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Trastuzumab in Treating Patients With Locally Advanced or Metastatic Gallbladder Cancer or Bile Duct Cancer That Cannot Be Removed by Surgery
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), June 2007
First Received: May 23, 2007   Last Updated: April 14, 2009   History of Changes
Sponsors and Collaborators: M.D. Anderson Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00478140
  Purpose

RATIONALE: Monoclonal antibodies, such as trastuzumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them.

PURPOSE: This phase II trial is studying how well trastuzumab works in treating patients with locally advanced or metastatic gallbladder cancer or bile duct cancer that cannot be removed by surgery.


Condition Intervention Phase
Extrahepatic Bile Duct Cancer
Gallbladder Cancer
Biological: trastuzumab
Phase II

MedlinePlus related topics: Cancer Gallbladder Cancer Surgery
Drug Information available for: Trastuzumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase II Study Trastuzumab (NSC 688097) in Her2/Neu Positive Cancer of the Gallbladder or Biliary Tract

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

Primary Outcome Measures:
  • Objective response (complete and partial response) [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Disease control rate [ Designated as safety issue: No ]
  • Toxicity [ Designated as safety issue: Yes ]
  • Overall survival [ Designated as safety issue: No ]

Estimated Enrollment: 32
Study Start Date: May 2007
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the objective response rate and duration of objective response in patients with HER2/neu-positive advanced gallbladder or biliary tract cancer treated with trastuzumab (Herceptin®).

Secondary

  • Assess the safety and tolerability of this drug in these patients.
  • Assess the progression-free survival and overall survival of patients treated with this drug.

OUTLINE: This is a multicenter study.

Patients receive trastuzumab (Herceptin®) IV over 30-90 minutes on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed every 3 months.

PROJECTED ACCRUAL: A total of 32 patients will be accrued for this study.

  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 gallbladder or bile duct, meeting all of the following criteria:

    • Locally advanced or metastatic disease
    • Unresectable disease
  • Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan

    • Tumor that recurs within a previously irradiated field is considered measurable disease if recurrence is documented and measurable by RECIST criteria
  • Tumor must be Her2/neu positive by FISH testing
  • No symptomatic brain metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%
  • WBC ≥ 3,000/mm³
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 40,000/mm³
  • Bilirubin ≤ 4 mg/dL
  • AST and ALT ≤ 5 times upper limit of normal (ULN)
  • Creatinine ≤ 2 times ULN OR creatinine clearance ≥ 60 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception prior to, during, and for ≥ 3 months after completion of study treatment
  • No other active malignancy
  • LVEF ≥ 50%
  • No concurrent uncontrolled illness, including, but not limited to, any of the following:

    • Ongoing or active infection requiring systemic IV antibiotics on day 1 of treatment
    • Symptomatic New York Heart Association class III-IV congestive heart failure
    • Unstable angina pectoris
    • Unstable cardiac arrhythmia requiring medication
  • -

PRIOR CONCURRENT THERAPY:

  • Prior surgery and radiotherapy allowed
  • No more than 1 prior systemic chemotherapy regimen
  • At least 28 days since prior chemotherapy (6 weeks for nitrosoureas and mitomycin C) and recovered
  • No other concurrent investigational agents, chemotherapy, radiotherapy, or hormonal therapy

    • Concurrent hormones administered for nondisease-related conditions (e.g., insulin for diabetes) allowed
  • No concurrent corticosteroids or anticonvulsants

    • Concurrent steroids administered for antiemesis, adrenal failure, or septic shock allowed
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00478140

Locations
United States, California
USC/Norris Comprehensive Cancer Center and Hospital Recruiting
Los Angeles, California, United States, 90089-9181
Contact: Clinical Trials Office - USC/Norris Comprehensive Cancer Cente     323-865-0451        
United States, Texas
M. D. Anderson Cancer Center at University of Texas Recruiting
Houston, Texas, United States, 77030-4009
Contact: Clinical Trials Office - M. D. Anderson Cancer Center at the U     713-792-3245        
Canada, Ontario
Princess Margaret Hospital Recruiting
Toronto, Ontario, Canada, M5G 2M9
Contact: Jennifer Knox, MD     416-946-2399        
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Study Chair: Ahmed Kaseb, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: M. D. Anderson Cancer Center at University of Texas ( David James Stewart )
Study ID Numbers: CDR0000544276, MDA-2006-0851
Study First Received: May 23, 2007
Last Updated: April 14, 2009
ClinicalTrials.gov Identifier: NCT00478140     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
recurrent gallbladder cancer
adenocarcinoma of the gallbladder
unresectable gallbladder cancer
adenocarcinoma of the extrahepatic bile duct
recurrent extrahepatic bile duct cancer
unresectable extrahepatic bile duct cancer

Study placed in the following topic categories:
Gallbladder Diseases
Biliary Tract Neoplasms
Digestive System Neoplasms
Bile Duct Cancer, Extrahepatic
Recurrence
Gall Bladder Cancer
Digestive System Diseases
Bile Duct Diseases
Biliary Tract Diseases
Trastuzumab
Gastrointestinal Neoplasms
Gallbladder Neoplasms
Bile Duct Neoplasms
Adenocarcinoma

Additional relevant MeSH terms:
Gallbladder Diseases
Biliary Tract Neoplasms
Digestive System Neoplasms
Antineoplastic Agents
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Digestive System Diseases
Bile Duct Diseases
Biliary Tract Diseases
Therapeutic Uses
Trastuzumab
Gallbladder Neoplasms
Bile Duct Neoplasms

ClinicalTrials.gov processed this record on May 07, 2009