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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