Gemcitabine and Monoclonal Antibody Therapy in Treating Patients With Metastatic Cancer of the Pancreas
This trial is active, not recruiting.
|Treatments||trastuzumab, gemcitabine hydrochloride|
|Collaborator||National Cancer Institute (NCI)|
|Start date||March 1999|
|Trial size||41 participants|
|Trial identifier||NCT00003797, BRUOG-PA-77, CDR0000066940, NCI-T98-0067|
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining monoclonal antibody therapy with chemotherapy may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of gemcitabine and trastuzumab in treating patients who have metastatic cancer of the pancreas that overexpresses HER2/neu.
|United States||No locations recruiting|
|Other Countries||No locations recruiting|
|Chicago, IL||Rush-Presbyterian-St. Luke's Medical Center||no longer recruiting|
|Boston, MA||New England Medical Center Hospital||no longer recruiting|
|Boston, MA||St. Elizabeth's Medical Center||no longer recruiting|
|New Brunswick, NJ||Cancer Institute of New Jersey||no longer recruiting|
|New York, NY||Memorial Sloan-Kettering Cancer Center||no longer recruiting|
|New York, NY||Mount Sinai Medical Center, NY||no longer recruiting|
|Pittsburgh, PA||University of Pittsburgh Cancer Institute||no longer recruiting|
|Pawtucket, RI||Memorial Hospital of Rhode Island||no longer recruiting|
|Providence, RI||Brown University Oncology Group||no longer recruiting|
|Providence, RI||Rhode Island Hospital||no longer recruiting|
|Providence, RI||Roger Williams Medical Center/BUSM||no longer recruiting|
|Houston, TX||University of Texas - MD Anderson Cancer Center||no longer recruiting|
Male or female participants at least 18 years old.
DISEASE CHARACTERISTICS: - Histologically proven metastatic pancreatic cancer with overexpression of HER2/neu - Patients in whom there is inadequate tissue to evaluate for HER2/neu overexpression but who have elevated serum HER2/neu antigen levels are eligible - Radiographically measurable disease - May have metastatic disease in which primary lesion is measurable but metastatic lesions are not measurable - Ascites is not measurable PATIENT CHARACTERISTICS: Age: - Over 18 Performance status: - ECOG 0-2 Life expectancy: - Not specified Hematopoietic: - Granulocyte count at least 1,500/mm3 - Platelet count at least 100,000/mm3 Hepatic: - Bilirubin no greater than 3.0 mg/dL - Greater than 3 times normal if increase in bilirubin is due to biliary obstruction from tumor as long as biliary system is stented or bypassed and bilirubin, SGOT, or SGPT is stable or decreasing - SGOT no greater than 3 times normal - No greater than 5 times normal if liver metastases present OR - Greater than 5 times normal if increase in SGOT or SGPT is due to biliary obstruction from tumor as long as biliary system is stented or bypassed and biliary SGOT or SGPT is stable or decreasing Renal: - Creatinine no greater than 2.0 mg/dL Cardiovascular: - No unstable angina - No prior congestive heart failure - No prior myocardial infarction - LVEF at least 45% by MUGA or echocardiogram Other: - Not pregnant - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior trastuzumab - No concurrent growth factors Chemotherapy: - No prior anthracyclines - No prior gemcitabine except prior low dose (no greater than 300 mg/m2/week) gemcitabine with radiotherapy - At least 6 months since prior adjuvant therapy - More than 2 weeks since other prior chemotherapy - No other concurrent cytotoxic chemotherapy Endocrine therapy: - Not specified Radiotherapy: - See Chemotherapy - More than 2 weeks since prior radiotherapy - No concurrent radiotherapy Surgery: - Not specified Other: - No other concurrent investigational agents
|Official title||Herceptin (NSC #688097) and Gemcitabine for Metastatic Pancreatic Cancers That Overexpress HER-2/NEU|
|Description||OBJECTIVES: - Determine the response rate and survival of patients with metastatic pancreatic cancer and overexpression of HER2/neu treated with gemcitabine and trastuzumab. - Determine the toxic effects of this regimen in these patients. OUTLINE: This is a multicenter study. Patients receive gemcitabine IV over 30 minutes once weekly during weeks 1-7. Patients receive trastuzumab IV over 90 minutes once during week 1 and trastuzumab IV over 30-90 minutes once weekly during weeks 2-8. Patients with stable or responding disease receive gemcitabine IV over 30 minutes once weekly during weeks 1-3 and trastuzumab IV over 30 minutes once weekly during weeks 1-4. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 1 year and then every 6 months thereafter. PROJECTED ACCRUAL: A maximum of 41 patients will be accrued for this study over 18-24 months.|
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