Overview

Minocycline Study in Pancreatic Cancer Patients

Status:
Completed
Trial end date:
2018-09-19
Target enrollment:
0
Participant gender:
All
Summary
The goal of this clinical research study is to learn if minocycline can reduce the side effects of chemotherapy in patients with pancreatic cancer. In this study, minocycline will be compared to a placebo. Minocycline is an antibiotic that may help to reduce side effects of chemotherapy. A placebo is not a drug. It looks like the study drug, but it is not designed to treat any disease or illness. It is designed to be compared with a study drug to learn if the study drug has any real effect.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
M.D. Anderson Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Minocycline
Criteria
Inclusion Criteria:

1. Minocycline Trial only: Patients with a pathological or clinical diagnosis of
pancreatic cancer and beginning or continuing FOLFIRINOX or gemcitabine-based
chemotherapy.

2. Observational Arm only: Patients with a pathological or clinical diagnosis of
pancreatic cancer and beginning or continuing FOLFIRINOX chemotherapy.

3. Patients > 18 years old.

4. Minocycline Trial only: Patients with ECOG PS = 0-2.

5. Patients who speak English or Spanish (due to MDASI language options, we are only
accruing English-speaking or Spanish-speaking patients to the protocol).

6. Patients willing and able to review, understand, and provide written consent before
starting therapy.

7. Minocycline Trial only: Patients with adequate renal function according to MD Anderson
testing standards (screening cut off for serum creatinine < 2 times the upper limit of
normal).

8. Minocycline Trial only: Patients with adequate hepatic function according to MD
Anderson testing standards (screening results for total bilirubin must be < 2 times
the upper limit of normal; screening results for alanine aminotransferase (ALT) must
be < 3 times the upper limit of normal; screening results for aspartate
aminotransferase (AST), if available, must be < 3 times the upper limit of normal).

Exclusion Criteria:

1. Minocycline Trial only: Patients who are taking medication or have conditions that
potentially preclude use of minocycline, as determined by the treating physician.

2. Patients who are enrolled in other symptom management clinical trials.

3. Minocycline Trial only: Patients who currently have bile duct obstruction or
cholelithiasis.

4. Minocycline Trial only: Patients with hypersensitivity to any tetracyclines.

5. Minocycline Trial only: Patients who are pregnant. Pregnancy will be confirmed by
negative urine test; patients with a positive urine test will be retested for doubling
of HCG 48 hours after the first test, because of beta-HCG's role as a tumor marker.
Patients without such a rise will be eligible for the study and will be enrolled at
the investigator's discretion.

6. Minocycline Trial only: Patients who are under treatment of warfarin with INR > 1.5.

7. Patients who, in the judgment of the investigator, may be unable to participate in the
required study procedures.

8. Minocycline Trial only: Patients who have had prior treatment for pancreatic cancer
within the past six months may be excluded at the discretion of the investigator.