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Gemcitabine Hydrochloride With or Without GDC-0449 in Treating Patients With Recurrent or Metastatic Pancreatic Cancer
This study is currently recruiting participants.
Verified January 2011 by National Cancer Institute (NCI)

First Received on February 5, 2010.   Last Updated on February 22, 2011   History of Changes
Sponsor: University of Chicago
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT01064622
  Purpose

RATIONALE: Drugs used in chemotherapy, such as gemcitabine hydrochloride, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. GDC-0449 may slow the growth of tumor cells. It is not yet known whether giving gemcitabine hydrochloride together with GDC-0449 is more effective than gemcitabine hydrochloride alone in treating patients with pancreatic cancer.

PURPOSE: This randomized phase II trial is studying gemcitabine hydrochloride and GDC-0449 to see how well they work compared with gemcitabine hydrochloride alone in treating patients with recurrent or metastatic pancreatic cancer.


Condition Intervention Phase
Pancreatic Cancer
Drug: Hedgehog antagonist GDC-0449
Drug: gemcitabine hydrochloride
Other: placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multi-Center, Double Blind, Placebo-Controlled, Randomized Phase II of Gemcitabine Plus GDC-0449 (NSC 747691), a Hh Pathway Inhibitor, in Patients With Metastatic Pancreatic Cancer (10052747)

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Progression-free survival [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Median overall survival [ Designated as safety issue: No ]
  • Objective response rate [ Designated as safety issue: No ]
  • Toxicity [ Designated as safety issue: Yes ]
  • Activity of gemcitabine hydrochloride and hedgehog antagonist GDC-0449 in patients who progress on gemcitabine hydrochloride alone [ Designated as safety issue: No ]
  • Prognostic ability of IHC expression or DNA alteration to determine outcome, in terms of relapse-free survival [ Designated as safety issue: No ]
  • Comparison of biomarker IHC levels in pancreatic cancer patients with levels in normal pancreatic samples [ Designated as safety issue: No ]

Estimated Enrollment: 118
Study Start Date: September 2009
Estimated Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Arm I (part II)
Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15 and oral placebo once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. At the time of disease progression, patients are unblinded and may crossover to arm II.
Drug: gemcitabine hydrochloride
Given IV
Other: placebo
Given orally
Experimental: Arm II (part II)
Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15 and oral hedgehog antagonist GDC-0449 once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Drug: Hedgehog antagonist GDC-0449
Given orally
Drug: gemcitabine hydrochloride
Given IV

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed pancreatic adenocarcinoma meeting 1 of the following criteria:

    • Newly diagnosed, metastatic disease
    • Recurrent disease

      • Patients with recurrent disease after surgical resection must have sufficient archived tissue available for correlative studies
  • Measurable disease, defined as ≥ 1 lesion that can be accurately measured in ≥ 1 dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques or as ≥ 10 mm with spiral CT scan
  • No known brain metastases

PATIENT CHARACTERISTICS:

  • Karnofsky performance status 80-100%
  • Life expectancy > 3 months
  • Granulocytes ≥ 1,500/μL
  • Platelet count ≥ 100,000/μL
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST/ALT ≤ 2.5 times ULN (≤ 5 times ULN in the presence of liver metastases)
  • INR ≤ 1.5 (≤ 3 for patients on warfarin)
  • Serum creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 65 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use at least one method of contraception for ≥ 4 weeks prior to, and then double-method of contraception during and for ≥ 12 months after completion of study treatment
  • Able to swallow capsules
  • No uncontrolled hypocalcemia, hypomagnesemia, hyponatremia, or hypokalemia, defined as less than the lower limit of normal despite adequate electrolyte supplementation
  • No malabsorption syndrome or other condition that would interfere with intestinal absorption
  • No clinically active liver disease, including active viral or other hepatitis or cirrhosis
  • No "currently active" second malignancy other than nonmelanoma skin cancer or carcinoma in situ of the cervix

    • Patients are not considered to have a "currently active" malignancy if they have completed therapy and have no evidence of recurrence for ≥ 5 years
  • No concurrent uncontrolled illness including, but not limited to, any of the following:

    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness or social situation that would limit compliance with study requirements
  • No cerebrovascular accident within the past 6 months
  • No recent myocardial infarction
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to hedgehog antagonist GDC-0449 or any other agents used in this study
  • No blood donation for ≥ 12 months after completion of study treatment

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No prior Hedgehog SMO inhibitor
  • No prior chemotherapy for metastatic disease
  • Prior adjuvant chemotherapy or adjuvant chemoradiotherapy allowed provided patient did not receive chemotherapy for metastatic disease AND adjuvant therapy was completed ≥ 6 months before the diagnosis of recurrent disease
  • Prior surgery allowed provided patient did not receive adjuvant therapy AND surgery was completed ≥ 6 months prior to the diagnosis of recurrent disease
  • No other concurrent investigational agents
  • No other concurrent anticancer agents or therapies
  • No concurrent ketoconazole or grapefruit juice
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • Concurrent warfarin allowed provided patient is on a stable therapeutic dose of warfarin, INR is in the target range (≤ 3), INR testing is performed weekly, and patient has no active bleeding or pathological condition that carries a high risk of bleeding
  • Other concurrent anticoagulants (including enoxaparin [Lovenox] and fondaparinux [Arixtra]) allowed
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01064622

