Gemcitabine Plus High-Dose 5-Fu/Leucovorin in the Treatment of Advanced or Metastatic Carcinoma of the Biliary Tract
Prospective Phase II Randomized Trial-Weekly Gemcitabine Plus High-Dose 5-Fluorouracil/ Leucovorin in the Treatment of Advanced or Metastatic Carcinoma of the Biliary Tract
1 other identifier
interventional
50
1 country
1
Brief Summary
This is an open-label phase II trial with weekly gemcitabine plus high-dose 5-FU/leucovorin infusion (HDFL) for patients with advanced or metastatic carcinoma of the biliary tract. The primary endpoint is patients' response and the secondary endpoints are chemotherapy-related toxicity, time to disease progression and overall survival. .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jul 2002
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2002
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 20, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2012
CompletedApril 1, 2009
September 1, 2005
September 13, 2005
March 30, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
To determine the response rate of weekly gemcitabine plus high-dose 5-FU/leucovorin chemotherapy for patients with advanced or metastatic biliary tract cancer.
Secondary Outcomes (5)
To determine:
1.Toxicity profile of gemcitabine plus high-dose 5-FU/leucovorin chemotherapy for advanced or metastatic biliary tract cancer.
2.Time to disease progression
3.Overall survival
4.Quality of life
Interventions
Eligibility Criteria
You may qualify if:
- Histologically proven carcinoma of the biliary tract, including gallbladder carcinoma and cholangiocarcinoma. The disease should be either locally advanced to the extent that curative surgery is impossible or with documented distant metastasis.
- Bi-dimensionally measurable disease by physical examination or image study (roentgenogram or computed tomography (CT) scan).
- Age \> 18 years. For patients older than 70 years of age, detailed evaluation of the organ function reserves must be done before enrollment unto protocol treatment.
- Karnofsky performance status\> 60%
- Adequate bone marrow reserves, defined as white blood cell (WBC)\>4,000/ml, absolute neutrophil count (ANC)\> 1,500/ml, platelet\> 150,000/ml.
- Liver transaminases \<5 times upper normal limits; total bilirubin \<3 mg/dl; serum creatinine \< 1.5 mg/dl
- Serum triglyceride level \>70 mg/dl
- No prior cytotoxic chemotherapy. Previous radiotherapy is allowed if the treatment was completed at least 6 weeks before the enrollment onto this study.
- Patients of childbearing age should have effective contraception during the study period.
- All patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional guidelines.
You may not qualify if:
- Patients who are receiving concurrent radiotherapy, chemotherapy or other experimental therapy.
- Patients who refuse port-A catheter implantation
- Patients with brain or leptomeningeal metastases.
- Patients who have significant cardiac arrhythmia or acute myocardial infarction within 6 months before entry.
- Patients who have major systemic diseases that the attending physicians considered inappropriate for systemic chemotherapy.
- Life expectancy less than 2 months.
- Pregnant or nursing women may not participate. Women or men with reproductive potential may not participate unless they have agreed to use an effective contraceptive method.
- Patients who have previous malignancy except for the following: adequately treated basal cell or squamous cell skin cancers, in situ cervical cancer, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any cancer from which the patient has been disease-free for 5 years.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- National Health Research Institutes, Taiwanlead
- Chang Gung Memorial Hospitalcollaborator
- Changhua Christian Hospitalcollaborator
- China Medical University Hospitalcollaborator
- Mackay Memorial Hospitalcollaborator
- Chi Mei Medical Hospitalcollaborator
- Taipei Veterans General Hospital, Taiwancollaborator
- National Cheng-Kung University Hospitalcollaborator
- National Taiwan University Hospitalcollaborator
Study Sites (1)
National Taiwan University Hospital
Taipei, 100, Taiwan
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Ann-Li Cheng, PHD
National Taiwan University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 20, 2005
Study Start
July 1, 2002
Study Completion
August 1, 2012
Last Updated
April 1, 2009
Record last verified: 2005-09