Study With Gemcitabine and RTA 402 for Patients With Unresectable Pancreatic Cancer

NCT ID: NCT00529113

Last Updated: 2025-05-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2009-11-01

Brief Summary

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This study assesses the safety and efficacy of RTA 402 in combination with gemcitabine in patients with unresectable pancreatic cancer.

Detailed Description

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Phase I will be conducted to determine the MTD of RTA 402 (administered orally Days 1-21 or Days 1-28 of a 28-day cycle) in combination with gemcitabine (1000 m/m2). Gemcitabine will be administered as an intravenous infusion on Days 1, 8, and 15 of each 28-day cycle.

The phase II portion of the study will be randomized, and double-blinded. Phase II will utilize the RTA 402 MTD determined in Phase I; Arm 1 will consist of gemcitabine + RTA 402. RTA 402 capsules will administered orally Days 1-21 of each 28-day cycle (or Days 1-28 if appropriate, based on phase I results); gemcitabine (1000 mg/m2) will be administered as an intravenous infusion on Days 1, 8, and 15 of each 28-day cycle in each Arm. Arm 2 will consist of gemcitabine + placebo, placebo capsules will be taken orally Days 1-21 of each 28-day cycle (or Days 1-28 if appropriate, based on phase I results). Both treatment arms are 4-weeks in length.

The study was conceived with both a Phase I and Phase II portion as described above; however, only the Phase I portion was completed. The trial was terminated in 2009 before the Phase II portion could begin.

Conditions

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Pancreatic Neoplasms Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1 Cohort 1

Bardoxolone methyl 150 mg/day x 21 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl capsules (150 mg/day) for 21 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 1 Cohort 2

Bardoxolone methyl 300 mg /day for 21 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl capsules (300 mg/day) for 21 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 1 Cohort 3

Bardoxolone methyl 150 mg/day for 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl capsules (150 mg/day) for 28 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 1 Cohort 4

Bardoxolone methyl 200 mg/day for 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl capsules (200 mg/day) for 28 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 1 Cohort 5

Bardoxolone methyl 250 mg/day for 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl capsules (250 mg/day) for 28 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 1 Cohort 6

Bardoxolone methyl 300 mg/day x 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxlone methyl capsules (300 mg/day) x 28 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 1 Cohort 7

Bardoxolone methyl 350 mg/day x 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl capsules (350 mg/day) x 28 days

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Phase 2 Cohort 1

Bardoxolone methyl maximum tolerated dose(as determined in the Phase 1 portion of the study)/day x 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type EXPERIMENTAL

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Bardoxolone methyl

Intervention Type DRUG

Bardoxolone methyl maximum tolerated dose (as determined in the Phase 1 portion of the study)/day x 28 days

Phase 2 Cohort 2

Placebo capsules/day x 28 days and gemcitabine (1000 mg/m2 by intravenous infusion on Days 1, 9, and 15)

Group Type PLACEBO_COMPARATOR

Gemcitabine

Intervention Type DRUG

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Placebo

Intervention Type DRUG

Placebo capsules x 28 days

Interventions

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Bardoxolone methyl

Bardoxolone methyl capsules (150 mg/day) for 21 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxolone methyl capsules (300 mg/day) for 21 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxolone methyl capsules (150 mg/day) for 28 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxolone methyl capsules (200 mg/day) for 28 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxolone methyl capsules (250 mg/day) for 28 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxlone methyl capsules (300 mg/day) x 28 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxolone methyl capsules (350 mg/day) x 28 days

Intervention Type DRUG

Gemcitabine

1,000 mg/m2 administered as an intravenous infusion on days 1, 8, and 15

Intervention Type DRUG

Placebo

Placebo capsules x 28 days

Intervention Type DRUG

Bardoxolone methyl

Bardoxolone methyl maximum tolerated dose (as determined in the Phase 1 portion of the study)/day x 28 days

Intervention Type DRUG

Other Intervention Names

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RTA 402 RTA 402 RTA 402 RTA 402 RTA 402 RTA 402 RTA 402 Gemzar RTA 402

Eligibility Criteria

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Inclusion Criteria

* Phase I patients should have treatment naïve pancreatic cancer; however , Phase I patients who have had 1 prior regimen consisting of adjuvant chemo-radiation or adjuvant gemcitabine - as defined within the NCCN guidelines may be enrolled. Phase II patients must have metastatic disease (Stage IV only).
* Karnofsky performance status of \>70%
* Adequate liver function. (total bilirubin ≤ 1.5 mg/dL and AST(SGOT) and ALT(SGPT) of \< 2.5 ULN ( ≤ 5 ULN for Phase II patients with liver metastases), Serum Creatinine \< 1.5 ULN
* Adequate bone marrow function as documented by the following laboratory test results within 14 days of starting therapy. platelets ≥100,000/mm3, absolute neutrophil count (ANC) ≥1500/mm3, hemoglobin ≥9.0 g/dL, white blood cell (WBC) count ≥3000 /mm3
* Practice effective contraception during the entire study period.
* Life expectancy of more than 3 months.
* Able and willing to sign the informed consent form.
* Willing and able to self-administer orally and document all doses of RTA 402 ingested.

Exclusion Criteria

* Prior treatment for current malignancy outside of the adjuvant setting for Phase I
* Inability to swallow tablets or capsules
* Active brain metastases or primary central nervous system (CNS) malignancies. (Patients with a previously treated brain metastasis may be included.)
* Active second malignancy
* Ten percent or greater weight loss over the 6 weeks before study entry.
* Pregnant or breast feeding
* Clinically significant illnesses which could compromise participation in the study, including, but not limited to: Uncontrolled diabetes; Active or uncontrolled infection; Acute or chronic liver disease; Confirmed diagnosis of Human immunodeficiency virus (HIV) infection; Uncontrolled hypertension, symptomatic congestive heart failure, unstable angina pectoris, myocardial infarction within the past 6 months, or uncontrolled cardiac arrhythmia.
* Psychiatric illness that would limit compliance with study requirements.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Rocky Mountain Cancer Center (US Oncology)

Denver, Colorado, United States

Site Status

Cancer Centers of Florida (US Oncology)

Ocoee, Florida, United States

Site Status

Central Indiana Cancer Centers (US Oncology)

Indianapolis, Indiana, United States

Site Status

Sammons Cancer Center (US Oncology)

Dallas, Texas, United States

Site Status

Northwest Cancer Specialist- Vancouver Cancer Specialist (US Oncology)

Vancouver, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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402-C-0702

Identifier Type: -

Identifier Source: org_study_id

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