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Alcohol Deterrent

Disulfiram + Chemotherapy for Pancreatic Cancer

Phase 1
Waitlist Available
Led By Aminah Jatoi, M.D.
Research Sponsored by Mayo Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2
Able to swallow or have medication administered through a gastrostomy tube (G-tube) and absorb the medication
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from registration until death due to any cause, assessed up to 3 years
Awards & highlights

Study Summary

This trial is studying disulfiram given with chemotherapy to see if it can reduce tumor-induced muscle loss in patients with solid tumors that have not responded to treatment or pancreatic cancer that has spread to other parts of the body.

Who is the study for?
This trial is for adults with solid tumors that are untreatable by standard methods or metastatic pancreatic cancer. Participants must have acceptable blood counts, organ function, and be able to take oral medication. Women of childbearing potential must use effective contraception and not be pregnant or nursing. People can't join if they have curative treatment options available, uncontrolled illnesses, untreated brain metastases, certain neuropathy levels, or are using specific drugs like phenytoin.Check my eligibility
What is being tested?
The study is testing the combination of Disulfiram (a drug potentially preventing muscle wasting) with chemotherapy (Gemcitabine Hydrochloride) in patients whose cancers haven't responded to other treatments. The goal is to find the safest dose of Disulfiram and see if it enhances chemotherapy's effectiveness while reducing muscle loss associated with cancer.See study design
What are the potential side effects?
Possible side effects include those from Disulfiram such as fatigue, headache, metallic taste and possible liver issues; Gemcitabine may cause flu-like symptoms, bruising/bleeding tendencies due to low blood cell counts, shortness of breath and gastrointestinal upset.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am able to care for myself and perform daily activities.
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I can swallow pills or receive them through a G-tube.
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I have an incurable solid tumor with no effective standard treatment options.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from registration until death due to any cause, assessed up to 3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and from registration until death due to any cause, assessed up to 3 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Maximum tolerated dose (MTD) (Cohort I)
Secondary outcome measures
Adverse events profile (Cohort I and II)
X-Ray Computed Tomography
X-Ray Computed Tomography
+4 more
Other outcome measures
Change in muscle protein expression level of total and phosphorylated (phosph)-signal transducer and activator of transcription 3 (STAT3) via immunohistochemistry
Changes in muscle messenger ribonucleic acid (mRNA) levels via real-time polymerase chain reaction

Side effects data

From 2014 Phase 4 trial • 45 Patients • NCT02000531
29%
Nausea
19%
Leukopenia
14%
White blood cell count decreased
14%
Vomiting
14%
Thrombocytopenia
14%
Alanine aminotransferase increased
14%
Anaemia
14%
Neutropenia
10%
Neutrophil count decreased
10%
Platelet count decreased
10%
Aspartate aminotransferase increased
5%
Dizziness
5%
Back pain
5%
Diarrhea
5%
Musculoskeletal pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Erlotinib-Chemotherapy
Chemotherapy-Erlotinib

Trial Design

2Treatment groups
Experimental Treatment
Group I: Cohort II (chemotherapy and disulfiram)Experimental Treatment3 Interventions
Patients receive chemotherapy at the discretion of the treating oncologist and disulfiram PO on days 1-28 or days 1-35.
Group II: Cohort I (gemcitabine hydrochloride and disulfiram)Experimental Treatment3 Interventions
Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15 and disulfiram PO on days 1-28 or days 1-35.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Disulfiram
2008
Completed Phase 4
~1300
Gemcitabine Hydrochloride
2005
Completed Phase 3
~5420
Chemotherapy
2003
Completed Phase 4
~3050

Find a Location

Who is running the clinical trial?

Mayo ClinicLead Sponsor
3,205 Previous Clinical Trials
3,766,768 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,654 Previous Clinical Trials
40,933,137 Total Patients Enrolled
Aminah Jatoi, M.D.Principal InvestigatorMayo Clinic in Rochester
9 Previous Clinical Trials
383 Total Patients Enrolled

Media Library

Disulfiram (Alcohol Deterrent) Clinical Trial Eligibility Overview. Trial Name: NCT02671890 — Phase 1
Pancreatic Cancer Research Study Groups: Cohort I (gemcitabine hydrochloride and disulfiram), Cohort II (chemotherapy and disulfiram)
Pancreatic Cancer Clinical Trial 2023: Disulfiram Highlights & Side Effects. Trial Name: NCT02671890 — Phase 1
Disulfiram (Alcohol Deterrent) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02671890 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What diseases are usually targeted with chemotherapy treatments?

"Small cell lung cancer is a common target of chemotherapy treatment, and this type of therapy may also prove helpful for other forms of carcinoma such as head and neck carcinomas, locally advanced pancreatic adenocarcinomas, and cervical cancers."

Answered by AI

How many locations are currently administering this trial?

"There are 28 medical centres offering this trial including Sanford Health Thief River Falls in Minnesota, Essentia Health Sandstone and the Virginia Clinic of Essentia Health."

Answered by AI

Are participants currently being enlisted in this trial?

"According to clinicaltrials.gov, the trial is open for candidate registration; first posted on February 25th 2016 and most recently modified on June 1st 2022."

Answered by AI

What other experiments have been conducted in regards to Chemotherapy?

"As of today, the world has 452 active clinical trials assessing the efficacy of chemotherapy. 134 studies are located in Phase 3 and 24571 sites worldwide offer these medical treatments. The majority of locations for Chemotherapy-related research is found in Woolloongabba, Queensland."

Answered by AI

Is there a regulatory indication for utilizing Chemotherapy?

"The safety of Chemotherapy is rated a 1 on our internal scale, as this trial is in its initial stages and there has been limited data collected regarding efficacy or safety."

Answered by AI

What is the capacity of participants accepted in this clinical trial?

"Affirmative. Data hosted on clinicaltrials.gov reveals that this medical study is currently recruiting, with initial postings dating back to February 25th 2016 and the most recent update occurring June 1st 2022. 74 individuals are required from 28 different healthcare centres."

Answered by AI
~1 spots leftby Dec 2024