A Phase 1b/2 Study of OMP-59R5 (Tarextumab) in Combination With Nab-Paclitaxel and Gemcitabine in Subjects With Previously Untreated Stage IV Pancreatic Cancer

NCT ID: NCT01647828

Last Updated: 2023-02-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2016-04-30

Brief Summary

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The study consists of a Phase1b lead-in portion to determine the maximum tolerated dose (MTD) of OMP-59R5 in combination with nab-paclitaxel and gemcitabine followed by a Phase 2, multicenter, randomized, placebo-controlled portion to evaluate the efficacy and safety of OMP-59R5 in combination with nab-paclitaxel and gemcitabine in subjects with previously untreated stage IV pancreatic cancer.

Detailed Description

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Conditions

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Stage IV Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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OMP-59R5 plus Gemcitabine and Nab-Paclitaxel

OMP-59R5 plus Gemcitabine and Nab-Paclitaxel

Group Type EXPERIMENTAL

OMP-59R5

Intervention Type DRUG

OMP-59R5 administered intravenously

Gemcitabine

Intervention Type DRUG

administered intravenously

Nab-Paclitaxel

Intervention Type DRUG

administered intravenously

Gemcitabine and Nab-Paclitaxel plus Placebo

Gemcitabine and Nab-Paclitaxel plus Placebo

Group Type EXPERIMENTAL

Gemcitabine

Intervention Type DRUG

administered intravenously

Placebo

Intervention Type DRUG

administered IV

Nab-Paclitaxel

Intervention Type DRUG

administered intravenously

Interventions

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OMP-59R5

OMP-59R5 administered intravenously

Intervention Type DRUG

Gemcitabine

administered intravenously

Intervention Type DRUG

Placebo

administered IV

Intervention Type DRUG

Nab-Paclitaxel

administered intravenously

Intervention Type DRUG

Other Intervention Names

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Abraxane

Eligibility Criteria

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Inclusion Criteria

1. 18 years of age or older
2. Histologically or cytologically documented stage IV ductal adenocarcinoma of the pancreas.
3. Performance Status (ECOG) 0 or 1
4. FFPE tumor tissue from metastatic site(s
5. Adequate organ function
6. Written consent on an IRB/IEC-approved Informed Consent Form prior to any study-specific evaluation.
7. For women of child-bearing potential, negative serum pregnancy test at screening and use of physician-approved method of birth control from 30 days prior to the first study drug administration to 30 days following the last study drug administration.
8. Male subjects must be surgically sterile or must agree to use physician-approved contraception from 30 days prior to the first study drug administration to 30 days following the last study drug administration.

Exclusion Criteria

1. Neuroendocrine tumors (i.e., carcinoid, islet cell cancer) of the pancreas.
2. Known brain metastases.
3. Prior therapy, including systemic therapy, surgical resection or radiation for newly diagnosed stage IV pancreatic cancer.
4. Presence of any serious or unstable concomitant systemic disorder incompatible with the clinical study (e.g., substance abuse, uncontrolled intercurrent illness including active infection, arterial thrombosis, symptomatic pulmonary embolism).
5. Any disorder that would significantly compromise protocol compliance.
6. Prior non-pancreatic malignancy treated with chemotherapy. Prior malignancies treated with surgery and/or radiotherapy alone must be in remission ≥3 years. The following prior malignancies are allowable irrespective of when they occurred: in situ carcinoma of the cervix, in situ ductal breast cancer, low-grade local bladder cancer, and nonmelanotic skin cancer.
7. Known human immunodeficiency virus (HIV) infection.
8. Females who are pregnant or breastfeeding.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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OncoMed Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eileen M O'Reilly, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Western Regional Medical Center, Inc.

Goodyear, Arizona, United States

Site Status

CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status

St Jude Heritage Healthcare Virginia K. Crosson Cancer Center

Fullerton, California, United States

Site Status

Pacific Shores Medical Group

Long Beach, California, United States

Site Status

Ronald Reagan UCLA Medical Center, Drug Information Center, Department of Pharmaceutical Services

Los Angeles, California, United States

Site Status

Torrance Health Association Dba Torrance Memorial Physician Network/Cancer Care Associates

Redondo Beach, California, United States

Site Status

Rocky Mountain Cancer Centers

Denver, Colorado, United States

Site Status

Orlando Health, Inc.

Orlando, Florida, United States

Site Status

Northside Hospital, Inc. - GCS/Almex

Atlanta, Georgia, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

Allina Health, Virginia Piper Cancer Institute

Minneapolis, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Comprehensive Cancer Centers ofNevada

Las Vegas, Nevada, United States

Site Status

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Oncology Hematology Care, Inc.

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Peggy and Charles Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status

Bend Memorial Clinic

Bend, Oregon, United States

Site Status

Greenville Health System, Clinical Research Unit, Institute for Translational Oncology Research

Greenville, South Carolina, United States

Site Status

Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

South Texas Accelerated Research Thereapeutics, LLC (START)

San Antonio, Texas, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

University of Wiscons in Hospi tal and Clinics

Madison, Wisconsin, United States

Site Status

Froedtert Hospital & Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Hu ZI, Bendell JC, Bullock A, LoConte NK, Hatoum H, Ritch P, Hool H, Leach JW, Sanchez J, Sohal DPS, Strickler J, Patel R, Wang-Gillam A, Firdaus I, Yu KH, Kapoun AM, Holmgren E, Zhou L, Dupont J, Picozzi V, Sahai V, O'Reilly EM. A randomized phase II trial of nab-paclitaxel and gemcitabine with tarextumab or placebo in patients with untreated metastatic pancreatic cancer. Cancer Med. 2019 Sep;8(11):5148-5157. doi: 10.1002/cam4.2425. Epub 2019 Jul 26.

Reference Type DERIVED
PMID: 31347292 (View on PubMed)

Other Identifiers

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59R5-002

Identifier Type: -

Identifier Source: org_study_id

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