Gemcitabine/Taxotere/Xeloda (GTX) With Cisplatin in Subjects With Metastatic Pancreatic Cancer
To assess the efficacy of the combination of gemcitabine, taxotere, and xeloda (GTX) with cisplatin in subjects with metastatic pancreatic cancer based on the progression-free survival (PFS) rate at 6 month.
- To assess safety and characterize toxicities of the combination of GTX with cisplatin in subjects with metastatic pancreatic cancer.
- To estimate 3, 6, 9, 12, 15, and 18 month disease control rate (DCR), PFS, and overall survival (OS).
This study is a single arm phase II study to assess the efficacy of GTX with cisplatin in subjects with metastatic pancreatic cancer. Approximately 38 evaluable subjects will be enrolled, 28 in the initial cohort and 10 in the expansion cohort
The study will have a safety run-in phase consisting of 6 subjects. To ensure that the combination is safe, the first six subjects will be treated at DL1 and observed for limiting toxicity for the first 2 cycles before continuation with further accrual. After the safety run-in, the study will be continuously monitored for adverse events.
The primary endpoint will be the PFS rate at 6 month, which is defined as the proportion of subjects alive, free of disease progression at 6 months. The treatment regimen would be considered of insufficient activity for further study in this population if PFS rate at 6 months is 50% or less, and the minimum required level of efficacy that would warrant further study with the proposed regimen is a 75% PFS rate at 6 months. The study design includes interim monitoring for futility using a predictive probability approach. We will stop the study early if given the information at the interim analysis, it is unlikely that the PFS rate at 6 months will be greater than 50% if the study continues to the end.
|Pancreatic Cancer||Drug: Gemcitabine Drug: Taxotere Drug: Xeloda Drug: Cisplatin||Phase 2|
|Study Design:||Intervention Model: Single Group Assignment
Masking: No masking
Primary Purpose: Treatment
|Official Title:||Phase II Study of Gemcitabine/Taxotere/Xeloda (GTX) in Combination With Cisplatin in Subjects With Metastatic Pancreatic Cancer|
- Primary Outcome Measure [ Time Frame: at 6 months ]To assess the efficacy of the combination of gemcitabine, taxotere, and xeloda (GTX) with cisplatin in subjects with metastatic pancreatic cancer based on the progression-free survival (PFS) rate at 6 month.
- Secondary Outcome Measure: To assess safety and characterize toxicities of the combination of GTX with cisplatin in subjects with metastatic pancreatic cancer [ Time Frame: 1.5 Years ]
- Secondary Outcome Measure: To estimate 3, 6, 9, 12, 15, and 18 month disease control rate (DCR), PFS, and overall survival (OS). [ Time Frame: 1.5 years ]
- Secondary Outcome: To estimate a PFS rate of an expansion cohort testing an alternative schedule [ Time Frame: 1.5 ]
|Study Start Date:||November 2011|
|Estimated Study Completion Date:||November 2017|
|Primary Completion Date:||November 2015 (Final data collection date for primary outcome measure)|
Each cycle is 21 days (2 weeks Tx + 1 week off). Xeloda given days 1-14, Gemcitabine, Taxotere, and Cisplatin given days 4 and 11.
For expansion cohort, each cycle is 28 days (2 weeks of Tx + 2 weeks off)
IV at 10mg/m2/min (50 minutes for 500mg/m2) on Days 4 and 11Drug: Taxotere
IV on Days 4 and 11
Other Name: DocetaxelDrug: Xeloda
orally, twice a day Days 1-14
Other Name: CapecitabineDrug: Cisplatin
IV Days 4 and 11
Please refer to this study by its ClinicalTrials.gov identifier: NCT01459614
|United States, Maryland|
|Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins|
|Baltimore, Maryland, United States, 21205|
|Principal Investigator:||Dung Le, MD||The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins|