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Gemcitabine With or Without Erlotinib in Treating Patients With Unresectable Locally Advanced or Metastatic Pancreatic Cancer
This study is ongoing, but not recruiting participants.
First Received: November 9, 2001   Last Updated: July 14, 2009   History of Changes
Sponsor: NCIC Clinical Trials Group
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00026338
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Biological therapies such as erlotinib use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy and biological therapy may kill more tumor cells. It is not yet known if gemcitabine is more effective with or without erlotinib in treating pancreatic cancer.

PURPOSE: Randomized phase III trial to determine the effectiveness of gemcitabine with and without erlotinib in treating patients who have unresectable locally advanced or metastatic pancreatic cancer.


Condition Intervention Phase
Pancreatic Cancer
Drug: erlotinib hydrochloride
Drug: gemcitabine hydrochloride
Phase III

Study Type: Interventional
Study Design: Treatment
Official Title: A Randomized Placebo Controlled Study Of OSI-774 (TARCEVA) Plus Gemcitabine In Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer

Resource links provided by NLM:


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

Study Start Date: August 2001
Detailed Description:

OBJECTIVES:

  • Compare the overall survival rate in patients with unresectable locally advanced or metastatic pancreatic cancer treated with gemcitabine with or without erlotinib.
  • Compare the progression-free survival rate in patients treated with these regimens.
  • Compare the quality of life of patients treated with these regimens.
  • Compare the response rate and response duration in patients treated with these regimens.
  • Compare the nature, severity, and frequency of toxic effects of these regimens in these patients.
  • Correlate the expression of tissue epidermal growth factor receptor levels at diagnosis with outcome and response in patients treated with these regimens.
  • Determine the pharmacokinetics of erlotinib in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to participating center, extent of disease (locally advanced vs metastatic), and ECOG performance status (0-1 vs 2). Patients are randomized to one of two treatment arms.

  • Arm I: Patients receive gemcitabine IV over 30 minutes on days 1, 8, 15, 22, 29, 36, and 43 of course 1 only, which lasts 8 weeks, and on days 1, 8, and 15 of all subsequent courses, which last 4 weeks each. Patients also receive 1 of 2 doses of oral erlotinib once daily.
  • Arm II: Patients receive gemcitabine as in arm I and 1 of 2 doses of oral placebo once daily.

Treatment continues in both arms in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline, on day 29 of course 1, on day 1 of all subsequent courses, at 4 weeks after study, and then every 12 weeks until disease progression.

Patients are followed at 4 weeks and then every 12 weeks thereafter.

PROJECTED ACCRUAL: A total of 800 patients (400 per treatment arm) will be accrued for this study within 11 months.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed adenocarcinoma of the pancreas
  • Locally advanced or metastatic disease that is considered unresectable
  • No known CNS metastases

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Absolute granulocyte count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3

Hepatic:

  • Bilirubin less than 2 times upper limit of normal (ULN)
  • AST and/or ALT less than 2 times ULN (5 times ULN if liver metastases present)

Renal:

  • Creatinine less than 1.5 times ULN

Cardiovascular:

  • No uncontrolled high blood pressure
  • No unstable angina
  • No congestive heart failure
  • No myocardial infarction within the past year
  • No cardiac ventricular arrhythmias requiring medication

Gastrointestinal:

  • No gastrointestinal (GI) tract disease resulting in an inability to take oral medication such as uncontrolled inflammatory GI disease (e.g., Crohn's disease or ulcerative colitis)
  • No post-surgical malabsorption characterized by:

    • Uncontrolled diarrhea that results in weight loss and vitamin deficiency OR
    • Requires IV hyperalimentation
    • Pancreatic enzyme supplementation allowed provided that the above criteria are not met

Ophthalmic:

  • No ocular inflammation or infection unless fully treated prior to study
  • No significant ophthalmologic abnormalities, including the following:

