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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00026338
Registration number
NCT00026338
Ethics application status
Date submitted
9/11/2001
Date registered
27/01/2003
Titles & IDs
Public title
Gemcitabine With/Out Erlotinib in Unresectable Locally Advanced/Metastatic Pancreatic Cancer
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Scientific title
A Randomized Placebo Controlled Study Of OSI-774 (TARCEVA) Plus Gemcitabine In Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer
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Secondary ID [1]
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0
CAN-NCIC-PA3
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Secondary ID [2]
0
0
PA3
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pancreatic Cancer
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0
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Condition category
Condition code
Cancer
0
0
0
0
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Pancreatic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - erlotinib hydrochloride
Treatment: Drugs - gemcitabine hydrochloride
Active comparator: OSI-774 plus Gemcitabine -
Active comparator: Placebo plus gemcitabine -
Treatment: Drugs: erlotinib hydrochloride
150 mg po daily
Treatment: Drugs: gemcitabine hydrochloride
1000 mg/m2 IV weekly (Cycle 1 -Day 1, 8, 15, 22, 29, 36, 43 of an 8 week cycle, Cycle 2 and subsequent cycles -Day 1,8 and 15 of a 4 week cycle)
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Intervention code [1]
0
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overall survival
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Assessment method [1]
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0
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Timepoint [1]
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3 years
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Secondary outcome [1]
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0
Progression free survival
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Assessment method [1]
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0
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Timepoint [1]
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3 years
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Secondary outcome [2]
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Quality of Life
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Assessment method [2]
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0
Canada, US and selected countries only
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Timepoint [2]
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3 years
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Secondary outcome [3]
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Response rates
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Assessment method [3]
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Complete and partial response only.
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Timepoint [3]
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3 years
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Secondary outcome [4]
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Toxicity
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Assessment method [4]
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0
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Timepoint [4]
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3 years
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Secondary outcome [5]
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0
EGFR levels
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Assessment method [5]
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0
Correlate the expression oftissue EGFR levels (at diagnosis) with outcomes and response to treatment
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Timepoint [5]
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3 years
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Secondary outcome [6]
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Pharmacokinetics
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Assessment method [6]
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To measure trough levels of081-774 (Tarcevaâ„¢) to determine population pharmacokinetics
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Timepoint [6]
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3 years
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically or cytologically confirmed adenocarcinoma of the pancreas
* Locally advanced or metastatic disease that is considered unresectable
* No known CNS metastases
PATIENT CHARACTERISTICS:
Age:
* 18 and over
Performance status:
* ECOG 0-2
Life expectancy:
* Not specified
Hematopoietic:
* Absolute granulocyte count at least 1,500/mm^3
* Platelet count at least 100,000/mm^3
Hepatic:
* Bilirubin less than 2 times upper limit of normal (ULN)
* AST and/or ALT less than 2 times ULN (5 times ULN if liver metastases present)
Renal:
* Creatinine less than 1.5 times ULN
Cardiovascular:
* No uncontrolled high blood pressure
* No unstable angina
* No congestive heart failure
* No myocardial infarction within the past year
* No cardiac ventricular arrhythmias requiring medication
Gastrointestinal:
* No gastrointestinal (GI) tract disease resulting in an inability to take oral medication such as uncontrolled inflammatory GI disease (e.g., Crohn's disease or ulcerative colitis)
* No post-surgical malabsorption characterized by:
* Uncontrolled diarrhea that results in weight loss and vitamin deficiency OR
* Requires IV hyperalimentation
* Pancreatic enzyme supplementation allowed provided that the above criteria are not met
Ophthalmic:
* No ocular inflammation or infection unless fully treated prior to study
* No significant ophthalmologic abnormalities, including the following:
* Severe dry eye syndrome
* Sjogren's syndrome
* Keratoconjunctivitis sicca
* Severe exposure keratopathy
* Disorders that would increase the risk for epithelium-related complications (e.g., bullous keratopathy, aniridia, severe chemical burns, or neutrophilic keratitis)
Other:
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
* HIV negative
* No serious active infection
* No other serious underlying medical, psychological, or geographical condition that would preclude study participation
* No prior allergic reaction to compounds with similar chemical or biologic composition to erlotinib
* No other prior malignancy within the past 5 years except cancer in situ or basal cell or squamous cell skin cancer
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* No concurrent biologic therapy or immunotherapy
Chemotherapy:
* No prior chemotherapy except fluorouracil (with or without leucovorin calcium) or gemcitabine administered concurrently with radiotherapy as a radiosensitizer
