A Study of Erlotinib as a Prevention in Trisomy 7 Positive Primary Sclerosing Cholangitis

Overview

Información sobre este estudio

Primary sclerosing cholangitis is a chronic inflammation of the bile ducts of unknown cause and eventually results in cirrhosis of the liver. These patients are at increased risk for the development of cancer rising from bile duct tissue. Chromosomal abnormalities of the bile duct tissue, particularly trisomy 7 (i.e. three copies of chromosome 7) can be detected in biopsy samples. Erlotinib (Tarceva) is a human EGFR type 1 tyrosine kinase inhibitor and offers greater survival benefit to EGFR positive patients. This study will assist in determining the safety and tolerability of Tarceva in patients who have primary sclerosing cholangitis.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria

  • Male or female patients
  • Age > 18 years 
  • Able to provide written informed consent
  • Diagnosis of Primary Sclerosing Cholangitis
  • Scheduled for an ERCP as part of their clinical care
  • Diagnosed with trisomy 7 on cytologic testing
  • Willingness to utilize adequate contraception from screening to at least one month after the trial
    • If female, postmenopausal for at least 6 months or using contraceptive pill
    • For both females and males, surgically sterile, or using two forms of barrier contraception

Exclusion Criteria

  • Cholangiocarcinoma, hepatocellular carcinoma, pancreatic adenocarcinoma or other malignancy ≤3 years of registration
  • Other liver disease as determined by standard clinical, serological, imaging or histological criteria
  • Secondary cause of sclerosing cholangitis (IgG cholangiopathy, autoimmune, post-surgical biliary stricture, radiation, human immunodeficiency syndrome)
  • Cholestasis with a bilirubin of > 1.6 mg/dl (normal range 0.1 - 1.0 mg/dL)
  • Decompensated cirrhosis, Child-Pugh Class B or C
  • Child A cirrhosis with portal hypertension (i.e., splenomegaly, esophageal or gastric varices, or platelet count < 100,000/µl [normal range: 150 - 450 x 103/µL])
  • Transaminase (AST [norm.: 8-48 U/L], ALT [norm.: 7-55 U/L]) elevation of more than three times the upper limit of the normal range
  • Pregnancy
  • Nursing mothers
  • Uncontrolled intercurrent illness
  • Concurrent administration of CYP3A modulators, Antiepileptics, Rifampin, St. Johns wort, Ketoconazole, protonpump-inhibitors
  • Men or women unwilling to employ adequate contraception
  • Abnormalities of the cornea by history
  • Moderate diarrhea defined as defecation frequency of equal or more than 4/d for those with their colon, equal or more than 8/d for patients with a pouch, and high ostomy output with those with ostomy
  • Known interstitial lung disease

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus

Rochester, Minn.

Investigador principal de Mayo Clinic

Gregory Gores, M.D.

Cerrado para la inscripción

More information

Publicaciones

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CLS-20312129

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