Phase 2
N=174
Vandetanib Gemcitabine Or Placebo Plus Gemcitabine Or Vandetanib Monotherapy In Advanced Biliary Tract Cancer
Biliary Tract Cancer · Gallbladder Cancer · Cancer Of The Extrahepatic Bile Duct · Ampullary Carcinoma
Bottom Line
View on ClinicalTrials.gov: NCT00753675 ↗Enrolled (actual)
174
Serious AEs
24.9%
Results posted
Nov 2013
Primary outcome: Primary: Progression Free Survival — 105; 114; 148 days
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- ZD6474, Vandetanib (Drug); Gemcitabine (Drug); Placebo matching ZD6474 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Genzyme, a Sanofi Company
- Primary completion
- Sep 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Progression Free Survival |
105; 114; 148 | — |
| SECONDARY Objective Tumor Response Rate (CR+PR), |
54; 46; 45; 2; 11; 7 | — |
| SECONDARY Disease Control Rate (CR+PR+SD) |
42; 40; 32; 14; 17; 20 | — |
| SECONDARY Duration of Response (DOR) |
277; 179; 127 | — |
| SECONDARY Overall Survival |
228; 284; 307 | — |
Summary
The primary objective of the trial is to determine the efficacy of VANDETANIB monotherapy or VANDETANIB plus GEMCITABINE or PLACEBO plus GEMCITABINE in prolonging the progression-free survival (PFS) at the trial closure in patients with advanced (unresectable or metastatic) biliary tract cancer.
Eligibility Criteria
Inclusion Criteria
- Histologically or cytologically-confirmed advanced (unresectable or metastatic) biliary tract cancer (gallbladder cancer, cancer of the extrahepatic bile duct, intrahepatic cholangiocarcinoma and ampullary carcinoma)
- Patients must have measurable or evaluable but non-measurable disease
- Chemotherapy-naïve (prior chemotherapy in the adjuvant setting completed more than 3 months before the trial entry is accepted).
- WHO performance status 0 to 2: patients must have a WHO PS ≤ 2
Exclusion Criteria
- Patients must not have received prior systemic therapy for advanced (unresectable or metastatic) disease; prior chemotherapy in the adjuvant setting within 3 months before the trial entry is accepted
- Inadequate end-organ function or Evidence of severe or uncontrolled systemic disease or any concurrent condition which in the Investigator's opinion makes it undesirable for the patient to participate in the trial or which would jeopardize compliance wit
- Significant cardiovascular event (e.g. myocardial infarction, superior vena cava [SVC] syndrome, New York Heart Association [NYHA] classification of heart disease ³2) within 3 months before entry, or presence of cardiac disease that in the opinion of
- History of arrhythmia or QTc with Bazett's correction unmeasurable or ≥ 480 msec on screening ECG
Data sourced from ClinicalTrials.gov (NCT00753675). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.