Clinical trial • Phase IV • Oncology
PERFLUBUTANE for Pancreatic ductal adenocarcinoma | Locally advanced pancreatic cancer | Metastatic pancreatic cancer
Phase IV trial of PERFLUBUTANE for Pancreatic ductal adenocarcinoma | Locally advanced pancreatic cancer | Metastatic pancreatic cancer.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Pancreatic ductal adenocarcinoma | Locally advanced pancreatic cancer | Metastatic pancreatic cancer
- Trial Stage
- Phase IV
- Drug Modality
- Diagnostic agent|Small molecule
Key dates
- Initial CTIS Submission Date
- 21-08-2024
- First CTIS Authorization Date
- 26-09-2024
Trial design
Gemcitabine/Nab-Paclitaxel or FOLFIRINOX treatment alone (comparator) versus the same chemotherapy combined with Sonazoid under ultrasound treatment (intervention). Doses and schedules not specified in Part I/II summary.-controlled Phase IV trial in Norway.
- Comparator
- Gemcitabine/Nab-Paclitaxel or FOLFIRINOX treatment alone (comparator) versus the same chemotherapy combined with Sonazoid under ultrasound treatment (intervention). Doses and schedules not specified in Part I/II summary.
- Target Sample Size
- 60
Eligibility
Recruits 60 No vulnerable populations selected; adults only (≥18 years). Informed consent must be signed by participants; adult subject information and informed consent forms are provided. Data sharing of de-identified participant data is addressed in agreements signed by participants..
- Pregnancy Exclusion
- Patient is pregnant or is breast-feeding.
- Vulnerable Population
- No vulnerable populations selected; adults only (≥18 years). Informed consent must be signed by participants; adult subject information and informed consent forms are provided. Data sharing of de-identified participant data is addressed in agreements signed by participants.
Inclusion criteria
- {"criterion_text":"- A new diagnosis of metastatic or locally advanced pancreatic ductal adenocarcinoma\n- Must be ambulatory with an ECOG performance status between 0 and 2\n- Female patients of child-bearing potential must have a negative urine pregnancy test and use (and agree to continue to use) an effective or highly effective birth control method\n- Male patients with a female partner who is considered of childbearing potential, must agree to use a condom throughout the study and for 6 months after last exposure to the IMPs.\n- Signed informed consent and expected cooperation of the patients for the treatment and follow up must be obtained and documented according to ICH/GCP, and national/local regulations.\n- Patient must be ≥18 years old."}
Exclusion criteria
- {"criterion_text":"- Operable pancreatic cancer\n- Patients that are allergic to any other component of Sonazoid.\n- Patient is allergic to or intolerant of any IMPs included in the chemotherapy regimen that the patient is scheduled for (Gemcitabine/Nab-Paclitaxel or FOLFIRINOX).\n- Patient has any known contraindications to any of the IMPs that the patient is scheduled for. Contraindications are described in the SmPCs.\n- Any reason why, in the opinion of the investigator, the patient should not participate.\n- Patient is pregnant or is breast-feeding.\n- Patient participated in an investigational study within 7 days prior to study entry (or, if longer, within five half-lives of the last dose of any investigational drug).\n- Patient has severe chronic obstructive pulmonary disease,or pulmonary hypertension or unstable cardiopulmonary conditions.\n- Patients who are medically unstable\n- Patient with a history of any psychiatric disorder or cognitive impairment that would interfere with participation in the study.\n- Patient has a known history of HIV infection or active Hepatitis B or Hepatitis C infection.\n- Patient requires dialysis or has severely impaired renal function, defined as estimated Glomerular Filtration Rate (eGFR) < 30 at the Screening Visit.\n- Patient has severe impairment of liver function, defined as a serum albumin level ≤ 25 g/L and/or a Protrombin Time INR > 2.3 (or APTT > 6 seconds above the ULN) or Child Pugh Score C, at the Screening Visit\n- Patients with a history of anaphylactic allergy to eggs or egg products, manifested by one or more of the following symptoms: generalized urticaria, difficulty in breathing, swelling of the mouth and throat, hypotension, or shock. (Subjects with nonanaphylactic allergies to eggs or egg products may be enrolled in the study, but must be watched carefully for 1 h following the administration of Sonazoid)."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Progression free survival based on the RECIST-criteria","definition_or_measurement_approach":"Assessed using RECIST criteria (radiological assessment)."}
