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Effectiveness and adverse effects of gefitinib and gemcitabine combination in metastatic pancreatic cancer refractory to primary treatment

Investigating the effectiveness and adverse event profile of the combination of gefitinib and gemcitabine as a second-line treatment in metastatic pancreatic cancer refractory to the first-line treatment regimen, a single-arm clinical trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
IRCT
Registry ID
IRCT20240721062502N3
Enrollment
20
Registered
2025-08-10
Start date
2025-07-07
Completion date
Unknown
Last updated
2025-08-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Metastatic pancreatic cancer. Malignant neoplasm of pancreas

Interventions

The intervention group will receive gemcitabine manufactured by Acteropharma pharmaceutical company as an intravenous infusion at a dose of 1 g/m2 on days 1, 8, and 15 from the start of the interventi

Sponsors

Vice Chancellery of Research and Development of Shiraz University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Diagnosis of metastatic pancreatic cancer based on histopathology findings. Patients with disease recurrence or progression in response to first-line treatment for metastatic pancreatic cancer. Patients over 18 years old. Patients with a Performance Status (PS) of 0 to 2, according to ECOG criteria, or above 50 percent, according to Karnovsky PS. Patients with the ability to swallow. Consent of the patient or the patient's legal guardian to participate in the study.

Exclusion criteria

Exclusion criteria: Patients with severe liver failure. (Child-Pugh class B or C) Patients with severe renal dysfunction (Creatinine clearance < 20 ml/min). Patients with bone marrow dysfunction. Patients with history of myocardial infarction within 6 months prior to the start of the study or history of heart failure or cardiac arrhythmias. Patients with active interstitial lung disease. Patients with active infection. Pregnant and breastfeeding women. Patients with concomitant use of antiepileptic drugs that induce cytochrome p450 enzyme.

Design outcomes

Primary

MeasureTime frame
Tumor size. Timepoint: Before intervention and one week after completion of intervention. Method of measurement: CT scan radiology report.;Cancer Antigen 19-9. Timepoint: Before intervention and one week after completion of intervention. Method of measurement: Electro chemiluminescence immunoassay.

Secondary

MeasureTime frame
Medication adverse event profile. Timepoint: Before intervention and 1, 2 and 3 months after the start of intervention. Method of measurement: National Cancer Institute Common Terminology Criteria for Adverse Events.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDena Firouzabadi

Shiraz University of Medical Sciences

denaf9@yahoo.com+98 71 3242 4128

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026