    • Severe dry eye syndrome
    • Sjogren's syndrome
    • Keratoconjunctivitis sicca
    • Severe exposure keratopathy
    • Disorders that would increase the risk for epithelium-related complications (e.g., bullous keratopathy, aniridia, severe chemical burns, or neutrophilic keratitis)

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • HIV negative
  • No serious active infection
  • No other serious underlying medical, psychological, or geographical condition that would preclude study participation
  • No prior allergic reaction to compounds with similar chemical or biologic composition to erlotinib
  • No other prior malignancy within the past 5 years except cancer in situ or basal cell or squamous cell skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No concurrent biologic therapy or immunotherapy

Chemotherapy:

  • No prior chemotherapy except fluorouracil (with or without leucovorin calcium) or gemcitabine administered concurrently with radiotherapy as a radiosensitizer
  • No other concurrent cytotoxic chemotherapy

Endocrine therapy:

  • Not specified

Radiotherapy:

  • See Chemotherapy
  • At least 4 weeks since prior radiotherapy and recovered
  • Prior radiotherapy for local disease allowed if evidence of disease progression has occurred
  • No concurrent radiotherapy

Surgery:

  • See Disease Characteristics
  • At least 2 weeks since prior major surgery
  • No concurrent ophthalmic surgery

Other:

  • No prior epidermal growth factor receptor inhibitors
  • At least 2 weeks since prior investigational drug
  • No other concurrent investigational drugs during and for at least 30 days after study
  • No other concurrent anti-cancer therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00026338

