Study of Gemcitabine, Abraxane® Plus Placebo Versus Gemcitabine, Abraxane® Plus 1 or 2 Truncated Courses of Demcizumab in Subjects With 1st-Line Metastatic Pancreatic Ductal Adenocarcinoma

NCT ID: NCT02289898

Last Updated: 2020-09-28

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

PHASE2

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-20

Study Completion Date

2017-09-30

Brief Summary

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This is a randomized, double blind, 3 arm (1:1:1) study in subjects with 1st-line metastatic pancreatic ductal adenocarcinoma.

The purpose is to test the efficacy and safety of demcizumab, when given in combination with gemcitabine and Abraxane® compared to placebo. The administration of gemcitabine and Abraxane® is a standard treatment for patients with metastatic pancreatic ductal adenocarcinoma.

Detailed Description

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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

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Abraxane® and gemcitabine plus placebo

Abraxane® and gemcitabine plus placebo (3 cycles), Abraxane® and gemcitabine (3 cycles), Abraxane® and gemcitabine plus placebo (3 cycles) and then Abraxane® and gemcitabine until disease progression

Group Type EXPERIMENTAL

Demcizumab

Intervention Type DRUG

administered intravenously

Abraxane®

Intervention Type DRUG

administered intravenously

gemcitabine

Intervention Type DRUG

administered intravenously

Placebo

Intervention Type DRUG

Abraxane® and gemcitabine plus demcizumab plus placebo

Abraxane® and gemcitabine plus demcizumab (3 cycles), Abraxane® and gemcitabine (3 cycles), Abraxane® and gemcitabine plus placebo (3 cycles) and then Abraxane® and gemcitabine until disease progression

Group Type EXPERIMENTAL

Demcizumab

Intervention Type DRUG

administered intravenously

Abraxane®

Intervention Type DRUG

administered intravenously

gemcitabine

Intervention Type DRUG

administered intravenously

Abraxane® and gemcitabine plus demcizumab

Abraxane® and gemcitabine plus demcizumab (3 cycles), Abraxane® and gemcitabine (3 cycles), Abraxane® and gemcitabine plus demcizumab (3 cycles) and then Abraxane® and gemcitabine until disease progression

Group Type EXPERIMENTAL

Demcizumab

Intervention Type DRUG

administered intravenously

Abraxane®

Intervention Type DRUG

administered intravenously

gemcitabine

Intervention Type DRUG

administered intravenously

Interventions

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Demcizumab

administered intravenously

Intervention Type DRUG

Abraxane®

administered intravenously

Intervention Type DRUG

gemcitabine

administered intravenously

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subjects must have histologically confirmed metastatic pancreatic ductal adenocarcinoma.. Prior chemotherapy and/or radiotherapy either in the adjuvant or neoadjuvant setting or for metastatic disease is not allowed.
2. Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue (from either the primary tumor, locoregional disease or a metastatic site), either fresh core-needle-biopsied or archived (two FFPE cores preferred whenever possible). If fresh tissue is obtained, the core biopsy must be done at least 7 days prior to randomization.
3. Age ≥21 years
4. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 5. Measurable disease per RECIST v1.1
5. Adequate organ and marrow function
6. Signed Informed Consent Form
7. For women of childbearing potential, agreement to use two effective forms of contraception

Exclusion Criteria

1. Subjects with a neuroendocrine tumor of the pancreas, an acinar tumor of the pancreas or a pancreatic tumor with mixed histologies.
2. Subjects receiving heparin, warfarin, factor Xa inhibitors or other similar anticoagulants. Note: Subjects may be receiving low-dose aspirin and/or non-steroidal anti-inflammatory agents.
3. Subjects with brain metastases, leptomeningeal disease, uncontrolled seizure disorder, or active neurologic disease
4. Subjects with Grade \>2 peripheral neuropathy
5. Subjects with clinically significant ascites
6. Malignancies other than pancreatic cancer successfully treated within 3 years prior to randomization, except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin cancer, treated superficial bladder cancer, localized prostate cancer treated surgically with curative intent, ductal carcinoma in situ treated surgically with curative intent
7. Significant intercurrent illness that will limit the patient's ability to participate in the study or may result in their death over the next 18 months
8. History of a significant allergic reaction attributed to humanized or human monoclonal antibody therapy
9. Subjects with known clinically significant gastrointestinal disease including, but not limited to, inflammatory bowel disease
10. Pregnant women or nursing women
11. Subjects with known HIV infection
12. Known bleeding disorder or coagulopathy
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene Corporation

INDUSTRY

Sponsor Role collaborator

OncoMed Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

Providence Saint Joseph Medical Center

Burbank, California, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

Scripps Cancer Center

La Jolla, California, United States

Site Status

University of California, Davis Comprehensive Cancer Center

Sacramento, California, United States

Site Status

Soulhern California Permanente Medical Group

San Marcos, California, United States

Site Status

Kaiser Permanente Medical Center

Vallejo, California, United States

Site Status

Rocky Mountain Cancer Centers

Denver, Colorado, United States

Site Status

Lynn Cancer Institute

Boca Raton, Florida, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

University of Kansas Cancer Center

Westwood, Kansas, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Dartmouth Hitchcock Medical Center, Norris Cotton Cancer Center

Lebanon, New Hampshire, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Kaiser Permanente NW Oncology Research

Portland, Oregon, United States

Site Status

Thomas Jefferson University, Sydney Kimmel Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Joe Arrington Cancer Research Treatment Center

Lubbock, Texas, United States

Site Status

Huntsman Cancer Institute at The University of Utah

Salt Lake City, Utah, United States

Site Status

Prince of Wales Hospital

Randwick, New South Wales, Australia

Site Status

Monash Medical Centre, Moorabbin

Bentleigh East, Victoria, Australia

Site Status

Western Health (Sunshine Hospitals)

St Albans, Victoria, Australia

Site Status

St John of God Murdoch Hospital

Murdoch, Western Australia, Australia

Site Status

St. John of God Subiaco Hospital

Subiaco, Western Australia, Australia

Site Status

Hopital Erasme

Brussels, Brussels Capital, Belgium

Site Status

Tom Baker Cancer Centre

Calgary, Alberta, Canada

Site Status

British Columbia Cancer Agency

Vancouver, British Columbia, Canada

Site Status

QEII Health Sciences Centre

Halifax, Nova Scotia, Canada

Site Status

London Regional Cancer Program

London, Ontario, Canada

Site Status

Sunnybrook Health Sciences Centre, Odette Cancer Centre

Toronto, Ontario, Canada

Site Status

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

St Josephs Health Centre

Toronto, Ontario, Canada

Site Status

Hospital Universitario de Fuenlabrada

Fuenlabrada, Madrid, Spain

Site Status

Hospital Universitari Germans Trias i Pujol - lnstituto Catalan d'Oncologia (!CO)

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marafi6n

Madrid, , Spain

Site Status

Hospital Universitario de Fuenlabrada

Madrid, , Spain

Site Status

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status

Bristol Haematology & Oncology Centre

Bristol, , United Kingdom

Site Status

Sarah Cannon Research Institute UK

London, , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada Spain United Kingdom

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol and Informed Consent Form

View Document

Other Identifiers

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M18-006

Identifier Type: -

Identifier Source: org_study_id

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