RecruitingPhase 1NCT04361708

Safety of Combining Irinotecan With 5-FU, Leucovorin/Folinic Acid, Oxaliplatin, and Docetaxel Chemotherapies

A Phase 1 Dose Finding Study of the gFOLFOXIRITAX Regimen Using UGT1A1 Genotype-directed Irinotecan With Fluorouracil, Leucovorin, Oxaliplatin and Taxotere in Patients With Untreated Advanced Upper Gastrointestinal Adenocarcinomas: The I-FLOAT Study


Sponsor

University of Chicago

Enrollment

54 participants

Start Date

May 8, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of the proposed study is to establish the safety of combining irinotecan chemotherapy with 5-FU, leucovorin/folinic acid, oxaliplatin, and docetaxel (abbreviated as the I-FLOAT study of gFOLFOXIRITAX) chemotherapies (leucovorin/folinic acid is a vitamin to make 5-FU work well).


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing the safety of a new combination chemotherapy regimen called I-FLOAT — which combines irinotecan with four other chemotherapy drugs — in patients with advanced gastrointestinal (GI) cancers, including pancreatic cancer, stomach cancer, bile duct cancer, and others. The goal is to find the right doses that work effectively without causing too many side effects. **You may be eligible if:** - You have confirmed advanced or metastatic cancer of the pancreas, stomach, esophagus junction, bile duct, gallbladder, or another upper GI cancer - You are 18 years or older - You are in good general health (ECOG performance status 0–1) - Your life expectancy is at least 3 months - If you previously had a bile duct blockage, it has been resolved and a stent is in place **You may NOT be eligible if:** - You have poor organ function or are in poor general health - You have active, serious infections or other conditions that would make chemotherapy unsafe - You do not meet minimum health requirements Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGOxaliplatin

Oxaliplatin will be administered on day 1 of each cycle at 85mg/kg. The drugs will be given through the patient's Mediport. It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

DRUGDocetaxel

Docetaxel will be administered on day 1 of each cycle at 25mg at dose level 1; 37.5 at dose level 2. The drugs will be given through the patient's Mediport.It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

DRUGLeucovorin

Leucovorin will be administered on day 1 of each cycle at 400mg/kg. The drugs will be given through the patient's Mediport. It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

DRUGIrinotecan

Irinotecan will be administered on day 1 of each cycle at 120mg/m2 for low risk group, 105mg/m2 for intermediate risk group, 45mg/m2 for high risk group . The drugs will be given through the patient's Mediport. It will be given once every 14 days (2 weeks), on days 1 and will be continued for 8 doses (4 months)

DRUG5-Fluorouracil

5-FU is given as a continuous intravenous infusion over 2 days. Patient can receive the 2-day infusion as an outpatient. On day 3 of each cycle, the patient will return to the infusion center to have the infusion hook-up disconnected.


Locations(1)

The University of Chicago

Chicago, Illinois, United States

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NCT04361708


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