Status:

COMPLETED

Triapine and Gemcitabine Hydrochloride in Gallbladder Cancer

Lead Sponsor:

National Cancer Institute (NCI)

Conditions:

Stage II Gallbladder Cancer

Stage IIIA Gallbladder Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This phase II trial is studying how well giving 3-AP together with gemcitabine works in treating patients with unresectable or metastatic bile duct or gallbladder cancer. Drugs used in chemotherapy, s...

Detailed Description

OBJECTIVES: I. To determine the objective response rates for the combination of triapine and gemcitabine in patients with primary tumors of the biliary ducts and gall bladder. II. To assess the toxi...

Eligibility Criteria

Inclusion

  • Histologically or cytologically confirmed adenocarcinoma of the biliary ducts that is unresectable and/or metastatic; this can include unresectable or metastatic carcinomas of the Ampulla of Vater. In addition, unresectable or metastatic gall bladder carcinoma will be allowed
  • Measurable disease
  • No prior chemotherapy
  • Life expectancy of greater than 3 months
  • ECOG performance status =\< 2 (Karnofsky \>= 60%)
  • Leukocytes \>= 3,000/uL
  • Absolute neutrophil count \>= 1,500/uL
  • Platelets \>= 100,000/uL
  • Creatinine within normal institutional limits
  • Patients may have mildly abnormal liver function defined as a total bilirubin \> ULN and =\< 3x the institutional upper limits of normal (includes CTCAE v.3 grades 1-2 hyperbilirubinemia)
  • Ability to understand and the willingness to sign a written informed consent document

Exclusion

  • Patients may not be receiving any other investigational agents
  • Patients with known brain metastases should be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to Triapine or gemcitabine
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia
  • Uncontrolled pulmonary disease including asthma, chronic bronchitis and COPD or with requirements for chronic oxygen use
  • Pregnant or lactating women
  • HIV infection
  • Patients with G6PD deficiency will be excluded in view of the potential for methemoglobinemia
  • Psychiatric illness/social situations that would limit compliance with study requirements

Key Trial Info

Start Date :

November 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2009

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT00075504

Start Date

November 1 2003

End Date

January 1 2009

Last Update

September 28 2015

Active Locations (1)

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1

Montefiore Medical Center

The Bronx, New York, United States, 10467-2490