A Study of Ruxolitinib in Pancreatic Cancer Patients

NCT ID: NCT02119663

Last Updated: 2018-02-13

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2016-10-31

Brief Summary

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This was to determine the efficacy, based upon overall survival, of ruxolitinib added to capecitabine for the treatment of metastatic pancreatic cancer.

Detailed Description

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This was a randomized, double-blinded, placebo-controlled, Phase 3 study, in which approximately 270 participants with advanced or metastatic adenocarcinoma of the pancreas who had failed or were intolerant to first-line chemotherapy were to be randomized (1:1) to one of the following treatment groups:

* Treatment A (N = 135): Capecitabine + ruxolitinib
* Treatment B (N = 135): Capecitabine + placebo

Treatment consisted of repeating 21-day cycles. Capecitabine was self-administered for the first 14 days of each cycle, and ruxolitinib/placebo was self-administered during the entire cycle. Treatment for all participants was to continue as long as the regimen was tolerated, and the participant did not meet discontinuation criteria. Participants who discontinued treatment continued to be followed for subsequent anticancer treatments and survival.

Conditions

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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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Ruxolitinib plus capecitabine

Group Type EXPERIMENTAL

Ruxolitinib

Intervention Type DRUG

5 mg tablets to be administered by mouth twice daily (BID)

Capecitabine

Intervention Type DRUG

150 mg or 500 mg tablets to be administered by mouth twice daily (BID)

Placebo plus capecitabine

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

5 mg matching placebo tablets to be administered by mouth twice daily (BID)

Capecitabine

Intervention Type DRUG

150 mg or 500 mg tablets to be administered by mouth twice daily (BID)

Interventions

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Ruxolitinib

5 mg tablets to be administered by mouth twice daily (BID)

Intervention Type DRUG

Placebo

5 mg matching placebo tablets to be administered by mouth twice daily (BID)

Intervention Type DRUG

Capecitabine

150 mg or 500 mg tablets to be administered by mouth twice daily (BID)

Intervention Type DRUG

Other Intervention Names

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Jakafi ® Jakavi ®

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed adenocarcinoma of the pancreas.
* Advanced adenocarcinoma of the pancreas that is inoperable or metastatic.
* Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
* Received 1 prior chemotherapy regimen for advanced or metastatic disease (not including neoadjuvant and/or adjuvant therapy).
* ≥ 2 weeks elapsed from the completion of previous treatment regimen and participants must have recovered or be at a new stable baseline from any related toxicities.
* Radiographically measurable or evaluable disease
* An modified Glasgow Prognostic Score (mGPS) of 1 or 2 as defined below:

* Criteria:

1. mGPS of 1: C-reactive protein (CRP) \> 10 mg/L and albumin ≥ 35 g/L
2. mGPS of 2: CRP \> 10 mg/L and albumin \< 35 g/L

Exclusion Criteria

* Received more than 1 prior regimen for advanced or metastatic disease.
* Ongoing radiation therapy, radiation therapy administered within 30 days of enrollment
* Concurrent anticancer therapy (eg, chemotherapy, radiation therapy, surgery, immunotherapy, biologic therapy, hormonal therapy, investigational therapy, or tumor embolization).
* Current or previous other malignancy within 2 years of study entry without sponsor approval
* Prior severe reaction to fluoropyrimidines, known dihydropyrimidine dehydrogenase deficiency (DPD), or other known hypersensitivity to active substances, including fluorouracil (5-FU), ruxolitinib, or any of their excipients.
* Prior treatment with a JAK inhibitor for any indication.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fitzroy Dawkins, MD

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

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Huntsville, Alabama, United States

Site Status

Fayetteville, Arkansas, United States

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Beverly Hills, California, United States

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La Jolla, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Washington D.C., District of Columbia, United States

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Fort Myers, Florida, United States

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St. Petersburg, Florida, United States

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Athens, Georgia, United States

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Atlanta, Georgia, United States

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Macon, Georgia, United States

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Thomasville, Georgia, United States

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Harvey, Illinois, United States

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Indianapolis, Indiana, United States

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Kansas City, Kansas, United States

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Louisville, Kentucky, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Farmington Hills, Michigan, United States

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Kalamazoo, Michigan, United States

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Lansing, Michigan, United States

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Minneapolis, Minnesota, United States

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Saint Louis Park, Minnesota, United States

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Bolivar, Missouri, United States

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Basking Ridge, New Jersey, United States

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Cherry Hill, New Jersey, United States

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Voorhees Township, New Jersey, United States

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Commack, New York, United States

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Fresh Meadows, New York, United States

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Harrison, New York, United States

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New York, New York, United States

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Rochester, New York, United States

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Rockville Centre, New York, United States

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Sleepy Hollow, New York, United States

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Canton, Ohio, United States

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Cincinnati, Ohio, United States

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Portland, Oregon, United States

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Allentown, Pennsylvania, United States

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Hershey, Pennsylvania, United States

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Langhorne, Pennsylvania, United States

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Greenville, South Carolina, United States

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Chattanooga, Tennessee, United States

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Knoxville, Tennessee, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Fort Worth, Texas, United States

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Lubbock, Texas, United States

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San Antonio, Texas, United States

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Temple, Texas, United States

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Salt Lake City, Utah, United States

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Falls Church, Virginia, United States

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Newport News, Virginia, United States

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Seattle, Washington, United States

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Green Bay, Wisconsin, United States

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Graz, , Austria

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Linz, , Austria

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Salzburg, , Austria

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Vienna, , Austria

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Wein, , Austria

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Santiago, , Chile

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Vitacura, , Chile

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Bogotá, , Colombia

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Medellín, , Colombia

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Næstved, , Denmark

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Odense C, , Denmark

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Bordeaux, , France

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Brest, , France

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Dijon, , France

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Lyon, , France

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Nancy, , France

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Cork, , Ireland

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Dubin, , Ireland

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Galway, , Ireland

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Tel Litwinsky, , Israel

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Monterrey, , Mexico

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Oaxaca City, , Mexico

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Toluca, , Mexico

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Amsterdam, , Netherlands

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Maastricht, , Netherlands

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Nijmegen, , Netherlands

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Braga, , Portugal

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Lisbon, , Portugal

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Porto, , Portugal

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San Juan, , Puerto Rico

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Linköping, , Sweden

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Uppsala, , Sweden

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Bellinzona, , Switzerland

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Geneva, , Switzerland

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Countries

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United States Austria Chile Colombia Denmark France Ireland Israel Mexico Netherlands Portugal Puerto Rico Sweden Switzerland

References

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Hurwitz H, Van Cutsem E, Bendell J, Hidalgo M, Li CP, Salvo MG, Macarulla T, Sahai V, Sama A, Greeno E, Yu KH, Verslype C, Dawkins F, Walker C, Clark J, O'Reilly EM. Ruxolitinib + capecitabine in advanced/metastatic pancreatic cancer after disease progression/intolerance to first-line therapy: JANUS 1 and 2 randomized phase III studies. Invest New Drugs. 2018 Aug;36(4):683-695. doi: 10.1007/s10637-018-0580-2. Epub 2018 Mar 6.

Reference Type DERIVED
PMID: 29508247 (View on PubMed)

Other Identifiers

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INCB 18424-363

Identifier Type: -

Identifier Source: org_study_id

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