Glufosfamide Versus 5-FU in Second Line Metastatic Pancreatic Cancer

NCT ID: NCT01954992

Last Updated: 2024-12-31

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

480 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2026-12-31

Brief Summary

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The study is designed to assess whether glufosfamide provides additional survival benefit as compared to bolus 5-FU in patients with metastatic pancreatic cancer who have already progressed or failed therapy on a gemcitabine based first line regimen.

Detailed Description

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Conditions

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Metastatic Pancreatic Adenocarcinoma

Keywords

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glufosfamide 5-FU metastatic pancreatic adenocarcinoma

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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glufosfamide

Glufosfamide: 4500 mg/m2 IV over 6 hours on Day 1 of each 21-day cycle

Group Type EXPERIMENTAL

Glufosfamide

Intervention Type DRUG

Glufosfamide: 4500 mg/m2 IV over 6 hours (¼ dose over 30 minutes, ¾ dose over remaining 5.5 hours) on Day 1 of each 21-day cycle.

5-FU

Fluorouracil (5-FU): 600 mg/m2 IV over 30 minutes on Day 1 of each week

Group Type ACTIVE_COMPARATOR

Fluorouracil

Intervention Type DRUG

Fluorouracil (5-FU): 600 mg/m2 IV over 30 minutes on Day 1 of each week

Interventions

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Glufosfamide

Glufosfamide: 4500 mg/m2 IV over 6 hours (¼ dose over 30 minutes, ¾ dose over remaining 5.5 hours) on Day 1 of each 21-day cycle.

Intervention Type DRUG

Fluorouracil

Fluorouracil (5-FU): 600 mg/m2 IV over 30 minutes on Day 1 of each week

Intervention Type DRUG

Other Intervention Names

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5-FU

Eligibility Criteria

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Inclusion Criteria

* At least 18 years of age
* Pancreatic adenocarcinoma proven either by histology (surgical biopsy) or cytology (CT- or endoscopic-guided)
* Metastatic pancreatic cancer
* Disease progression during or after treatment with gemcitabine (alone or in combination with other agents; at regular, not radiosensitizing, doses)
* Measurable or nonmeasurable disease by RECIST criteria (at least one target or nontarget lesion)
* Recovered from reversible toxicities of prior therapy
* ECOG performance status 0-1
* All women of childbearing potential and all men must agree to use effective means of contraception (surgical sterilization or the use of barrier contraception with either a condom or diaphragm in conjunction with spermicidal gel or an IUD) from entry into the study through 6 months after the last dose of chemotherapy
* Ability to understand the purposes and risks of the study and has signed a written informed consent form approved by the investigator's IRB/Ethics Committee

Exclusion Criteria

* More than one prior systemic therapy regimen for metastatic pancreatic cancer (radiosensitizing doses of 5-FU or gemcitabine at the time of initial radiotherapy do not count as a prior systemic therapy regimen)
* Hormonal therapy, radiation therapy, biologic therapy, chemotherapy or other systemic antitumor therapy for pancreatic cancer within 14 days prior to Cycle 1 Day 1
* Insulin-dependent diabetes mellitus (patients with type 2 diabetes controlled with oral glucose lowering agents and the occasional use of insulin are permitted in the study)
* Symptomatic brain metastases (baseline CT scan is not required in asymptomatic patients)
* Active clinically significant infection requiring antibiotics
* Known HIV positive or active hepatitis B or C
* Recent (one year) history or symptoms of cardiovascular disease (NYHA Class 2, 3, or 4), particularly coronary artery disease, arrhythmias or conduction defects with risk of cardiovascular instability, uncontrolled hypertension, clinically significant pericardial effusion, or congestive heart failure
* No other active malignancies (other than treated non-melanoma skin cancer or treated in situ cancer) within the past year
* Major surgery within 3 weeks of the start of study treatment, without complete recovery
* Clinically significant abnormalities in laboratory test results (including complete blood count, chemistry panel including electrolytes, and urinalysis)

* Hemoglobin \<9 g/dL (may receive transfusion or erythropoietin to maintain)
* ANC \<1500/μL
* Platelet count \<100,000/μL
* Total bilirubin \> 1.5×ULN
* AST/ALT \> 2.5-fold above ULN (\>5-fold above ULN if liver metastases)
* Phosphorus \< LLN
* Potassium \< LLN
* Serum creatinine \> 2 mg/dL
* Creatinine clearance \< 60 mL/min (calculated by Cockcroft-Gault formula)
* Females who are pregnant or breast-feeding
* Participation in an investigational drug or device study within 14 days of the first day of dosing on this study
* Concomitant disease or condition that could interfere with the conduct of the study, or that would, in the opinion of the investigator, pose an unacceptable risk to the patient in this study
* Any medical history, concurrent disease or concomitant medication which could reasonably predispose the patient to renal insufficiency while on study treatment
* Contraindication or unwillingness to undergo multiple CT scans
* Unwillingness or inability to comply with the study protocol for any other reason
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eleison Pharmaceuticals LLC.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Edwin Thomas

Role: STUDY_DIRECTOR

Eleison Pharmaceuticals

Locations

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Innovative Clinical Research Institute

Whittier, California, United States

Site Status RECRUITING

Moffitt Cancer Center

Tampa, Florida, United States

Site Status RECRUITING

Gabrail Cancer Center Research

Canton, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Edwin Thomas

Role: CONTACT

Phone: 215 554 3530

Email: [email protected]

Facility Contacts

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Kirsten Bettino

Role: primary

Michael Rowland

Role: primary

Carrie Smith

Role: primary

Other Identifiers

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EP-GF-301

Identifier Type: -

Identifier Source: org_study_id