Clinical trial • Phase III • Oncology
BLEOMYCIN for Unresectable pancreatic cancer
Phase III trial of BLEOMYCIN for Unresectable pancreatic cancer. None/Not specified-controlled. 73 participants.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Unresectable pancreatic cancer
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 02-07-2024
- First CTIS Authorization Date
- 09-08-2024
Trial design
None/Not specified-controlled Phase III trial in Poland.
- Comparator
- None/Not specified
- Target Sample Size
- 73
Eligibility
Recruits 73 Vulnerable population selected in trial metadata. Informed consent requirement specified: "Written informed consent" (inclusion). Exclusion includes "Inability to give consent in writing". No details provided about assent procedures or age-specific consent documents in the available records..
- Pregnancy Exclusion
- Pregnant or lactating women
- Vulnerable Population
- Vulnerable population selected in trial metadata. Informed consent requirement specified: "Written informed consent" (inclusion). Exclusion includes "Inability to give consent in writing". No details provided about assent procedures or age-specific consent documents in the available records.
Inclusion criteria
- {"criterion_text":"- Age over 18 years (male and female)\n- Written informed consent\n- Histopathological confirmed adenocarcinoma of the pancreas (intraoperative examination possible)\n- Lesion defined as unresectable (infiltration of mesenteric or portal vein exceeding 180 degrees or its thrombosis, infiltration of the hepatic artery, celiac artery or superior mesenteric artery) on abdominal CT/MRI not older than 60 days (stage III), or patients after resection with local recurrence of the neoplastic process\n- Tumor size not larger than 6 cm on a CT/MRI scan not older than 60 days\n- Patients undergoing chemotherapy or patients with a \"de novo\" diagnosis of pancreatic cancer\n- ECOG performance status: 0,1 or 2"}
Exclusion criteria
- {"criterion_text":"- Age under 18 years\n- Inability to give consent in writing\n- Pregnant or lactating women\n- Significant cardiac abnormality (rhythm other than sinus rhythm).\n- Patients with pacemakers or any implanted stimulation device\n- Allergy to contrast media that would compromise the ability to perform imaging after surgery\n- Documented history of allergy to bleomycin\n- Documented history of pulmonary fibrosis\n- Patient with metastatic stage IV disease\n- INR > 1,5 without use of anticoagulants\n- Body temperature >38°C or any infection requiring antibiotic therapy within 24 hours prior to study treatment. 12. Overuse or addiction to alcohol, drugs or any other substances (caffeine and nicotine excluded)\n- Any circumstances, that in the Investigator's judgement may prevent the patient from participating in the study, undergoing the study assessments in accordance with the protocol or bear unjustified risk to the patient"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Progression-free survival (PFS) defined as the time from initiation of study treatment to the first occurrence of disease progression or death from any cause, whichever occurs first.","definition_or_measurement_approach":"Defined as the time from initiation of study treatment to the first occurrence of disease progression or death from any cause, whichever occurs first."}
Secondary endpoints
- {"endpoint_text":"- Patient overall survival (OS) defined as the proportion of patients remaining alive from the initiation of study treatment until the last follow-up visit.","definition_or_measurement_approach":"Defined as the proportion of patients remaining alive from initiation of study treatment until the last follow-up visit."}
- {"endpoint_text":"- Body weight change in predefined timepoints","definition_or_measurement_approach":"Change in body weight measured at predefined timepoints (timepoints described in schedule of assessments)."}
- {"endpoint_text":"- Pain level (VAS scale)","definition_or_measurement_approach":"Pain assessed using the Visual Analog Scale (VAS)."}
- {"endpoint_text":"- Quality of life EORTC QLQ-PAN26 and WHOQOL-BREF","definition_or_measurement_approach":"Quality of life measured using EORTC QLQ-PAN26 and WHOQOL-BREF instruments."}
- {"endpoint_text":"- Exploratory endpoints: 1. Levels of biomarkers (Ca 19-9 in 1,4, 6 days after surgery [+/- 1 day] and during standard follow-up visits) 2. Changes in morphology and biochemistry panel (including but not limited to, albumin, protein, lipase, amylase levels, CRP, procalcitonin) at the timepoints described by schedule of assessments. 3. Progression-free survival (PFS) defined as the time from the diagnosis","definition_or_measurement_approach":"Exploratory biomarker levels (Ca 19-9) measured at days 1, 4, 6 post-surgery (+/-1 day) and during follow-up; morphology and biochemistry panels measured at schedule timepoints; includes a PFS definition referenced from diagnosis in exploratory context."}
Other endpoints
- {"endpoint_text":"- Exploratory endpoints: 1. Levels of biomarkers (Ca 19-9 in 1,4, 6 days after surgery [+/- 1 day] and during standard follow-up visits) 2. Changes in morphology and biochemistry panel (including but not limited to, albumin, protein, lipase, amylase levels, CRP, procalcitonin) at the timepoints described by schedule of assessments. 3. Progression-free survival (PFS) defined as the time from the diagnosis","definition_or_measurement_approach":"Biomarker measurement (Ca 19-9) at specified post-surgery days and follow-up visits; morphology and biochemistry panels measured per schedule of assessments; includes exploratory PFS defined as time from diagnosis (as stated)."}
Recruitment
- Planned Sample Size
- 73
- Recruitment Window Months
- 64
- Consent Approach
- Written informed consent required (document listed: L1_ICF_v2_adult_2023_03_07). Consent provided by adult participants; no information provided on assent or minor consent forms or languages available.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 73
Poland
- Earliest CTIS Part Ii Submission Date
- 15-07-2024
- Latest Decision Or Authorization Date
- 09-08-2024
- Processing Time Days
- 25
- Number Of Sites
- 1
- Number Of Participants
- 73
Sites
- Site Name
- Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
- Department Name
- Klinika Chirurgii Ogólnej i Chirurgii Onkologicznej
- Principal Investigator Name
- Wojciech Kielan
- Principal Investigator Email
- irec@usk.wroc.pl
- Contact Person Name
- Wojciech Kielan
- Contact Person Email
- irec@usk.wroc.pl
Sponsor
Primary sponsor
- Full Name
- Wroclaw Medical University
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Poland
Contract research organisations
- Name
- Biostat Sp. z o.o.
- Responsibilities
- sponsorDuties codes: 1,5,8; contact email: esawicka@biostat.com.pl; phone: 530751185
Third parties
- {"country":"Poland","full_name":"Biostat Sp. z o.o.","duties_or_roles":"sponsorDuties codes: 1,5,8; contact email: esawicka@biostat.com.pl; phone: 530751185","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Bleomedac 15000 IU (wg Farmakopei Europejskiej) = 15 U (wg Farmakopei Amerykańskiej)/fiolkę, proszek do sporządzania roztworu do wstrzykiwań
- Active Substance
- BLEOMYCIN
- Modality
- Small molecule
- Routes Of Administration
- INJECTION
- Route
- INJECTION
- Authorisation Status
- Marketing authorisation present (marketingAuthNumber: 18924)
- Maximum Dose
- 15000 IU (maxTotalDoseAmount: 15000, doseUom: IU)
- Investigational Product Name
- CALCIUM CHLORATUM WZF, 67 mg/ml, roztwór do wstrzykiwań
- Active Substance
- CALCIUM CHLORIDE DIHYDRATE
- Modality
- Small molecule
- Routes Of Administration
- INTRATUMORAL USE
- Route
- INTRATUMORAL USE
- Authorisation Status
- Marketing authorisation present (marketingAuthNumber: 4771)
- Maximum Dose
- 1 (maxTotalDoseAmount: 1, doseUom: g/m3)
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