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Brief Title: Study to Evaluate Efficacy of CO-1.01 as Second Line Therapy for Gemcitabine-Refractory Stage IV Pancreatic Adenocarcinoma
Official Title: A Phase II, Open-Label, Multicenter Study to Evaluate the Antitumor Efficacy of CO-1.01 for Infusion as Second-Line Therapy for Gemcitabine- Refractory Patients With Stage IV Pancreatic Adenocarcinoma and No Tumor hENT1 Expression
Study ID: NCT01233375
Brief Summary: The purpose of this study is to determine whether CO-1.01 is safe and effective for treating metastatic pancreatic cancer that did not respond to gemcitabine.
Detailed Description: Pancreatic tumors with low hENT1 expression may show less benefit from gemcitabine compared with those with higher expression of this nucleoside transporter. Nonclinical studies indicate that CO-1.01, a gemcitabine derivative, is effective independent of such transporters. Thus patients with low or no meaningful expression of hENT1 who failed to respond to gemcitabine might derive benefit from CO1.01 before needing alternative (combination) chemotherapy. Furthermore, the PK profiles of CO-1.01 and gemcitabine are dissimilar and this may confer additional clinical benefit on CO1.01.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Arizona Cancer Center at University of Arizona, Tucson, Arizona, United States
Rocky Mountain Cancer Center, Denver, Colorado, United States
Palm Beach Institute / Collaborative Research Group, Boynton Beach, Florida, United States
University of Miami, Miami, Florida, United States
Piedmont Healthcare Research Institute (PHRI), Atlanta, Georgia, United States
Norton Cancer Institute Research Program, Louisville, Kentucky, United States
Johns Hopkins Oncology Center, Baltimore, Maryland, United States
Massachusetts General Hospital (MGH), Boston, Massachusetts, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Columbia University Medical Center, Milstein Hospital, New York, New York, United States
University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States
University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States
Medical College of Wisconsin, Milwaukee, Wisconsin, United States
Name: Eileen O'Reilly, M.D.
Affiliation: Memorial Sloan Kettering Cancer Center
Role: PRINCIPAL_INVESTIGATOR