Trial ID
NCT01234935
Start Date
January 13 2011
End Date
November 27 2017
Last Update
January 9 2018
Active Locations (17)
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1
Central Hematology Oncology Medical Group, Inc.
Alhambra, California, United States, 91801
2
TORI FULLERTON (St. Jude Heritage Healthcare Virginia K. Crosson Cancer Center)
Fullerton, California, United States, 92835
3
Pacific Shores Medical Group
Long Beach, California, United States, 90813
4
UCLA medical center
Los Angeles, California, United States, 90024-3417