Combination Study of Capecitabine and Erlotinib Concurrent With Radiotherapy for Non-Operable Advanced Pancreatic Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00565487
Recruitment Status : Completed
First Posted : November 30, 2007
Last Update Posted : May 21, 2018
Genentech, Inc.
Information provided by (Responsible Party):
Milton S. Hershey Medical Center

Brief Summary:
The primary purpose of this study is to determine the best dosage of Capecitabine and Tarceva combination in the setting of radiation and to assess treatment effectiveness, progression-free survival and overall survival.

Condition or disease Intervention/treatment Phase
Pancreatic Cancer Drug: Capecitabine, Tarceva Phase 1

Detailed Description:
Over the past several decades, 5-fluorouracil based chemoradiation has been the cornerstone for the treatment of locally advanced non-operable pancreatic cancer. However, the survival of these patients is disappointing. The majority of the patients suffer either local progression or metastatic disease. With the availability of Capecitabine, a few pilot studies showed the the drug is convenient, tolerable and safe in combination with radiation therapy. Capecitabine demonstrated its superior anti-tumor activity with 14 months of median survival. However, these are small Phase I studies and the survival benefit needs to be further validated with larger studies. Epidermal growth factor receptor (EGFR) has been implicated in tumor growth and angiogenesis. Inhibiting EGFR by Tarceva has demonstrated effective treatment in metastatic pancreatic cancer. Anti-epidermal growth factor therapy in combination with radiotherapy has been demonstrated efficacious in other solid tumors such as head and neck cancer. We hypothesize that the combination of Tarceva and Capecitabine has synergistic anti-tumor effect. Hence, improvement of median survival could be potentially achieved with this novel combination.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 15 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase I Study of Combination of Capecitabine and Erlotinib Concurrent With Radiotherapy in Patients With Non-Operable Locally Advanced Pancreatic Cancer
Study Start Date : December 2007
Actual Primary Completion Date : August 5, 2014
Actual Study Completion Date : August 5, 2014

Arm Intervention/treatment
Experimental: Single arm
This is a single arm dose escalation study with a cohort expansion.
Drug: Capecitabine, Tarceva
Capecitabine is a self-administered (oral) medication & will be dose escalated and administered in four dose levels: Level I - 600 mg/m2 bid; Level II - 700 mg/m2 bid; Level III - 825 mg/m2 bid; Level IV - 925 mg/m2 bid. Tarceva will be self-administered(orally) in an open-label, unblinded manner to all patients enrolled in the study. During the treatment period, patients will receive single agent Tarceva 100 mg/day. Treatment of Capecitabine & Tarceva is continued daily until the completeness of the radiation or toxicity.
Other Names:
  • Capecatine, Xeloda
  • Tarceva, Erlotinib, OSI-774

Primary Outcome Measures :
  1. To determine optimal dosage for Capecitabine and Tarceva combination in the setting of radiation. [ Time Frame: Two years ]

Secondary Outcome Measures :
  1. To assess treatment efficacy and overall survival. [ Time Frame: Two years ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologic or cytologic diagnosis of adenocarcinoma of the pancreas that is locally advanced & not amenable to resection with curative intent.
  • Must not have received prior systemic therapy for locally advanced disease.
  • ECOG performance status must be 0-2.
  • Adequate hepatic, renal & bone marrow function.
  • Radiographic evidence of disease is required.
  • Life expectancy > 12 weeks.

Exclusion Criteria:

  • Prior treatment with Capecitabine & other EGFR inhibitor.
  • Patients with GI tract disease resulting in an inability to take oral medications.
  • Significant GI disorders with diarrhea as a major symptom.
  • Uncontrolled intercurrent illness including active infection,symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmias now well controlled with medication, myocardial infarction within the previous 6 months, psychiatric illness/social situations that would limit compliance with study requirements.
  • Patients with metastases.
  • Patients who have had chemotherapy.
  • Patients may not be receiving any other investigational agents, or have participated in any investigational drug study.
  • Extensive symptomatic fibrosis of the lungs.
  • Females who are pregnant or lactating.
  • History of any other malignancy in the last 2 years, except prior history of in situ cancer, basal or squamous cell skin cancer are eligible.
  • Known DPD deficiency.
  • Receiving therapeutic doses of Coumarin-derivative anticoagulant therapy. Patients requiring anticoagulation who may be safely switched to LMWH are eligible.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00565487

United States, Pennsylvania
Penn State College of Medicine, Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, United States, 17033
Sponsors and Collaborators
Milton S. Hershey Medical Center
Genentech, Inc.
Principal Investigator: Yixing Jiang, M.D. Penn State College of Medicine

Responsible Party: Milton S. Hershey Medical Center Identifier: NCT00565487     History of Changes
Other Study ID Numbers: PSU 25709
First Posted: November 30, 2007    Key Record Dates
Last Update Posted: May 21, 2018
Last Verified: May 2018

Keywords provided by Milton S. Hershey Medical Center:
Non-operable pancreatic cancer
locally advanced pancreatic cancer

Additional relevant MeSH terms:
Pancreatic Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Endocrine Gland Neoplasms
Digestive System Diseases
Pancreatic Diseases
Endocrine System Diseases
Erlotinib Hydrochloride
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors