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GEMZAR

Phase 4FDA approved

Pancreatic Neoplasms | Small molecule | Oncology |Eli Lilly and Company|Trials Updated: Oct 16, 2024

GEMZAR development status

FDA approval on record Aug 25, 1998
Approval holderLilly
ApplicationNDA020509
Highest phase Phase 4 run by AstraZeneca (NCT07876817)
Phase scored for LLYPhase 3
Registered trials 335+ across 144 sponsors since Apr 2002

GEMZAR target and mechanism

ModalitySmall molecule

Also known as gemcitabine, LY188011, LLY188011

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials73
Total Enrollment7,914

FDA Designations

No designations recorded

GEMZAR clinical trials

GEMZAR · 73 trials · 45 indications

Phase 3 13Phase 2 58Phase 1 2
NCT00193596Gemcitabine/Irinotecan/ZD1839 vs Paclitaxel/Carboplatin/Etoposide/ZD1839 in Carcinoma of Unknown Primary SiteNeoplasms, Unknown Primary
COMPLETED198 Analytics
NCT00236899Phase III Study of Two Different Schedules (Weekly and Tri-weekly) of Combination of Gemcitabine and Two Taxanes in MBCMetastatic Breast Cancer (MBC)
COMPLETED241 Analytics
NCT00193362Study of Paclitaxel, Carboplatin, and Gemcitabine Versus Gemcitabine and Vinorelbine for Non-Small Cell Lung CancerLung Cancer
COMPLETED200 Analytics
NCT00190710A Trial of Carboplatin and Gemcitabine Versus Gemcitabine Alone in Patients With Non-Small-Cell Lung CancerNon-Small Cell Lung Cancer
COMPLETED242 Analytics
NCT00191438Phase III Study of Gemcitabine Plus a Cytotoxic Agent Versus Two Cytotoxic AgentsBreast Neoplasms
COMPLETED300 Analytics
NCT00191646An Ovarian, Primary Peritoneal or Fallopian Tube Cancer Study for Patients That Have Not Received Prior ChemotherapyGenital Neoplasms, Female
COMPLETED919 Analytics
NCT00191607A Randomized Trial for Patients With Platinum Resistant Ovarian, Fallopian or Primary Peritoneal Cancer.Genital Neoplasms, Female
COMPLETED162 Analytics
NCT00191100Comparative Study of Gemcitabine,Cisplatin and Radiation Versus Cisplatin and Radiation in Cancer of the CervixCancer of Cervix
COMPLETED515 Analytics
NCT00191152A Phase III Trial For Patients With Metastatic Breast CancerBreast Cancer
COMPLETED475 Analytics
NCT00128310Vinorelbine Versus Gemcitabine Plus Vinorelbine in Metastatic Breast Cancer PatientsBreast Cancer
COMPLETED252 Analytics
PHASE3COMPLETED
Gemcitabine/Irinotecan/ZD1839 vs Paclitaxel/Carboplatin/Etoposide/ZD1839 in Carcinoma of Unknown Primary Site
Neoplasms, Unknown PrimaryUnlock trial analytics
PHASE3COMPLETED
Phase III Study of Two Different Schedules (Weekly and Tri-weekly) of Combination of Gemcitabine and Two Taxanes in MBC
Metastatic Breast Cancer (MBC)Unlock trial analytics
PHASE3COMPLETED
Study of Paclitaxel, Carboplatin, and Gemcitabine Versus Gemcitabine and Vinorelbine for Non-Small Cell Lung Cancer
Lung CancerUnlock trial analytics
PHASE3COMPLETED
A Trial of Carboplatin and Gemcitabine Versus Gemcitabine Alone in Patients With Non-Small-Cell Lung Cancer
Non-Small Cell Lung CancerUnlock trial analytics
PHASE3COMPLETED
Phase III Study of Gemcitabine Plus a Cytotoxic Agent Versus Two Cytotoxic Agents
Breast NeoplasmsUnlock trial analytics
PHASE3COMPLETED
An Ovarian, Primary Peritoneal or Fallopian Tube Cancer Study for Patients That Have Not Received Prior Chemotherapy
Genital Neoplasms, FemaleUnlock trial analytics
PHASE3COMPLETED
A Randomized Trial for Patients With Platinum Resistant Ovarian, Fallopian or Primary Peritoneal Cancer.
Genital Neoplasms, FemaleUnlock trial analytics
PHASE3COMPLETED
Comparative Study of Gemcitabine,Cisplatin and Radiation Versus Cisplatin and Radiation in Cancer of the Cervix
Cancer of CervixUnlock trial analytics
PHASE3COMPLETED
A Phase III Trial For Patients With Metastatic Breast Cancer
Breast CancerUnlock trial analytics
PHASE3COMPLETED
Vinorelbine Versus Gemcitabine Plus Vinorelbine in Metastatic Breast Cancer Patients
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
24 months

Length of time, in months, that patients were alive from their first date of protocol treatment until death.

