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
- Contact Person Email
- medischeoncologiesecretariaat@onco.umcg.nl
- 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
- Contact Person Email
- medonc-trialbureau@amsterdamumc.nl
- 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
- Contact Person Email
- HaberkornB@maasstadziekenhuis.nl
- 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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