Secondary endpoints
- {"endpoint_text":"- Key secondary efficacy endpoint: Overall survival.","definition_or_measurement_approach":"Overall survival measured as time from randomisation/enrolment to death from any cause (not explicitly detailed in document)."}
- {"endpoint_text":"- Time to treatment failure, defined as time from study day 1 to disease progression (RECIST-criteria from CT) and/or rapidly deteriorating ECOG performance status.","definition_or_measurement_approach":"Defined in text: time from study day 1 to disease progression (RECIST by CT) and/or rapidly deteriorating ECOG performance status."}
- {"endpoint_text":"- Number of completed chemotherapy cycles before treatment failure","definition_or_measurement_approach":"Count of completed chemotherapy cycles prior to treatment failure."}
- {"endpoint_text":"- Changes in local disease progression using RECIST-criteria (CT)","definition_or_measurement_approach":"Assessed by CT using RECIST criteria."}
- {"endpoint_text":"- Changes in maximum tumour diameter (CT and ultrasound)","definition_or_measurement_approach":"Measured by CT and ultrasound (change in maximum tumour diameter)."}
- {"endpoint_text":"- Changes in disease progression using primary tumour volume (CT and ultrasound)","definition_or_measurement_approach":"Measured by CT and ultrasound (primary tumour volume changes)."}
Recruitment
- Planned Sample Size
- 60
- Recruitment Window Months
- 60
- Consent Approach
- Signed informed consent required from participants. Subject information and informed consent forms for adults are provided (L1_SIS_and_ICF_adult_FOLF, L1_SIS_and_ICF_adult_GemNab, and biobank ICF). No assent process (adults only). Languages of documents not specified. Data sharing of de-identified data is addressed in agreements signed by participants.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 60
Norway
- Earliest CTIS Part Ii Submission Date
- 09-09-2024
- Latest Decision Or Authorization Date
- 26-09-2024
- Processing Time Days
- 17
- Number Of Sites
- 1
- Number Of Participants
- 60
Sites
- Site Name
- Helse Bergen HF
- Department Name
- Department of Medicine
- Principal Investigator Name
- Odd Helge Gilja
- Principal Investigator Email
- odd.helge.gilja@helse-bergen.no
- Contact Person Name
- Odd Helge Gilja
- Contact Person Email
- odd.helge.gilja@helse-bergen.no
- Number Of Participants
- 60
Sponsor
Primary sponsor
- Full Name
- Helse Bergen HF
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Norway
Investigational products
- Investigational Product Name
- Sonazoid 8 mikroliter per ml pulver og væske til injeksjonsvæske, dispersjon
- Active Substance
- PERFLUBUTANE
- Modality
- Diagnostic agent
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 93.6 µl microlitre(s)
- Investigational Product Name
- Irinotecan Accord 20 mg/ml konsentrat til infusjonsvæske, oppløsning
- Active Substance
- IRINOTECAN HYDROCHLORIDE TRIHYDRATE
- Modality
- Small molecule
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 180 mg/m2
- Investigational Product Name
- Kalsiumfolinat Pfizer 10 mg/ml injeksjonsvæske, oppløsning
- Active Substance
- FOLINIC ACID
- Modality
- Small molecule
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 400 mg/m2
- Investigational Product Name
- Gemkabi 38 mg/ml konsentrat til infusjonsvæske, oppløsning
- Active Substance
- GEMCITABINE HYDROCHLORIDE
- Modality
- Small molecule
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 1000 mg/m2
- Investigational Product Name
- Fluorouracil Accord 50 mg/ml injeksjons-/infusjonsvæske, oppløsning
- Active Substance
- FLUOROURACIL
- Modality
- Small molecule
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 1600 mg/m2
- Investigational Product Name
- Abraxane 5 mg/ml powder for dispersion for infusion.
- Active Substance
- PACLITAXEL ALBUMIN-BOUND
- Modality
- Small molecule
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 125 mg/m2
- Investigational Product Name
- Oksaliplatin SUN 5 mg/ml konsentrat til infusjonsvæske, oppløsning
- Active Substance
- OXALIPLATIN
- Modality
- Small molecule
- Routes Of Administration
- Intravenous infusion
- Route
- Intravenous infusion
- Authorisation Status
- Authorised
- Maximum Dose
- Max daily dose 85 mg/m2
- Combination Treatment
- Yes
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