Clinical trial • Phase III • Oncology

PACLITAXEL ALBUMIN-BOUND for Metastatic pancreatic cancer

Phase III trial of PACLITAXEL ALBUMIN-BOUND for Metastatic pancreatic cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic pancreatic cancer
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
02-10-2024
First CTIS Authorization Date
28-10-2024

Trial design

Immediate start of chemotherapy versus delayed start of chemotherapy (patient preference cohort); specific drug/dose/schedule not specified in CTIS data.-controlled Phase III trial in Netherlands.

Comparator
Immediate start of chemotherapy versus delayed start of chemotherapy (patient preference cohort); specific drug/dose/schedule not specified in CTIS data.
Target Sample Size
184

Eligibility

Recruits 184 Vulnerable population not selected. Participants must provide a signed, written IRB/EC-approved informed consent form. Age requirement ≥ 18 years. No assent or minor/parental consent procedures are specified..

Pregnancy Exclusion
Women currently pregnant or breastfeeding.
Vulnerable Population
Vulnerable population not selected. Participants must provide a signed, written IRB/EC-approved informed consent form. Age requirement ≥ 18 years. No assent or minor/parental consent procedures are specified.

Inclusion criteria

  • {"criterion_text":"- Signed, written Institutional Review Board/Ethics Committee-approved Informed Consent Form (ICF)."}
  • {"criterion_text":"- No prior chemotherapy for metastatic disease (patients might have received adjuvant treatment more than 6 months before the development of metastatic disease, or neoadjuvant treatment before surgery for resectable disease)"}
  • {"criterion_text":"- Patients with histologically/cytological confirmed diagnosis of metastatic pancreatic ductal adenocarcinoma."}
  • {"criterion_text":"- Measurable disease on computed tomography (CT) scan per RECIST version 1.1 criteria."}
  • {"criterion_text":"- Eastern Cooperative Oncology Group Performance Status of 0-1"}
  • {"criterion_text":"- Life expectancy ≥ 3 months."}
  • {"criterion_text":"- Age ≥ 18 years"}
  • {"criterion_text":"- A negative urine or serum pregnancy test within 7 days before Day 1 (first dose of study medication) if female subject is of childbearing potential."}
  • {"criterion_text":"- Screening clinical laboratory values as follows: a. Absolute neutrophil count > 1.5 x 109 /L b. Total bilirubin ≤ 1.5 times upper limit of normal (ULN). c. Aspartate aminotransferase and alanine aminotransferase ≤ 2.5 times ULN, (if liver metastases are present, then ≤ 5 times ULN is allowed). d. Serum creatinine < 1.5 x ULN or creatinine clearance >50 mL/min/1.73 m2 e. Prothrombin time/international normalized ratio within normal limits (± 15%) or within therapeutic range if subject takes warfarin. Partial thromboplastin time (PTT) within normal limits (± 15%). f. Platelet count > 100,000 x 109 /L"}
  • {"criterion_text":"- No symptoms related to advanced disease, specified as: a. no pain requiring regular narcotic analgesics; b. no weight loss over 5 kg (unless related to surgery or other illness); c. no persistent nausea requiring medication; d. no obstructive bowel symptoms; e. no persistent fever related to metastatic cancer; f. no other symptom which in the opinion of the clinician was due to progressive metastatic cancer."}

Exclusion criteria

  • {"criterion_text":"- Known central nervous system involvement or brain metastases."}
  • {"criterion_text":"- New York Heart Association Class III or IV cardiac disease or myocardial infarction within the past 12 months"}
  • {"criterion_text":"- Any other disease, active, uncontrolled bacterial, viral or fungal infection requiring systemic therapy, metabolic dysfunction, physical examination finding or clinical laboratory finding that leads to reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, that may affect the interpretation of the results, or that may render the subject at high risk for treatment complications."}
  • {"criterion_text":"- Inability to comply with study and follow-up procedures as judged by the Investigator."}
  • {"criterion_text":"- Women currently pregnant or breastfeeding."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Quality Adjusted Overall Survival","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Time to disease progression after inclusion (Restricted mean progression free survival (RM-PFS): area under the Kaplan-Meier PFS curve between inclusion and maximum follow-up of the study, estimated 12 months)","definition_or_measurement_approach":"Restricted mean progression free survival (RM-PFS): area under the Kaplan-Meier PFS curve between inclusion and maximum follow-up of the study, estimated 12 months"}
  • {"endpoint_text":"- Quality adjusted Progression Free Survival (PFS)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Overall survival (in months)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Duration of time without symptoms of disease progression or toxicities (TWiST)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Adverse events according to NCI CTC version 5.0","definition_or_measurement_approach":"Adverse events will be assessed according to NCI Common Terminology Criteria for Adverse Events (CTC) version 5.0"}
  • {"endpoint_text":"- Change in CA 19.9","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
184
Recruitment Window Months
72
Consent Approach
Signed, written Institutional Review Board/Ethics Committee-approved Informed Consent Form required from participant. Minimum age ≥ 18 years. Subject information and ICF document present (L1_SIS and ICF Main). No assent or minor consent procedures are described.

