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CompletedNCT00017186Updated Dec 7, 2016

Gemcitabine and Epirubicin in Treating Patients With Malignant Mesothelioma

A Phase 2 interventional study of epirubicin hydrochloride and gemcitabine hydrochloride in Malignant Mesothelioma, sponsored by Alliance for Clinical Trials in Oncology. Completed at 24 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-12-07.

Sponsored by Alliance for Clinical Trials in Oncology · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
69
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining gemcitabine and epirubicin in treating patients who have malignant mesothelioma.

Read the detailed description

OBJECTIVES:

  • Determine the antitumor activity of gemcitabine and epirubicin in patients with malignant pleural mesothelioma.
  • Determine the toxicity of this regimen in this patient population.
  • Determine the time to progression and overall survival of patients treated with this regimen.
  • Assess quality of life in patients treated with this regimen.

OUTLINE: This is a multicenter study.

Patients receive gemcitabine IV over 30 minutes on days 1 and 8 and epirubicin IV on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete response (CR) receive 2 additional courses beyond CR.

Quality of life is assessed at baseline, prior to course 3, at 3 months, and then at 1 year.

Patients are followed every 3 months for 1 year, every 4 months for 1 year, and then every 6 months for 3 years.

02

Conditions studied

  • Malignant Mesothelioma

Keywords

  • localized malignant mesothelioma
  • advanced malignant mesothelioma
  • recurrent malignant mesothelioma
03

In context

Mesothelioma

470 studies on the registry are indexed under Mesothelioma; 75 are open to participants now.

This study's enrollment of 69 is above the median of 40 across 371 interventional studies indexed under Mesothelioma.

Browse Mesothelioma studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed malignant pleural mesothelioma
  • At least 1 measurable lesion that can be accurately measured in at least one dimension

    • At least 20 mm (2 cm) in diameter

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • At least 12 weeks

Hematopoietic:

  • Absolute neutrophil count at least 1,500/mm\^3
  • Platelet count at least 100,000/mm\^3

Hepatic:

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • AST no greater than 3 times ULN

Renal:

  • Creatinine no greater than 1.5 times ULN

Cardiovascular:

  • LVEF at least 50%
  • No history of congestive heart failure
  • No New York Heart Association class III or IV heart disease

Other:

  • No uncontrolled infection
  • No other severe underlying disease that would preclude study participation
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, noninvasive carcinomas, or localized prostate cancer
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 6 months after study participation

PRIOR CONCURRENT THERAPY:

Chemotherapy:

  • No more than 1 prior chemotherapy regimen for malignant pleural mesothelioma
  • No prior gemcitabine or anthracyclines

Other:

  • No concurrent cimetidine
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    gemcitabine + epirubicin

    Patients receive gemcitabine IV over 30 minutes on days 1 and 8 and epirubicin IV on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving complete response (CR) receive 2 additional courses beyond CR. Quality of life is assessed at baseline, prior to course 3, at 3 months, and then at 1 year. Patients are followed every 3 months for 1 year, every 4 months for 1 year, and then every 6 months for 3 years.

    Drug: epirubicin hydrochloride · Drug: gemcitabine hydrochloride

Interventions

  • Drugepirubicin hydrochloride
  • Druggemcitabine hydrochloride
06

What researchers measure

Primary outcomes

  1. time to progression

    Time frame: Up to 5 years

Secondary outcomes

  1. survival

    Time frame: Up to 5 years

  2. quality of life

    Time frame: Up to 5 years

07

Study locations

24 sites
  • MBCCOP - Gulf Coast
    Mobile, Alabama 36607, United States
  • CCOP - Mayo Clinic Scottsdale Oncology Program
    Scottsdale, Arizona 85259-5404, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • CCOP - Illinois Oncology Research Association
    Peoria, Illinois 61602, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • CCOP - Cedar Rapids Oncology Project
    Cedar Rapids, Iowa 52403-1206, United States
  • CCOP - Iowa Oncology Research Association
    Des Moines, Iowa 50309-1016, United States
  • Siouxland Hematology-Oncology
    Sioux City, Iowa 51101-1733, United States
  • CCOP - Wichita
    Wichita, Kansas 67214-3882, United States
  • CCOP - Ochsner
    New Orleans, Louisiana 70121, United States
  • CCOP - Michigan Cancer Research Consortium
    Ann Arbor, Michigan 48106, United States
  • CCOP - Duluth
    Duluth, Minnesota 55805, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Coborn Cancer Center
    Saint Cloud, Minnesota 56303, United States
  • CCOP - Metro-Minnesota
    Saint Louis Park, Minnesota 55416, United States
  • CCOP - Missouri Valley Cancer Consortium
    Omaha, Nebraska 68106, United States
  • Medcenter One Health System
    Bismarck, North Dakota 58501-5505, United States
  • CCOP - Merit Care Hospital
    Fargo, North Dakota 58122, United States
  • CCOP - Toledo Community Hospital
    Toledo, Ohio 43623-3456, United States
  • CCOP - Geisinger Clinic and Medical Center
    Danville, Pennsylvania 17822-2001, United States
  • CCOP - Upstate Carolina
    Spartanburg, South Carolina 29303, United States
  • Rapid City Regional Hospital
    Rapid City, South Dakota 57709, United States
  • CCOP - Sioux Community Cancer Consortium
    Sioux Falls, South Dakota 57104, United States
  • CCOP - St. Vincent Hospital Cancer Center, Green Bay
    Green Bay, Wisconsin 54301, United States
08

References and documents

Publications

  • Huschka MM, Mandrekar SJ, Schaefer PL, Jett JR, Sloan JA. A pooled analysis of quality of life measures and adverse events data in north central cancer treatment group lung cancer clinical trials. Cancer. 2007 Feb 15;109(4):787-95. doi: 10.1002/cncr.22444. PubMed 17211864 ↗
  • Okuno SH, Delaune R, Sloan JA, Foster NR, Maurer MJ, Aubry MC, Rowland KM Jr, Soori GS, Nikcevich DA, Kardinal CG, Northfelt DW, Adjei AA; North Central Cancer Treatment Group. A phase 2 study of gemcitabine and epirubicin for the treatment of pleural mesothelioma: a North Central Cancer Treatment Study, N0021. Cancer. 2008 Apr 15;112(8):1772-9. doi: 10.1002/cncr.23313. PubMed 18224661 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 7, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00017186
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Jul 2001
Primary completion
Aug 2004
Completion
May 2008
Last update
Dec 7, 2016

Study contacts

Scott Okuno, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2016. You cannot join it, but the record below documents what was studied.

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