Clinical trial • Phase I/II • Oncology

ALDESLEUKIN for Pancreatic cancer

Phase I/II trial of ALDESLEUKIN for Pancreatic cancer. Matched, contemporary control patients as the comparator (non-randomized matched controls)..

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Pancreatic cancer
Trial Stage
Phase I/II
Drug Modality
Peptide/protein/enzyme|Small molecule

Key dates

Initial CTIS Submission Date
14-02-2024
First CTIS Authorization Date
17-05-2024

Trial design

Matched, contemporary control patients as the comparator (non-randomized matched controls). Phase I/II trial in Sweden.

Comparator
Matched, contemporary control patients as the comparator (non-randomized matched controls).
Real World Control
Yes
Target Sample Size
50

Eligibility

Recruits 50 No vulnerable population selected; subjects are adults (>18). Written informed consent required from each patient prior to initiation of therapy per institution policies. No assent procedures or paediatric consent described..

Pregnancy Exclusion
A woman of childbearing potential (WOCBP) must agree to comply with using an effective contraceptive method for the duration of the treatment (a WOCBP is a sexually mature woman who is not surgically sterile or has not been naturally postmenopausal for at least 12 consecutive months). Investigators shall counsel WOCBP and male subjects who are sexually active with WOCBP on the importance of pregnancy prevention and the implications of an unexpected pregnancy. Investigators shall advise WOCBP and male subjects who are sexually active with WOCBP on the use of highly effective methods of contraception. Highly effective methods of contraception have a failure rate of < 1% when used consistently and correctly. Local laws and regulations may require use of alternative and/or additional contraception methods. One of the highly effective methods of contraception listed below is required during study duration and until the end of relevant systemic exposure, defined as 5 months after the end of study treatment.
Vulnerable Population
No vulnerable population selected; subjects are adults (>18). Written informed consent required from each patient prior to initiation of therapy per institution policies. No assent procedures or paediatric consent described.

Inclusion criteria

  • {"criterion_text":"- 1.\tPatients must give written informed consent prior to initiation of therapy, in keeping with the policies of the institution."}
  • {"criterion_text":"- 2.\tPatient is a male or female age >18"}
  • {"criterion_text":"- 3.\tBy the surgeons evaluation fit for pancreatic surgery"}
  • {"criterion_text":"- 4.\tSubjects must have radiologic, and/or cytologic confirmation of primary resectable pancreatic or periampullary cancer. Pancreatic ductal adenocarcinoma, ampullary carcinoma and cholangiocarcinoma are the most common forms, but also other rare forms of pancreatic and periampullary cancer may be included."}

Exclusion criteria

  • {"criterion_text":"- 1.\tClass III or IV cardiac disease, hypotension or severe hypertension, vasomotor instability, serious or uncontrolled cardiac dysrhythmias (including ventricular arrhythmias) at any time, acute myocardial infarction within the past 6 months, active uncontrolled angina pectoris or symptomatic arteriosclerotic blood vessel disease."}
  • {"criterion_text":"- 2.\tHistory of uncontrolled seizures, severe central nervous system disorders, or psychiatric disability thought to be clinically significant in the opinion of the Investigator and adversely affecting compliance to protocol."}
  • {"criterion_text":"- 3.\tOngoing treatment with immunomodulating medication, i.e. corticosteroids."}
  • {"criterion_text":"- 4.\tOngoing active peptic ulcer."}
  • {"criterion_text":"- 5.\tOngoing asthma."}
  • {"criterion_text":"- 6.\tAny other condition or symptoms preventing the patient from entering the study, according to the PI's judgement."}
  • {"criterion_text":"- 7.\tA woman of childbearing potential (WOCBP) must agree to comply with using an effective contraceptive method for the duration of the treatment (a WOCBP is a sexually mature woman who is not surgically sterile or has not been naturally postmenopausal for at least 12 consecutive months). Investigators shall counsel WOCBP and male subjects who are sexually active with WOCBP on the importance of pregnancy prevention and the implications of an unexpected pregnancy. Investigators shall advise WOCBP and male subjects who are sexually active with WOCBP on the use of highly effective methods of contraception. Highly effective methods of contraception have a failure rate of < 1% when used consistently and correctly. Local laws and regulations may require use of alternative and/or additional contraception methods. One of the highly effective methods of contraception listed below is required during study duration and until the end of relevant systemic exposure, defined as 5 months after the end of study treatment."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The safety and tolerability of the treatment will be evaluated by the assessment of all adverse events (AEs) occurring during treatment—both those considered treatment-related and unrelated. Adverse events will be collected from Cycle 1 Day 1 through the final study visit and will be graded for severity according to the NCI-CTCAE, version 5.0. Safety will also be evaluated by clinical laboratory tests, physica","definition_or_measurement_approach":"Adverse events collected from Cycle 1 Day 1 through final study visit and graded for severity according to NCI-CTCAE v5.0; safety also evaluated by clinical laboratory tests (text truncated in source)."}