Locations
United States, California
Tower Cancer Research Foundation Recruiting
Beverly Hills, California, United States, 90211
Contact: Solomon I. Hamburg, MD, PhD     310-888-8680        
City of Hope Comprehensive Cancer Center Recruiting
Duarte, California, United States, 91010-3000
Contact: Clinical Trials Office - City of Hope Comprehensive Cancer Cen     800-826-4673     becomingapatient@coh.org    
USC/Norris Comprehensive Cancer Center and Hospital Recruiting
Los Angeles, California, United States, 90089-9181
Contact: Clinical Trials Office - USC/Norris Comprehensive Cancer Cente     323-865-0451        
City of Hope Medical Group Recruiting
Pasadena, California, United States, 91105
Contact: Mark V. McNamara, MD     626-396-2900     mmcnamara@ccsmg.com    
University of California Davis Cancer Center Recruiting
Sacramento, California, United States, 95817
Contact: Clinical Trials Office - University of California Davis Cancer     916-734-3089        
United States, Illinois
University of Chicago Cancer Research Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Clinical Trials Office - University of Chicago Cancer Research     773-834-7424        
Decatur Memorial Hospital Cancer Care Institute Recruiting
Decatur, Illinois, United States, 62526
Contact: Clinical Trials Office - Decatur Memorial Hospital Cancer Care     217-876-4750        
Evanston Hospital Recruiting
Evanston, Illinois, United States, 60201-1781
Contact: Clinical Trials Office - Evanston Hospital     847-570-1381        
Ingalls Cancer Care Center at Ingalls Memorial Hospital Recruiting
Harvey, Illinois, United States, 60426
Contact: Clinical Trials Office - Ingalls Cancer Care Center at Ingalls     708-915-4673        
Cardinal Bernardin Cancer Center at Loyola University Medical Center Recruiting
Maywood, Illinois, United States, 60153
Contact: Clinical Trials Office - Cardinal Bernardin Cancer Center     708-226-4357        
Oncology Hematology Associates of Central Illinois, PC - Peoria Recruiting
Peoria, Illinois, United States, 61615-7828
Contact: Sachdev P. Thomas, MD     309-243-1000     sthomas@ohaci.com    
Central Illinois Hematology Oncology Center Recruiting
Springfield, Illinois, United States, 62701
Contact: Edem S. Agamah, MD, MS     217-525-2500     ihdn@aol.com    
United States, Indiana
Fort Wayne Medical Oncology and Hematology Recruiting
Fort Wayne, Indiana, United States, 46885-5099
Contact: Sreenivasa R. Nattam, MD     260-484-8830     ledgar@fwmoh.com    
United States, Maryland
Greenebaum Cancer Center at University of Maryland Medical Center Recruiting
Baltimore, Maryland, United States, 21201
Contact: Clinical Trials Office - Greenebaum Cancer Center at Universit     800-888-8823        
Cancer Institute at St. Joseph Medical Center Recruiting
Towson, Maryland, United States, 21204
Contact: Richard Schrader, MD     410-427-5585        
United States, Michigan
University of Michigan Comprehensive Cancer Center Recruiting
Ann Arbor, Michigan, United States, 48109-0942
Contact: Clinical Trials Office - University of Michigan Comprehensive     800-865-1125        
United States, Missouri
David C. Pratt Cancer Center at St. John's Mercy Recruiting
Saint Louis, Missouri, United States, 63141
Contact: Clinical Trials Office - David C. Pratt Cancer Center at St. J     314-251-6770        
United States, New York
Albert Einstein Cancer Center at Albert Einstein College of Medicine Recruiting
Bronx, New York, United States, 10461
Contact: Clinical Trials Office - Albert Einstein Cancer Center at Albe     718-904-2730     aecc@aecom.yu.edu    
Montefiore Medical Center Recruiting
Bronx, New York, United States, 10467
Contact: Andreas Kaubisch, MD     718-920-4826        
New York Weill Cornell Cancer Center at Cornell University Recruiting
New York, New York, United States, 10021
Contact: Clinical Trials Office - New York Weill Cornell Cancer Center     212-746-1848        
NYU Cancer Institute at New York University Medical Center Recruiting
New York, New York, United States, 10016
Contact: Howard S. Hochster, MD     212-731-5100     howard.hochster@med.nyu.edu    
United States, Pennsylvania
Penn State Hershey Cancer Institute at Milton S. Hershey Medical Center Recruiting
Hershey, Pennsylvania, United States, 17033-0850
Contact: Clinical Trials Office - Penn State Hershey Cancer Institute a     717-531-3779     CTO@hmc.psu.edu    
UPMC Cancer Centers Recruiting
Pittsburgh, Pennsylvania, United States, 15232
Contact: Clinical Trials Office - UPMC Cancer Centers     412-647-8073        
United States, Wisconsin
Medical College of Wisconsin Cancer Center Recruiting
Milwaukee, Wisconsin, United States, 53226
Contact: Clinical Trials Office - Medical College of Wisconsin Cancer C     414-805-4380        
Sponsors and Collaborators
University of Chicago
Investigators
Principal Investigator: Hedy L. Kindler, MD University of Chicago
  More Information

Additional Information:
No publications provided

Responsible Party: Dale Rush, University of Chicago Cancer Research Center
ClinicalTrials.gov Identifier: NCT01064622     History of Changes
Other Study ID Numbers: CDR0000655378, UCCRC-8418, 8418
Study First Received: February 5, 2010
Last Updated: February 22, 2011
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
stage IV pancreatic cancer
adenocarcinoma of the pancreas
recurrent pancreatic cancer

Additional relevant MeSH terms:
Pancreatic Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Endocrine Gland Neoplasms
Digestive System Diseases
Pancreatic Diseases
Endocrine System Diseases
Gemcitabine
Antimetabolites, Antineoplastic
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Radiation-Sensitizing Agents

ClinicalTrials.gov processed this record on May 23, 2012