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UCN-01 and Gemcitabine in Treating Patients With Unresectable or Metastatic Pancreatic Cancer
This study has been completed.
Study NCT00039403   Information provided by National Cancer Institute (NCI)
First Received: June 6, 2002   Last Updated: July 23, 2008   History of Changes

June 6, 2002
July 23, 2008
May 2002
 
 
 
Complete list of historical versions of study NCT00039403 on ClinicalTrials.gov Archive Site
 
 
 
UCN-01 and Gemcitabine in Treating Patients With Unresectable or Metastatic Pancreatic Cancer
A Phase I Study Of UCN-01 In Combination With Gemcitabine In Unresectable Or Metastatic Pancreatic Carcinoma

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. UCN-01 may help gemcitabine kill more cancer cells by making tumor cells more sensitive to the drug.

PURPOSE: Phase I trial to study the effectiveness of combining UCN-01 with gemcitabine in treating patients who have unresectable or metastatic pancreatic cancer.

OBJECTIVES:

  • Determine the safety, toxicity profile, and maximum tolerated dose of UCN-01 and gemcitabine in patients with unresectable or metastatic adenocarcinoma of the pancreas.
  • Characterize the pharmacokinetic profile of this regimen in these patients.
  • Correlate various surrogate measurements of UCN-01 with intracellular concentrations in these patients.
  • Determine the recommended phase II dose of this regimen in these patients.
  • Determine the frequency, extent, and duration of any tumor responses in patients treated with this regimen.
  • Correlate serum alpha-1 acid glycoprotein levels in these patients with the pharmacokinetics and toxicity of UCN-01.

OUTLINE: This is a dose-escalation study.

Patients receive gemcitabine IV over 1-2 hours on days 1 and 8 followed by UCN-01 IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity.

Sequential dose escalation of UCN-01 is followed by sequential dose escalation of gemcitabine. Cohorts of 3-6 patients receive escalating doses of UCN-01 and then gemcitabine until the maximum tolerated dose (MTD) of the combination is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, at least 6 patients are treated at the recommended phase II dose.

PROJECTED ACCRUAL: Approximately 6-30 patients will be accrued for this study within 2-15 months.

Phase I
Interventional
Treatment
Pancreatic Cancer
  • Drug: 7-hydroxystaurosporine
  • Drug: gemcitabine hydrochloride
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
 

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed unresectable or metastatic adenocarcinoma of the pancreas
  • Unidimensionally measurable disease

    • At least 20 mm by conventional techniques OR
    • At least 10 mm by spiral CT scan
    • Tumor lesions in a previously irradiated area are not considered measurable
  • No known brain metastases

    • Patients with signs or symptoms of CNS metastasis at any time during screening must have a negative CT scan or MRI of the brain

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2 OR
  • Karnofsky 60-100%

Life expectancy:

  • More than 3 months

Hematopoietic:

  • WBC at least 3,000/mm^3
  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count greater than 100,000/mm^3

Hepatic:

  • Bilirubin no greater than 1.5 mg/dL
  • ALT and AST no greater than 2.5 times upper limit of normal

Renal:

  • Creatinine normal OR
  • Creatinine clearance at least 60 mL/min

Cardiovascular:

  • No prior coronary artery disease
  • No symptomatic cardiac dysfunction
  • No prior myocardial infarction
  • No active angina (even if controlled by medication)
  • No positive stress test
  • No uncontrolled arrhythmia
  • Left ventricular ejection fraction at least 45%
  • Patients with symptoms suggestive of coronary artery disease or arrhythmia must have no evidence of cardiac pathology

Pulmonary:

  • No symptomatic pulmonary dysfunction

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after study participation
  • No prior allergic reactions attributed to compounds of similar chemical or biological composition to UCN-01 or other study agents
  • No insulin-dependent diabetes mellitus
  • No other concurrent uncontrolled illness
  • No ongoing or active infections
  • No concurrent psychiatric illness
  • No other active malignancy
  • No other solid tumor within the past 5 years except neoplasia in situ or nonmelanomatous skin cancer
  • No social situations that would preclude study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No concurrent over-the-counter biologics
  • No concurrent growth factors during the first study course

Chemotherapy:

  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
  • No more than 2 prior chemotherapy regimens (e.g., gemcitabine and/or experimental agents) alone or in combination with radiotherapy as neoadjuvant or adjuvant therapy for resectable, unresectable, or metastatic disease

Endocrine therapy:

  • Not specified

Radiotherapy:

  • See Disease Characteristics
  • See Chemotherapy
  • At least 6 weeks since prior radiotherapy and recovered
  • Prior radiotherapy directed only at the primary tumor bed allowed
  • No prior radiotherapy to the mediastinum, pelvis, lower spine, or more than 20% of bone marrow

Surgery:

  • See Disease Characteristics
  • At least 4 weeks since prior major surgery

Other:

  • At least 4 weeks since prior investigational agents
  • Concurrent enrollment in non-therapy trials (e.g., quality of life) allowed
  • No concurrent herbal remedies
  • No concurrent treatment for another active malignancy
  • No concurrent warfarin for anticoagulation
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent investigational or commercial anticancer agents or therapies
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00039403
 
CDR0000069380, MDA-DM-01553, NCI-5510
M.D. Anderson Cancer Center
National Cancer Institute (NCI)
Study Chair: Linus Ho, MD M.D. Anderson Cancer Center
National Cancer Institute (NCI)
January 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP