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| ID | Type | Description | Link |
|---|---|---|---|
| P30CA022453 | U.S. NIH Grant/Contract | View source | |
| WSU-2005-006 | |||
| WSU-025806MP4F |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Genistein may help gemcitabine and erlotinib kill more tumor cells by making tumor cells more sensitive to the drugs.
PURPOSE: This phase II trial is studying how well giving genistein together with gemcitabine and erlotinib works in treating patients with locally advanced or metastatic pancreatic cancer.
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a multicenter study.
Patients receive oral genistein twice daily on days -7 to 28 in course 1 and on days 1-28 in all other courses. Patients also receive gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15 and oral erlotinib hydrochloride once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Novasoy®, Gemcitabine & Erlotinib | Experimental | Novasoy® 396 mg (177 mg of Isoflavones) twice-daily starting daay -7 until day 28; Gemcitabine 1000 mg/m2 days 1, 8, & 15; Erlotinib 150 mg day 1 until day 28 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| genistein | Dietary Supplement |
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| erlotinib hydrochloride |
| Measure | Description | Time Frame |
|---|---|---|
| Patients Alive | at 6 months | |
| Median Overall Survival Estimate | up to 17 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Objective Response Rate (Complete and Partial Response) | Imaging tests (CT scan, CXR [Chest X-Ray], MRI or imaging studies as clinically indicated | Every 8 weeks |
| Response Duration | Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. Partial response is defined as greater than or equal to 30% reduction in the sum of the longest diameteres of target lesions, taking as reference the baseline sum of the longest diameters. |
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DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed pancreatic adenocarcinoma
Must have biopsy material consisting of 10 unstained slides or paraffin-embedded tissue blocks available for correlative studies
No endocrine tumor or lymphoma of the pancreas
No history of CNS (central nervous system) metastases
PATIENT CHARACTERISTICS:
PRIOR CONCURRENT THERAPY:
No prior chemotherapy or radiotherapy for metastatic disease
No prior gemcitabine hydrochloride or epidermal growth factor receptor-inhibiting agents
No other concurrent chemotherapy, immunotherapy, tumor-directed hormonal therapy, or radiotherapy
No other concurrent investigational agents
No other concurrent antitumor therapy
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| Name | Affiliation | Role |
|---|---|---|
| Khaldoun Almhanna, MD | Barbara Ann Karmanos Cancer Institute | Principal Investigator |
| Fazlul H. Sarkar, PhD | Barbara Ann Karmanos Cancer Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Detroit | Michigan | 48201-1379 | United States | ||
| M. D. Anderson Cancer Center at University of Texas |
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| ID | Title | Description |
|---|---|---|
| FG000 | Novasoy®, Gemcitabine & Erlotinib | Novasoy® 396 mg (177 mg of Isoflavones) twice-daily starting daay -7 until day 28; Gemcitabine 1000 mg/m2 days 1, 8, & 15; Erlotinib 150 mg day 1 until day 28 genistein erlotinib hydrochloride gemcitabine hydrochloride |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Drug |
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| gemcitabine hydrochloride | Drug |
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| Every 8 weeks |
| Time to Treatment Failure | Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. | Every 8 weeks |
| Time to Progression | Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. | Every 8 weeks |
| Grade 3 or Higher Toxicity Evaluation | Toxicity evaluation using NCI-CTC (Common Terminology Criteria) v.3 criteria; CBC (complete blood count) with differential white cell and platelet counts; Serum sodium, potassium, chloride, bicarbonate, AST, ALT, alkaline phosphatase, total bilirubin, blood urea nitrogen, creatinine, and albumin; Serum CA 19-9 | First day of each cycle |
| pAKT (Pichia Anomala Killer Toxin) and NF (Nuclear Factor)-kappaB Activation | Tumor tissue collected from paraffin | At start of study |
| Houston |
| Texas |
| 77030-4009 |
| United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Novasoy®, Gemcitabine & Erlotinib | Novasoy® 396 mg (177 mg of Isoflavones) twice-daily starting daay -7 until day 28; Gemcitabine 1000 mg/m2 days 1, 8, & 15; Erlotinib 150 mg day 1 until day 28 genistein erlotinib hydrochloride gemcitabine hydrochloride |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
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| Primary | Patients Alive | Posted | Number | participants | at 6 months |
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| Primary | Median Overall Survival Estimate | Posted | Median | 90% Confidence Interval | months | up to 17 months |
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| Secondary | Overall Objective Response Rate (Complete and Partial Response) | Imaging tests (CT scan, CXR [Chest X-Ray], MRI or imaging studies as clinically indicated | Posted | Number | 90% Confidence Interval | proportion of patients | Every 8 weeks |
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| Secondary | Response Duration | Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. Partial response is defined as greater than or equal to 30% reduction in the sum of the longest diameteres of target lesions, taking as reference the baseline sum of the longest diameters. | Posted | Number | days | Every 8 weeks |
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| Secondary | Time to Treatment Failure | Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. | Posted | Median | 90% Confidence Interval | months | Every 8 weeks |
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| Secondary | Time to Progression | Imaging tests (CT scan, CXR, MRI or imaging studies as clinically indicated). Progressive disesase is defined as a greater than 20% increase in the sum of the longest diameter of target lesions taking as reference the smalles sum of the longest diameter recorded since the treatment started or the appearance of new lesions. | Posted | Median | 90% Confidence Interval | moths | Every 8 weeks |
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| Secondary | Grade 3 or Higher Toxicity Evaluation | Toxicity evaluation using NCI-CTC (Common Terminology Criteria) v.3 criteria; CBC (complete blood count) with differential white cell and platelet counts; Serum sodium, potassium, chloride, bicarbonate, AST, ALT, alkaline phosphatase, total bilirubin, blood urea nitrogen, creatinine, and albumin; Serum CA 19-9 | Posted | Count of Participants | Participants | First day of each cycle |
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| Secondary | pAKT (Pichia Anomala Killer Toxin) and NF (Nuclear Factor)-kappaB Activation | Tumor tissue collected from paraffin | Data not collected | Posted | At start of study |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Novasoy®, Gemcitabine & Erlotinib | Novasoy® 396 mg (177 mg of Isoflavones) twice-daily starting daay -7 until day 28; Gemcitabine 1000 mg/m2 days 1, 8, & 15; Erlotinib 150 mg day 1 until day 28 genistein erlotinib hydrochloride gemcitabine hydrochloride | 14 | 20 | 15 | 20 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| Fatigue | General disorders | CTCAE (3.0) | Systematic Assessment |
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| Infection | Infections and infestations | CTCAE (3.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| Neutrophil | Investigations | CTCAE (3.0) | Systematic Assessment |
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| Pain | General disorders | CTCAE (3.0) | Systematic Assessment |
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| Platelet | Investigations | CTCAE (3.0) | Systematic Assessment |
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| Stomach, mucostis | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| White blood count (WBC) | Blood and lymphatic system disorders | CTCAE (3.0) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| Fatigue | General disorders | CTCAE (3.0) | Systematic Assessment |
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| Hemoglobin | Blood and lymphatic system disorders | CTCAE (3.0) | Systematic Assessment |
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| Pain | General disorders | CTCAE (3.0) | Systematic Assessment |
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| Platelet | Investigations | CTCAE (3.0) | Systematic Assessment |
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| Skin rash | Skin and subcutaneous tissue disorders | CTCAE (3.0) | Systematic Assessment |
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| Stomach, mucositis | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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| Neutrophil | Blood and lymphatic system disorders | CTCAE (3.0) | Systematic Assessment |
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| WBC (white blood count) | Blood and lymphatic system disorders | CTCAE (3.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
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This study was stopped early due to the lack of efficacy.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Almhanna Khaldoun, M.D. | Barbara Ann Karmanos Cancer Institute | 313-576-8746 | almhanna@karmanos.org |
| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D019833 | Genistein |
| D000069347 | Erlotinib Hydrochloride |
| D000093542 | Gemcitabine |
| ID | Term |
|---|---|
| D007529 | Isoflavones |
| D005419 | Flavonoids |
| D002867 | Chromones |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D011799 | Quinazolines |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
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