Geography

Total Number Of Sites
14
Total Number Of Participants
184

Netherlands

Earliest CTIS Part Ii Submission Date
01-10-2024
Latest Decision Or Authorization Date
28-10-2024
Processing Time Days
27
Number Of Sites
14
Number Of Participants
184

Sites

Site Name
St. Antonius Ziekenhuis
Department Name
medische oncologie
Contact Person Name
M. Los
Contact Person Email
m.los@antoniusziekenhuis.nl
Site Name
Medisch Spectrum Twente
Department Name
medische oncologie
Contact Person Name
L. Mekenkamp
Contact Person Email
oncologischcentrum@mst.nl
Site Name
Isala Klinieken Stichting
Department Name
Medische Oncologie
Contact Person Name
J.W.B. de Groot
Contact Person Email
oncologisch.centrum@isala.nl
Site Name
Alrijne Zorggroep Stichting
Department Name
Medische oncologie
Contact Person Name
L. Spierings
Contact Person Email
leaspierings@alrijne.nl
Site Name
Diakonessenhuis Stichting
Department Name
Medische Oncologie
Contact Person Name
L. van Leeuwen
Contact Person Email
lvleeuwen@diakhuis.nl
Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
medische oncologie
Contact Person Name
m. Homs
Contact Person Email
m.homs@erasmusmc.nl
Site Name
Amphia Hospital
Department Name
medische oncologie
Contact Person Name
m. Streppel
Contact Person Email
mstreppel@amphia.nl
Site Name
Universitair Medisch Centrum Groningen
Department Name
Medische Oncologie
Contact Person Name
D. de Groot
Site Name
Academisch Ziekenhuis Maastricht
Department Name
Medische Oncologie
Contact Person Name
J. de Vos
Contact Person Email
poli.oncologie@mumc.nl
Site Name
Jeroen Bosch Ziekenhuis Stichting
Department Name
medische oncologie
Contact Person Name
M. Wumkes
Contact Person Email
wetenschap@jbz.nl
Site Name
Amsterdam UMC Stichting
Department Name
medische oncologie
Contact Person Name
J.W. Wilmink
Site Name
Meander Medisch Centrum
Department Name
medische oncologie
Contact Person Name
G. Cirkel
Contact Person Email
GA.Cirkel@meandermc.nl
Site Name
Maasstad Ziekenhuis Stichting
Department Name
Medische Oncologie
Contact Person Name
B. Haberkorn
Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Interne Geneeskunde
Contact Person Name
S. Luelmo
Contact Person Email
S.A.C.Luelmo@lumc.nl

Sponsor

Primary sponsor

Full Name
Amsterdam UMC
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Abraxane 5 mg/ml powder for dispersion for infusion.
Active Substance
PACLITAXEL ALBUMIN-BOUND
Modality
Small molecule
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation number present)
Maximum Dose
125 mg/m2
Investigational Product Name
Campto 20 mg/ml, concentraat voor oplossing voor infusie
Active Substance
IRINOTECAN HYDROCHLORIDE TRIHYDRATE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation number present)
Maximum Dose
180 mg/m2
Investigational Product Name
Gemcitabine Accord 100 mg/ml Concentraat voor Oplossing voor Infusie
Active Substance
GEMCITABINE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation number present)
Maximum Dose
1000 mg/m2 (per administration); max total 3000 mg/m2
Investigational Product Name
5-Fluorouracil Sandoz 50 mg/ml koncentrátum oldatos infúz ióhoz
Active Substance
FLUOROURACIL
Modality
Small molecule
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation number present)
Maximum Dose
1400 mg/m2
Investigational Product Name
Oxaliplatine SUN 5 mg/ml, concentraat voor oplossing voor infusie
Active Substance
OXALIPLATIN
Modality
Small molecule
Routes Of Administration
INTRAVENOUS ADMINISTRATION
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation number present)
Maximum Dose
85 mg/m2

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