Time to Progressive Disease (TTPD) by Treatment Schedule
Baseline up to 49.84 months

TTPD is defined as the time from the day of treatment to first observation of documented disease progression or death due to any cause, whichever comes first. TTPD was censored at the time of last follow-up for patients who were still alive without progression. Tumor response was assessed in cancer patients by using Response Evaluation Criteria in Solid Tumors (RECIST), which define when cancer patients improve ("respond"), stay the same ("stabilize"), or worsen ("progression") during treatments. Progressive Disease is a ≥20% increase in sum of longest diameter of target lesions.

Time to Progressive Disease (TTPD) by Treatment Drug
Baseline up to 49.84 months

TTPD is defined as the time from the day of treatment to first observation of documented disease progression or death due to any cause, whichever comes first. TTPD was censored at the time of last follow-up for patients who were still alive without progression. Tumor response was assessed in cancer patients by using Response Evaluation Criteria in Solid Tumors (RECIST), which define when cancer patients improve ("respond"), stay the same ("stabilize"), or worsen ("progression") during treatments. Progressive Disease is a ≥20% increase in sum of longest diameter of target lesions.

Overall survival.
To determine and compare the median survival produced by combined Gemcitabine plus Paraplatin versus Gemcitabine as a single-agent in patients with NSCLC and a PS equal to 2.
Progression free survival. The final analysis will occur when 250 patients have progressed or died.
Progression Free Survival (PFS)
Baseline to measured progressive disease or death up to 82 months

Progression free survival was defined as the duration from the date of randomization to the first date of documented disease progression or death from any cause. Tumor assessments were performed every three 21-day cycles during induction and crossover. Progression free survival was censored at the date of the last follow-up visit for participants who were still alive and who had not progressed. Results are presented as a comparison between the two study treatment sequences (induction therapy followed by elective consolidation or crossover therapy) rather than the two induction therapies.

- Progression free survival (PFS) in patients who have failed one, but no more than two, prior treatments
Number of Participants With Progressive Disease or Death Due to Any Cause at 3 Years
Tumor assessments at baseline, weekly during chemoradiation & brachytherapy, on Day 1 of adjuvant Cycles 1&2 for Arm A, at the 30-day post-study visit, every 4/6 months for 12/48 months of the short/long post-study follow-up periods respectively

Original outcome was Progression-Free Survival (PFS) probability at 3 years. PFS=time from baseline to progressive disease (PD) or death from any cause. Probability is not an accepted "Measure Type", so number of progression-free patients still at risk and cumulative number of patients that had an event (PD or death of any cause) are presented.

Time to Disease Progression (Initial Treatment)
Randomization date to the earliest date of first documented disease progression date or the date of death if the participant died due to study disease (up to 82 months)

Time to disease progression (TTDP) at initial treatment was defined as the number of months between date of randomization and the date of first documented disease progression or the date of death due to disease under study, whichever came first. TTDP censored at earliest of: 1) date of death not due to disease; or 2) date of last contact for participants alive without disease progression; or 3) start date of other anti-tumor therapy; or 4) first dose date of crossover treatment.

Progression-free survival
Through study completion, an average of 1 year

Progression-free survival is calculated as the time from randomization to the first observation of disease progression or date of death (whichever occurs earlier). Progression-free survival time will be censored at the time of the most recent information for patients who are still alive at the time of the last visit.

Progression free survival
baseline to measure progressive disease
Time-to-Progression (TTP)
2 years

Time-to-Progression (TTP) was assessed as the time from start of treatment to progression, as observed on radiographic scans and assessed per the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria for progressive disease (ie, a 5-mm absolute increase of the sum of the longest diameters of the target lesions in addition to a 20% increase in the sum of the target lesions)

Overall response rates
18 Months
Primary endpoint rate of freedom of progression (PR+CR+SD).
Max. 8 cycles of therapy
To evaluate the response rate
study completion
3-year DFS
up to 3 years

3-year disease free survival rates:The progression is defined consistent with contrast enhanced MRI/CT.

Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]
Randomization to measured progressive disease (PD) (up to 16.9 months)

ORR was defined as the percentage of participants achieving either CR or PR. Response was defined using Response Evaluation Criteria in Solid Tumors (RECIST), version (v) 1.0 criteria. CR was defined as the disappearance of all target and non-target lesions and the normalization of the tumour marker level. PR was defined as having at least a 30% decrease in sum of longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Percentage of participants is calculated as a total number of participants with CR or PR / total number of participants treated \* 100.

Progression Free Survival (PFS) Time
Baseline to measured PD or death from any cause. Tumor assessments were performed every 8 weeks during therapy and every 2 months during post-therapy until documented PD (up to 34 months).

PFS was measured from date of first dose to first date of progressive disease (PD) or death from any cause. For each participant who was not known to have died or to have had PD as of the data inclusion cut-off date for a particular analysis, PFS duration was censored for that analysis at the date of the participant's last progression-free tumor assessment before that cut-off date.

Percentage of Patients Alive at 1 Year (1-Year Survival Rate)
1 year

Percentage of patients alive at 1 year.

Progression-free Survival (PFS)
18 months

Median progression-free survival (PFS) was assessed as the time to disease progression; toxicity requiring treatment discontinuation; or death.

Tumor Response
baseline to measured progressive disease

Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve ("respond"), stay the same ("stable"), or worsen ("progression") during treatment. Responders are patients with complete response or partial response.

Overall Response Rate (ORR)
baseline & every 2 cycles (approximately 8 weeks) of treatment to measured progressive disease (PD) & post-therapy until PD or other therapy initiated (up to 35 months)

Response defined per Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR)=disappearance of all target lesions; Partial Response (PR)=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. ORR was defined as the proportion of participants who achieved a best response of either CR or PR. ORR=number of participants with CR or PR/number of participants qualified for tumor response analysis (per-protocol population).

Best Overall Tumor Response
baseline to measured progressive disease (tumor assessments were performed every 2 cycles during study therapy, or 3 months during post-therapy until disease progression, or up to 12 months after enrollment)

Best response recorded from the start of treatment until disease progression/recurrence using Response Evaluation Criteria In Solid Tumors (RECIST) criteria that defines when participants improve ("respond"), stay the same ("stable"), or worsen ("progression") during treatment.

Pathologic Complete Response
18 months

For the purpose of this study, a pathologic complete response (pCR) was defined as no evidence of residual invasive tumor in the breast (pT0) and axillary lymph nodes (pN0), gross or microscopic, in the sample removed at the time of surgical resection. Residual ductal or lobular carcinoma in situ was not considered in pCR assessments. Percentage of participants who experienced pCR is reported.

Best Overall Response
baseline to measured progressive disease (tumor assessments were performed every 4 cycles during study therapy, or 3 months during post-therapy until disease progression, death or up to 24 months after randomization)

Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria.

Disease Progression
6 months

Proportion of patients with metastatic breast cancer free of disease progression at 6 months following treatment

Overall response rates of the combination of gemcitabine and cisplatin in patients with locally advanced or metastatic breast cancer who have been previously treated with anthracycline with/without taxane based regimen
in the adjuvant/neoadjuvant or 1st line metastatic setting for each treatment arm separately.
Tumor Response at End of Treatment
baseline to first follow-up visit (up to 8 weeks after end of chemo-radiation)

Response recorded at the first follow-up visit using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria.

To evaluate the response rate of Gemcitabine-vinorelbine when used in a 3-weekly as first line chemotherapy in patients with metastatic breast cancer.
Overall Tumor Response
baseline to disease progression/recurrence (up to 3.5 years)

Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria.

Pathologic Complete Response Rate
18 months

A pathological complete response (pCR) was defined as having no residual cancer at the primary site or in regional lymph nodes on pathologic review.

To assess time to progression in patients with metastatic colorectal cancer treated with a combination of gemcitabine and capecitabine after progressing on two or more therapies for advanced disease, and having failed both CPT-11 and Oxaliplatin bas
To evaluate the objective response rate (ORR) of the standard (30 minute infusion) versus a fixed dose rate (10 mg/m2/minute) of gemcitabine combined with cisplatin as treatment for advanced NSCLC after treatment completion.
To evaluate pathological complete response rate achieved by 6 week neoadjuvant intravesical administration of Gemcitabine followed by transurethral resection (TUR) or cold biopsies, in patients affected by low risk superficial bladder cancer .
Response rate
Estimate the response rate of two regimens separately.
Compare the tumor recurrence rate at 12 months after TUR in patients with intermediate risk superficial bladder cancer treated with intravesical Gemcitabine or Mitomycin C.
To evaluate efficacy
To determine if progression-free survival in patients with Stage IIIB or IV NSCLC receiving gemcitabine and cisplatin can be improved by adding 200 or 600 mg BID of LY293111 as compared to placebo.
2-year overall survival
Overall response rate
Tumor Response by Response Evaluation Criteria In Solid Tumors (RECIST)
baseline to measured progressive disease (every 7-8 weeks for 2 cycles, monthly for 3 months, every other month for 6 months, then every 3 months up to 4.4 years)

Response using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Complete Response=disappearance of all target lesions; Partial Response=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria.

