Avastin, Fluorouracil, Doxorubicin and Streptozocin in Locally Advanced and Metastatic Pancreatic Endocrine Tumors

Pancreatic Cancer Clinical Trial

Official title:

Phase II Study of Avastin, Fluorouracil, Doxorubicin and Streptozocin in Locally Advanced and Metastatic Pancreatic Endocrine Tumors

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT00609765
• Other study ID #: MCC-14961
• Secondary ID: AVF3915s
• Status: Terminated
• Phase: Phase 2
• First received: January 24, 2008
• Last updated: November 21, 2013
• Start date: August 2007
• Est. completion date: March 2008

Study information

• Verified date: March 2011
• Source: H. Lee Moffitt Cancer Center and Research Institute
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Open label, single-arm phase II study of avastin combined with fluorouracil, doxorubicin and streptozocin administered in 28-day cycles. Treatment will continue until progression of disease, or until withdrawal due to toxicity, or up to a maximum of 12 cycles (48 weeks). In order to reduce the risk of cardiac toxicity, doxorubicin will be administered for a maximum of 8 cycles. If disease has not progressed after 12 cycles of treatment, avastin monotherapy will continue until disease progression or withdrawal due to toxicity.

Description:

Patients will need to come for 24 study visits in all. Most study visits will take about 2 hours. At some of these study visits, the doctor

• Will do a physical exam

• Will take blood for routine lab tests

• Will do a urinalysis

• Will administer study medication Some study visits may be longer because patient will have a CT scan or an MRI.

At patient's last visit, they will have a CT scan or MRI.

After treatment starts, patient will:

• Have their blood pressure monitored with every dose of Avastin® (about every 2 weeks).

• Have a history and physical with every chemotherapy cycle (about every 4 weeks).

• Have their blood taken for routine blood tests with every chemotherapy cycle (about every 4 weeks).

• Have a CT scan or MRI during every other cycle (about every 8 weeks).

• Have a MUGA scan during every 4 cycles (about 16 weeks).

• Have blood taken for tumor markers during every cycle only if their markers were high at baseline.

• Patients will receive study medication to treat their cancer:

• Fluorouracil on days 1 through 5 of each cycle through cycle 12

• Doxorubicin on day 1 of each cycle through cycle 8

• Streptozocin on days 1 through 5 of each cycle through cycle 12

• Avastin® on days 1 and 15 of each cycle through cycle 12

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 1
• Est. completion date: March 2008
• Est. primary completion date: March 2008
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Patients must have locally advanced (unresectable) or metastatic, well or moderately differentiated pancreatic endocrine tumors.

• Measurable disease on CT scan or MRI.

• Age = 18 years and = 80 years.

• Use of effective means of contraception (men and women) in subjects of child-bearing potential

• Adequate renal function (serum creatinine =1.5, urine protein:creatinine ratio <1.0 or urine dipstick for proteinuria < 2+ (patients discovered to have = 2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate = 1 g of protein in 24 hours to be eligible).

• Adequate hepatic function (bilirubin =2.0, AST and ALT = 3x ULN.

• Adequate hematologic function (WBC = 3,000, ANC = 1500, platelets = 100,000)

Exclusion Criteria:

• Prior therapy with fluorouracil, doxorubicin, streptozocin or avastin

• Ejection fraction on MUGA <50%

• ECOG performance status > 2

• Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study other than a Genentech-sponsored avastin cancer study

• Inadequately controlled hypertension (defined as systolic blood pressure >150 and/or diastolic blood pressure > 100 mmHg on antihypertensive medications)

• Any prior history of hypertensive crisis or hypertensive encephalopathy

• Unstable angina

• New York Heart Association (NYHA) Grade II or greater congestive heart failure

• History of myocardial infarction or unstable angina within 6 months prior to study enrollment

• History of stroke or transient ischemic attack within 6 months prior to study enrollment

• Significant vascular disease (e.g., aortic aneurysm, aortic dissection)

• Symptomatic peripheral vascular disease

• Evidence of bleeding diathesis or coagulopathy

• Presence of central nervous system or brain metastases

• Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study

• Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to study enrollment

• Pregnant (positive pregnancy test) or lactating. Use of effective means of contraception (men and women) in subjects of child-bearing potential

• Proteinuria at screening as demonstrated by either

• Urine protein: creatinine (UPC) ratio = 1.0 at screening OR

• Urine dipstick for proteinuria = 2+ (patients discovered to have =2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate = 1g of protein in 24 hours to be eligible).

• History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to Day 0

• Evidence of duodenal invasion on CT scan, MRI, or endoscopy

• Known hypersensitivity to any component of avastin

• Serious, non-healing wound, ulcer, or bone fracture

• Inability to comply with study and/or follow-up procedures

Study Design

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Endocrine Gland Neoplasms
• Pancreatic Cancer
• Pancreatic Neoplasms

Intervention

Drug:
• Avastin
Every 28 Days: Avastin 5mg/kg iv days 1 and 15
• Fluorouracil
Every 28 Days: Fluorouracil 400mg/m^2 iv bolus daily days 1-5
• Doxorubicin
Every 28 Days: Doxorubicin 40mg/m^2 iv bolus day 1
• Streptozocin
Every 28 Days: Streptozocin 400mg/m2 iv bolus daily days 1-5
• Dexamethasone
Premedication: Dexamethasone 20mg intravenously days 1-5
• Ondansetron
Premedication: Ondansetron 16mg intravenously days 1-5

Locations

Country	Name	City	State
United States	H. Lee Moffitt Cancer Center and Research Institute	Tampa	Florida

Sponsors (2)

Lead Sponsor	Collaborator
H. Lee Moffitt Cancer Center and Research Institute	Genentech, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants With Progression Free Survival (PFS) at 12 Months	We planned to calculate the One Year Progression Free Survival rate. The event for PFS analyses was the first occurrence of disease progression or death and patients who did not progress or died would be censored at the date of last tumor evaluation (e.g. one-year).	12 months	No
Secondary	The Number of Participants With Radiographic Response	Objective Radiographic Response Rate (ORR). We planned to calculate the sum of complete response (CR) and partial response (PR) in target lesions.	2 years	Yes

External Links

•   Moffitt Cancer Center Clinical Trials website