Pancreatic CancerPhase 3NCT00026338
Gemcitabine With/Out Erlotinib in Unresectable Locally Advanced/Metastatic Pancreatic Cancer
A Phase 3 study testing erlotinib hydrochloride and gemcitabine hydrochloride in people with Pancreatic Cancer, run by NCIC Clinical Trials Group at 173 sites in 19 countries.
Trial summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Biological therapies such as erlotinib use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy and biological therapy may kill more tumor cells. Read more about this study
- Who is it for?
- Ages 18 to 120 years
- Conditions the study is for
- Pancreatic Cancer
- What is being tested?
- erlotinib hydrochloride and gemcitabine hydrochloride
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 569 participants
- Where
- 173 sitesin 19 countries
- Study dates
- 29 Oct 2001to 10 Feb 2009
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 120 years
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed adenocarcinoma of the pancreas
- Locally advanced or metastatic disease that is considered unresectable
- No known CNS metastases
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
- Absolute granulocyte count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin less than 2 times upper limit of normal (ULN)
- AST and/or ALT less than 2 times ULN (5 times ULN if liver metastases present)
Renal:
- Creatinine less than 1.5 times ULN
Cardiovascular:
- No uncontrolled high blood pressure
- No unstable angina
- No congestive heart failure
- No myocardial infarction within the past year
- No cardiac ventricular arrhythmias requiring medication
Gastrointestinal:
- No gastrointestinal (GI) tract disease resulting in an inability to take oral medication such as uncontrolled inflammatory GI disease (e.g., Crohn's disease or ulcerative colitis)
- No post-surgical malabsorption characterized by:
- Uncontrolled diarrhea that results in weight loss and vitamin deficiency OR
- Requires IV hyperalimentation
- Pancreatic enzyme supplementation allowed provided that the above criteria are not met
Ophthalmic:
- No ocular inflammation or infection unless fully treated prior to study
- No significant ophthalmologic abnormalities, including the following:
- Severe dry eye syndrome
- Sjogren's syndrome
- Keratoconjunctivitis sicca
- Severe exposure keratopathy
- Disorders that would increase the risk for epithelium-related complications (e.g., bullous keratopathy, aniridia, severe chemical burns, or neutrophilic keratitis)
Other:
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- HIV negative
- No serious active infection
- No other serious underlying medical, psychological, or geographical condition that would preclude study participation
- No prior allergic reaction to compounds with similar chemical or biologic composition to erlotinib
- No other prior malignancy within the past 5 years except cancer in situ or basal cell or squamous cell skin cancer
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No concurrent biologic therapy or immunotherapy
Chemotherapy:
- No prior chemotherapy except fluorouracil (with or without leucovorin calcium) or gemcitabine administered concurrently with radiotherapy as a radiosensitizer
- No other concurrent cytotoxic chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- See Chemotherapy
- At least 4 weeks since prior radiotherapy and recovered
- Prior radiotherapy for local disease allowed if evidence of disease progression has occurred
- No concurrent radiotherapy
Surgery:
- See Disease Characteristics
- At least 2 weeks since prior major surgery
- No concurrent ophthalmic surgery
Other:
- No prior epidermal growth factor receptor inhibitors
- At least 2 weeks since prior investigational drug
- No other concurrent investigational drugs during and for at least 30 days after study
- No other concurrent anti-cancer therapy
Trial locations and contacts
173 sites in 19 countries.
173 sites in 19 countries
United States74 sites
Annapolis Medical Specialists
Annapolis, Maryland, 21401
Arlington Cancer Center
Arlington, Texas, 76012
Northwest Medical Specialists, P.C.
Arlington Heights, Illinois, 60004
Southwest Regional Cancer Center
Austin, Texas, 78705
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21231
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, 70809
Green Mountain Oncology Group
Bennington, Vermont, 05201
Alta Bates Comprehensive Cancer Center
Berkeley, California, 94704
Mid Dakota Clinic, P.C.
