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Study to Test the Benefit and Safety of DAVANAT in Combination With 5-FU to Treat Bile Duct and Gall Bladder Cancer

This study is currently recruiting participants.
Verified by Pro-Pharmaceuticals, September 2007

Sponsored by: Pro-Pharmaceuticals
Information provided by: Pro-Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00386516
  Purpose

The purpose of this clinical trial is to determine whether the combination of the established chemotherapeutic agent 5-fluorouracil(5-FU) and the large carbohydrate molecule DAVANAT is beneficial in treating advanced gall bladder and bile duct cancer.


Condition Intervention Phase
Cancer of the Bile Duct
Gallbladder Cancer
Drug: DAVANAT in combination with 5-Fluorouracil
Phase II

Genetics Home Reference related topics:   bladder cancer   

MedlinePlus related topics:   Cancer   

ChemIDplus related topics:   Fluorouracil   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title:   Phase 2, Multi-Center, Open-Label Trial to Evaluate Efficacy and Safety of DAVANAT in Combination With 5-FU as First Line Chemotherapy in Patients With Advanced Biliary Cancer

Further study details as provided by Pro-Pharmaceuticals:

Primary Outcome Measures:
  • Objective response rate (ORR) defined as complete response (CR) rate plus partial response (PR) rate using Response Evaluation Criteria in Solid Tumors (RECIST)
  • Stable disease (SD) rate

Secondary Outcome Measures:
  • Overall and progression-free survival (PFS) times
  • Quality of Life (QoL)
  • Safety and tolerability

Estimated Enrollment:   42
Study Start Date:   September 2006

Detailed Description:

Determine the overall response rate (ORR) defined as complete response (CR)rate plus partial response (PR) rate using Response Evaluation Criteria in Solid Tumors (RECIST), as well as the stable disease (SD) rate in subjects with unresectable, locally advanced or metastatic cholangiocarcinoma or other biliary tract tumors treated with DAVANAT plus 5-Fluorouracil (DAVFU) at doses of 280 mg/m2 and 600 mg/m2, respectively, during cycles of 4 consecutive days of treatment followed by a 24-day follow-up period.

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

Criteria

Inclusion Criteria:

  1. 18 years of age or older.
  2. Histologically or cytologically documented carcinoma primary to the intra- or extra-hepatic biliary system or gall bladder with clinical and/or radiologic evidence of unresectable, locally advanced or metastatic disease.
  3. Prior neo-adjuvant or adjuvant therapy (including radiation therapy) is allowed provided it was completed at least 4 weeks before documented disease recurrence or metastasis.
  4. Discontinuation of radiation therapy at least 3 weeks prior to Day 1 of Cycle 1. Radiation therapy will not be allowed while a subject is on study except for palliative radiation therapy to non-target lesions administered following consultation with the Medical Monitor.
  5. Prior surgery must have been completed at least 14 days prior to Day 1 of Cycle 1.
  6. Nne or more measurable target lesion(s) according to RECIST. Measurable lesion(s) must be outside of previous radiation field or demonstrate clear radiographic progression on serial imaging if within previous treatment field.
  7. ECOG performance status less than or equal to 2.
  8. Life expectancy greater or equal to 3 months.

Exclusion Criteria:

  1. Central nervous system metastasis.
  2. Bony metastasis as the sole metastasis.
  3. Received prior chemotherapy or anti-angiogenesis agents including bevacizumab or erbitux or radiation therapy other than in a neo-adjuvant or adjuvant setting. No concomitant chemotherapy, anti-tumor biologic therapy, or radiation therapy is allowed.
  4. If nitrosoureas or mitomycin C were used as neo-adjuvant or adjuvant therapy, then at least 6 weeks should have elapsed prior to treatment with DAVFU.
  5. Active infection that requires treatment with systemic antibiotic, anti- fungal. or anti-viral therapy.
  6. Congestive heart failure (Class III or IV in the NYHA functional classification system) or any other medical condition that would preclude the IV administration of up to approximately 200 mL of fluid over 30-60 minutes.
  7. Unresolved biliary tract obstruction.
  8. Known or clinically suspected infection with HIV.
  9. Subject has a known intolerance to 5- FU.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00386516

Contacts
Contact: Hana Chen-Walden, MD     +1.617.559.0033     hana.chen-walden@euclinreg.com    

Locations
United States, Florida
Tampa General Hospital     Recruiting
      Tampa, Florida, United States, 33601
      Contact: Jennifer Cooper, CRA     813-844-4218     jcooper@health.usf.edu    
      Principal Investigator: Alexander Rosemurgy, MD            
United States, Massachusetts
Boston Medical Center     Recruiting
      Boston, Massachusetts, United States, 02118
      Contact: Rebecca Brown, RN     617-414-1828     becky.brown@bmc.org    
      Principal Investigator: Kevan Leighton Hartshorn, MD            
United States, Michigan
University of Michigan, Comprehensive Cancer Center     Recruiting
      Ann Arbor, Michigan, United States, 48109
      Contact: Kate Harper     734-647-9112     kateharper@med.umich.edu    
      Principal Investigator: Mark Zalupski, M.D.            
United States, Ohio
Barrett Cancer Center     Recruiting
      Cincinnati, Ohio, United States, 45267-0501
      Contact: Shante Stephens     513-558-0553     StepheS@ucmail.uc.edu    
      Principal Investigator: Malek Safa, M.D.            

Sponsors and Collaborators
Pro-Pharmaceuticals
  More Information

Study ID Numbers:   DAVFU-007
First Received:   October 10, 2006
Last Updated:   December 28, 2007
ClinicalTrials.gov Identifier:   NCT00386516
Health Authority:   United States: Food and Drug Administration

Keywords provided by Pro-Pharmaceuticals:
cholangiocarcinoma  
bile duct  
biliary  
intra-hepatic  
extra-hepatic  
gall bladder  
cancer
carcinoma
metastatic
metastasis
advanced
recurrent

Study placed in the following topic categories:
Gallbladder Diseases
Cholangiocarcinoma
Biliary Tract Neoplasms
Digestive System Neoplasms
Biliary tract cancer
Urinary Bladder Neoplasms
Recurrence
Gall bladder cancer
Carcinoma
Digestive System Diseases
Bile Duct Diseases
Fluorouracil
Biliary Tract Diseases
Neoplasm Metastasis
Gastrointestinal Neoplasms
Gallbladder Neoplasms
Bile Duct Neoplasms
Bladder neoplasm

Additional relevant MeSH terms:
Antimetabolites
Neoplasms
Antimetabolites, Antineoplastic
Neoplasms by Site
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Physiological Effects of Drugs
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 04, 2008




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