A Study of Fractionated 90Y-hPAM4 Plus Gemcitabine in Pancreatic Cancer Patients Receiving at Least 2 Prior Therapies.

NCT ID: NCT01510561

Last Updated: 2021-08-19

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

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2015-09-30

Brief Summary

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90Y-hPAM4 is administered weekly for 3 weeks combined with 4 weekly doses of gemcitabine to assess. This is a dose escalation study of 90Y-hPAM4 to assess which dose is safe and effective as 3rd line treatment for patients with metastatic pancreatic cancer. Patients are then followed weekly for 12 weeks and afterwards for up to 1 year.

Detailed Description

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Conditions

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Metastatic Pancreatic Adenocarcinoma Pancreatic Cancer Metastatic Pancreatic Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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90Y-hPAM4

90Y-hPAM4 is administered weekly for 3 weeks

Group Type EXPERIMENTAL

90Y-hPAM4

Intervention Type DRUG

90Y-hPAM4 will be administered weekly for 3 weeks in conjunction with gemcitabine which will be administered weekly x 4.

90Y-hPAM4

Intervention Type DRUG

90Y-hPAM4 + gemcitabine

90Y-hPAM4 is administered weekly for 3 weeks, while gemcitabine is administered weekly for 4 weeks.

Group Type EXPERIMENTAL

90Y-hPAM4

Intervention Type DRUG

90Y-hPAM4 will be administered weekly for 3 weeks in conjunction with gemcitabine which will be administered weekly x 4.

90Y-hPAM4

Intervention Type DRUG

90Y-hPAM4 + gemcitabine

Intervention Type DRUG

Interventions

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90Y-hPAM4

90Y-hPAM4 will be administered weekly for 3 weeks in conjunction with gemcitabine which will be administered weekly x 4.

Intervention Type DRUG

90Y-hPAM4

Intervention Type DRUG

90Y-hPAM4 + gemcitabine

Intervention Type DRUG

Other Intervention Names

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Clivatuzumab Tetraxetan clivatuzumab tetraxetan gemzar clivatuzumab tetraxetan

Eligibility Criteria

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Inclusion Criteria

* Male or female patients, ≥ 18 years of age, who are able to understand and give written informed consent
* Histologically or cytologically confirmed pancreatic adenocarcinoma
* Stage IV (metastatic) disease, including patients who underwent surgery but had incomplete resections
* Previously treated and received two prior treatment regimens for advanced disease
* Karnofsky performance status ≥ 60 % (Appendix A)
* Expected survival ≥ 3 months
* At least 4 weeks beyond major surgery, 2 weeks beyond chemotherapy, radiotherapy, other experimental treatments
* At least 2 weeks beyond corticosteroids, except low doses (i.e., 20 mg/day of prednisone or equivalent) to treat nausea or other illness such as rheumatoid arthritis
* Adequate hematology without ongoing transfusional support (hemoglobin \> 9 g/dL, ANC \> 1,500 per mm3, platelets \> 100,000 per mm3)
* Adequate renal and hepatic function (creatinine and bilirubin ≤ 1.5 X IULN, AST and ALT ≤ 2.0 X IULN \[5.0 X IULN if due to liver metastases\])
* Otherwise, all toxicity at study entry ≤ Grade 1 by NCI CTC v3.0 or recovered to baseline or discussed with and agreed to with Immunomedics' Medical Monitor.

Exclusion Criteria

* Women who are pregnant or lactating
* Women of childbearing potential and fertile men unwilling to use effective contraception during study until conclusion of 12-week post-treatment evaluation period
* Known metastatic disease to the central nervous system
* Presence of bulky disease (defined as any single mass \> 10 cm in its greatest dimension)
* Patients with \> Grade 2 nausea or vomiting and/or signs of intestinal obstruction
* Prior radiation dose \> 3,000 cGy to the liver, \> 2,000 cGy to lungs and kidneys or prior external beam irradiation to a field that includes more than 30% of the red marrow
* Patients with non-melanoma skin cancer or carcinoma in situ of the cervix are not excluded, but patients with other prior malignancies must have had at least a 3-year disease free interval
* Patients known to be HIV positive, hepatitis B positive, or hepatitis C positive
* Known history of active coronary artery disease, unstable angina, myocardial infarction, or congestive heart failure present within 6 months, or cardiac arrhythmia (other than stable atrial fibrillation) requiring anti-arrhythmia therapy
* Known history of active COPD, or other moderate-to-severe respiratory illness present within 6 months
* Known autoimmune disease or presence of autoimmune phenomena (except rheumatoid arthritis requiring only low dose maintenance corticosteroids)
* Infection requiring intravenous antibiotic use within 1 week
* Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William A Wegener, MD, PhD

Role: STUDY_CHAIR

Gilead Sciences

Locations

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Banner Healthcare

Gilbert, Arizona, United States

Site Status

Scottsdale Healthcare

Scottsdale, Arizona, United States

Site Status

Christiana Care Health Services Helen Graham Cancer Center

Newark, Delaware, United States

Site Status

Sylvester Comprehensive Cancer Center Univ. Miami

Miami, Florida, United States

Site Status

Jackson North Medical Center

Miami, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Mountain States Tumor Institute

Boise, Idaho, United States

Site Status

Goshen Center for Cancer Care

Goshen, Indiana, United States

Site Status

Detroit Clinical Research Center

Detroit, Michigan, United States

Site Status

St. Mary's Trinity Healthcare

Grand Rapids, Michigan, United States

Site Status

New Mexico Cancer Care Alliance

Albuquerque, New Mexico, United States

Site Status

Weill Cornell NY Presbyterian Hospital

New York, New York, United States

Site Status

Mt. Sinai Medical Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

University of North Carolina Medical Center

Chapel Hill, North Carolina, United States

Site Status

Ohio State University Medical Center

Columbus, Ohio, United States

Site Status

Kimmel Cancer Center at Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Institute of Translational Oncology Research

Greenville, South Carolina, United States

Site Status

Tyler Cancer Center

Tyler, Texas, United States

Site Status

VA Oncology Associates

Norfolk, Virginia, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Picozzi VJ, Ramanathan RK, Lowery MA, Ocean AJ, Mitchel EP, O'Neil BH, Guarino MJ, Conkling PR, Cohen SJ, Bahary N, Frank RC, Dragovich T, Bridges BB, Braiteh FS, Starodub AN, Lee FC, Gribbin TE, Richards DA, Lee M, Korn RL, Pandit-Taskar N, Goldsmith SJ, Intenzo CM, Sheikh A, Manzone TC, Horne H, Sharkey RM, Wegener WA, O'Reilly EM, Goldenberg DM, Von Hoff DD. (90)Y-clivatuzumab tetraxetan with or without low-dose gemcitabine: A phase Ib study in patients with metastatic pancreatic cancer after two or more prior therapies. Eur J Cancer. 2015 Sep;51(14):1857-64. doi: 10.1016/j.ejca.2015.06.119. Epub 2015 Jul 14.

Reference Type DERIVED
PMID: 26187510 (View on PubMed)

Other Identifiers

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IM-T-hPAM4-03

Identifier Type: -

Identifier Source: org_study_id

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