Bismarck, North Dakota, 58502-5538
Mountain States Tumor Institute
Boise, Idaho, 83712
Tuft-New England Medical Center
Boston, Massachusetts, 02111
St. Elizabeth's Medical Center
Boston, Massachusetts, 02135-2997
Charleston Hematology-Oncology, P.A.
Charleston, South Carolina, 29403
Presbyterian Hospital
Charlotte, North Carolina, 28233-3549
University Hospitals of Cleveland
Cleveland, Ohio, 44106
Hematology-Oncology Association of NE Pennsylvania
Dunmore, Pennsylvania, 18512
Florida Cancer Specialists
Fort Myers, Florida, 33901
Texas Cancer Care
Fort Worth, Texas, 76104
Oncology of Wisconsin
Glendale, Wisconsin, 53212
Cancer Center at Glens Falls Hospital
Glens Falls, New York, 12801
Arena Oncology Associates
Great Neck, New York, 11021
Sutter Health West Cancer Research Group
Greenbrae, California, 94904
Veterans Affairs Medical Center - Hines (Hines Junior VA Hospital)
Hines, Illinois, 60141
New Hampshire Oncology-Hematology PA
Hooksett, New Hampshire, 03106
University of Texas - MD Anderson Cancer Center
Houston, Texas, 77030-4009
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
University of Kansas Medical Center
Kansas City, Kansas, 66160-7353
Midwest Oncology Consortium
Kansas City, Missouri, 64111
Lucille Parker Markey Cancer Center, University of Kentucky
Lexington, Kentucky, 40536-0093
St. Barnabas Medical Center
Livingston, New Jersey, 07039
Loma Linda University Cancer Institute
Loma Linda, California, 92354
USC/Norris Comprehensive Cancer Center and Hospital
Los Angeles, California, 90033-0804
Kenmar Research Institute
Los Angeles, California, 90057
Century City Hospital
Los Angeles, California, 90067
David Geffen School of Medicine
Los Angeles, California, 90095-7059
Norton Healthcare Pavilion
Louisville, Kentucky, 40202
Central Georgia Hematology Oncology, P.C.
Macon, Georgia, 31201
Davis, Posteraro, & Wasser, MDs, LLP
Manchester, Connecticut, 06040
Hematology & Oncology Associates of Virginia
Mechanicsville, Virginia, 23116
Study site
Metairie, Louisiana, 70006
Oncology-Hematology Group of South Florida
Miami, Florida, 33176
University of Minnesota Cancer Center
Minneapolis, Minnesota, 55455
Hematology-Oncology Associates
Mount Holly, New Jersey, 08060
Medical Consultants
Muncie, Indiana, 47304
Sarah Cannon-Minnie Pearl Cancer Center
Nashville, Tennessee, 37203
New Britain General Hospital
New Britain, Connecticut, 06050-2000
Tulane Cancer Center
New Orleans, Louisiana, 70112-2699
NYU School of Medicine's Kaplan Comprehensive Cancer Center
New York, New York, 10016
Beth Israel Medical Center
New York, New York, 10019
Eastern Connecticut Hematology and Oncology Associates
Norwich, Connecticut, 06360
Ocala Oncology Center
Ocala, Florida, 34471-5563
Western Washington Oncology
Olympia, Washington, 98502
Oncology/Hematology Associates of Central Illinois, P.C.
Peoria, Illinois, 61602
University of Pennsylvania Cancer Center
Philadelphia, Pennsylvania, 19104
Pennsylvania Oncology Hematology Associates
Philadelphia, Pennsylvania, 19106
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Berkshire Physicians and Surgeons, P.C.
Pittsfield, Massachusetts, 01201
Earle A. Chiles Research Institute at Providence Portland Medical Center
Portland, Oregon, 97213-2967
Interlakes Oncology/Hematology PC
Rochester, New York, 14623
Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
San Diego, California, 92120
Midwest Cancer Research Group, Inc.
Skokie, Illinois, 60076
Highlands Oncology Group
Springdale, Arkansas, 72764
Baystate Medical Center
Springfield, Massachusetts, 01199
Hematology Oncology, P.C.
