CClinicalTrials.gg
CompletedNCT00744640GEMOXELUpdated Jan 12, 2010

Gemcitabine, Oxaliplatin and Capecitabine for Advanced Pancreatic Carcinoma

A Phase 1/2 interventional study of gemcitabine, oxaliplatin, capecitabine in Locally Advanced Pancreatic Cancer and Metastatic Pancreatic Cancer, sponsored by University Hospital, Basel, Switzerland. Completed at 8 sites in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2010-01-12.

Sponsored by University Hospital, Basel, Switzerland · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
46
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Gemcitabine is the mainstay of palliative chemotherapy for patients with advanced pancreatic cancer (APC). Recent randomized trials have shown increased clinical benefit with the addition of oxaliplatin and prolonged median survival with the addition of capecitabine to gemcitabine. Gemcitabine, capecitabine and oxaliplatin are 3 newer, well tolerated anticancer drugs with mild and non-overlapping toxicity profiles. We therefore propose a dose-finding and safety study of the triple combination gemcitabine, capecitabine and oxaliplatin in patients with APC (Phase I part), followed by a phase II part to assess preliminary efficacy of this triple combination.

Read the detailed description

Primary Objectives:

  • Phase I: to determine the maximum tolerated dose (MTD) of oxaliplatin in combination with gemcitabine and capecitabine (GEMOXEL) in patients with APC
  • Phase II: to assess any anti-tumor activity of GEMOXEL in patients with APC

Secondary Objectives:

  • to assess toxicity and safety of the combination treatment GEMOXEL in patients with APC

Primary Endpoints:

  • Phase I: Dose-limiting toxicity
  • Phase II: Objective tumor response

Secondary Endpoints:

  • Toxicity at MTD according to NCI CTC 3.0
  • Progression-free survival and Overall Survival
02

Conditions studied

  • Locally Advanced Pancreatic Cancer
  • Metastatic Pancreatic Cancer

Keywords

  • advanced pancreatic cancer
  • palliative chemotherapy
  • first-line therapy
  • capecitabine
  • oxaliplatin
  • gemcitabine
  • dose-finding study
  • Phase II
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's enrollment of 46 is close to the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

University Hospital, Basel, Switzerland is the lead sponsor of 968 studies on the registry; 191 are open to participants now.

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

Inclusion criteria

  • Cytologically or histologically confirmed adenocarcinoma of the exocrine pancreas
  • Disease non-resectable and locally advanced or metastatic
  • Measurable disease or evaluable disease i.e. tumor marker CA19-9 at baseline ≥ 1.5 x upper limit of normal (ULN)
  • Age >18 years
  • Karnofsky performance status ≥ 60%
  • Life expectancy of at least 3 months
  • Written informed consent
  • Willing and able to comply with the protocol for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Prior chemotherapy for pancreatic cancer
  • Prior adjuvant radio- or radiochemotherapy for pancreatic cancer within 12 months of inclusion
  • Known CNS metastases at the time of enrollment
  • Neutrophil count ≤ 1.5 x109/l, platelet count ≤100 x109/l, hemoglobin ≤ 10g/dl
  • Serum creatinine > 1.25 x ULN
  • ASAT, ALAT and alkaline phosphatase > 2.5 ULN or > 5 ULN in the presence of liver metastasis, Bilirubin > 1.5 ULN (after treatment of obstructive jaundice eg. stent)
  • Pregnant or breast feeding women (women of childbearing potential must have a negative pregnancy test at baseline)
  • Men and women of reproductive potential who are not using an effective method of contraception
  • Clinically significant cardiac disease (NYHA III-IV) or myocardial infarction within the last 12 months
  • Neurological disease with dys-/paraesthesias > grade 1 according to NCI CTC
  • Any serious concomitant disorder incompatible with the trial (in the judgement of the investigator)
  • Psychiatric disability thought to be clinically significant in the opinion of the investigator precluding informed consent or interfering with compliance
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    single

    single arm study with triple combination chemotherapy

    Drug: gemcitabine, oxaliplatin, capecitabine

Interventions

  • Druggemcitabine, oxaliplatin, capecitabine

    gemcitabine day 1 and 8, oxaliplatin day 1, capecitabine days 1-14, q3weeks

06

What researchers measure

Primary outcomes

  1. Response rate

    Time frame: 6 weeks

Secondary outcomes

  1. Progression-free survival and overall survival

    Time frame: 3 months

07

Study locations

8 sites
  • Cantonal Hospital Bruderholz
    Bruderholz, BL, Switzerland
  • Cantonal Hospital Liestal
    Liestal, BL, Switzerland
  • St. Clara Hospital
    Basel, Switzerland
  • University Hospital Basel
    Basel, Switzerland
  • Cantonal Hospital Lucerne
    Lucerne, Switzerland
  • City Hospital Triemli
    Zurich, Switzerland
  • Oncocenter Hirslanden
    Zurich, Switzerland
  • University Hospital
    Zurich, Switzerland
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 12, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00744640
Lead sponsor
University Hospital, Basel, Switzerland
Collaborators
Swiss National Science Foundation, Swiss Cancer League, Roche Pharma AG, Sanofi
First posted
Sep 1, 2008
Start date
Oct 2005
Primary completion
Feb 2009
Completion
Dec 2009
Last update
Jan 12, 2010

Study contacts

Viviane Hess, MD
principal investigator · University Hospital, Basel, Switzerland

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2010. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion