Recruitment

Recruitment Status
Unknown status

Inclusion Criteria

Adequate haematological function: neutrophils ≥1.5 x 109/L, platelets ≥100 x 109/L and haemoglobin ≥100g/L
Palliative bypass procedure
WHO PS 0-1 (APPENDIX 1)
...
Adequate haematological function: neutrophils ≥1.5 x 109/L, platelets ≥100 x 109/L and haemoglobin ≥100g/L
Palliative bypass procedure
WHO PS 0-1 (APPENDIX 1)
Male patients must be surgically sterile or must agree to use a condom during GEMABX treatment and for 90 days after last administration of GEMABX, and to use a condom during chemoradiotherapy and for three months after completion of chemoradiotherapy.
1. Aged 18 years or over
Women of child-bearing potential must have negative serum or urine pregnancy test within 14 days prior to registration, must agree to use a highly effective contraception method during GEMABX treatment and for 30 days after last administration of GEMABX and to use an acceptable contraception method during chemoradiotherapy and for 6 months after completion of all treatment.
AST and/or ALT ≤ 3 x ULN.
Adequate renal function (GFR ≥ 50ml/min (Cockcroft & Gault - APPENDIX 3))
Written informed consent obtained
Primary pancreatic lesion 6 cm or less in diameter (taken from scan results)
Serum bilirubin ≤1.5 x ULN. In participants who have had a recent biliary drain and whose bilirubin is improving, a value of ≤3 x ULN is acceptable, however treatment should not start unless Bilirubin is ≤1.5 x ULN.
Common bile duct stenting
Histologically or cytologically proven carcinoma of the pancreas

Exclusion Criteria

Pregnant or breast-feeding patients.
Lymphoma or neuroendocrine tumours of the pancreas
Allopurinol and dipyridamole
...
Pregnant or breast-feeding patients.
Lymphoma or neuroendocrine tumours of the pancreas
Allopurinol and dipyridamole
Adequately treated basal cell skin carcinoma
Renal abnormalities including adult polycystic kidney disease or hydronephrosis or ipsilateral single kidney (i.e. functioning right kidney for head tumours; left kidney for tail tumours) that may preclude upper abdominal radiotherapy without damaging functional kidneys.
Known dihydropyrimidine dehydrogenase (DPD) deficiency
In situ cancer of the uterine cervix
History of severe unexpected reaction to fluoropyrimidine therapies
Previous RT to upper abdomen
Known HIV positive disease (but routine screening for HIV is not required)
Distant metastases
Known hypersensitivity to any of the IMPs or any of their excipients.
Known galactose intolerance, Lapp-lactose deficiency or glucose-galactose malabsorption
Sorivudine and analogues e.g. brivudine
Any evidence of severe uncontrolled systemic diseases including uncontrolled coronary artery disease, myocardial infarction or stroke within the last 6 months, any major systemic or psychiatric co-morbidities or any other considerations that the PI judges might impact on patient safety or protocol compliance and achievement of the study aims.
Other experimental treatment 6 weeks or less prior to registration into this study (including chemothera¬py and immunotherapy).
Known haemophilia A and B, chronic hepatitis type B or C.
Primary resectable cancer of the pancreas.
Adequately treated early stage non-pancreatic malignancy in complete remission for at least 3 years
Methotrexate.
Recurrent cancer following definitive pancreatic surgery

Summary

Conditions
Pancreatic Neoplasms (Locally Advanced Non-metastatic)
Type
Interventional
Phase
Phase 1Phase 2
Design
  • Allocation: Randomized
  • Intervention Model: Factorial Assignment
  • Masking: None (Open Label)
  • Primary Purpose: Treatment

Participation Requirements

Age
Between 18 years and 125 years
Gender
Both males and females

Inclusion Criteria

Adequate haematological function: neutrophils ≥1.5 x 109/L, platelets ≥100 x 109/L and haemoglobin ≥100g/L
Palliative bypass procedure
WHO PS 0-1 (APPENDIX 1)
...
Adequate haematological function: neutrophils ≥1.5 x 109/L, platelets ≥100 x 109/L and haemoglobin ≥100g/L
Palliative bypass procedure
WHO PS 0-1 (APPENDIX 1)
Male patients must be surgically sterile or must agree to use a condom during GEMABX treatment and for 90 days after last administration of GEMABX, and to use a condom during chemoradiotherapy and for three months after completion of chemoradiotherapy.
1. Aged 18 years or over
Women of child-bearing potential must have negative serum or urine pregnancy test within 14 days prior to registration, must agree to use a highly effective contraception method during GEMABX treatment and for 30 days after last administration of GEMABX and to use an acceptable contraception method during chemoradiotherapy and for 6 months after completion of all treatment.
AST and/or ALT ≤ 3 x ULN.
Adequate renal function (GFR ≥ 50ml/min (Cockcroft & Gault - APPENDIX 3))
Written informed consent obtained
Primary pancreatic lesion 6 cm or less in diameter (taken from scan results)
Serum bilirubin ≤1.5 x ULN. In participants who have had a recent biliary drain and whose bilirubin is improving, a value of ≤3 x ULN is acceptable, however treatment should not start unless Bilirubin is ≤1.5 x ULN.
Common bile duct stenting
Histologically or cytologically proven carcinoma of the pancreas

Exclusion Criteria

Pregnant or breast-feeding patients.
Lymphoma or neuroendocrine tumours of the pancreas
Allopurinol and dipyridamole
...
Pregnant or breast-feeding patients.
Lymphoma or neuroendocrine tumours of the pancreas
Allopurinol and dipyridamole
Adequately treated basal cell skin carcinoma
Renal abnormalities including adult polycystic kidney disease or hydronephrosis or ipsilateral single kidney (i.e. functioning right kidney for head tumours; left kidney for tail tumours) that may preclude upper abdominal radiotherapy without damaging functional kidneys.
Known dihydropyrimidine dehydrogenase (DPD) deficiency
In situ cancer of the uterine cervix
History of severe unexpected reaction to fluoropyrimidine therapies
Previous RT to upper abdomen
Known HIV positive disease (but routine screening for HIV is not required)
Distant metastases
Known hypersensitivity to any of the IMPs or any of their excipients.
Known galactose intolerance, Lapp-lactose deficiency or glucose-galactose malabsorption
Sorivudine and analogues e.g. brivudine
Any evidence of severe uncontrolled systemic diseases including uncontrolled coronary artery disease, myocardial infarction or stroke within the last 6 months, any major systemic or psychiatric co-morbidities or any other considerations that the PI judges might impact on patient safety or protocol compliance and achievement of the study aims.
Other experimental treatment 6 weeks or less prior to registration into this study (including chemothera¬py and immunotherapy).
Known haemophilia A and B, chronic hepatitis type B or C.
Primary resectable cancer of the pancreas.
Adequately treated early stage non-pancreatic malignancy in complete remission for at least 3 years
Methotrexate.
Recurrent cancer following definitive pancreatic surgery

Tracking Information

NCT #
NCT02024009
Collaborators
  • Celgene
  • Cancer Research UK
Investigators
  • Principal Investigator: Somnath Mukherjee, MD, FRCP, FRCR somnath.mukherjee@oncology.ox.ac.uk
  • Somnath Mukherjee, MD, FRCP, FRCR somnath.mukherjee@oncology.ox.ac.uk