Pharmacokinetic Study of Adjuvant Capecitabine After Resection of Pancreatic Adenocarcinoma
A Pharmacokinetic Study of Adjuvant Capecitabine in Patients Who Have Undergone Proximal Pancreatico-duodenectomy for Resection of Pancreatic Adenocarcinoma
2 other identifiers
interventional
13
1 country
2
Brief Summary
The purpose of this study is to evaluate the pharmacokinetics (PK) of adjuvant capecitabine in patients who have undergone proximal pancreatico-duodenectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Nov 2009
Typical duration for phase_4
2 active sites
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
First Submitted
Initial submission to the registry
February 27, 2009
CompletedFirst Posted
Study publicly available on registry
March 3, 2009
CompletedStudy Start
First participant enrolled
November 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2012
CompletedFebruary 18, 2013
February 1, 2013
2.8 years
February 27, 2009
February 15, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To measure plasma levels of Capecitabine and its metabolites (DFCR, DFUR and 5-FU)
Samples collected predose and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 8, and 24 hours on day 1 of cycles 1 and 3
Secondary Outcomes (2)
To evaluate adverse effects after every course of chemotherapy according to NCI-CTCAE V3.
1 year (from patient registration until 28 days after last study drug administration).
To identify any dose limiting toxicities of Capecitabine
1 year
Interventions
film-coated tablet 1250 mg/m2 twice daily for 14 days every 3 weeks. Number of cycles: 8 cycles unless there is evidence of disease progression, or unacceptable toxicity
Eligibility Criteria
You may qualify if:
- Surgery included proximal pancreatico-duodenectomy
- Complete macroscopic resection for ductal adenocarcinoma of the pancreas (R0 or R1 resection)
- Histological confirmation of the primary diagnosis and examination of all resection margins
- At least 4 weeks since surgery, fully recovered from the operation and fit to take part in the trial
- Age ≥ 18 years
- World Health Organisation (WHO) performance status of ≤ 2 (Appendix 1)
- Haemoglobin (Hb) ≥ 9.0 g/dl
- Neutrophils ≥ 1.5 x 109/L
- Platelets (Plts) ≥ 100 x 109/L
- Serum bilirubin ≤ 1.5 x upper normal limit
- Alanine amino-transferase (ALT) and/or aspartate amino-transferase (AST) ≤ 2.0 x upper limit of normal (ULN)
- Calculated creatinine clearance ≥ 50 ml/min (uncorrected value) or isotope clearance measurement ≥ 50ml/min
- Female patients of child-bearing potential must have a negative serum pregnancy test prior to enrolment and agree to use appropriate medically approved contraception for four weeks prior to entering the trial, during the trial and for six months afterwards.
- Male patients must agree to use appropriate medically approved contraception during the trial and for six months afterwards.
- Written, informed consent provided.
- +1 more criteria
You may not qualify if:
- Pregnancy or Lactation
- Evidence of malignant ascites, peritoneal or liver metastasis, spread to other distant abdominal or extra-abdominal organs.
- Concurrent mechanical or malabsorptive disorders precluding affective oral administration of the drug (excluding malabsorption related directly to proximal pancreatic-duodenectomy)
- Patients with pancreatic lymphoma or other histological diagnosis
- Macroscopically remaining tumour (R2 resection)
- Patients who are high medical risks because of non-malignant systemic disease including active uncontrolled infection.
- Patients with any other condition which in the Investigator's opinion would not make the patient a good candidate for the clinical trial.
- Patients known to be serologically positive for Hepatitis B, Hepatitis C or Human Immunodeficiency Virus (HIV).
- History of confirmed Ischaemic Heart Disease, concurrent congestive heart failure or prior history of class III/ IV cardiac disease (New York Heart Association \[NYHA\] - refer to Appendix 5)
- Any serious medical or psychological condition precluding adjuvant treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Cambridge University Hospitals NHS Foundation Trust, University of Cambridge Oncology Centre
Cambridge, CB2 0QQ, United Kingdom
Edinburgh Cancer Centre, Western General Hospital
Edinburgh, United Kingdom
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Duncan Jodrell, DM MSc FRCP
Cambridge University Hospitals, NHS Foundation Trust, University of Cambridge
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor Duncan Jodrell
Study Record Dates
First Submitted
February 27, 2009
First Posted
March 3, 2009
Study Start
November 1, 2009
Primary Completion
August 1, 2012
Study Completion
August 1, 2012
Last Updated
February 18, 2013
Record last verified: 2013-02