A Randomized Study of Amplimexon (Imexon) With Gemcitabine in Pancreatic Cancer

NCT ID: NCT00637247

Last Updated: 2019-03-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2010-06-30

Brief Summary

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The purpose of this study is to determine if imexon in combination with gemcitabine could improve overall survival as compared to gemcitabine alone in subjects with pancreatic cancer that has spread to other organs such as the liver or lungs. The study will also look at the safety of the combination as compared to gemcitabine alone. Participants in the study will be randomly assigned to either treatment and neither the participant or their doctors will know which treatment they will be receiving.

Detailed Description

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Conditions

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Pancreatic Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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imexon + gemcitabine

imexon + gemcitabine

Group Type EXPERIMENTAL

imexon in combination with gemcitabine

Intervention Type DRUG

875 mg/m\^2 imexon IV + 1000 mg/m\^2 gemcitabine IV

Placebo + gemcitabine

Placebo in combination with gemcitabine

Group Type ACTIVE_COMPARATOR

imexon placebo + gemcitabine

Intervention Type DRUG

imexon placebo IV + 1000 mg/m\^2 gemcitabine IV

Interventions

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imexon in combination with gemcitabine

875 mg/m\^2 imexon IV + 1000 mg/m\^2 gemcitabine IV

Intervention Type DRUG

imexon placebo + gemcitabine

imexon placebo IV + 1000 mg/m\^2 gemcitabine IV

Intervention Type DRUG

Other Intervention Names

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Amplimexon, Gemzar Gemzar

Eligibility Criteria

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Inclusion Criteria

1. Patients with histologically or cytologically confirmed, chemotherapy naive, metastatic pancreatic adenocarcinoma (Stage IV). This does not include patients with only locally advanced pancreatic cancer.
2. At least one unidimensional measurable metastatic lesion by contrast enhanced CT scan (or MRI in patients ineligible for contrast enhanced CT) that are outside any prior radiation port.
3. Age at least 18 years.
4. ECOG performance status 0 or 1.
5. No prior chemotherapy or radiation therapy.
6. Projected life expectancy at least 2 months.
7. If female, neither pregnant nor lactating.
8. If of child bearing potential must agree to, and be able to use adequate contraception.
9. Concomitant disease: No respiratory insufficiency requiring oxygen therapy; no angina at rest; no myocardial infarction in previous 3 months; no life threatening ventricular arrhythmias. No uncompensated CHF or NY Heart Association class 3 or 4 cardiac disease.
10. No other concurrent active malignancy.
11. No infection requiring parenteral antibiotic therapy at the start of protocol treatment.
12. Laboratory values within the following criteria:

Hgb greater than or equal to 9 gm/dL WBC greater than or equal 3,500/mm\^3 ANC greater than or equal 1,500/mm\^3 Platelet count greater than or equal 100,000/mm\^3 Creatinine greater than or equal 2.0 Bilirubin less than or equal to 2.0 Hepatic enzymes (AST, ALT) less than or equal 3 times upper limit of normal (ULN)
13. G6PD level greater than or equal lower limit of normal (LLN).
14. Able to render informed consent and follow protocol requirements.

Exclusion Criteria

1. Patients with locally advanced, non-metastatic pancreas cancer (Stage III or below).
2. Age less than 18 years.
3. ECOG performance status 2 or greater.
4. Prior anticancer drug therapy for metastatic disease.
5. Ascites.
6. Prior abdominal or thoracic surgery \< 4 weeks before the start of therapy.
7. Current or prior brain metastases. Brain MRI or CT required pre-registration only if the patient has CNS symptoms indicating a need for evaluation.
8. Life expectancy projected less than 2 months.
9. Pregnancy or lactation.
10. Unable or unwilling to utilize medically acceptable contraception if of childbearing potential.
11. Laboratory parameters outside of specified ranges, (see above).
12. Infection requiring parenteral antibiotics.
13. NY Heart Association stage 3 or 4 heart disease.
14. Unable to render informed consent.
15. Failure to meet any of the eligibility criteria as outlined above.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AmpliMed Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Evan Hersh, MD

Role: STUDY_DIRECTOR

AmpliMed Corporation

Steven Cohen, MD

Role: PRINCIPAL_INVESTIGATOR

Fox Chase Cancer Center

Locations

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Birmingham Hematology and Oncology- US Oncology

