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
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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