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
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