Targeted therapy in patients with advanced pancreatic cancer

ISRCTN ISRCTN70474205
DOI https://doi.org/10.1186/ISRCTN70474205
Secondary identifying numbers UKF000577
Submission date
11/03/2008
Registration date
30/05/2008
Last edited
30/05/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Michael Geissler
Scientific

Municipal Hospital Esslingen
Department of Medicine, Gastroenterology and Oncology
Esslingen
73730
Germany

Study information

Study designProspective, open, one-armed multicentric phase II trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA prospective, non-randomised phase II study of trastuzumab and capecitabine in patients with HER2 expressing advanced pancreatic cancer
Study objectivesPancreatic cancer is the fourth most common cause of cancer related death in Western countries. Advantages in surgical techniques, radiation and chemotherapy had almost no impact on the long term survival of affected patients. Therefore, the need for better treatment strategies is urgent. HER2, a receptor tyrosin kinase of the epidermal growth factor receptor (EGFR) family, involved in signal transduction pathways leading to cell growth and differentiation is overexpressed in a number of cancers, including breast and pancreatic cancer. While in breast cancer HER2 has already been successfully used as a treatment target, there are no studies thus far evaluating the effects of inhibiting HER2 tyrosine kinases in patients with pancreatic cancer.
Ethics approval(s)Ethics approval received from the Ethics Committee of the University of Freiburg, Germany on the 19th April 2004.
Health condition(s) or problem(s) studiedAdvanced pancreatic cancer (stage IVb)
InterventionThe trastuzumab loading dose of 4 mg/kg body weight will be given on day one over 90 minutes. For maintenance therapy a weekly dose of 2 mg/kg body weight over 30 minutes will be infused until tumour progression takes place. Patients will be monitored closely for six hours during the first dose of trastuzumab and for two hours after the following rastuzumab infusions to rule out adverse reactions.

Capecitabine will be applied orally twice daily at a dose of 1250 mg/m^2 on day 1 - 14 followed by a break of seven days. The three weeks cycles will be repeated until tumour progression or until a grade three to four toxicity occurs.

Planned duration of treatment 12 weeks or until disease progression. In the case of stable disease treatment is continued until progression. Follow up is performed until death.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Trastuzumab, rastuzumab, capecitabine
Primary outcome measureProgression free survival after 12 weeks.
Secondary outcome measures1. Progression free survival time
2. Overall survival
3. Time until remission (partial or complete)
4. Duration of remission
5. Rate of 'clinical benefit response' after 12 weeks
6. Quality of life before treatment and after two cycles of chemotherapy

Additional secondary trial endpoints:
7. Toxicity analysis
8. The rate of adverse events
9. The relationship between progression free survival and CA19-9 plasma levels
10. The relation between HER2/neu overexpression and progression free survival
Overall study start date01/06/2004
Completion date31/12/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants37
Key inclusion criteria1. Written informed consent
2. Aged 18 years or older, either sex
3. Histological verified pancreatic cancer in stage IVb (T1-4N0M1)
4. Staging and CA19-9 serum level not older than four weeks
5. Histological verified over-expression of HER2/neu (immunological score 3+ or 2+ with verification by fluorescent in situ hybridisation [FISH])
6. At least one measurable lesion (greater than or equal to 2 cm in conventional computed tomography [CT] scan or greater than or equal to 1 cm in spiral CT scans)
7. No prior chemotherapy
8. No prior radiotherapy
9. Performace-status 0 - 2 according to World Health Organization [WHO]/Eastern Cooperative Oncology Group [ECOG] or greater than or equal to 60 points on the Karnofsky scale
10. Life expectancy of at least three months
11. Left ventricular excretion fraction greater than 50%
12. Appropriate renal, liver and haematopoetic function defined by:
12.1. Neutrophils greater than or equal to 1.5 x 10^9/l
12.2. Haemoglobin greater than or equal to 80 g/l
12.3. Platelets greater than or equal to 100 x 10^9/l
12.4. Total bilirubin less than 3 x normal
12.5. Creatinine clearance greater than or equal to 30 ml/min (Cockroft Gault)
12.6. Transaminases either less than 2.5 x normal, or less than 5 x normal in case of liver metastasis
13. Possibility of long-term follow up
14. Negative pregnancy testing
Key exclusion criteria1. Possible surgical resection and/or radiotherapy with curative potential
2. Dihydropyrimidine-dehydrogenase deficiency
3. Gastrointestinal obstruction
4. A known secondary neoplasm except a curative treatable basalioma of the skin or carcinoma in situ of the cervix uteri
5. A known hypersensitivity against any of the applied substances
6. Clinically relevant disorder of the cardiovascular system or other organs or a severe systemic disease that compromises the study protocol or the interpretation of the data
7. Clinically manifest pulmonary disorder
8. Prior polyneuropathy
9. A concomitant treatment with the virustatic agents sorivudin or its analogues
10. Pregnancy, breast feeding or absence of appropriate contraceptive measures
11. Psychiatric disorders, drug abuse or other disorders, that compromise the informed consent
12. Concomitant participation in other clinical trials or participation within the last four weeks
13. Any other disorder or treatment that poses a risk to the patient or is incompatible with the aims of this study
Date of first enrolment01/06/2004
Date of final enrolment31/12/2009

Locations

Countries of recruitment

  • Germany

Study participating centre

Municipal Hospital Esslingen
Esslingen
73730
Germany

Sponsor information

Roche Pharma AG (Germany)
Industry

Emil-Barell-Str. 1
Grenzach-Wyhlen
79639
Germany

Website http://www.roche.de
ROR logo "ROR" https://ror.org/00sh68184

Funders

Funder type

Industry

Roche Pharma AG (Germany) - providing chemotherapeutic agents

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan