Oxaliplatin/folinic acid/5-fluorouracil (24-hour) (OFF) plus best supportive care versus best supportive care alone (BSC) in second-line therapy of gemcitabine-refractory advanced pancreatic cancer

ISRCTN ISRCTN52780546
DOI https://doi.org/10.1186/ISRCTN52780546
ClinicalTrials.gov number NCT00786058
Secondary identifying numbers German Tumour Study Registry (Deutsches KrebsStudienRegister) ID No.: 427; CONKO-003
Submission date
24/07/2007
Registration date
21/12/2007
Last edited
08/04/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Helmut Oettle
Scientific

Augustenburger Platz 1
Berlin
13344
Germany

Phone +49 (0)30 450 553 222
Email helmut.oettle@charite.de

Study information

Study designProspective, open, multicentre, randomised, controlled phase III trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleOxaliplatin/folinic acid/5-fluorouracil (24-hour) (OFF) plus best supportive care versus best supportive care alone (BSC) in second-line therapy of gemcitabine-refractory advanced pancreatic cancer
Study objectivesStudy hypothesis:
To test the hypothesis that second-line chemotherapy with OFF improves overall survival compared to best supportive care alone.

Amendment 1:
To test the hypothesis that second-line chemotherapy with OFF improves overall survival compared to folinic acid/5-fluorouracil (24-hour) and best supportive care alone (FF).
Ethics approval(s)Approval received from the Ethikkommission der Charite Universitatsmedizin Berlin on the 14th October 2002 (ref: 192/2002); amendment 1 approved on 12th December 2003.
Health condition(s) or problem(s) studiedPancreatic cancer
InterventionAfter stratification for duration of first line therapy, Karnofsky Performance Status (KPS) and tumour stage, patients were randomised and treated with 5-fluorouracil (FU) 2 g/m^2 (24-hour)/folinic acid (FA) 200 mg/m^2 (FF) on days 1, 8, 15 and 22 with or without oxaliplatin 85 mg/m^2 (2-hour) on days 8 and 22. Therapy paused on days 23 to 42.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Oxaliplatin, folinic acid, 5-fluorouracil
Primary outcome measureOverall survival, progression free survival: Kaplan Meyer Plot (current version of SPSS).
Secondary outcome measures1. Rate of remission: description with tabulations, as percentage of the two treatment groups, duration of remission
2. Toxicity: NCI Common Toxicity Criteria (CTC) grade differentation, description with tabulations
3. Quality of life: tabulation descriptions, assesment with box-plot (current version of SPSS)
Overall study start date01/01/2004
Completion date31/12/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants165
Total final enrolment46
Key inclusion criteria1. Histologically or cytologically proven advanced pancreatic cancer after confirmed failure of treatment with gemcitabine
2. No more than three weeks between confirmed failure of treatment with gemcitabine and start of second-line therapy
3. Karnofsky performance status greater than 70%
4. Measurable disease of more than 15 x 15 mm per computed tomography (CT) or magnetic resonance (MR) scan
5. Leucocytes greater than 3.5 x 10^9/L, platelets greater than 100 x 10^9/L
6. Written informed consent
7. Age of 18 years or more
8. Sufficient contraception up to three months after the end of therapy
Key exclusion criteria1. Active infection (as decided by physician)
2. Pregnant or breastfeeding women
3. Psychiatric disorders
4. Heavy disorders, contradictory with study (as decided by physician)
5. Heavy complications of the tumour, requiring an acute therapy
6. Heavy cardiac disorders
7. Peripheral, sensory and/or motor neuropathy (greater than II° - grade of sensoric/motoric toxicity regarding National Cancer Institute [NCI] criteria)
8. Hyperesthesia against study medication or related drugs
9. Patients with renal failure (creatinine clearance less than 30 ml/min)
Date of first enrolment01/01/2004
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • Germany

Study participating centre

Augustenburger Platz 1
Berlin
13344
Germany

Sponsor information

Charité - University Medicine Berlin (Charité - Universitätsmedizin Berlin) (Germany)
University/education

Augustenburger Platz 1
Berlin
13344
Germany

Phone +49 (0)30 450 553 222
Email lars.roll@charite.de
Website http://www.charite.de/de/
ROR logo "ROR" https://ror.org/001w7jn25

Funders

Funder type

Industry

Amgen GmbH (Germany)

No information available

Medac (Germany)

No information available

Ribosepharm GmbH (Germany)

No information available

Sanofi-Aventis Deutschland GmbH (Germany)

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/06/2005 08/04/2021 Yes No
Results article 10/08/2014 08/04/2021 Yes No

Editorial Notes

08/04/2021: Publication references and ClinicalTrials.gov number added.