To evaluate response rate
To determine the overall survival time in patients with metastatic pancreatic cancer treated with the combination of gemcitabine, cisplatin and celecoxib.
12 months
2-Year Survival
2 years

Percentage of participants alive at 2 years.

Number of Patients With Pathological Complete Response (Pathological Complete Response Rate)
tumor assessment at baseline and during surgery after eight 21-day treatment cycles

Complete pathological response: No invasive tumor cells identified from sections from site of previous cancer. Require evidence corroborating prior presence of invasive cancer, which requires detection of abnormal fibroelastic breast stroma devoid of normal lobular units and contains foamy macrophages with moderate numbers of fibroblasts and mononuclear inflammatory cells. Presence of nondescript collagenised lobules or breast fibrous tissue is not evidence that tumor site has been adequately sampled and macroscopic assessment and sampling is needed until original neoplastic stroma identified.

6-month survival
Evaluate response rate
Antitumor activity
To evaluate the clinical response rate of neo-adjuvant chemotherapy with gemcitabine and cisplatin in patients with operable non small cell lung cancer
To evaluate recurrence free one year survival, time to disease progression and local recurrence rate, analyzed at the end of the study
Objective Tumor Response
baseline to measured progressive disease (eight 21-day cycles of therapy and follow-up period was 24 months starting from the date of the last drug administration. Data collected every 4 months.)

Best response recorded from the start of treatment until disease progression/recurrence using World Health Organization (WHO) criteria that defines when participants improve ("respond"), stay the same ("stable"), or worsen ("progression") during treatment.

To determine the response rate of the combination gemcitabine and cisplatin in patients with advanced biliary tract and gallbladder cancers
To assess the antitumour activity as measured by response rate in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) of two different combinations of docetaxel and gemcitabine and of a sequential treatment of
cisplatin /gemcitabine
Time to treatment failure (TTTF)
baseline to stopping treatment
- Overall response rates
Pathologic Complete Response (pCR)
18 Months

For the purpose of this study, a Pathologic complete response (pCR) was defined as no evidence of residual invasive tumor in the breast (pT0). Residual ductal or lobular carcinoma in situ was not considered in pCR assessments. Percentage of participants who experienced pCR is reported.

Complete pathological response
Pathological complete response rate, in previously untreated patients with clinical Stage I and II non-small cell lung cancer (NSCLC).
overall survival
1 year
Phase I: Dose-limiting toxicities and dose reductions
Phase II: Treatment administration and complete response rate
Overall Response
3 weeks

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.

Secondary Endpoints

Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
12 months
Overall Survival (OS) by Treatment Schedule
Baseline up to 51.64 months
Overall Survival (OS) by Treatment Drug
Baseline up to 51.64 months
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Regimen AEXPERIMENTALPaclitaxel 200 mg/m2 by 1-hour IV infusion, day 1 Carboplatin area under the curve (AUC) 6.0 IV, day 1 Etoposide 50 mg alternating with 100 mg by mouth, days 1 and 10 Regimen A was repeated at a 21-day interval
Regimen BEXPERIMENTALIrinotecan 100 mg/m2 IV, days 1 and 8 Gemcitabine 1000 mg/m2 IV, days 1 and 8 Regimen B was repeated at a 21-day interval
A: Docetaxel and Gemcitabine (Tri-weekly)EXPERIMENTALDocetaxel and Gemcitabine (Tri-weekly)
B: Paclitaxel and Gemcitabine (Tri-weekly)EXPERIMENTALPaclitaxel and Gemcitabine (Tri-weekly)
C: Docetaxel and Gemcitabine (Weekly)EXPERIMENTALDocetaxel and Gemcitabine (Weekly)
D: Paclitaxel and Gemcitabine (Weekly)EXPERIMENTALPaclitaxel and Gemcitabine (Weekly)
Gemcitabine/CarboplatinEXPERIMENTALGemcitabine 1000 milligrams per meter square (mg/m\^2) Day 1 and Day 8, Carboplatin Area Under the Curve (AUC) 5 Day 1, six 21-day cycles
Paclitaxel/CarboplatinACTIVE_COMPARATORPaclitaxel 175 milligrams per meter square (mg/m\^2) administered intravenously (IV) Day 1 Carboplatin AUC 6 Day 1, six 21 day cycles
1EXPERIMENTALCisplatin, 40 mg/m2, once weekly (QW), intravenous (IV), 6 weeks and Gemcitabine 125 mg/m2, once weekly (QW), intravenous (IV), 6 weeks and Pelvic radiation, 1.8 Gy/day, 5 days/week, 6 weeks Brachytherapy, 30-35 Gy over 1 week Two week rest period with no chemotherapy or radiation Cisplatin, 50 mg/m2, intravenous (IV), day 1 of 21 day cycle for two 21-day cycles and Gemcitabine, 1000 mg/m2, day 1 and day 8 for two 21 day cycles
2ACTIVE_COMPARATORCisplatin, 40 mg/m2, once weekly (QW), intravenous (IV), 6 weeks and Pelvic radiation, 1.8 Gy/day, 5 days/week, 6 weeks Brachytherapy, 30-35 Gy over 1 week
Gemcitabine + DocetaxelEXPERIMENTAL -
Capecitabine + DocetaxelACTIVE_COMPARATOR -
Arm A: VinorelbineACTIVE_COMPARATORArm A: Vinorelbine 30 mg/m2 will be administered as an intravenous infusion over 6-10 minutes on Study Days 1 and 8.
Arm B: Vinorelbine and GemcitabineEXPERIMENTALArm B: Vinorelbine 30 mg/m2 will be administered as an intravenous infusion over 6-10 minutes on Study Days 1 and 8. Gemcitabine will be administered following vinorelbine at a dose of 1200 mg/m2 as an intravenous infusion over 30 minutes.
AOTHER -
BEXPERIMENTAL -
Treatment PeriodEXPERIMENTALTreatment will be administered once every 2 weeks. One cycle of therapy will consist of 14 days. Paclitaxel is administered first after appropriate premedications. Gemcitabine is administered second and Avastin is administered after chemotherapy, all given on day 1 of each cycle.
Phase II 3-drug regimenEXPERIMENTALGemcitabine + Paclitaxel + Bevacizumab
Afatinib with GEMOXEXPERIMENTALPatients will receive targeted therapy(Afatinib 40mg orally from day 1 to day 21 combined with GEMOX chemotherapy(gemcitabine 1000 mg/m2 on days 1 and 8 of each cycle by IV infusion and oxaliplatin 100 mg/m2 on day 1 of each cycle by IV infusion)
GEMOXACTIVE_COMPARATORPatients will receive conventional GEMOX chemotherapy (gemcitabine 1000 mg/m2 on days 1 and 8 of each cycle by IV infusion and oxaliplatin 100 mg/m2 on day 1 of each cycle by IV infusion)
GCiC + IMC-A12 (Gemcitabine/Cisplatin/Cetuximab + Cixutumumab)EXPERIMENTALCycles repeat every 3 weeks for first 6 cycles (18 weeks) and then once every 2 weeks (maintenance therapy) until disease progression, intolerable toxicity, withdrawal of consent or other withdrawal criteria met \*Cisplatin will replace Carboplatin. Gemcitabine/Carboplatin/Cetuximab (GCC) plus cixutumumab will change to Gemcitabine/Cisplatin/Cetuximab (GCiC) plus cixutumumab (participants enrolled subsequent to this change will receive gemcitabine, cisplatin and cetuximab, plus cixutumumab)
GCiC (Gemcitabine/Cisplatin/Cetuximab)ACTIVE_COMPARATORCycles repeat every 3 weeks for 6 cycles (18 weeks) and then once every 2 weeks (maintenance therapy) until disease progression, intolerable toxicity, withdrawal of consent or other withdrawal criteria met \*Cisplatin will replace Carboplatin. GCC plus cixutumumab will change to GCiC plus cixutumumab (participants enrolled subsequent to this change will receive gemcitabine, cisplatin and cetuximab, plus cixutumumab)
Gemcitabine + BevacizumabEXPERIMENTALGemcitabine 2500 milligrams per square meter (mg/m\^2) intravenous (IV) over 30 minutes given on Day 1 every 14 days (q 14 days) until disease progression (PD) or unacceptable toxicity. Bevacizumab 10 milligrams per kilogram (mg/kg) initially over 90 minutes given on Day 1 q 14 days until PD or unacceptable toxicity.
Gemcitabine + CisplatinEXPERIMENTALGemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal. Cisplatin: 25 milligrams per square meter (mg/m2), intravenous (IV), day 1 and day 8 every 21 days x 16 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
GemcitabineEXPERIMENTALGemcitabine: 1000 milligrams per square meter (mg/m2), intravenous (IV), day 1,8 and 15 every 28 days x 12 maximum cycles or disease progression or unacceptable toxicity or patient withdrawal.
Bevacizumab + carboplatin + gemcitabineEXPERIMENTALBevacizumab in combination with carboplatin and gemcitabine: •Carboplatin, administered IV at area under the curve (AUC) of 5, every 3 weeks on day 1 of each 3-week cycle (once per cycle) for up to 6 cycles. Carboplatin was administered before the gemcitabine infusion: •Gemcitabine, administered 1000 mg/m² IV on days 1 and 8 of each 3-week cycle (twice per cycle) for up to 6 cycles Bevacizumab was administered 1 hour after end of all chemotherapy infusions: •Bevacizumab was administered 15 mg/kg IV on day 1 of each 3-week cycle (once per cycle) for up to 6 cycles in combination with chemotherapy, then continuing until evidence of progressive disease or significant treatment-related toxicity
paclitaxel plus bevacizumab (PB)ACTIVE_COMPARATORpaclitaxel 90 milligrams per meter squared (mg/m2) administered intravenously (IV) on days 1, 8, 15 every 28 days followed by bevacizumab 10 milligrams per kilogram (mg/kg) administered IV on days 1 and 15 every 28 days
paclitaxel plus bevacizumab plus gemcitabine (PB+G)EXPERIMENTALpaclitaxel 90 milligrams per meter squared (mg/m2) administered intravenously (IV) on days 1, 8, 15 every 28 days followed by gemcitabine 1500 mg/m2 IV on days 1 and 15 every 28 days followed by bevacizumab 10 milligrams per kilogram (mg/kg) administered IV on days 1 and 15 every 28 days
Single Group AssignmentEXPERIMENTALCisplatin + Gemcitabine + Bevacizumab
InterventionEXPERIMENTALPatients were treated with 6 doses of neoadjuvant gemcitabine 2000 mg/m2, epirubicin 50 mg/m2, and albumin-bound paclitaxel 175 mg/m2 intravenously administered at 14-day intervals. Following neoadjuvant chemotherapy, patients underwent either mastectomy or breast conservation surgery; pathologic response to treatment was assessed. Postoperatively, patients received 4 doses of gemcitabine 2000 mg/m2 with albumin-bound paclitaxel 220 mg/m2 at 14-day intervals. Pegfilgrastim 6 mg was administered subcutaneously on day 2 following each dose of chemotherapy.
Gemcitabine + PaclitaxelEXPERIMENTALgemcitabine: 2500 milligrams per square meter (mg/m2), intravenous (IV), every 14 days x 8 cycles. paclitaxel: 150 mg/m2, IV, every 14 days x 8 cycles.
Gemcitabine + CarboplatinEXPERIMENTALgemcitabine: 2500 milligrams per square meter (mg/m2), intravenous (IV), every 14 days x 8 cycles. carboplatin: Area Under the Curve (AUC) 2.5, IV, every 14 days x 8 cycles.
Arm 1 Gemcitabine/Cisplatin/TrastuzumabEXPERIMENTALGemcitabine 1000 mg/m2 iv over 30 minutes on days 1 and 8 Cisplatin 30 mg/m2 iv over 90 minutes on days 1 and 8 Trastuzumab 2 mg/kg iv over 30 minutes on days 1, 8 and 15 (if trastuzumab was not administered within the past 3 weeks, a loading dose of 4 mg/kg iv over 90 minutes will be given on the first day of cycle 1 only).
Arm 2 Gemcitabine / TrastuzumabACTIVE_COMPARATORGemcitabine 1000 mg/m2 iv over 30 minutes on days 1 and 8 Trastuzumab 2 mg/kg iv over 30 minutes on days 1, 8 and 15 (if trastuzumab was not administered within the past 3 weeks, a loading dose of 4 mg/kg iv over 90 minutes will be given on the first day of cycle 1 only).
HER2+EXPERIMENTALHuman Epidermal growth factor Receptor 2 positive (HER2+): Gemcitabine + Carboplatin + Herceptin.
HER2- (Taxane-)EXPERIMENTALHuman Epidermal growth factor Receptor 2 negative (HER2-): Gemcitabine + Carboplatin. (Taxane-naive patients).
HER2- (Taxane+)EXPERIMENTALHuman Epidermal growth factor Receptor 2 negative (HER2-): Gemcitabine + Carboplatin. (Taxane-pretreated patients).
A+FFGEXPERIMENTALAvastin + Gemcitabine + 5-Fluorouracil (5FU)/Folinic Acid
A+FOLFOX 4ACTIVE_COMPARATORAvastin + Oxaliplatin + 5-Fluorouracil (5FU)/Folinic Acid
Gemcitabine plus DocetaxelEXPERIMENTAL -
Gemcitabine+Doxorubicin+Cisplatin+SurgeryEXPERIMENTALGemcitabine: 1200 mg/m\^2, intravenous (IV) day 1 and day 8 every 21 days x 4 cycles (1-4) then 1000 mg/m\^2, IV, day 1 and day 8 every 21 days x 4 cycles (5-8). Doxorubicin: 60 mg/m\^2, IV, every 21 days x 4 cycles (1-4). Cisplatin: 70 mg/m\^2, IV, every 21 days x 4 cycles (5-8). Surgery follows 8 cycles of chemotherapy. Extent and type of surgery is guided by tumor size, physician and/or patient decision.
Gemcitabine/folinic acid/5-FUEXPERIMENTALGemcitabine 1g/m² 5-FU 750mg/m² FS 500 mg/m²
Single ArmEXPERIMENTALGemcitabine will be given at 1250 mg per meter squared over 2 hours days 1 and 8 of a 21 day cycle for a total of 4 cycles. Radiation: External Radiation Therapy The total dose would be 19.2 Gy divided over 32 fractions twice a day, on day 1 and day 8 after chemotherapy.

