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Brief Title: Gemcitabine and Monoclonal Antibody Therapy in Treating Patients With Metastatic Cancer of the Pancreas
Official Title: Herceptin (NSC #688097) and Gemcitabine for Metastatic Pancreatic Cancers That Overexpress HER-2/NEU
Study ID: NCT00003797
Brief Summary: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining monoclonal antibody therapy with chemotherapy may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of gemcitabine and trastuzumab in treating patients who have metastatic cancer of the pancreas that overexpresses HER2/neu.
Detailed Description: OBJECTIVES: * Determine the response rate and survival of patients with metastatic pancreatic cancer and overexpression of HER2/neu treated with gemcitabine and trastuzumab. * Determine the toxic effects of this regimen in these patients. OUTLINE: This is a multicenter study. Patients receive gemcitabine IV over 30 minutes once weekly during weeks 1-7. Patients receive trastuzumab IV over 90 minutes once during week 1 and trastuzumab IV over 30-90 minutes once weekly during weeks 2-8. Patients with stable or responding disease receive gemcitabine IV over 30 minutes once weekly during weeks 1-3 and trastuzumab IV over 30 minutes once weekly during weeks 1-4. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 1 year and then every 6 months thereafter. PROJECTED ACCRUAL: A maximum of 41 patients will be accrued for this study over 18-24 months.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, United States
New England Medical Center Hospital, Boston, Massachusetts, United States
St. Elizabeth's Medical Center, Boston, Massachusetts, United States
Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Mount Sinai Medical Center, NY, New York, New York, United States
University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States
Memorial Hospital of Rhode Island, Pawtucket, Rhode Island, United States
Rhode Island Hospital, Providence, Rhode Island, United States
Roger Williams Medical Center/BUSM, Providence, Rhode Island, United States
Brown University Oncology Group, Providence, Rhode Island, United States
University of Texas - MD Anderson Cancer Center, Houston, Texas, United States
Name: Howard Safran, MD
Affiliation: Brown University
Role: STUDY_CHAIR