Trial record 14 of 28 for:    Open Studies | "Bile Duct Neoplasms"

Fluorouracil, Cisplatin, and Radiation Therapy or Gemcitabine and Oxaliplatin in Treating Patients With Nonmetastatic Biliary Tract Cancer That Cannot Be Removed By Surgery

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2006 by National Cancer Institute (NCI).
Recruitment status was  Recruiting
Sponsor:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00304135
First received: March 15, 2006
Last updated: February 23, 2011
Last verified: December 2006
  Purpose

RATIONALE: Drugs used in chemotherapy, such as fluorouracil, cisplatin, oxaliplatin, and gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. Radiation therapy uses high-energy x-rays to kill tumor cells. It is not yet known whether giving fluorouracil and cisplatin together with radiation therapy is more effective than giving gemcitabine together with oxaliplatin in treating nonmetastatic biliary tract cancer.

PURPOSE: This randomized phase II/III trial is studying fluorouracil, cisplatin, and radiation therapy to see how well they work compared to gemcitabine and oxaliplatin in treating patients with nonmetastatic biliary tract cancer that cannot be removed by surgery.


Condition Intervention Phase
Extrahepatic Bile Duct Cancer
Gallbladder Cancer
Liver Cancer
Drug: cisplatin
Drug: fluorouracil
Drug: gemcitabine hydrochloride
Drug: oxaliplatin
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Primary Purpose: Treatment
Official Title: Randomized Phase II-III Study of Chemoradiation With Fluorouracil and Cisplatin Versus Chemotherapy (Gemcitabine/Oxaliplatin) in Non Resectable But Non Metastatic Cancer of the Biliary Tract

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Progression rate at 3 months [ Designated as safety issue: No ]
  • Overall survival [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Toxicity [ Designated as safety issue: Yes ]
  • Quality of life [ Designated as safety issue: No ]
  • Biliary complication rate [ Designated as safety issue: No ]
  • Duration of hospitalization [ Designated as safety issue: No ]

Estimated Enrollment: 170
Study Start Date: October 2005
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Compare the 3-month progression rate in patients with unresectable, nonmetastatic cancer of the biliary tract treated with fluorouracil, cisplatin, and radiotherapy vs gemcitabine hydrochloride and oxaliplatin. (phase II)
  • Compare the overall survival of patients treated with these regimens. (phase III)

Secondary

  • Compare toxicities of these regimens in these patients. (phase II)
  • Compare the quality of life at initial drainage (phase II) and overall (phase III) of patients treated with these regimens.
  • Compare the biliary complication rate in patients treated with these regimens.
  • Compare the duration of hospitalization of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease location (gallbladder vs intrahepatic biliary duct vs extrahepatic biliary duct). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo radiotherapy once daily, 5 days a week on days 1-33. Patients also receive fluorouracil IV continuously over 5 days once a week in weeks 1-5 and cisplatin IV over 15 minutes on days 1-4 and 29-32 (or days 1 or 2 and 29 or 30) in the absence of disease progression or unacceptable toxicity.
  • Arm II: Patients receive gemcitabine hydrochloride IV over 100 minutes and oxaliplatin IV over 2 hours on day 1. Treatment repeats every 14 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline and then every 3 months thereafter.

After completion of study therapy, patients are followed periodically for 2 years.

PROJECTED ACCRUAL: A total of 170 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of cancer of the biliary tract by 1 of the following methods:

    • Histologic confirmation
    • Stenosis of the biliary tract by MRI, CT scan, or ECHO
  • Unresectable disease
  • Amenable to radiotherapy
  • No visceral metastases by imaging

    • Hepatic adenopathies that can be included in a radiation field allowed
  • No known ampulla of Vater or pancreatic cancer involving the biliary tract

PATIENT CHARACTERISTICS:

  • WHO performance status 0-2
  • Creatinine < 1.5 mg/dL
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 75,000/mm^3
  • Prothrombin time > 70%
  • Bilirubin ≤ 2.9 mg/dL (after hepatic draining, if needed)
  • No unstable angina
  • No symptomatic cardiac insufficiency
  • No other comorbidity that would preclude study therapy
  • No other prior malignancy except basal cell skin cancer or carcinoma in situ of the cervix
  • No prior hydatid cyst or alveolar echinococciasis
  • Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

  • No recent biliary surgery
  • No hepatic intra-arterial chemotherapy
  • No prior anticancer therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00304135