Interventions

NameTypeDescription
EtoposideDRUG50 mg alternating with 100 mg PO, days 1 and 10 in regimen A
GemcitabineDRUG1000 mg/m2 IV, days 1 and 8, in regimen B
IrinotecanDRUG1000 mg/m2 IV days 1 and 8 in regimen B
PaclitaxelDRUG200 mg/m2 by 1-hour IV infusion, day 1, regimen A
CarboplatinDRUGArea under the curve (AUC) 6.0 IV, day 1, regimen A
DocetaxelDRUGArm A: 75 milligram per square meter (mg/m²), 60 min IV infusion on Day 1 only, to be given 30 min prior to Gemcitabine, repeated every 21 days (tri-weekly) for 10 cycles for CRs or PRs; 6 cycles for SD; or until PD. Arm C: 30 mg/m², 30-60 min IV infusion on Days 1, 8, and 15, to be given 30 min prior to Gemcitabine, repeated every 28 days (weekly) for 10 cycles for CRs or PRs; 6 cycles for SD; or until PD.
VinorelbineDRUG -
capecitabineDRUG -
liposomal doxorubicinDRUG -
CisplatinDRUG -
BrachytherapyRADIATIONBrachytherapy, 30-35 Gy over 1 week
Pelvic radiationRADIATIONPelvic radiation, 1.8 Gy/day, 5 days/week, 6 weeks
surgeryPROCEDUREsurgery
gemcitabine hydrochlorideDRUG -
GEMZARDRUG -
ALIMTADRUG -
AvastinDRUG10mg/kg will be given via IV over 90 mins (1st dose). Patients must remain under supervision for 1 hr after completion of the initial dose of Avastin. If no side effects occur, shortened, 60-min 2nd infusion, the post-infusion observation period for the subsequent infusions may be shortened to 20 minutes, and eliminated entirely with the fourth and subsequent infusions.
BevacizumabDRUGBevacizumab 10 mg/kg by IV infusion, days 1 and 15 in 28-day cycles
TrastuzumabDRUGTrastuzumab
5-FUDRUG5-FU 750 mg/m2 (24h CI)
Folinic AcidDRUGFolinic Acid 200 mg/m2 (30 min)
Gemcitabine, EtoposideDRUGPancreatic cancer is a devastating disease. Previous research shows a correlation between a specific oncogene change (ras-mutation) and enhanced sensitivity to two chemotherapy drugs combined: gemcitabine and etoposide. This Phase II trial will evaluate this drug combination for locally advanced and metastatic pancreatic cancer
gemcitabine and oxaliplatin.DRUGGEMOX Conventional chemotherapy:gemcitabine and oxaliplatin.
AfatinibDRUGTarget therapy Drug: afatinib
IMC-A12 (cixutumumab)BIOLOGICAL6 milligrams per kilogram (mg/kg) intravenous (IV) infusion, administered once per week (on Days 1, 8, and 15 of each cycle) \[First 6 cycles (18 weeks)\]
CetuximabBIOLOGICAL400 mg/m\^2 IV infusion, administered on Day 1 of Cycle 1, 250 mg/m\^2 once per week thereafter \[First 6 cycles (18 weeks)\]
EpirubicinDRUGEpirubicin 50 mg/m2 D1 q 14 days x 6 cycles
Albumin-bound PaclitaxelDRUGABI-007 175 mg/m2 D1 q 14 days x 6 cycles
radiationRADIATION63 Gray (Gy) in 35 treatments over 7 weeks concurrent with chemotherapy cycles 4 and 5
HerceptinDRUGDay 1 of 14 day cycle (Cycle 1): 8 milligrams per kilogram (mg/kg) intravenous (IV) (90 minute infusion). Day 1 of 14 day cycle (Cycles 2-9): 4 mg/kg IV (30 minute infusion). Day 1 of 21 day cycle (Cycles 10+): 6 mg/kg IV (30 minute infusion).
gemcitabine, capecitabineDRUG -
mitomycin CDRUG -
radical cystectomyPROCEDURE -
radiotherapyPROCEDURE -
LY293111DRUG -
radical surgeryPROCEDURE -
chemoradiotherapyPROCEDURE -
5FU/folinic acidDRUGFolinic Acid: 100 milligrams per square meter (mg/m2) intravenous (IV) over 60 minutes (A+FFG). Folinic Acid: 200 mg/m2 as a 2-hr infusion on Days 1 and 2 of a 14-day cycle (A+FOLFOX 4). 5-Fluorouracil: 450 mg/m2 as an IV bolus in middle of Folinic Acid (A+FFG). 5-Fluorouracil: 400 mg/m2 bolus plus a 600 mg/m2 22-hour infusion on Days 1 and 2 of a 14-day cycle (A+FOLFOX 4).
oxaliplatinDRUG85 mg/m2 as a 2-hour infusion on Day 1 of a 14 day cycle.
dexamethasoneDRUG -
CelecoxibDRUG -
radiation therapyRADIATIONIn conjunction with induction chemotherapy, radiation therapy is administered at a dose of 200 centi Gray (cGy) per day, Monday through Friday for 6 weeks
doxorubicinDRUG60 mg/m\^2, IV, every 21 days x 4 cycles (1-4)
placeboDRUG -
LY900003DRUG -
gemcitabine, folinic acid, 5-FUDRUGgemcitabine 1g/m² - 30 minutes folinic acid 500mg/m² - 2 hours 5-FU 750mg/m² - over 24hours
PrednisoneDRUG -
VinblastineDRUG -
Doxorubicin (Adriamycin)DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: To be included in this study, you must meet the following criteria: * Carcinoma of unknown primary site * Biopsy-proven metastatic carcinoma * Able to perform activities of daily living with minimal assistance * No previous treatment with any systemic therapy * Measurable or ev...