Stamford, Connecticut, 06902
Staten Island University Hospital
Staten Island, New York, 10305
University Hospital - Stony Brook
Stony Brook, New York, 11794-8174
Oncology & Hematology Associates of West Broward
Tamarac, Florida, 33321
Moffitt Clinic at Tampa General Hospital
Tampa, Florida, 33612-9497
Arizona Clinical Research Center
Tucson, Arizona, 85712
Tyler Hematology Oncology, P.A.
Tyler, Texas, 75701
Carle Cancer Center
Urbana, Illinois, 61801
Southwest Washington Medical Center
Vancouver, Washington, 98664
Cooper Cancer Institute
Voorhees Township, New Jersey, 08043
Canada28 sites
Royal Victoria Hospital, Barrie
Barrie, Ontario, L4M 6M2
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Queen Elizabeth II Health Science Centre
Halifax, Nova Scotia, B3H 2Y9
Cancer Care Ontario-Hamilton Regional Cancer Centre
Hamilton, Ontario, L8V 5C2
British Columbia Cancer Agency - Centre for the Southern Interior
Kelowna, British Columbia, V1Y 5L3
Kingston Regional Cancer Centre
Kingston, Ontario, K7L 5P9
Cancer Care Ontario-London Regional Cancer Centre
London, Ontario, N6A 4L6
Credit Valley Hospital
Mississauga, Ontario, L5M 2N1
Maisonneuve-Rosemont Hospital
Montreal, Quebec, H1T 2M4
Hopital Du Sacre-Coeur de Montreal
Montreal, Quebec, H4J 1C5
Southlake Regional Health Centre
Newmarket, Ontario, L3Y 2P9
Ottawa Regional Cancer Centre
Ottawa, Ontario, K1H 1C4
Penticton Regional Hospital
Penticton, British Columbia, V2A 3G6
Peterborough Oncology Clinic
Peterborough, Ontario, K9H 7B6
Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1
Saint John Regional Hospital
Saint John, New Brunswick, E2L 4L2
Algoma District Medical Group
Sault Ste. Marie, Ontario, P6B 1Y5
Hotel Dieu Health Sciences Hospital - Niagara
St. Catharines, Ontario, L2R 5K3
Newfoundland Cancer Treatment and Research Foundation
St. John's, Newfoundland and Labrador, A1B 3V6
L'Hopital Laval
Ste-Foy, Quebec, G1V 4G5
British Columbia Cancer Agency - Fraser Valley Cancer Centre
Surrey, British Columbia, V3V 1Z2
Toronto East General Hospital
Toronto, Ontario, M4C 3E7
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario, M4N 3M5
Ontario Cancer Institute
Toronto, Ontario, M4X 1K9
Toronto General Hospital
Toronto, Ontario, M4X 1K9
Saint Joseph's Health Centre - Toronto
Toronto, Ontario, M6R 1B5
British Columbia Cancer Agency
Victoria, British Columbia, V8R 6V5
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9
United Kingdom13 sites
Belfast City Hospital Trust
Belfast, Northern Ireland, BT9 7AB
Queen Elizabeth Hospital
Birmingham, England, B18 7QH
Velindre Hospital
Cardiff, Wales, CF4 7XL
North Middlesex Hospital
Edmonton, London, England, NI8 1QX
St. Luke's Cancer Center
Guildford, England, GU2 5XX
Princess Royal Hospital
Hull, England, HU8 9HE
Saint Bartholomew's Hospital
London, England, EC1A 7BE
Guy's and St. Thomas' Hospitals NHS Trust
London, England, SE1 9RT
Christie Hospital N.H.S. Trust
Manchester, England, M20 4BX
Northern Centre for Cancer Treatment
Newcastle upon Tyne, England, NE4 6BE
Churchill Hospital
Oxford, OX3 7LJ
Royal South Hants Hospital
Southampton, England, SO14 0YG
New Cross Hospital
Wolverhampton, England, WV10 0QP
Australia11 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Ashford Cancer Centre
Ashford, South Australia, 5035
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Frankston Hospital
