Temsirolimus in Combination With Gemcitabine in Previously Untreated Metastatic Pancreatic Cancer
A Phase 1 Study of Temsirolimus in Combination With Gemcitabine in Previously Untreated Metastatic Pancreatic Cancer
1 other identifier
interventional
5
1 country
1
Brief Summary
The purpose of this research study is to try to define the highest doses of temsirolimus and gemcitabine that can be used safely in combination to treat advanced pancreatic cancer. Gemcitabine is a standard chemotherapy used for the treatment of pancreatic cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Oct 2007
Typical duration for phase_1
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
October 1, 2007
CompletedFirst Submitted
Initial submission to the registry
December 28, 2007
CompletedFirst Posted
Study publicly available on registry
January 14, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedDecember 2, 2011
December 1, 2011
2 years
December 28, 2007
December 1, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
To determine the dose-limiting toxicities and maximal tolerated doses of gemcitabine combined with temsirolimus
2 years
To determine whether order of administration of the drugs affects the above
2 years
To determine the dosing regimen appropriate for Phase 2 studies of the combination
2 years
Secondary Outcomes (1)
To document objective response rate and progression-free survival in patients treated with this combination
Interventions
Given intravenously every week of each 28-day cycle (days 1, 8, 15 and 22). Participants may continue to receive study treatment as long as their tumor is responding and they don't experience any serious side effects.
Given intravenously every other week of each 28-day cycle.
Eligibility Criteria
You may qualify if:
- Previously untreated metastatic pancreatic adenocarcinoma, histologically proven.
- Measurable disease by RECIST criteria
- ECOG Performance Status 0 or 1
- Male or female, 18 years of age or older
- Life expectancy of \>/= 12 weeks
- AST and ALT \</= 2.5 x ULN
- Total bilirubin \</= 1.5 x ULN
- Serum albumin \>/= 2.5g/dL
- Absolute neutrophil count \>/= 1500/mm3; platelets \>/= 100,000/mm3; hemoglobin \>/= 9.0 g/dL
- Serum creatinine \</= 1.5 x ULN
- Subjects with diabetes must have adequate glycemic control, with fasting serum glucose \</= 1.5 x ULN
- Female patients of childbearing age and male patients with partners of childbearing age must agree to use adequate birth control measures during the course of the study and for at least one month following withdrawal from the study
You may not qualify if:
- Previously treatment with gemcitabine or chemoradiation
- Diagnosis of a second malignancy within the last 3 years, except for adequately treated basal cell carcinoma or squamous cell skin cancer
- Ongoing cardiac dysrhythmias of NCI CTCAE grade \>/= 2, atrial fibrillation, QTc prolongation to \> 450 msec for males and \>470 msec for females
- Known immunodeficiency disorders or active infections requiring treatment
- Pregnancy or breastfeeding
- Known brain metastases, spinal cord compression, carcinomatous meningitis, or leptomeningeal disease
- Prior radiation therapy or major surgery within 4 weeks of study entry
- Prior radiation therapy to \> 25% of the bone marrow
- Subjects receiving other experimental or alternative therapies during the course of the trial will be excluded
- History of prior hypersensitivity to polysorbate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Massachusetts General Hospitallead
- Brigham and Women's Hospitalcollaborator
- Dana-Farber Cancer Institutecollaborator
- Wyeth is now a wholly owned subsidiary of Pfizercollaborator
Study Sites (1)
Massachusetts General Hospital
Boston, Massachusetts, 02215, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eunice Kwak, MD, PhD
Massachusetts General Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant in Medicine
Study Record Dates
First Submitted
December 28, 2007
First Posted
January 14, 2008
Study Start
October 1, 2007
Primary Completion
October 1, 2009
Study Completion
October 1, 2009
Last Updated
December 2, 2011
Record last verified: 2011-12