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Locations
United States, Arizona
Arizona Clinical Research Center
Tucson, Arizona, United States, 85712
United States, Arkansas
Highlands Oncology Group
Springdale, Arkansas, United States, 72764
United States, California
Alta Bates Comprehensive Cancer Center
Berkeley, California, United States, 94704
Century City Hospital
Los Angeles, California, United States, 90067
David Geffen School of Medicine
Los Angeles, California, United States, 90095-7059
USC/Norris Comprehensive Cancer Center and Hospital
Los Angeles, California, United States, 90033-0804
Kenmar Research Institute
Los Angeles, California, United States, 90057
Loma Linda University Cancer Institute
Loma Linda, California, United States, 92354
Sutter Health West Cancer Research Group
Greenbrae, California, United States, 94904
Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
San Diego, California, United States, 92120
United States, Connecticut
Davis, Posteraro, & Wasser, MDs, LLP
Manchester, Connecticut, United States, 06040
Eastern Connecticut Hematology and Oncology Associates
Norwich, Connecticut, United States, 06360
Hematology Oncology, P.C.
Stamford, Connecticut, United States, 06902
New Britain General Hospital
New Britain, Connecticut, United States, 06050-2000
United States, Florida
Florida Cancer Specialists
Fort Myers, Florida, United States, 33901
Moffitt Clinic at Tampa General Hospital
Tampa, Florida, United States, 33612-9497
Ocala Oncology Center
Ocala, Florida, United States, 34471-5563
Oncology & Hematology Associates of West Broward
Tamarac, Florida, United States, 33321
Oncology-Hematology Group of South Florida
Miami, Florida, United States, 33176
United States, Georgia
Central Georgia Hematology Oncology, P.C.
Macon, Georgia, United States, 31201
United States, Idaho
Mountain States Tumor Institute
Boise, Idaho, United States, 83712
United States, Illinois
Carle Cancer Center
Urbana, Illinois, United States, 61801
Midwest Cancer Research Group, Inc.
Skokie, Illinois, United States, 60076
Northwest Medical Specialists, P.C.
Arlington Heights, Illinois, United States, 60004
Oncology/Hematology Associates of Central Illinois, P.C.
Peoria, Illinois, United States, 61602
Veterans Affairs Medical Center - Hines (Hines Junior VA Hospital)
Hines, Illinois, United States, 60141
United States, Indiana
Medical Consultants
Muncie, Indiana, United States, 47304
United States, Iowa
University of Iowa Hospitals and Clinics
Iowa City, Iowa, United States, 52242
United States, Kansas
University of Kansas Medical Center
Kansas City, Kansas, United States, 66160-7353
United States, Kentucky
Lucille Parker Markey Cancer Center, University of Kentucky
Lexington, Kentucky, United States, 40536-0093
Norton Healthcare Pavilion
Louisville, Kentucky, United States, 40202
United States, Louisiana
Metairie, Louisiana, United States, 70006
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, United States, 70809
Tulane Cancer Center
New Orleans, Louisiana, United States, 70112-2699
United States, Maryland
Annapolis Medical Specialists
Annapolis, Maryland, United States, 21401
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231
Sinai Hospital of Baltimore
Baltimore, Maryland, United States, 21215
United States, Massachusetts
Baystate Medical Center
Springfield, Massachusetts, United States, 01199
Berkshire Physicians and Surgeons, P.C.
Pittsfield, Massachusetts, United States, 01201
St. Elizabeth's Medical Center
Boston, Massachusetts, United States, 02135-2997
Tuft-New England Medical Center
Boston, Massachusetts, United States, 02111
United States, Minnesota
University of Minnesota Cancer Center
Minneapolis, Minnesota, United States, 55455
United States, Missouri
Midwest Oncology Consortium
Kansas City, Missouri, United States, 64111
United States, New Hampshire
New Hampshire Oncology-Hematology PA
Hooksett, New Hampshire, United States, 03106
United States, New Jersey
Cooper Cancer Institute
Voorhees, New Jersey, United States, 08043
Hematology-Oncology Associates
Mount Holly, New Jersey, United States, 08060
St. Barnabas Medical Center
Livingston, New Jersey, United States, 07039
United States, New York
Arena Oncology Associates
Great Neck, New York, United States, 11021
Beth Israel Medical Center
New York, New York, United States, 10019
University Hospital - Stony Brook
Stony Brook, New York, United States, 11794-8174
Interlakes Oncology/Hematology PC
Rochester, New York, United States, 14623
NYU School of Medicine's Kaplan Comprehensive Cancer Center
New York, New York, United States, 10016
