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RecruitingNCT04361708I-FLOATUpdated Oct 1, 2025

Safety of Combining Irinotecan With 5-FU, Leucovorin/Folinic Acid, Oxaliplatin, and Docetaxel Chemotherapies

A Phase 1 interventional study of Oxaliplatin and Docetaxel in Pancreatic Adenocarcinoma, Gastroesophageal Junction Adenocarcinoma and Adenocarcinoma, sponsored by University of Chicago. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-01.

Sponsored by University of Chicago · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started May 2020; still recruiting 6 years 4 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the proposed study is to establish the safety of combining irinotecan chemotherapy with 5-FU, leucovorin/folinic acid, oxaliplatin, and docetaxel (abbreviated as the I-FLOAT study of gFOLFOXIRITAX) chemotherapies (leucovorin/folinic acid is a vitamin to make 5-FU work well).

02

Conditions studied

  • Pancreatic Adenocarcinoma
  • Gastroesophageal Junction Adenocarcinoma
  • Adenocarcinoma

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03

In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 374 are open to participants now.

This study's planned enrollment of 54 is above the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

University of Chicago is the lead sponsor of 907 studies on the registry; 182 are open to participants now.

Of its 99 completed or terminated interventional studies of FDA-regulated products, 68 (69%) 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

Inclusion criteria

  1. Histologically or cytologically confirmed locally advanced or metastatic pancreatic adenocarcinoma, gastroesophageal adenocarcinoma, cholangiocarcinoma, gallbladder adenocarcinoma, ampullary carcinoma, adenocarcinoma of unclear primary (with upper GI primary suspected), or other primary GI malignancy for which the treating physician feels that I-FLOAT is a reasonable therapeutic option.
  2. Patients with a history of obstructive jaundice due to the primary tumor must have resolved to \<1.5 X upper limit of normal and a metal biliary stent in place
  3. Age greater than or equal to 18 years.
  4. Eastern Cooperative Oncology Group (ECOG) performance status =1
  5. Life expectancy > 3 months
  6. Adequate organ function, as defined by each of the following:

    Absolute neutrophil count (ANC) = 1500/uL Hemoglobin > 9g/dL (transfusion permitted with stability for > 1 week) Platelets > 100,000/uL Total bilirubin = 1.5 mg/dL AST and ALT = 2.5 X upper limit of normal; alkaline phosphatase = 2.5 X upper limit of normal, unless bone metastasis is present in the absence of liver metastasis.

    AST and ALT = 5 X upper limit of normal if hepatic metastases are present. Creatinine = 1.5 mg/dL

  7. Measurable or non-measurable disease will be allowed.
  8. Women of childbearing potential and sexually active males must use an effective contraception method during treatment and for three months after completing treatment.
  9. Negative serum or urine B-hCG pregnancy test at screening for patients of childbearing potential
  10. Patients taking substrates, inhibitors, or inducers of CYP3A4 should be encouraged to switch to alternative drugs whenever possible, given the potential for drug-drug interactions with irinotecan.

Exclusion criteria

Exclusion Criteria:

  1. Prior radiation therapy for any cancer.
  2. Prior chemotherapy for metastatic disease Recurrence of disease within 6 months of perioperative chemotherapy are eligible if other eligibility criteria are met
  3. Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
  4. Diarrhea, grade 1 or greater by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE, v. 4.0*). Pancreatic cancer patients with clinical evidence of pancreatic insufficiency must be taking pancreatic enzyme replacement.
  5. Neuropathy, grade 2 or greater by NCI-CTCAE, v. 4.0.
  6. Documented brain metastases
  7. Serious underlying medical or psychiatric illnesses that would, in the opinion of the treating physician, substantially increase the risk for complications related to treatment.
  8. Active uncontrolled bleeding.
  9. Pregnancy or breastfeeding.
  10. Major surgery within 4 weeks.
  11. Previous or concurrent malignancy, except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or any other cancer for which the patient has been previously treated and the lifetime recurrence risk is less than 30%, and meets all other eligibility criteria.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (estimated)

Study arms

  • Experimental
    High Risk UGT1A1 genotype

    Drug: Oxaliplatin · Drug: Docetaxel · Drug: Leucovorin · Drug: Irinotecan · Drug: 5-Fluorouracil

  • Experimental
    Intermediate Risk UGT1A1 genotype

    Drug: Oxaliplatin · Drug: Docetaxel · Drug: Leucovorin · Drug: Irinotecan · Drug: 5-Fluorouracil

  • Experimental
    Low Risk UGT1A1 genotype

    Drug: Oxaliplatin · Drug: Docetaxel · Drug: Leucovorin · Drug: Irinotecan · Drug: 5-Fluorouracil

Interventions

  • DrugOxaliplatin

    Oxaliplatin will be administered on day 1 of each cycle at 85mg/kg. The drugs will be given through the patient's Mediport. It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

  • DrugDocetaxel

    Docetaxel will be administered on day 1 of each cycle at 25mg at dose level 1; 37.5 at dose level 2. The drugs will be given through the patient's Mediport.It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

  • DrugLeucovorin

    Leucovorin will be administered on day 1 of each cycle at 400mg/kg. The drugs will be given through the patient's Mediport. It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

  • DrugIrinotecan

    Irinotecan will be administered on day 1 of each cycle at 120mg/m2 for low risk group, 105mg/m2 for intermediate risk group, 45mg/m2 for high risk group . The drugs will be given through the patient's Mediport. It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

  • Drug5-Fluorouracil

    5-FU is given as a continuous intravenous infusion over 2 days. Patient can receive the 2-day infusion as an outpatient. On day 3 of each cycle, the patient will return to the infusion center to have the infusion hook-up disconnected.

06

What researchers measure

Primary outcomes

  1. The maximum dose tolerated

    To determine the maximum tolerated dose in the first month of therapy in each of the three main genotype groups (low, intermediate, and high risk) using genotype-guided dosing of irinotecan as part of the I-FLOAT regimen

    Time frame: 1 month

Secondary outcomes

  1. Cumulative dose of each chemotherapy drug

    To determine the cumulative dose of each chemotherapy drug (irinotecan, 5-FU, oxaliplatin, docetaxel) administered in each genotype group over a period of 4 months (8 doses).

    Time frame: 4 months

  2. Total duration of therapy

    To determine the total duration of therapy, which would be administered perioperatively in future studies for the curative-intent setting.

    Time frame: 18 months

  3. Overall Response Rate

    To determine early efficacy (overall responsive rate, progression free survival, and overall survival) in all patients enrolled and treated in the study.

    Time frame: 5 years

  4. Progression free survival rate

    To determine early efficacy (overall responsive rate, progression free survival, and overall survival) in all patients enrolled and treated in the study.

    Time frame: 5 years

  5. Overall survival rate

    To determine early efficacy (overall responsive rate, progression free survival, and overall survival) in all patients enrolled and treated in the study.

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
  • The University of Chicago
    Chicago, Illinois 60637, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04361708
Lead sponsor
University of Chicago
Responsible party
Sponsor
First posted
Apr 24, 2020
Start date
May 8, 2020
Primary completion
Jun 2026 (estimated)
Completion
May 2027 (estimated)
Last update
Oct 1, 2025

Study contacts

Daniel Catenacci, MD
Contact
dcatenacci@medicine.bsd.uchicago.edu
773-702-7596
Daniel Catenacci, MD
principal investigator · University of Chicago Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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