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Brief Title: Dasatinib and Gemcitabine Hydrochloride or Gemcitabine Hydrochloride Alone in Treating Patients With Pancreatic Cancer Previously Treated With Surgery
Official Title: A Multicenter, Open-Label, Randomized, Phase II Trial of Adjuvant Dasatinib Plus Gemcitabine Versus Single-Agent Gemcitabine in Patients With Resected Pancreatic Adenocarcinoma
Study ID: NCT01234935
Brief Summary: RATIONALE: Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as gemcitabine hydrochloride, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet known whether giving dasatinib together with gemcitabine hydrochloride is more effective than gemcitabine hydrochloride alone in treating pancreatic cancer. PURPOSE: This randomized phase II trial is studying how well giving dasatinib together with gemcitabine hydrochloride works compared to giving gemcitabine hydrochloride alone in treating patients with pancreatic cancer previously treated with surgery.
Detailed Description: PRIMARY OBJECTIVES: I. To compare disease-free survival at 18 months between dasatinib-gemcitabine combination therapy and single-agent gemcitabine. SECONDARY OBJECTIVES: I. To evaluate effects on disease-free survival of the dasatinib-gemcitabine combination therapy compared with gemcitabine alone for adjuvant treatment of resected pancreatic adenocarcinoma. II. To evaluate effects on overall survival of dasatinib-gemcitabine combination therapy compared with gemcitabine alone for adjuvant treatment of resected pancreatic adenocarcinoma. III. To evaluate tolerability and safety of the two arms. IV. To identify potential biological correlates associated with clinical benefit to dasatinib-gemcitabine combination therapy compared with gemcitabine alone. OUTLINE: Patients are randomized to 1 of 2 treatment arms. ARM I: Patients receive gemcitabine hydrochloride IV on days 1, 8, and 15. Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity. ARM II: Patients receive gemcitabine hydrochloride IV on days 1, 8, and 15 and oral dasatinib once daily on days 1-28. Treatment repeats every 28 days for 6 courses\* in the absence of disease progression or unacceptable toxicity. NOTE: \* Courses with dasatinib repeat every 28 days for 1 year in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed up every 3 months for 2 years.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Central Hematology Oncology Medical Group, Inc., Alhambra, California, United States
TORI FULLERTON (St. Jude Heritage Healthcare Virginia K. Crosson Cancer Center), Fullerton, California, United States
Pacific Shores Medical Group, Long Beach, California, United States
UCLA medical center, Los Angeles, California, United States
Translational Oncology Research International (TORI) Network, Los Angeles, California, United States
TORI NORTHRIDGE (North Valley Hematology/Oncology Medical Group), Northridge, California, United States
UCLA Pasadena, Pasadena, California, United States
TORI Inland Valley (Wilshire Oncology Medical Group, Inc. ), Pomona, California, United States
TORI REDONDO BEACH (Cancer Care Associates Medical Group, Inc.), Redondo Beach, California, United States
TORI SANTA BARBARA I (Santa Barbara Hematology Oncology Medical Group, Inc.), Santa Barbara, California, United States
TORI SANTA BARBARA II (SANSUM Clinic), Santa Barbara, California, United States
TORI SANTA MARIA (Central Coast Medical Oncology Corporation), Santa Maria, California, United States
UCLA Valencia, Valencia, California, United States
Suburban Hematology-Oncology Associates, P.A., Lawrenceville, Georgia, United States
Northwest Georgia Oncology Centers, P.C., Marietta, Georgia, United States
Chevy Chase Healthcare Management, LLC, Chevy Chase, Maryland, United States
Comprehensive Cancer Centers of Nevada, Las Vegas, Nevada, United States
Name: Richard Finn
Affiliation: Translational Oncology Research International
Role: PRINCIPAL_INVESTIGATOR