Staten Island University Hospital
Staten Island, New York, United States, 10305
Cancer Center at Glens Falls Hospital
Glens Falls, New York, United States, 12801
United States, North Carolina
Presbyterian Hospital
Charlotte, North Carolina, United States, 28233-3549
United States, North Dakota
Mid Dakota Clinic, P.C.
Bismarck, North Dakota, United States, 58502-5538
United States, Ohio
University Hospitals of Cleveland
Cleveland, Ohio, United States, 44106
United States, Oregon
Earle A. Chiles Research Institute at Providence Portland Medical Center
Portland, Oregon, United States, 97213-2967
United States, Pennsylvania
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States, 19111
Hematology-Oncology Association of NE Pennsylvania
Dunmore, Pennsylvania, United States, 18512
Pennsylvania Oncology Hematology Associates
Philadelphia, Pennsylvania, United States, 19106
University of Pennsylvania Cancer Center
Philadelphia, Pennsylvania, United States, 19104
United States, South Carolina
Charleston Hematology-Oncology, P.A.
Charleston, South Carolina, United States, 29403
United States, Tennessee
Sarah Cannon-Minnie Pearl Cancer Center
Nashville, Tennessee, United States, 37203
United States, Texas
Arlington Cancer Center
Arlington, Texas, United States, 76012
Southwest Regional Cancer Center
Austin, Texas, United States, 78705
Texas Cancer Care
Fort Worth, Texas, United States, 76104
Tyler Hematology Oncology, P.A.
Tyler, Texas, United States, 75701
University of Texas - MD Anderson Cancer Center
Houston, Texas, United States, 77030-4009
United States, Vermont
Green Mountain Oncology Group
Bennington, Vermont, United States, 05201
United States, Virginia
Hematology & Oncology Associates of Virginia
Mechanicsville, Virginia, United States, 23116
United States, Washington
Southwest Washington Medical Center
Vancouver, Washington, United States, 98664
Western Washington Oncology
Olympia, Washington, United States, 98502
United States, Wisconsin
Oncology of Wisconsin
Glendale, Wisconsin, United States, 53212
Argentina
Confidence Medical Center
San Isidro, Argentina, 1642
Hospital Britanico
Buenos Aires, Argentina, 1280
Hospital Churruca
Buenos Aires, Argentina, 1437
Hospital Interzonal De Augudos Euita
Lanus, Argentina, 1824
Hospital Italiano
Buenos Aires, Argentina, CP1181ACH
Instituto Alexander Fleming
Buenos Aires, Argentina, 1426
Instituto de Oncologia Angel H. Roffo
Buenos Aires, Argentina, 1417
Australia
Peter MacCallum Cancer Institute
Melbourne, Australia, 8006
Australia, New South Wales
Concord Repatriation General Hospital
Concord, New South Wales, Australia, 2139
Institute of Oncology
Randwick, New South Wales, Australia, 2031
Liverpool Hospital
Liverpool, New South Wales, Australia, 2170
Newcastle Mater Misericordiae Hospital
Newcastle, New South Wales, Australia, NSW 2310
Australia, South Australia
Ashford Cancer Centre
Ashford, South Australia, Australia, 5035
Queen Elizabeth Hospital
Woodville, South Australia, Australia, 5011
Royal Adelaide Hospital
Adelaide, South Australia, Australia, 5000
Australia, Victoria
Austin and Repatriation Medical Centre
Heidelberg, Victoria, Australia, 3084
Frankston Hospital
Frankston, Victoria, Australia, 3199
Australia, Western Australia
Royal Perth Hospital
Perth, Western Australia, Australia, 6000
Belgium
Institut Jules Bordet
Brussels, Belgium, 1000
Brazil
Hospital Israelita Albert Einstein
Sao Paulo, Brazil, 05651-901
Hospital Santa Rita Irtmandade Santa Casa De Porto Alegre
Porto Alegre, Brazil, 91330-490
Nucleo de Oncologia da Bahia
Bahia, Brazil, 40170-070
Canada, Alberta
Cross Cancer Institute
Edmonton, Alberta, Canada, T6G 1Z2
Canada, British Columbia
British Columbia Cancer Agency - Centre for the Southern Interior
Kelowna, British Columbia, Canada, V1Y 5L3
British Columbia Cancer Agency - Fraser Valley Cancer Centre
Surrey, British Columbia, Canada, V3V 1Z2
British Columbia Cancer Agency
Victoria, British Columbia, Canada, V8R 6V5
Penticton Regional Hospital
Penticton, British Columbia, Canada, V2A 3G6
Canada, Manitoba
CancerCare Manitoba
Winnipeg, Manitoba, Canada, R3E 0V9
Canada, New Brunswick
Saint John Regional Hospital
Saint John, New Brunswick, Canada, E2L 4L2
Canada, Newfoundland and Labrador
Newfoundland Cancer Treatment and Research Foundation
St. Johns, Newfoundland and Labrador, Canada, A1B 3V6
Canada, Nova Scotia
Queen Elizabeth II Health Science Centre
Halifax, Nova Scotia, Canada, B3H 2Y9
Canada, Ontario
Algoma District Medical Group
Sault Sainte Marie, Ontario, Canada, P6B 1Y5
Cancer Care Ontario-Hamilton Regional Cancer Centre
