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European Study Group For Pancreatic Cancer - Trial 3


Phase 3
18 Years
N/A
Open (Enrolling)
Both
Pancreatic Cancer

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Trial Information

European Study Group For Pancreatic Cancer - Trial 3


OBJECTIVES:

Primary

- Compare the efficacy of adjuvant gemcitabine vs fluorouracil and leucovorin calcium (vs
observation only in patients with ampullary or other pancreatic malignancy), in terms
of overall survival, in patients with completely resected pancreatic cancer.

Secondary

- Compare the toxicity of these regimens in these patients.

- Compare the quality of life and 5-year survival of patients treated with these
regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to
histology (ductal adenocarcinoma vs ampullary or other pancreatic malignancy), resection
margin status, and participating country. Patients are randomized to 1 of 2 treatment arms.
Randomization for patients with ampullary or other pancreatic malignancy includes an
observation arm.

- Arm I: Patients receive leucovorin calcium IV and fluorouracil IV on days 1-5.

- Arm II: Patients receive gemcitabine IV over 30 minutes on days 1, 8, and 15.

- Arm III (patients with ampullary or other pancreatic malignancy only): Patients undergo
observation.

Treatment in arms I and II repeats every 28 days for 6 courses in the absence of disease
progression or unacceptable toxicity.

Quality of life is assessed at baseline, 3, 6, and 12 months, and then annually for 5 years.

Patients are followed every 3 months.

PROJECTED ACCRUAL: A total of 1,030 patients with pancreatic adenocarcinoma (515 per arms I
and II) will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed ductal adenocarcinoma of the pancreas OR

- Histologically confirmed diagnosis of 1 of the following types of cancer:

- Acinar cell carcinoma or cystadenocarcinoma of the pancreas

- Cancers of the periampullary region

- Cancers of the intrapancreatic part of the bile duct

- Periampullary cancers of uncertain origin

- Complete macroscopic resection (R0 or R1 resection)

- Histological examination of all resection margins required

- No stage IVB disease

- No evidence of malignant ascites

- No liver or peritoneal metastases

- No evidence of spread to other distant abdominal or extra-abdominal organs

- No pancreatic lymphoma

PATIENT CHARACTERISTICS:

Age

- 18 and over

Performance status

- WHO 0-2

Life expectancy

- More than 3 months

Hematopoietic

- Not specified

Hepatic

- Not specified

Renal

- Not specified

Other

- Not pregnant

- Able to participate in long-term follow-up

- No other prior or concurrent malignancy except curatively treated basal cell skin
cancer or carcinoma in situ of the cervix

- No serious medical or psychological condition that would preclude study treatment

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- No neoadjuvant chemotherapy

- No other concurrent chemotherapy

Endocrine therapy

- Not specified

Radiotherapy

- Not specified

Surgery

- See Disease Characteristics

- Recovered from prior resection

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Primary Purpose: Treatment

Outcome Measure:

Overall survival

Safety Issue:

No

Principal Investigator

John P. Neoptolemos, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Royal Liverpool University Hospital

Authority:

United States: Federal Government

Study ID:

CDR0000287023

NCT ID:

NCT00058201

Start Date:

July 2001

Completion Date:

Related Keywords:

  • Pancreatic Cancer
  • acinar cell adenocarcinoma of the pancreas
  • duct cell adenocarcinoma of the pancreas
  • stage I pancreatic cancer
  • stage II pancreatic cancer
  • stage III pancreatic cancer
  • stage IV pancreatic cancer
  • Pancreatic Neoplasms

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