Countries:United StatesItalyFranceGermanyNetherlandsSpainUnited KingdomPuerto RicoArgentinaBosnia and HerzegovinaIndiaMexicoPakistanPeruThailandAustraliaBrazilSouth KoreaTaiwanVenezuelaBelgiumBulgariaEgyptEstoniaHungaryLithuaniaPolandRomaniaSaudi ArabiaSlovakiaSwedenAustriaColombiaGreecePortugalChinaJapanTurkey (Türkiye)RussiaChileIsraelCanadaFinland
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Frequently asked questions about GEMZAR

What is GEMZAR used for in pancreatic neoplasms?

GEMZAR is an investigational small molecule being studied for the treatment of pancreatic neoplasms, including unresectable or metastatic cancer of the pancreas. It is in Phase 3 clinical development for this oncology indication.

Who makes GEMZAR?

GEMZAR is being developed by Eli Lilly and Company, which trades under the ticker LLY. The drug is currently in Phase 3 clinical trials for pancreatic neoplasms.

What phase is GEMZAR in?

GEMZAR is in Phase 3 clinical development. It is an investigational drug being studied for pancreatic neoplasms and has not been approved for this indication.

What clinical trials is GEMZAR in?

GEMZAR is being studied in a Phase 3 clinical trial with the identifier NCT00035035. This completed trial evaluated ALIMTA (pemetrexed) plus GEMZAR versus GEMZAR alone in patients with unresectable or metastatic cancer of the pancreas.

Is GEMZAR the same as ALIMTA?

No, GEMZAR is not the same as ALIMTA. In the Phase 3 clinical trial NCT00035035, ALIMTA (pemetrexed) was given in combination with GEMZAR, and the combination was compared against GEMZAR alone in patients with pancreatic cancer.