* No other concurrent cytotoxic chemotherapy
Endocrine therapy:
* Not specified
Radiotherapy:
* See Chemotherapy
* At least 4 weeks since prior radiotherapy and recovered
* Prior radiotherapy for local disease allowed if evidence of disease progression has occurred
* No concurrent radiotherapy
Surgery:
* See Disease Characteristics
* At least 2 weeks since prior major surgery
* No concurrent ophthalmic surgery
Other:
* No prior epidermal growth factor receptor inhibitors
* At least 2 weeks since prior investigational drug
* No other concurrent investigational drugs during and for at least 30 days after study
* No other concurrent anti-cancer therapy
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Minimum age
18
Years
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Maximum age
120
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/10/2001
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
10/02/2009
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Sample size
Target
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Accrual to date
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Final
569
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC,WA
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Concord Repatriation General Hospital - Concord
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Liverpool Hospital - Liverpool
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Newcastle Mater Misericordiae Hospital - Newcastle
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Institute of Oncology - Randwick
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Royal Adelaide Hospital - Adelaide
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Ashford Cancer Centre - Ashford
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Queen Elizabeth Hospital - Woodville
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Frankston Hospital - Frankston
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Austin and Repatriation Medical Centre - Heidelberg
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Royal Perth Hospital - Perth
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Peter MacCallum Cancer Institute - Melbourne
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2139 - Concord
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2170 - Liverpool
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NSW 2310 - Newcastle
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2031 - Randwick
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5000 - Adelaide
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5035 - Ashford
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5011 - Woodville
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3199 - Frankston
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3084 - Heidelberg
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6000 - Perth
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8006 - Melbourne
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Recruitment outside Australia
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Oxford
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Funding & Sponsors
Primary sponsor type
Other
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Name
NCIC Clinical Trials Group
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Address
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Ethics approval
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Summary
Brief summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Biological therapies such as erlotinib use different ways to stimulate the immune system and stop cancer cells from growing. Combining chemotherapy and biological therapy may kill more tumor cells. It is not yet known if gemcitabine is more effective with or without erlotinib in treating pancreatic cancer. PURPOSE: Randomized phase III trial to determine the effectiveness of gemcitabine with and without erlotinib in treating patients who have unresectable locally advanced or metastatic pancreatic cancer.
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Trial website
https://clinicaltrials.gov/study/NCT00026338
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Trial related presentations / publications
Dhani NC, Tu D, Parulekar W, et al.: A retrospective analysis of tumor size (TS) as a continuous rather than discrete variable in advanced pancreatic cancer. [Abstract] J Clin Oncol 27 (Suppl 15): A-e15565, 2009. Moore MJ, da Cunha Santos G, Kamel-Reid S, et al.: The relationship of K-ras mutations and EGFR gene copy number to outcome in patients treated with Erlotinib on National Cancer Institute of Canada Clinical Trials Group trial study PA.3. [Abstract] J Clin Oncol 25 (Suppl 18): A-4521, 2007. Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, Au HJ, Murawa P, Walde D, Wolff RA, Campos D, Lim R, Ding K, Clark G, Voskoglou-Nomikos T, Ptasynski M, Parulekar W; National Cancer Institute of Canada Clinical Trials Group. Erlotinib plus gemcitabine compared with gemcitabine alone in patients with advanced pancreatic cancer: a phase III trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2007 May 20;25(15):1960-6. doi: 10.1200/JCO.2006.07.9525. Epub 2007 Apr 23. Moore MJ, Goldstein D, Hamm J, et al.: Erlotinib improves survival when added to gemcitabine in patients with advanced pancreatic cancer. A phase III trial of the National Cancer Institute of Canada Clinical Trials Group [NCIC-CTG]. [Abstract] American Society of Clinical Oncology 2005 Gastrointestinal Cancers Symposium, 27-29 January 2005, Miami, Florida. A-77, 2005. Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, Gallinger S, Au HJ, Murawa P, Walde D, Wolff RA, Campos D, Lim R, Ding K, Clark G, Voskoglou-Nomikos T, Ptasynski M, Parulekar W. Erlotinib Plus Gemcitabine Compared With Gemcitabine Alone in Patients With Advanced Pancreatic Cancer: A Phase III Trial of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2023 Oct 20;41(30):4714-4720. doi: 10.1200/JCO.22.02770.
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Public notes
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Contacts
Principal investigator
Name
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Malcolm J. Moore, MD
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Address
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Princess Margaret Hospital, Canada
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Moore MJ, da Cunha Santos G, Kamel-Reid S, et al.:...
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More Details
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Journal
Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, ...
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Journal
Moore MJ, Goldstein D, Hamm J, et al.: Erlotinib i...
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Moore MJ, Goldstein D, Hamm J, Figer A, Hecht JR, ...
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Results not provided in
https://clinicaltrials.gov/study/NCT00026338