Clinical trial • Phase IV • Oncology
Pyruvic acid for Pancreatic adenocarcinoma | Pancreatic cancer
Phase IV trial of Pyruvic acid for Pancreatic adenocarcinoma | Pancreatic cancer. 16 participants.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Pancreatic adenocarcinoma | Pancreatic cancer
- Trial Stage
- Phase IV
- Drug Modality
- Diagnostic agent
Key dates
- Initial CTIS Submission Date
- 22-08-2024
- First CTIS Authorization Date
- 13-09-2024
Trial design
Phase IV trial across 1 site in Denmark.
- Target Sample Size
- 16
Eligibility
Recruits 16 Vulnerable populations not selected (isVulnerablePopulationSelected: false). Participants must be able and willing to give informed consent as reflected by inclusion criterion: 'Able and willing to comply after informed consent'..
- Pregnancy Exclusion
- Women who are not postmenopausal or surgically sterile must have a negative serum or urin pregnancy test performed at time of inclusion in the study. Safe and highly effective contraception must be used throughout the study meaning either hormonal anti-conception or an anti-fertility intrauterine device. If the partner is non fertile or the patient has no sexual activities, this is also accepted.
- Vulnerable Population
- Vulnerable populations not selected (isVulnerablePopulationSelected: false). Participants must be able and willing to give informed consent as reflected by inclusion criterion: 'Able and willing to comply after informed consent'.
Inclusion criteria
- {"criterion_text":"- Patients with inoperable (metastatic, locally advanced or localised)or relapsedhistologically or cytologically verified pancreatic adenocarcinoma"}
- {"criterion_text":"- Scheduled for first-line palliative chemotherapy of any type or having received at least 4 cycles of chemotherapy"}
- {"criterion_text":"- At least 18 years of age"}
- {"criterion_text":"- WHO performance status 0-2"}
- {"criterion_text":"- Adequate hematologic and organ function, i.e. ANC at least 1.500/uL Platlet count >100/uL Se bilirubin <1.5 UNL ASAT, ALAT and AP up to 2.5 x UNL, up to 5 x UNL with liver metastases Se creatinine up to 1.5 x UNL or creatinine clearance at least 30 ml/min INR and aPTT at most 1.5 x UNL, except for patients on AK treatment"}
- {"criterion_text":"- Women who are not postmenopausal or surgically sterile must have a negative serum or urin pregnancy test performed at time of inclusion in the study. Safe and highly effective contraception must be used throughout the study meaning either hormonal anti-conception or an anti-fertility intrauterine device. If the partner is non fertile or the patient has no sexual activities, this is also accepted."}
- {"criterion_text":"- Danish speaking"}
- {"criterion_text":"- Able and willing to comply after informed consent"}
Exclusion criteria
- {"criterion_text":"- Contraindications to contrast enhanced MRI"}
- {"criterion_text":"- Predicted remaining survival <3 months"}
- {"criterion_text":"- Contraindication to contrast enhanced CT"}
- {"criterion_text":"- Not able or willing to receive chemotherapy"}
- {"criterion_text":"- Patients not willing to participate"}
- {"criterion_text":"- Uncontrolled serious medical condition, such as uncontrolled heart disease, uncontrolled diabetes, intestinal obstruction, uncontrolled hypertension, or recent cerebral ischemia or cardiac events"}
- {"criterion_text":"- Previous or current radiotherapy or chemotherapy"}
- {"criterion_text":"- History of acute or chronic pancreatitis"}
- {"criterion_text":"- Acute or chronic liver disease incl. cirrhosis"}
- {"criterion_text":"- Intolerant to Pyruvate"}
Endpoints
Primary endpoints
- {"endpoint_text":"- C13-Pyruvate spectroscopy imaging generates spectroscopic parameters (quantitative data for lactate, pyruvate, arginine and HCO3-). These will be projected 07-07-22 Projektbeskrivelse: MR-hyperpolarization 8. Version. Page 25 into a high-resolution anatomical image. The quantitative numerical data will be given as ratios, e.g. lactate/pyruvate-ratio, which gives us the possibility to perform comparisons between non-tumor vs. tumor tissue and pre-chemo vs. post-chemo.","definition_or_measurement_approach":"Spectroscopic parameters (quantitative data for lactate, pyruvate, arginine and HCO3-) obtained from C13-pyruvate spectroscopy imaging, projected into high-resolution anatomical images; quantitative data reported as ratios (e.g. lactate/pyruvate) for comparisons between non-tumor vs. tumor tissue and pre- vs. post-chemotherapy."}
Recruitment
- Planned Sample Size
- 16
- Recruitment Window Months
- 76
- Consent Approach
- Informed consent required from each participant ('Able and willing to comply after informed consent'). Participants must be Danish speaking (inclusion criterion 'Danish speaking'), indicating consent procedures/documents in Danish.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 16
Denmark
- Earliest CTIS Part Ii Submission Date
- 06-09-2024
- Latest Decision Or Authorization Date
- 25-09-2025
- Processing Time Days
- 384
- Number Of Sites
- 1
- Number Of Participants
- 16
Sites
- Site Name
- Aarhus Universitetshospital
- Department Name
- Kræftafdeling
- Contact Person Name
- Britta Weber
- Contact Person Email
- britwebe@rm.dk
Sponsor
Primary sponsor
- Full Name
- Aarhus Universitet
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Aarhus Universitet","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Educational Institution"}
Investigational products
- Investigational Product Name
- Hyperpolarized [1-13C]pyruvate
- Active Substance
- Pyruvic acid
- Modality
- Diagnostic agent
- Routes Of Administration
- Intravenous
- Route
- Intravenous
- Authorisation Status
- prodAuthStatus: 1
- Maximum Dose
- maxDailyDoseAmount 250 (unit: mmol/l) ; maxTotalDoseAmount 500 (unit: mmol/l)
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