Hamilton, Ontario, Canada, L8V 5C2
Cancer Care Ontario-London Regional Cancer Centre
London, Ontario, Canada, N6A 4L6
Credit Valley Hospital
Mississauga, Ontario, Canada, L5M 2N1
Hotel Dieu Health Sciences Hospital - Niagara
St. Catharines, Ontario, Canada, L2R 5K3
Kingston Regional Cancer Centre
Kingston, Ontario, Canada, K7L 5P9
Ontario Cancer Institute
Toronto, Ontario, Canada, M4X 1K9
Ottawa Regional Cancer Centre
Ottawa, Ontario, Canada, K1H 1C4
Peterborough Oncology Clinic
Peterborough, Ontario, Canada, K9H 7B6
Toronto General Hospital
Toronto, Ontario, Canada, M4X 1K9
Saint Joseph's Health Centre - Toronto
Toronto, Ontario, Canada, M6R 1B5
Southlake Regional Health Centre
Newmarket, Ontario, Canada, L3Y 2P9
Toronto East General Hospital
Toronto, Ontario, Canada, M4C 3E7
Royal Victoria Hospital, Barrie
Barrie, Ontario, Canada, L4M 6M2
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario, Canada, M4N 3M5
Canada, Quebec
Hopital Du Sacre-Coeur de Montreal
Montreal, Quebec, Canada, H4J 1C5
L'Hopital Laval
Ste-Foy, Quebec, Canada, G1V 4G5
Maisonneuve-Rosemont Hospital
Montreal, Quebec, Canada, H1T 2M4
Canada, Saskatchewan
Allan Blair Cancer Centre
Regina, Saskatchewan, Canada, S4T 7T1
Chile
Clinica Las Condes
Santiago, Chile
China
Pamela Youde Nethersole Eastern Hospital
Hong Kong, China
Queen Mary Hospital
Hong Kong, China
Germany
Martin Luther Universitaet
Halle, Germany, DOH-06112
Medizinische Universitaetsklinik und Poliklinik
Heidelberg, Germany, D-69115
Stadtische Kliniken Frankfurt-Hochst
Frankfurt, Germany, DOH-65929
Tumor Biology Center at the Albert - Ludwigs University
Freiburg, Germany, D-79106
Universitaetsklinik und Strahlenklinik - Essen
Essen, Germany, D-45122
Universitatsklinik, Saarland
Homburg/Saar, Germany, D-66421
University Wurzburg
Wurzburg, Germany, D-97070
Virchow Klinikum Humboldt Universitaet Berlin
Berlin, Germany, D-13353
Greece
Hippokration Hospital
Thessaloniki, Greece, 54642
Theagenio Medical Institute
Thessaloniki, Greece, 540 07
Greece, Crete
University Hospital of Heraklion
Iraklion (Heraklion), Crete, Greece, 71110
Hong Kong
Prince of Wales Hospital
Shatin, New Territories, Hong Kong, NT
Israel
Haemek Medical Center
Afula, Israel, 18101
Kaplan Hospital
Rehovot, Israel, 76100
Rabin Medical Center - Beilinson Campus
Petah-Tikva, Israel, 49100
Rabin Medical Center - Golda-Hasharon Campus
Petah-Tikva, Israel, 49372
Rambam Medical Center
Haifa, Israel, 31096
Sheba Medical Center
Tel Hashomer, Israel, 52621
Tel-Aviv Sourasky Medical Center
Tel-Aviv, Israel, 64239
Italy
Policlinico - Cattedra di Ematologia
Palermo, Italy, 90100
Mexico
Centro Estatal de Cancerologia
Dviango, Mexico, 34000
Mexico, Distrito Federal
Instituto Nac de Cancerologia
Tlalpan, Distrito Federal, Mexico, 22
New Zealand
Auckland Hospital
Auckland, New Zealand, 1
Christchurch Hospital
Christchurch, New Zealand, 1
Poland
Dolnoslaskie Centrum Oncology
Wroclaw, Poland, 53-413
Great Poland Cancer Center
Poznan, Poland, 61 866
Romania
Clinical County Hospital of Sibiu
Sibiu, Romania, 2400
Institute of Oncology - Bucarest
Bucarest, Romania, RO 72435
Institutul Oncologic-Universitatea de Medicina
Cluj-Napoca, Romania, 3400
St. Spiridon University Hospital
Lasi, Romania, 6600
Singapore
National Cancer Centre - Singapore
Singapore, Singapore, 169610
National University Hospital
Singapore, Singapore, 119074
Singapore General Hospital
Singapore, Singapore, 168609
United Kingdom
Churchill Hospital
Oxford, United Kingdom, OX3 7LJ
United Kingdom, England
Christie Hospital N.H.S. Trust
Manchester, England, United Kingdom, M20 4BX
Guy's and St. Thomas' Hospitals NHS Trust
London, England, United Kingdom, SE1 9RT
New Cross Hospital
Wolverhampton, England, United Kingdom, WV10 0QP
North Middlesex Hospital
Edmonton, London, England, United Kingdom, NI8 1QX
Northern Centre for Cancer Treatment
Newcastle upon Tyne, England, United Kingdom, NE4 6BE
Princess Royal Hospital
Hull, England, United Kingdom, HU8 9HE
Queen Elizabeth Hospital
Birmingham, England, United Kingdom, B18 7QH
Royal South Hants Hospital
Southampton, England, United Kingdom, SO14 0YG
Saint Bartholomew's Hospital
London, England, United Kingdom, EC1A 7BE
St. Luke's Cancer Center
Guildford, England, United Kingdom, GU2 5XX
United Kingdom, Northern Ireland
Belfast City Hospital Trust
Belfast, Northern Ireland, United Kingdom, BT9 7AB
United Kingdom, Wales
Velindre Hospital
Cardiff, Wales, United Kingdom, CF4 7XL
Sponsors and Collaborators
NCIC Clinical Trials Group
Investigators
Study Chair: Malcolm J. Moore, MD Princess Margaret Hospital, Canada
  More Information

