E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
For patients who have undergone proximal pancreatico-duodenectomy for resection of pancreatic adenocarcinoma
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To establish the pharmacokinetics (PK) of capecitabine in patients who have undergone proximal pancreatico-duodenectomy. |
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E.2.2 | Secondary objectives of the trial |
To establish the toxicity profile of capecitabine in these patients and to identify any dose limiting toxicities (DLT).
To ensure equivalent capecitabine exposure when compared to previous studies using patients who have not undergone such surgery.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Complete macroscopic resection for ductal adenocarcinoma of the pancreas (R0 or R1 resection).
• Surgery must have included a proximal pancreatico-duodenectomy.
• Histological confirmation of the primary diagnosis and examination of all resection margins
• At least 4 weeks since surgery, fully recovered from the operation
• Age ≥ 18 years.
• World Health Organisation (WHO) performance status of ≤ 2
• Haematological and biochemical indices (These measurements must be performed within one week prior to the patient being registered on the study.) - Haemoglobin (Hb) ≥ 9.0 g/dL (Patients may be transfused to this level, however, HB must be above 9.0 before registration) - Neutrophils ≥ 1.5 x 10^9/L - Platelets (Plts) ≥ 100 x 10^9/L - Serum bilirubin ≤ 1.5 x upper normal limit (ULN) - Alanine amino-transferase (ALT) and / or aspartate amino-transferase (AST) ≤ 2.5 x upper limit of normal (ULN). (If both are measured, both must be ≤ 2.5 x ULN) - Calculated creatinine clearance ≥ 50 mL/min (uncorrected value) or isotope clearance measurement ≥ 50 mL/min
• Female patients of child-bearing potential must have a negative serum or urine pregnancy test within two weeks prior to enrolment and agree to use appropriate medically approved contraception for four weeks prior to entering the trial, during the trial, and for six months afterwards.
• Male patients must agree to use appropriate medically approved contraception during the trial and for six months afterwards.
• Written, informed consent provided.
• Ability of the patient to co-operate with treatment and follow up must be ensured.
• Patients receiving oral anti-coagulation prior to entry into the study, must be converted to low molecular weight heparin in light of the interaction between capecitabine and warfarin.
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E.4 | Principal exclusion criteria |
• Patients with pancreatic lymphoma or other histological diagnosis
• Macroscopically remaining tumour (R2 resection)
• Evidence of malignant ascites, peritoneal or liver metastasis, or spread to other distant abdominal or extra-abdominal organs.
• History of confirmed Ischaemic Heart Disease, concurrent congestive heart failure or prior history of class III / IV cardiac disease
• Concurrent mechanical or malabsorptive disorders precluding affective oral administration of the drug (excluding malabsorption related directly to proximal pancreatic-duodenectomy)
• Pregnancy or lactation
• Patients known to be serologically positive for Hepatitis B, Hepatitis C or Human Immunodeficiency Virus (HIV).
• Patients who are high medical risks because of non-malignant systemic disease including active uncontrolled infection.
• Any other serious medical or psychological condition precluding adjuvant treatment
• Patients with any other condition which in the Investigator’s opinion would not make the patient a good candidate for the clinical trial.
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E.5 End points |
E.5.1 | Primary end point(s) |
This is a PK sampling study, therefore there are no specific endpoints |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
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E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 1 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |