Status:

COMPLETED

Combination Chemotherapy as First-Line Therapy in Treating Patients With Locally Advanced or Metastatic Neuroendocrine Tumors of the Duodenum or Pancreas That Cannot Be Removed By Surgery

Lead Sponsor:

Federation Francophone de Cancerologie Digestive

Conditions:

Gastrointestinal Carcinoid Tumor

Islet Cell Tumor

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as fluorouracil, leucovorin, and irinotecan, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from ...

Detailed Description

OBJECTIVES: Primary * Determine the 6-month progression-free survival rate in patients with unresectable locally advanced or metastatic neuroendocrine tumors of the duodenum/pancreas treated with fl...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of neuroendocrine tumor of the duodenum/pancreas by histology or bone scan
  • Functional or nonfunctional tumor
  • Tumor meets ≥ 1 of the following criteria:
  • Hepatic or extrahepatic metastases
  • Progressive locally advanced tumor (primary or adenopathies)
  • Unresectable disease
  • Tumor differentiated and meets the following criteria:
  • Ki 67 ≤ 15%
  • Less than 10 mitoses per 10 large fields
  • Measurable or evaluable disease
  • Target lesions must meet 1 of the following criteria within the past 6 months:
  • Increase of 20% in the longest diameter
  • New metastases detected
  • Minimum size of lesions must be 1 of the following:
  • More than 15 mm for metastases
  • More than 50 mm for primary tumor or local lymph nodes
  • PATIENT CHARACTERISTICS:
  • WHO performance status 0-2
  • Creatinine ≤ 1.5 mg/dL
  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Bilirubin ≤ 1.8 mg/dL
  • No coronary insufficiency or symptomatic cardiac disease
  • No intestinal obstruction, enteropathy, or uncontrolled chronic diarrhea
  • No Gilbert's disease
  • No psychological, social, familial, or geographic condition that would preclude study treatment
  • Not pregnant or nursing
  • Fertile patients must use effective contraception during and for 6 months after completion of study therapy
  • No other condition that would preclude study therapy
  • PRIOR CONCURRENT THERAPY:
  • No prior adjuvant radiotherapy
  • At least 3 months since prior interferon
  • Prior somatostatin analogs or antisecretories allowed
  • No other prior treatment for this cancer
  • No concurrent radiotherapy to the target lesion

Exclusion

    Key Trial Info

    Start Date :

    May 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2007

    Estimated Enrollment :

    20 Patients enrolled

    Trial Details

    Trial ID

    NCT00416767

    Start Date

    May 1 2004

    End Date

    July 1 2007

    Last Update

    May 30 2016

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