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Gemcitabine in Treating Patients With Advanced Salivary Gland Cancer That Cannot Be Removed During Surgery

This study is ongoing, but not recruiting participants.
National Cancer Institute (NCI)
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: November 1, 1999
Last updated: July 23, 2008
Last verified: August 2004

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of gemcitabine in treating patients who have advanced salivary gland cancer that cannot be removed during surgery.

Condition Intervention Phase
Head and Neck Cancer
Drug: gemcitabine hydrochloride
Phase 2

Study Type: Interventional
Study Design: Primary Purpose: Treatment
Official Title: Gemcitabine for Advanced Salivary Cancer: A Phase II Study

Resource links provided by NLM:

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

Estimated Enrollment: 60
Study Start Date: January 1999
Detailed Description:


  • Evaluate the response rate of patients with incurable salivary gland cancer treated with gemcitabine.
  • Evaluate the time to progression and toxicity of this therapy in these patients.

OUTLINE: This is a multicenter study.

Patients receive gemcitabine IV for 30 minutes on days 1, 8, and 15 of each 28 day course. Patients receive a minimum of 2 courses of treatment. Patients may continue treatment in the absence of disease progression or unacceptable toxicity.

Patients are followed every 2 months.

PROJECTED ACCRUAL: This study will accrue a total of 16-60 patients.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Genders Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Histologically diagnosed metastatic salivary gland cancer including:

    • Adenoid cystic carcinoma
    • Mucoepidermoid carcinoma
    • Acinic cell carcinoma
    • Malignant mixed tumor
    • Polymorphous low grade adenocarcinoma
    • Undifferentiated carcinoma
    • Squamous cell carcinoma
    • Adenocarcinoma
  • Local or distant metastases
  • Unresectable tumor
  • Unidimensionally measurable disease



  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • At least 3 months


  • Absolute neutrophil count at least 2000/mm3
  • Platelet count at least 100,000/mm3
  • Hemoglobin greater than 8.5 g/dL OR
  • Hematocrit greater than 25%


  • Bilirubin less than 2 times upper limit of normal (ULN)
  • AST less than 2 times ULN (less than 5 times ULN if liver involved)
  • Alkaline phosphatase less than 5 times ULN (no limit if liver involved)


  • Creatinine less than 1.5 times ULN OR
  • Creatinine clearance at least 50% of lower limit of normal


  • No congestive heart failure


  • No chronic obstructive pulmonary disease


  • At least 3 years since prior invasive neoplasm except:

    • Nonmelanoma skin cancer
    • Cervical cancer
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No other significant active illness (e.g., uncontrolled diabetes, AIDS)


Biologic therapy:

  • At least 28 days since prior immunotherapy
  • No concurrent immunotherapy


  • No prior cytotoxic chemotherapy for disease
  • No other concurrent chemotherapy

Endocrine therapy:

  • At least 28 days since prior hormone therapy
  • No concurrent hormone therapy


  • No concurrent radiotherapy


  • Not specified


  • At least 28 days since prior homeopathic, natural, or alternative therapies
  • No concurrent homeopathic, natural, or alternative therapies
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00003744

United States, Illinois
University of Chicago Cancer Research Center
Chicago, Illinois, United States, 60637-1470
United States, Massachusetts
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, United States, 02114
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Dana-Farber Cancer Institute
National Cancer Institute (NCI)
Study Chair: Marshall R. Posner, MD Dana-Farber Cancer Institute
  More Information Identifier: NCT00003744     History of Changes
Other Study ID Numbers: CDR0000066863  DFCI-98168  LILLY-DFCI-98168  NCI-G99-1496 
Study First Received: November 1, 1999
Last Updated: July 23, 2008
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage III salivary gland cancer
stage IV salivary gland cancer
salivary gland squamous cell carcinoma
salivary gland acinic cell tumor
low-grade salivary gland mucoepidermoid carcinoma
high-grade salivary gland mucoepidermoid carcinoma
salivary gland adenocarcinoma
salivary gland poorly differentiated carcinoma
salivary gland anaplastic carcinoma
salivary gland malignant mixed cell type tumor
salivary gland adenoid cystic carcinoma

Additional relevant MeSH terms:
Salivary Gland Neoplasms
Head and Neck Neoplasms
Neoplasms by Site
Mouth Neoplasms
Mouth Diseases
Stomatognathic Diseases
Salivary Gland Diseases
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs processed this record on January 18, 2017