Frankston, Victoria, 3199
Austin and Repatriation Medical Centre
Heidelberg, Victoria, 3084
Liverpool Hospital
Liverpool, New South Wales, 2170
Peter MacCallum Cancer Institute
Melbourne, 8006
Newcastle Mater Misericordiae Hospital
Newcastle, New South Wales, NSW 2310
Royal Perth Hospital
Perth, Western Australia, 6000
Institute of Oncology
Randwick, New South Wales, 2031
Queen Elizabeth Hospital
Woodville, South Australia, 5011
Germany8 sites
Virchow Klinikum Humboldt Universitaet Berlin
Berlin, D-13353
Universitaetsklinik und Strahlenklinik - Essen
Essen, D-45122
Stadtische Kliniken Frankfurt-Hochst
Frankfurt, DOH-65929
Tumor Biology Center at the Albert - Ludwigs University
Freiburg im Breisgau, D-79106
Martin Luther Universitaet
Halle, DOH-06112
Medizinische Universitaetsklinik und Poliklinik
Heidelberg, D-69115
Universitatsklinik, Saarland
Homburg/Saar, D-66421
University Wurzburg
Würzburg, D-97070
Argentina7 sites
Hospital Britanico
Buenos Aires, 1280
Instituto de Oncologia Angel H. Roffo
Buenos Aires, 1417
Instituto Alexander Fleming
Buenos Aires, 1426
Hospital Churruca
Buenos Aires, 1437
Hospital Italiano
Buenos Aires, CP1181ACH
Hospital Interzonal De Augudos Euita
Lanus, 1824
Confidence Medical Center
San Isidro, 1642
Israel7 sites
Haemek Medical Center
Afula, 18101
Rambam Medical Center
Haifa, 31096
Rabin Medical Center - Beilinson Campus
Petah Tikva, 49100
Rabin Medical Center - Golda-Hasharon Campus
Petah Tikva, 49372
Kaplan Hospital
Rehovot, 76100
Tel-Aviv Sourasky Medical Center
Tel Aviv, 64239
Sheba Medical Center
Tel HaShomer, 52621
Romania4 sites
Institute of Oncology - Bucarest
Bucharest, RO 72435
Institutul Oncologic-Universitatea de Medicina
Cluj-Napoca, 3400
St. Spiridon University Hospital
Lasi, 6600
Clinical County Hospital of Sibiu
Sibiu, 2400
Brazil3 sites
Nucleo de Oncologia da Bahia
Bahia, 40170-070
Hospital Santa Rita Irtmandade Santa Casa De Porto Alegre
Porto Alegre, 91330-490
Hospital Israelita Albert Einstein
São Paulo, 05651-901
Greece3 sites
University Hospital of Heraklion
Iraklion (Heraklion), Crete, 71110
Theagenio Medical Institute
Thessaloniki, 540 07
Hippokration Hospital
Thessaloniki, 54642
Singapore3 sites
National University Hospital
Singapore, 119074
Singapore General Hospital
Singapore, 168609
National Cancer Centre - Singapore
Singapore, 169610
China2 sites
Pamela Youde Nethersole Eastern Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
Mexico2 sites
Centro Estatal de Cancerologia
Dviango, 34000
Instituto Nac de Cancerologia
Tlalpan, Mexico City, 22
New Zealand2 sites
Auckland Hospital
Auckland, 1
Christchurch Hospital
Christchurch, 1
Poland2 sites
Great Poland Cancer Center
Poznan, 61 866
Dolnoslaskie Centrum Oncology
Wroclaw, 53-413
About this study
Official title: A Randomized Placebo Controlled Study Of OSI-774 (TARCEVA) Plus Gemcitabine In Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Biological therapies such as erlotinib use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy and biological therapy may kill more tumor cells. It is not yet known if gemcitabine is more effective with or without erlotinib in treating pancreatic cancer.
PURPOSE: Randomized phase III trial to determine the effectiveness of gemcitabine with and without erlotinib in treating patients who have unresectable locally advanced or metastatic pancreatic cancer.