Additional Information:
Publications:
Moore MJ, da Cunha Santos G, Kamel-Reid S, et al.: The relationship of K-ras mutations and EGFR gene copy number to outcome in patients treated with Erlotinib on National Cancer Institute of Canada Clinical Trials Group trial study PA.3. [Abstract] J Clin Oncol 25 (Suppl 18): A-4521, 2007.
Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, Au HJ, Murawa P, Walde D, Wolff RA, Campos D, Lim R, Ding K, Clark G, Voskoglou-Nomikos T, Ptasynski M, Parulekar W. Erlotinib Plus Gemcitabine Compared With Gemcitabine Alone in Patients With Advanced Pancreatic Cancer: A Phase III Trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2007 Apr 23; [Epub ahead of print]
Moore MJ, Goldstein D, Hamm J, et al.: Erlotinib improves survival when added to gemcitabine in patients with advanced pancreatic cancer. A phase III trial of the National Cancer Institute of Canada Clinical Trials Group [NCIC-CTG]. [Abstract] American Society of Clinical Oncology 2005 Gastrointestinal Cancers Symposium, 27-29 January 2005, Miami, Florida. A-77, 2005.
Moore MJ, Goldstein D, Hamm J, et al.: Erlotinib plus gemcitabine compared to gemcitabine alone in patients with advanced pancreatic cancer. A phase III trial of the National Cancer Institute of Canada Clinical Trials Group [NCIC-CTG]. [Abstract] J Clin Oncol 23 (Suppl 16): A-1, 1s, 2005.
Dhani NC, Tu D, Parulekar W, et al.: A retrospective analysis of tumor size (TS) as a continuous rather than discrete variable in advanced pancreatic cancer. [Abstract] J Clin Oncol 27 (Suppl 15): A-e15565, 2009.

Study ID Numbers: CDR0000069020, CAN-NCIC-PA3, OSI-CAN-NCIC-PA3
Study First Received: November 9, 2001
Last Updated: July 14, 2009
ClinicalTrials.gov Identifier: NCT00026338     History of Changes
Health Authority: United States: Federal Government

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

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

ClinicalTrials.gov processed this record on November 25, 2009