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Sponsors and Collaborators: |
Norris Comprehensive Cancer Center National Cancer Institute (NCI) |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00002955 |
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating patients with advanced cancer of the pancreas.
Condition | Intervention | Phase |
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Pancreatic Cancer |
Drug: fluorouracil Drug: leucovorin calcium Drug: trimetrexate glucuronate |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment |
Official Title: | Modulation of 5-Fluorouracil With Trimetrexate and Leucovorin in Advanced Pancreatic Cancer |
Estimated Enrollment: | 33 |
Study Start Date: | August 1995 |
OBJECTIVES: I. Evaluate tumor response to a trimetrexate, fluorouracil and leucovorin regimen in patients with advanced pancreatic carcinoma. II.
Evaluate the toxicities associated with this regimen in patients with metastatic carcinoma of the pancreas.
OUTLINE: The treatment plan consists of an IV infusion of trimetrexate, followed 24 hours later by IV infusions of leucovorin and fluorouracil. After another 24 hours oral leucovorin will be given every 6 hours for 7 doses. A treatment cycle consists of the regimen repeated weekly for 6 weeks followed by 2 weeks of rest. Treatment cycles will be repeated until disease progression or unacceptable toxicity.
PROJECTED ACCRUAL: If 3 or more complete or partial responses are observed in the first 22 patients, an additional 11 patients may be accrued for a maximum of 33.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS: Histologically proven advanced pancreatic cancer with metastatic disease Bidimensionally measurable disease
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: At least 12 weeks Hematopoietic: Platelet count at least 100,000/mm3 Absolute granulocyte count at least 1,500/mm3 Hemoglobin at least 9 g/dL Hepatic: Bilirubin no greater than 2.0 mg/dL SGOT, SGPT and alkaline phosphatase less than 3 times upper limit of normal Serum albumin at least 3.0 g/dL Renal: Serum creatinine no greater than 1.5 mg/dL Other: Not eligible for higher priority protocol No prior malignancy within 5 years except adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix Not pregnant or nursing Fertile patients must use effective birth control No underlying medical condition precluding treatment
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior or concurrent chemotherapy Endocrine therapy: Not specified Radiotherapy: No concurrent radiotherapy No prior radiotherapy to only site(s) of measurable disease Fully recovered from therapy Surgery: Fully recovered from prior surgery
United States, California | |
USC/Norris Comprehensive Cancer Center | |
Los Angeles, California, United States, 90033-0800 |
Study Chair: | Agustin Garcia, MD | Norris Comprehensive Cancer Center |
Study ID Numbers: | CDR0000065428, LAC-USC-3P951, NCI-G97-1173 |
Study First Received: | November 1, 1999 |
Last Updated: | July 23, 2008 |
ClinicalTrials.gov Identifier: | NCT00002955 History of Changes |
Health Authority: | United States: Federal Government |
stage IV pancreatic cancer |
Antimetabolites Immunologic Factors Clotrimazole Pancreatic Neoplasms Miconazole Leucovorin Pancrelipase Vitamins Antifungal Agents Micronutrients Trimetrexate Endocrine Gland Neoplasms Digestive System Neoplasms |
Vitamin B Complex Tioconazole Endocrine System Diseases Trace Elements Folic Acid Antagonists Immunosuppressive Agents Folic Acid Calcium, Dietary Digestive System Diseases Fluorouracil Pancreatic Diseases Gastrointestinal Neoplasms Endocrinopathy |
Antimetabolites Anti-Infective Agents Antimetabolites, Antineoplastic Molecular Mechanisms of Pharmacological Action Immunologic Factors Antineoplastic Agents Pancreatic Neoplasms Physiological Effects of Drugs Leucovorin Neoplasms by Site Therapeutic Uses Vitamins Antifungal Agents Micronutrients |
Trimetrexate Endocrine Gland Neoplasms Digestive System Neoplasms Vitamin B Complex Growth Substances Endocrine System Diseases Enzyme Inhibitors Folic Acid Antagonists Immunosuppressive Agents Pharmacologic Actions Neoplasms Digestive System Diseases Fluorouracil Pancreatic Diseases |