Locations
France
Centre Hospitalier General Recruiting
Belfort, France, 90000
Contact: Serge Fratte, MD     33-384-574-095     sfratte@ch-montbeliard-belfort.rss.fr    
Centre Hospitalier Pierre Oudot Recruiting
Bourgoin-Jallieu, France, 38300
Contact: Noel Stremsdoerfer, MD     33-4-7427-3011        
Hopital Louis Pasteur Recruiting
Colmar, France, 68024
Contact: Bernard Denis     33-3-8912-4097        
Centre Hospitalier de Dax Recruiting
Dax, France, 40100
Contact: Laure Gautier-Felizot     33-6-8591-9735        
Hopital Du Bocage Recruiting
Dijon, France, 21034
Contact: Laurent Bedenne, MD     33-3-8029-3750     lbedenne@u-bourgogne.fr    
Centre de Lutte Contre le Cancer Georges-Francois Leclerc Recruiting
Dijon, France, 21079
Contact: Bruno Chauffert     33-3-8073-7506     bchauffert@dijon.fnclcc.fr    
Centre Hospitalier Departemental Recruiting
La Roche Sur Yon, France, F-85025
Contact: Roger Faroux     33-2-5144-6168        
C. H. Du Mans Recruiting
Le Mans, France, 72037
Contact: Marie-Aude Coulon     33-2-4343-4343        
CHU de la Timone Recruiting
Marseille, France, 13385
Contact: Jean-Francois Seitz, MD     33-4-9138-6023        
Centre Hospitalier General de Mont de Marsan Recruiting
Mont-de-Marsan, France, 40000
Contact: Patrick Texereau, MD     33-5-5805-1164        
CHR D'Orleans - Hopital de la Source Recruiting
Orleans, France, 45100
Contact: Jean-Paul Lagasse     33-02-3651-4704        
CHU Pitie-Salpetriere Recruiting
Paris, France, 75651
Contact: Julien Taieb, MD     33-1-4216-1023        
Hopital Bichat - Claude Bernard Recruiting
Paris, France, 75018
Contact: Thomas Aparicio     33-1-4025-7200     thomas.aparicio@bch.ap-hop-paris.fr    
Centre Hospitalier Lyon Sud Recruiting
Pierre Benite, France, 69495
Contact: Francoise Mornex, MD, PhD     33-478-864-253     francoise.mornex@chu-lyon.fr    
Hopital Sebastopol, C.H.U. de Reims Recruiting
Reims, France, 51092
Contact: Stephanie Lagarde     33-326-784-410        
Centre Eugene Marquis Recruiting
Rennes, France, 35062
Contact: Eveline Boucher, MD     33-2-9925-3180     boucher@rennes.fnclcc.fr    
Hopital Charles Nicolle Recruiting
Rouen, France, 76031
Contact: Pierre Michel     33-2-3288-8260        
Centre Hospitalier de Semur en Auxois Recruiting
Semur en Auxois, France, 21140
Contact: Patenotte     33-3-8089-6464        
Hopital Universitaire Hautepierre Recruiting
Strasbourg, France, 67098
Contact: Palascak     33-388-127-682        
Centre Hospitalier de Tarbes Recruiting
Tarbes, France, 65013
Contact: Glibert     33-5-6251-5151        
Sponsors and Collaborators
Fondation Francaise de Cancerologie Digestive
Investigators
Principal Investigator: Bruno Chauffert Centre de Lutte Contre le Cancer Georges-Francois Leclerc
  More Information

Additional Information:
No publications provided

ClinicalTrials.gov Identifier: NCT00304135     History of Changes
Other Study ID Numbers: CDR0000470411, FFCD-9902, SANOFI-FFCD-9902, LILLY-FFCD-9902, FFCD-FNCLCC-SFRO-9902
Study First Received: March 15, 2006
Last Updated: February 23, 2011
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
localized unresectable adult primary liver cancer
unresectable extrahepatic bile duct cancer
unresectable gallbladder cancer

Additional relevant MeSH terms:
Bile Duct Neoplasms
Liver Neoplasms
Gallbladder Neoplasms
Biliary Tract Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Liver Diseases
Biliary Tract Diseases
Gallbladder Diseases
Bile Duct Diseases
Gemcitabine
Oxaliplatin
Cisplatin
Fluorouracil
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Radiation-Sensitizing Agents
Physiological Effects of Drugs
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Antimetabolites, Antineoplastic
Immunosuppressive Agents
Immunologic Factors
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors

ClinicalTrials.gov processed this record on May 19, 2013