Secondary endpoints

  • {"endpoint_text":"- Secondary Efficacy Variables: Progression-free survival and overall survival","definition_or_measurement_approach":"Progression-free survival and overall survival are listed as efficacy variables; no further measurement definitions provided in the source."}
  • {"endpoint_text":"- Secondary Outcome Biomarker Variables: •\tNK cell subsets in blood, including immature (CD16-) and cytotoxic (CD16+) subsets, activation markers, natural cytotoxicity receptors including NKp30, NKp46 and NKG2D, killer-immunoglobulin receptors. •\tT cell subsets including CD4+/25 regulatory T cells and naive, central memory, effector memory and effector CD8+ T cells","definition_or_measurement_approach":"Lists biomarker measurements to include NK cell subsets and T cell subsets in blood; no specific assay methods or timepoints provided in the source."}
  • {"endpoint_text":"- continuation Secondary Outcome: Biomarker Variables: •\tMyeloid cell populations including granulocytes and monocytes, MDSC, dendritic cells, activation markers, PD-L1, PD-L2 and related immune biomarkers. •\tSerum CA 19-9 •\tSerum levels of cytokines, chemokines and other soluble mediators of inflammation •\tAmount of tumor-infiltrating lymphocytes (TILs) and tumor-infiltrating myeloid cells","definition_or_measurement_approach":"Lists additional biomarker variables including myeloid populations, serum CA 19-9, cytokines/chemokines, and tumor-infiltrating immune cells; no specific measurement methods provided in the source."}

Recruitment

Planned Sample Size
50
Recruitment Window Months
57
Consent Approach
Written informed consent required from patients prior to initiation of therapy, in keeping with institution policies. Subjects are adults (>18). No further details on assent, age-specific documents, or languages are provided.

Geography

Total Number Of Sites
1
Total Number Of Participants
50

Sweden

Earliest CTIS Part Ii Submission Date
29-04-2024
Latest Decision Or Authorization Date
17-05-2024
Processing Time Days
18
Number Of Sites
1
Number Of Participants
50

Sites

Site Name
Sahlgrenska University Hospital-Vastra Gotalandsregionen
Department Name
Dept of Surgery, Blå stråket 5, vån 2, 413 45 Sahlgrenska
Principal Investigator Name
Svein Olav Bratlie
Principal Investigator Email
svein.olav.bratlie@vgregion.se
Contact Person Name
Svein Olav Bratlie
Contact Person Email
svein.olav.bratlie@vgregion.se

Sponsor

Primary sponsor

Full Name
Vaestra Goetalandsregionen
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
PROLEUKIN® 18 x 106 IU Powder for solution for injection or infusion
Active Substance
ALDESLEUKIN
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Marketing authorisation: PL 31644/0003
Investigational Product Name
Ceplene 0.5 mg/0.5 mL solution for injection
Active Substance
HISTAMINE DIHYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Marketing authorisation: EU/1/08/477/001
Combination Treatment
Yes

Related trials

Other published trials that may interest you.