Capecitabine and Oxaliplatin in Adenocarcinoma of the Small Bowel and Ampulla of Vater (NCT00354887) | Clinical Trial Compass
CompletedPhase 2
Capecitabine and Oxaliplatin in Adenocarcinoma of the Small Bowel and Ampulla of Vater
United States31 participantsStarted 2004-11
Plain-language summary
Primary Objective:
1\. To determine the objective response rate (complete plus partial) to the combination of capecitabine (Xeloda) and oxaliplatin (Eloxatin) (XELOX) in patients with adenocarcinoma of the small bowel and ampulla of Vater.
Secondary objectives include determining the toxicity, time-to-treatment failure, and overall survival rates in patients treated with this combination.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. Patients must have histologically or cytologically confirmed adenocarcinoma of the small bowel or ampulla of Vater that is either unresectable or metastatic.
. Patients must have measurable disease as per the modified Response Evaluation Criteria In Solid Tumors (RECIST) criteria.
. Patients may be previously untreated or have received previous systemic therapy, limited to 5-FU/leucovorin or capecitabine, as adjuvant or neoadjuvant therapy or as a radiosensitizer. Patients may have received capecitabine or 5-FU administered as a radiosensitizing agent concurrently with external beam radiotherapy as preoperative or postoperative therapy. Patients may have received capecitabine or 5-FU/leucovorin as part of adjuvant chemotherapy.
. If radiation was previously received, the measurable disease must be outside the previous radiation field.
. A minimum of 4 weeks must have elapsed since completion of any prior chemotherapy or radiotherapy. A minimum of 4 weeks must have elapsed since any prior surgery.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial used a combination of capecitabine and oxaliplatin for small bowel and ampullary cancers — since it's already completed, can you tell me what the overall response results showed and whether that combination is now considered a standard option for my situation?
2Since this was a Phase 2 trial, what does that mean for how confident we can be about the safety and effectiveness of this regimen — and is there a larger Phase 3 trial that followed up on these findings?
3My cancer is in the small bowel or ampulla of Vater, which are relatively rare — how does this trial's data compare to other treatment options available to me right now, and would you recommend this regimen over something else?
4Capecitabine is taken orally at home while oxaliplatin is given by infusion — what would the treatment schedule actually look like day to day, and is that kind of commitment realistic given my current health and life situation?
5Are there any known side effects from the capecitabine and oxaliplatin combination — like neuropathy from oxaliplatin or hand-foot syndrome from capecitabine — that I should weigh carefully before deciding whether this approach makes sense for me?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Number of Participants With Overall Response
Timeframe: Every 9 weeks from treatment initiation and confirmatory images 6 weeks or more after initial responses
. Eastern Cooperative Oncology Group (ECOG) Performance Status of less than or equal to 2.
. Adequate bone marrow function defined as absolute peripheral granulocyte count of greater than or equal to 1500 mm3, platelet count greater than or equal to 1500 mm3, and hemoglobin greater than or equal to 10 gm/dL.
. Adequate renal function, defined as serum creatinine less than or equal to 1.5 \* ULN and calculated creatinine clearance \>30 mL/min.
Exclusion criteria
. Patients with prior exposure to platinum therapy are excluded. Patients who have received prior chemotherapy for metastatic disease are excluded.
. Patients who have had chemotherapy within 4 weeks (6 weeks for nitrosoureas or Mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier.
. Patients may not be receiving any other investigational agents nor have received any investigational drug 30 days prior to enrollment.
. Patients with known brain metastases are excluded from this clinical trial because of their poor prognosis and their risk for progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
. Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation. Prior surgical therapy affecting absorption.
. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
. Because patients with immune deficiency are at increased risk of lethal infections when treated with marrow-suppressive therapy, HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study because of possible pharmacokinetic interactions with XELOX. Appropriate studies will be undertaken in patients receiving combination anti-retroviral therapy when indicated.
. Patients with extensive symptomatic fibrosis of the lungs.