Read the detailed description
OBJECTIVES:
- Compare the overall survival rate in patients with unresectable locally advanced or metastatic pancreatic cancer treated with gemcitabine with or without erlotinib.
- Compare the progression-free survival rate in patients treated with these regimens.
- Compare the quality of life of patients treated with these regimens.
- Compare the response rate and response duration in patients treated with these regimens.
- Compare the nature, severity, and frequency of toxic effects of these regimens in these patients.
- Correlate the expression of tissue epidermal growth factor receptor levels at diagnosis with outcome and response in patients treated with these regimens.
- Determine the pharmacokinetics of erlotinib in these patients.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to participating center, extent of disease (locally advanced vs metastatic), and ECOG performance status (0-1 vs 2). Patients are randomized to one of two treatment arms.
- Arm I: Patients receive gemcitabine IV over 30 minutes on days 1, 8, 15, 22, 29, 36, and 43 of course 1 only, which lasts 8 weeks, and on days 1, 8, and 15 of all subsequent courses, which last 4 weeks each. Patients also receive 1 of 2 doses of oral erlotinib once daily.
- Arm II: Patients receive gemcitabine as in arm I and 1 of 2 doses of oral placebo once daily.
Treatment continues in both arms in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, on day 29 of course 1, on day 1 of all subsequent courses, at 4 weeks after study, and then every 12 weeks until disease progression.
Patients are followed at 4 weeks and then every 12 weeks thereafter.
PROJECTED ACCRUAL: A total of 800 patients (400 per treatment arm) will be accrued for this study within 11 months.
- Conditions
- Pancreatic Cancer
- Being tested
- erlotinib hydrochloride, gemcitabine hydrochloride
- Keywords
- stage III pancreatic cancer, adenocarcinoma of the pancreas, stage IV pancreatic cancer
- Medical subject headings
- Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
erlotinib hydrochlorideDrug
150 mg po daily
1000 mg/m2 IV weekly (Cycle 1 -Day 1, 8, 15, 22, 29, 36, 43 of an 8 week cycle, Cycle 2 and subsequent cycles -Day 1,8 and 15 of a 4 week cycle)
| Study group | Role | What they receive |
|---|---|---|
| OSI-774 plus Gemcitabine | Active comparator | Not described Receives: Drug: erlotinib hydrochloride; Drug: gemcitabine hydrochloride |
| Placebo plus gemcitabine | Active comparator | Not described Receives: Drug: gemcitabine hydrochloride |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival
Measured: 3 years
Secondary outcomes (6)
Progression free survival
Measured: 3 years
Quality of Life
Canada, US and selected countries only
Measured: 3 years
Response rates
Complete and partial response only.
Measured: 3 years
Toxicity
Measured: 3 years
EGFR levels
Correlate the expression oftissue EGFR levels (at diagnosis) with outcomes and response to treatment
Measured: 3 years
Pharmacokinetics
To measure trough levels of081-774 (Tarceva™) to determine population pharmacokinetics
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2003 (estimated)
- Study start29 Oct 2001
- Primary completion17 Sep 2004
- Study completion10 Feb 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Pancreatic CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 569 participants (actual)
Sponsor and investigators
- Lead sponsor
- NCIC Clinical Trials Group
- Sponsor type
- Research network
- Responsible party
- Sponsor
- Investigators
- Malcolm J. Moore, MD, Study chair, Princess Margaret Hospital, Canada
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00026338
- Sponsor's protocol ID
- PA3
- Other IDs
- CAN-NCIC-PA3, OSI-CAN-NCIC-PA3, CDR0000069020
- Status last verified
- Mar 2020
- First submitted
- 9 Nov 2001
- Last updated
- 2 Apr 2020
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Dhani NC, Tu D, Parulekar W, et al.: A retrospective analysis of tumor size (TS) as a continuous rather than discrete variable in advanced pancreatic cancer. [Abstract] J Clin Oncol 27 (Suppl 15): A-e15565, 2009.
