Aprepitant in Preventing Nausea and Vomiting in Patients Undergoing Chemotherapy and Radiation Therapy for Pancreatic Cancer
A Feasibility Study to Discern the Tolerability of 5-FU/Gemcitabine Based Chemotherapy Concurrent With Upper Abdominal Radiation and the Utility of Aprepitant/5HT-3 Antagonist (EMEND) for the Prevention of ChemoRadiation-Induced Nausea and Vomiting (CRINV)
This date has not been verified as actual or estimated.
Primary Completion
December 2009
Actual (reported)
Study Completion
August 2012
Actual (reported)
Brief Summary
This pilot clinical trial is studying how well aprepitant works in preventing nausea and vomiting in patients undergoing chemotherapy and radiation therapy for pancreatic cancer. Antiemetic drugs, such as aprepitant may help lessen or prevent nausea and vomiting in patients receiving chemotherapy and radiation therapy
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
22 participants
Study completion date
August 2012
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
August 2006
Date type not reported
This date has not been verified as actual or estimated.
Number of Patients With Gastrointestinal Toxicities (Grade 3 and 4 Nausea and Vomiting) Associated With Delivering Fluorouracil/Gemcitabine Hydrochloride-based Chemotherapy With Upper Abdominal Radiation
Toxicity will be determined using the revised National Cancer Institute (NCI) Common Toxicity Criteria (CTC) version 3.0 for Toxicity and Adverse Event Reporting. Descriptive statistics (means, standard deviations, frequencies, etc.) will be presented for pretreatment patient characteristics. The rate of grade 3 and 4 nausea will be compared to the cut points during interim and final analyses.
Over 10 weeks
Secondary Outcomes (2)
Impact of Aprepitant/5HT-3 Antagonist Therapy on the Patient Quality of Life as Measured by the Number of Patients Using Anti Nausea Drugs
Week 1
Study Arms (1)
Treatment (antiemetic, chemotherapy, and radiation therapy)
EXPERIMENTAL
CHEMORADIOTHERAPY: Patients undergo radiation therapy once daily on days 1-5 for 5.5 weeks. Patients also receive gemcitabine hydrochloride IV over 30 minutes once weekly and either fluorouracil IV continuously or capecitabine PO twice daily on days 1-5.
PROPHYLACTIC THERAPY: Beginning 1 hour before chemoradiotherapy, patients receive aprepitant PO on days 1-3. Treatment repeats every 7 days for 5.5 weeks in the absence of disease progression or unacceptable toxicity.
CONSOLIDATION CHEMOTHERAPY: Two to four weeks after completion of chemoradiotherapy and prophylactic therapy, patients without disease progression or a declining performance status receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8. Treatment repeats every 21 days for 2 courses in the absence of disease progression or unacceptable toxicity.
Treatment (antiemetic, chemotherapy, and radiation therapy)
gemcitabine hydrochlorideDrug
Given IV
Also known as: dFdC, difluorodeoxycytidine hydrochloride, gemcitabine, Gemzar
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Histologic or cytologic diagnosis of carcinoma arising from the pancreas
Resected or unresectable pancreatic cancer, potentially resectable, or resectable (neoadjuvant) disease (stage II and III); stage IV patients with symptomatic back pain requiring palliation are also eligible at the discretion of the Principal Investigator (PI); resected patients, i.e. - "Whipple" of biliary ductal cancers are also eligible at the discretion of the PI
Impact of Aprepitant/5HT-3 Antagonist Therapy on the Patient Quality of Life as Measured by the Number of Patients Taking Anti Nausea Drugs
Week 5
Procedure: nausea and vomiting therapy
Procedure: management of therapy complications
Treatment (antiemetic, chemotherapy, and radiation therapy)
capecitabineDrug
Given PO
Also known as: CAPE, Ro 09-1978/000, Xeloda
Treatment (antiemetic, chemotherapy, and radiation therapy)
fluorouracilDrug
Given IV
Also known as: 5-fluorouracil, 5-Fluracil, 5-FU
Treatment (antiemetic, chemotherapy, and radiation therapy)
radiation therapyProcedure
Undergo radiation therapy
Also known as: irradiation, radiotherapy, therapy, radiation
Treatment (antiemetic, chemotherapy, and radiation therapy)
questionnaire administrationOther
Ancillary studies
Treatment (antiemetic, chemotherapy, and radiation therapy)
quality-of-life assessmentProcedure
Ancillary studies
Also known as: quality of life assessment
Treatment (antiemetic, chemotherapy, and radiation therapy)
nausea and vomiting therapyProcedure
Receive aprepitant
Also known as: antiemetic support, management of nausea and vomiting, nausea and vomiting management, therapy, nausea and vomiting, vomiting and nausea management
Treatment (antiemetic, chemotherapy, and radiation therapy)
management of therapy complicationsProcedure
Receive aprepitant
Also known as: complications of therapy, management of
Treatment (antiemetic, chemotherapy, and radiation therapy)
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Performance status 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) scale
Evidence of disease; this can be measurable, evaluable, or nonmeasurable
Estimated life expectancy of at least 12 weeks
Absolute neutrophil (segmented and bands) count (ANC) \>= 1.5 X 10\^9/L
Platelets \>= 100 X 10\^9/L
Hemoglobin \>= 9 g/dL
Bilirubin =\< 1.5 times upper limit of normal (ULN)
Alkaline phosphatase (AP) =\< 3.0 ULN ( AP =\< 5 x ULN is acceptable if liver has tumor involvement)
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 3.0 ULN (AST and ALT =\< 5 x ULN is acceptable if liver has tumor involvement)
Albumin \>= 3.0 g/dL
Signed informed consent from patient
Male and female patients with reproductive potential must use an approved contraceptive method (e.g., intrauterine device, birth control pills, or barrier device) during and for 3 months after the study
You may not qualify if:
Active infection (at the discretion of the investigator)
Neuroendocrine tumor of the pancreas
Documented brain metastasis; brain imaging in symptomatic patients is required to rule out metastases, but not required in asymptomatic patients
Pregnancy
Breast feeding
Serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator)
Use of any investigational agent within 4 weeks before enrollment into the study
Significant cardiovascular disease in the form of abnormal electrocardiogram (ECG) coupled with clinical features of recent or recurrent cardiac disease (including myocardial infarction, angina or hypertension)
Prior treatment with chemotherapy for pancreatic cancer
Clinically significant effusions (pleural or peritoneal) that cannot be drained
Contact the study team to confirm eligibility.
Otherlead
Neoplasms
Bile Duct Diseases
Biliary Tract Diseases
Digestive System Diseases
Signs and Symptoms, Digestive
Signs and Symptoms
Pathological Conditions, Signs and Symptoms
Endocrine Gland Neoplasms
Pancreatic Diseases
Endocrine System Diseases
Intervention Hierarchy (Ancestors)
MorpholinesOxazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesPhysical Phenomena
Primary Completion
December 2009
Actual (reported)
Study Completion
August 2012
Actual (reported)
Last Updated
August 15, 2018
Results First Posted
October 30, 2012
Record last verified: 2018-07
Source record
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Source: ClinicalTrials.gov.
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