OBJECTIVES:
Primary
* Determine the recommended dose of trastuzumab when given with cetuximab in patients with metastatic pancreatic cancer that progressed after gemcitabine-based chemotherapy. (Phase I)
* Evaluate the objective response rate as assessed by RECIST criteria. (Phase II)
Secondary
* Evaluate the safety profile as assessed by NCI CTCAE v3.0.
* Evaluate progression-free survival.
* Evaluate overall survival.
OUTLINE: This is a multicenter, phase I dose-escalation study of trastuzumab followed by a phase II study.
Patients receive cetuximab IV over 1-2 hours and trastuzumab IV over 30-90 minutes on day 1. Treatment repeats every 4 weeks for 6 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months.