Moore MJ, da Cunha Santos G, Kamel-Reid S, et al.: The relationship of K-ras mutations and EGFR gene copy number to outcome in patients treated with Erlotinib on National Cancer Institute of Canada Clinical Trials Group trial study PA.3. [Abstract] J Clin Oncol 25 (Suppl 18): A-4521, 2007.
Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, Au HJ, Murawa P, Walde D, Wolff RA, Campos D, Lim R, Ding K, Clark G, Voskoglou-Nomikos T, Ptasynski M, Parulekar W; National Cancer Institute of Canada Clinical Trials Group. Erlotinib plus gemcitabine compared with gemcitabine alone in patients with advanced pancreatic cancer: a phase III trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2007 May 20;25(15):1960-6. doi: 10.1200/JCO.2006.07.9525. Epub 2007 Apr 23.
PubMed 17452677Moore MJ, Goldstein D, Hamm J, et al.: Erlotinib improves survival when added to gemcitabine in patients with advanced pancreatic cancer. A phase III trial of the National Cancer Institute of Canada Clinical Trials Group [NCIC-CTG]. [Abstract] American Society of Clinical Oncology 2005 Gastrointestinal Cancers Symposium, 27-29 January 2005, Miami, Florida. A-77, 2005.
Study at a glance
From the registry record, last updated by the sponsor on 2 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Placebo Controlled Study Of OSI-774 (TARCEVA) Plus Gemcitabine In Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT00026338
- Acronym / sponsor ID
- PA3
- Conditions
- Pancreatic Cancer
- Keywords
- stage III pancreatic cancer, adenocarcinoma of the pancreas, stage IV pancreatic cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 569 participants (actual)
- Lead sponsor
- NCIC Clinical Trials GroupResearch network
- Study start
- 29 Oct 2001 (actual)
- Primary completion
- 17 Sep 2004 (actual)
- Study completion
- 10 Feb 2009 (actual)
- First posted
- 27 Jan 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Biological therapies such as erlotinib use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy and biological therapy may kill more tumor cells. It is not yet known if gemcitabine is more effective with or without erlotinib in treating pancreatic cancer.
PURPOSE: Randomized phase III trial to determine the effectiveness of gemcitabine with and without erlotinib in treating patients who have unresectable locally advanced or metastatic pancreatic cancer.
Detailed description
OBJECTIVES:
- Compare the overall survival rate in patients with unresectable locally advanced or metastatic pancreatic cancer treated with gemcitabine with or without erlotinib.
- Compare the progression-free survival rate in patients treated with these regimens.
- Compare the quality of life of patients treated with these regimens.
- Compare the response rate and response duration in patients treated with these regimens.
- Compare the nature, severity, and frequency of toxic effects of these regimens in these patients.
- Correlate the expression of tissue epidermal growth factor receptor levels at diagnosis with outcome and response in patients treated with these regimens.
- Determine the pharmacokinetics of erlotinib in these patients.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to participating center, extent of disease (locally advanced vs metastatic), and ECOG performance status (0-1 vs 2). Patients are randomized to one of two treatment arms.
- Arm I: Patients receive gemcitabine IV over 30 minutes on days 1, 8, 15, 22, 29, 36, and 43 of course 1 only, which lasts 8 weeks, and on days 1, 8, and 15 of all subsequent courses, which last 4 weeks each. Patients also receive 1 of 2 doses of oral erlotinib once daily.
- Arm II: Patients receive gemcitabine as in arm I and 1 of 2 doses of oral placebo once daily.
Treatment continues in both arms in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, on day 29 of course 1, on day 1 of all subsequent courses, at 4 weeks after study, and then every 12 weeks until disease progression.
Patients are followed at 4 weeks and then every 12 weeks thereafter.
