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Dasatinib in Treating Patients With Stage IV Pancreatic Cancer

A Phase II Clinical Trial of Dasatinib in Patients With Metastatic Pancreatic Cancer

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00544908
Enrollment
7
Registered
2007-10-16
Start date
2007-09-30
Completion date
Unknown
Last updated
2015-10-05

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

Conditions

Pancreatic Cancer

Keywords

stage IV pancreatic cancer

Brief summary

RATIONALE: Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase II trial is studying how well dasatinib works in treating patients with stage IV pancreatic cancer.

Detailed description

OBJECTIVES: Primary * To evaluate the 4-month progression-free survival (PFS) rate in patients with stage IV pancreatic cancer treated with dasatinib. Secondary * To evaluate the response rate (complete and partial response) in patients treated with this drug. * To evaluate the median PFS and overall survival of patients treated with this drug. * To study the toxicities and tolerability of this drug in these patients. * To evaluate the impact of this drug on quality of life measures. * To evaluate the impact of this drug on Src and FAK in peripheral blood mononuclear cells prior to and during treatment. * To study the pre-treatment expression of various signaling molecules in the Src and STAT3 pathways and attempt to identify a relationship between these findings and the aggressiveness of the tumor or its response to treatment with dasatinib. OUTLINE: This is a multicenter study. Patients receive oral dasatinib twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo tumor tissue and blood sample collection periodically for correlative and biological studies. Blood samples are analyzed for phosphorylation levels of proteins, including phospho-Src, phospho-Fak, and other relevant biomarkers, by western blotting. Tumor tissue samples are analyzed for biomarkers by immunohistochemistry. Quality of life is assessed at baseline, after every other course during treatment, and then at 1 year after treatment using the FACT-HEP questionnaire. After completion of study treatment, patients are followed every 2 months.

Interventions

DRUGdasatinib
OTHERimmunoenzyme technique
OTHERimmunohistochemistry staining method
OTHERlaboratory biomarker analysis
PROCEDUREquality-of-life assessment

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
City of Hope Medical Center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically\* confirmed pancreatic cancer * Stage IV disease NOTE: \*If biopsy was performed at an outside facility, the histology must be reviewed and confirmed by the Division of Pathology at the City of Hope PATIENT CHARACTERISTICS: * Karnofsky performance status 60-100% * Life expectancy ≥ 3 months * Platelet count ≥ 100,000/μL * Absolute neutrophil count ≥ 1,500/μL * Bilirubin ≤ 1.5 mg/dL * ALT and AST ≤ 2.5 times upper limit of normal (ULN) * Creatinine ≤ 1.5 mg/dL and/or creatinine clearance \> 60 mL/min * PT and PTT ≤ 1.5 times ULN * Able to swallow dasatinib whole * No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix, uterus, or bladder * No concurrent medical condition which may increase the risk of toxicity, including any of the following: * Pleural or pericardial effusion of any grade * Clinically significant coagulation or platelet function disorder (e.g., known von Willebrand's disease) * None of the following cardiac conditions: * Uncontrolled angina, congestive heart failure, or myocardial infarction within the past 6 months * Prolonged QTc interval (i.e., QTc \> 450 msec) on electrocardiogram * History of clinically significant ventricular arrhythmias (i.e., ventricular tachycardia, ventricular fibrillation, or Torsades de pointes) * No hypokalemia or hypomagnesemia that cannot be corrected * No severe infection requiring treatment * Completely recovered from other concurrent illnesses, as deemed by the investigator * Not pregnant * Negative pregnancy test * Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: * Recovered from prior major surgery * No prior irradiation to the planned field * No prior chemotherapy for pancreatic cancer * At least 7 days since prior and no concurrent medications that may prolong the QT interval, including any of the following: * Quinidine * Procainamide * Disopyramide * Amiodarone * Sotalol * Ibutilide * Dofetilide * Erythromycin * Clarithromycin * Chlorpromazine * Haloperidol * Mesoridazine * Thioridazine * Pimozide * Cisapride * Bepridil * Droperidol * Methadone * Arsenic * Chloroquine * Domperidone * Halofantrine * Levomethadyl * Pentamidine * Sparfloxacin * Lidoflazine * At least 7 days since prior and no concurrent potent CYP3A4 inhibitors * At least 7 days since prior and no concurrent medications that directly and durably inhibit platelet function, including any of the following: * Aspirin or aspirin-containing combinations * Clopidogrel * Dipyridamole * Tirofiban * Dipyridamole * Epoprostenol * Eptifibatide * Cilostazol * Abciximab * Ticlopidine * Cilostazol * No concurrent anticoagulants, including warfarin or heparin/low molecular weight heparin (e.g., danaparoid, dalteparin, tinzaparin, or enoxaparin) * Low-dose warfarin for prophylaxis to prevent catheter thrombosis or heparin for flushes of IV lines allowed * No concurrent IV bisphosphonates during the first 8 weeks of dasatinib therapy * No concurrent Hypericum perforatum (St. Johns wort)

Design outcomes

Primary

MeasureTime frameDescription
Progression-free Survival (PFS) Rate at 4 MonthsFour months.Progressive disease - appearance of one or more new lesions. Unequivocal progression of existing non-target lesions. Although a clear progression of non-target lesions only is exceptional, in such circumstances, the opinion of the treating physician should prevail and the progression status should be confirmed later on by a review panel (or study chair/primary investigator).

Secondary

MeasureTime frameDescription
Response RateAfter every two cycles, up to 5 yearsPer Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Countries

United States

Participant flow

Participants by arm

ArmCount
Dasatinib
Dasatinib 70 mg po bid (1 cycle=28 days)
7
Total7

Baseline characteristics

CharacteristicDasatinib
Age, Continuous61 years
Region of Enrollment
United States
7 participants
Sex: Female, Male
Female
4 Participants
Sex: Female, Male
Male
3 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
6 / 7
serious
Total, serious adverse events
2 / 7

Outcome results

Primary

Progression-free Survival (PFS) Rate at 4 Months

Progressive disease - appearance of one or more new lesions. Unequivocal progression of existing non-target lesions. Although a clear progression of non-target lesions only is exceptional, in such circumstances, the opinion of the treating physician should prevail and the progression status should be confirmed later on by a review panel (or study chair/primary investigator).

Time frame: Four months.

ArmMeasureValue (NUMBER)
DasatinibProgression-free Survival (PFS) Rate at 4 Months0 percentage of participants
Secondary

Response Rate

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Time frame: After every two cycles, up to 5 years

ArmMeasureValue (NUMBER)
DasatinibResponse Rate0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026