Birmingham, Alabama, United States

Site Status

AZ Onc Associates D.B.A. Hematology Oncology- US Oncology

Tucson, Arizona, United States

Site Status

Arizona Clinical Research Center

Tucson, Arizona, United States

Site Status

Rocky Mountain Cancer Center- US Oncology

Denver, Colorado, United States

Site Status

Ocala Oncology Center- US Oncology

Ocala, Florida, United States

Site Status

Cancer Centers of Florida- US Oncology

Orlando, Florida, United States

Site Status

Peachtree Hematology and Oncology Consultants

Atlanta, Georgia, United States

Site Status

Hematology Oncology Associates of Illinois- US Oncology

Chicago, Illinois, United States

Site Status

Cancer Care & Hematolog Specialists of Chicagoland- US Oncology

Niles, Illinois, United States

Site Status

Central Indiana Cancer Centers- US Oncology

Indianapolis, Indiana, United States

Site Status

Northern Indiana Cancer Research Consortium

South Bend, Indiana, United States

Site Status

Hope Center- US Oncology

Terre Haute, Indiana, United States

Site Status

University of Kentucky, Hematology/Oncology/BMT Clinical Research

Lexington, Kentucky, United States

Site Status

Lahey Clinic

Burlington, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Kansas City Cancer Center, LLC- US Oncology

Kansas City, Missouri, United States

Site Status

Comprehensive Cancer Centers of Nevada- US Oncology

Las Vegas, Nevada, United States

Site Status

Hunterdon Regional Cancer Center

Flemington, New Jersey, United States

Site Status

Hematology Oncology Associates

Mount Holly, New Jersey, United States

Site Status

Hematology Oncology Associates

Albuquerque, New Mexico, United States

Site Status

University of New Mexico

Albuquerque, New Mexico, United States

Site Status

University of New Mexico Cancer Center South

Las Cruces, New Mexico, United States

Site Status

New Mexico Cancer Care Associates- US Oncology

Santa Fe, New Mexico, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Cancer Center of North Carolina- US Oncology

Raleigh, North Carolina, United States

Site Status

Medical Onc Assoc of Wyoming Valley, PC- US Oncology

Kingston, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Cancer Institute

Pittsburgh, Pennsylvania, United States

Site Status

Pottstown Memorial Medical Center

Pottstown, Pennsylvania, United States

Site Status

Associates in Hematology-Oncology P.C. US Oncology

Upland, Pennsylvania, United States

Site Status

Reading Hospital Regional Medical Center

West Reading, Pennsylvania, United States

Site Status

Sanford Clinic

Sioux Falls, South Dakota, United States

Site Status

Texas Oncology - Amarillo- US Oncology

Amarillo, Texas, United States

Site Status

Mamie Mcfaddin Ward Cancer Center, Texas Oncology- US Oncology

Beaumont, Texas, United States

Site Status

Texas Oncology P.A.- Bedford- US Oncology

Bedford, Texas, United States

Site Status

Texas Cancer Center at Medical City- US Oncology

Dallas, Texas, United States

Site Status

Texas Oncology P.A. - Dallas- US Oncology

Dallas, Texas, United States

Site Status

Methodist Charlton Cancer Center - Texas Oncology- US Oncology

Dallas, Texas, United States

Site Status

Texas Oncology - Odessa- US Oncology

Odessa, Texas, United States

Site Status

Scott and White Hospital and Clinics

Temple, Texas, United States

Site Status

Texas Oncology Cancer Care and Research Center- US Oncology

Waco, Texas, United States

Site Status

Texoma Cancer Center- US Oncology

Wichita Falls, Texas, United States

Site Status

Virginia Oncology Associates- US Oncology

Norfolk, Virginia, United States

Site Status

Onc & Hematology Assoc. of Southern VA, Inc D.B.A. - US Oncology

Salem, Virginia, United States

Site Status

Swedish Cancer Institute

Seattle, Washington, United States

Site Status

Cancer Care Northwest- US Oncology

Spokane, Washington, United States

Site Status

Northwest Cancer Specialists- US Oncology

Vancouver, Washington, United States

Site Status

Countries

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United States

References

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Cohen SJ, Zalupski MM, Conkling P, Nugent F, Ma WW, Modiano M, Pascual R, Lee FC, Wong L, Hersh E. A Phase 2 Randomized, Double-Blind, Multicenter Trial of Imexon Plus Gemcitabine Versus Gemcitabine Plus Placebo in Patients With Metastatic Chemotherapy-naive Pancreatic Adenocarcinoma. Am J Clin Oncol. 2018 Mar;41(3):230-235. doi: 10.1097/COC.0000000000000260.

Reference Type BACKGROUND
PMID: 26709865 (View on PubMed)

Other Identifiers

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AMP-019

Identifier Type: -

Identifier Source: org_study_id

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