PROJECTED ACCRUAL: A total of 800 patients (400 per treatment arm) will be accrued for this study within 11 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| OSI-774 plus Gemcitabine | Active comparator | Drug: erlotinib hydrochloride, Drug: gemcitabine hydrochloride |
| Placebo plus gemcitabine | Active comparator | Drug: gemcitabine hydrochloride |
Who may qualify
- Ages
- 18 to 120 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| erlotinib hydrochloride150 mg po daily | Drug | OSI-774 plus Gemcitabine |
| gemcitabine hydrochloride1000 mg/m2 IV weekly (Cycle 1 -Day 1, 8, 15, 22, 29, 36, 43 of an 8 week cycle, Cycle 2 and subsequent cycles -Day 1,8 and 15 of a 4 week cycle) | Drug | OSI-774 plus Gemcitabine, Placebo plus gemcitabine |
Primary outcome
Overall survival
Time frame: 3 years
6 secondary outcomes
Progression free survival
Time frame: 3 years
Quality of Life
Time frame: 3 years
Response rates
Time frame: 3 years
Toxicity
Time frame: 3 years
EGFR levels
Time frame: 3 years
Pharmacokinetics
Time frame: 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Apr 2020.
- BackgroundDhani NC, Tu D, Parulekar W, et al.: A retrospective analysis of tumor size (TS) as a continuous rather than discrete variable in advanced pancreatic cancer. [Abstract] J Clin Oncol 27 (Suppl 15): A-e15565, 2009.
- Results publicationMoore MJ, da Cunha Santos G, Kamel-Reid S, et al.: The relationship of K-ras mutations and EGFR gene copy number to outcome in patients treated with Erlotinib on National Cancer Institute of Canada Clinical Trials Group trial study PA.3. [Abstract] J Clin Oncol 25 (Suppl 18): A-4521, 2007.
- Results publication: PubMed 17452677Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, Au HJ, Murawa P, Walde D, Wolff RA, Campos D, Lim R, Ding K, Clark G, Voskoglou-Nomikos T, Ptasynski M, Parulekar W; National Cancer Institute of Canada Clinical Trials Group. Erlotinib plus gemcitabine compared with gemcitabine alone in patients with advanced pancreatic cancer: a phase III trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2007 May 20;25(15):1960-6. doi: 10.1200/JCO.2006.07.9525. Epub 2007 Apr 23.
- Results publicationMoore MJ, Goldstein D, Hamm J, et al.: Erlotinib improves survival when added to gemcitabine in patients with advanced pancreatic cancer. A phase III trial of the National Cancer Institute of Canada Clinical Trials Group [NCIC-CTG]. [Abstract] American Society of Clinical Oncology 2005 Gastrointestinal Cancers Symposium, 27-29 January 2005, Miami, Florida. A-77, 2005.
- Individual participant dataSharing planned: No
Related trials for Pancreatic Cancer
Enrolling by invitationPhase 2
A Single-Arm Study of Nimotuzumab Combined With NALIRIFOX as First-Line Treatment for Pancreatic Cancer
Pancreatic Cancer Metastatic
RecruitingPhase 2/3
Multicenter Validation Trial of [18F]AlF-FAPI-74 for PET Imaging of Cancer-associated Fibroblasts Through Fibroblast Activation Protein Inhibitors (FAPI) in Different Tumor Types
Oesophageal Cancer, Gastric Cancer
RecruitingPhase 1
Modified FOLFIRINOX and Pentamidine in Advanced and Metastatic Pancreatic Cancer
Pancreatic Ductal Adenocarcinoma (PDAC)
RecruitingPhase 3
Atebimetinib + GnP as a First Line Treatment in Patients With Metastatic Pancreatic Adenocarcinoma
Pancreatic Cancer, Pancreatic Cancer Metastatic
RecruitingPhase 3
Lanreotide Versus Placebo Before Surgery to Prevent a Surgical Complication Called a Pancreatic Fistula
Pancreatic Carcinoma, Pancreatic Neoplasm
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Malcolm J. Moore, MD study chair
Princess Margaret Hospital, Canada
173 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing erlotinib hydrochloride and gemcitabine hydrochloride in people with Pancreatic Cancer, run by NCIC Clinical Trials Group at 173 sites in 19 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 173 sites in United States, Canada, United Kingdom, Australia, Germany and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall survival (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00026338, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2020.