A Phase III Study to Assess the Efficacy and Safety of GV1001-Gem/Cap vs Gem/Cap in Pancreatic Cancer Patients

NCT ID: NCT02854072

Last Updated: 2016-11-22

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2018-05-31

Brief Summary

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To assess treatment of GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in locally advanced and metastatic pancreatic cancer patients.

Detailed Description

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This study is designed as a phase III, prospective, randomized, open-label, multicenter clinical trial comparing GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in treating locally advanced and metastatic pancreatic cancer patients. Patients will be treated until disease progression and will be subject to follow-up until death.

Patients will be randomized equally between the two arms:

1. Gemcitabine and Capecitabine
2. GV1001+ Gemcitabine and Capecitabine

Conditions

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Pancreatic Cancer

Keywords

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GV1001

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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GV1001 + gemcitabine/capecitabine

Group Type EXPERIMENTAL

GV1001

Intervention Type DRUG

At week 1, GV1001 will be administered intradermally on day 1, day 3 and day 5. This will be followed by a once weekly schedule for weeks 2, 3, 4 and 6. After that, GV1001 will be administered once monthly until withdrawal from trial treatment due to patient choice, intolerable toxicity or disease progression. GM-CSF will be used as an adjuvant, given 10-15 minutes prior to each administration of GV1001.

Gemcitabine

Intervention Type DRUG

Gemcitabine 1000 mg/m\^2 will be intravenously administered on day 1,8 and 15 followed by 7 days' rest.

Capecitabine

Intervention Type DRUG

Capecitabine 830 mg/m\^2 will be orally given in the morning and evening (total dose of 1660 mg/m\^2) for 21 days followed by 7 days' rest.

gemcitabine/capecitabine

Group Type ACTIVE_COMPARATOR

Gemcitabine

Intervention Type DRUG

Gemcitabine 1000 mg/m\^2 will be intravenously administered on day 1,8 and 15 followed by 7 days' rest.

Capecitabine

Intervention Type DRUG

Capecitabine 830 mg/m\^2 will be orally given in the morning and evening (total dose of 1660 mg/m\^2) for 21 days followed by 7 days' rest.

Interventions

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GV1001

At week 1, GV1001 will be administered intradermally on day 1, day 3 and day 5. This will be followed by a once weekly schedule for weeks 2, 3, 4 and 6. After that, GV1001 will be administered once monthly until withdrawal from trial treatment due to patient choice, intolerable toxicity or disease progression. GM-CSF will be used as an adjuvant, given 10-15 minutes prior to each administration of GV1001.

Intervention Type DRUG

Gemcitabine

Gemcitabine 1000 mg/m\^2 will be intravenously administered on day 1,8 and 15 followed by 7 days' rest.

Intervention Type DRUG

Capecitabine

Capecitabine 830 mg/m\^2 will be orally given in the morning and evening (total dose of 1660 mg/m\^2) for 21 days followed by 7 days' rest.

Intervention Type DRUG

Other Intervention Names

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Tertomotide

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 19 years
2. Histologically or cytologically proven pancreatic ductal adenocarcinoma carcinoma or undifferentiated carcinoma of the pancreas.
3. Locally advanced or metastatic disease precluding curative surgical resection or patients who have relapsed following previously resected pancreatic cancer.
4. Contrast enhanced CT scan of the thorax, abdomen and pelvis within 28 days (and up to a maximum of 32 days) prior to commencing treatment.
5. Unidimensionally measurable disease (from CT scan) in accordance with the RECIST guidelines.
6. ECOG performance status 0, 1 or 2.
7. Adequate organ function as determined by the following laboratory values:

* Platelets ≥100 x 10\^9 /L
* WBC ≥ 3 x 10\^9 /L
* ANC ≥1.5 x 10\^9 /L
* Serum total bilirubin ≤ 2.0 mg/dL
* CCr (Cockcroft \& Gault) \> 50 mL/min
8. Life expectancy ≥ 90 days
9. Fully informed written consent given.

Exclusion Criteria

1. Brain metastasis or meningeal carcinomatosis.
2. Clinically significant serious disease or organ system disease not currently controlled on present therapy.
3. Previous chemotherapy for locally advanced and metastatic disease. Previously adjuvant chemotherapy for resected pancreatic cancer will be permitted providing chemotherapy was completed more than 12 months previously.
4. Radiotherapy within the last 8 weeks prior to start of study treatment.
5. Concurrent malignancies or invasive cancers diagnosed within the past 5 years except for adequately treated basal cell carcinoma of the skin, in situ carcinoma of the uterine cervix or resected pancreatic cancer.
6. Medication which might affect immunocompetence e.g. chronic treatment with long term steroids or other immunosuppressant for an unrelated condition. Patients will be eligible if they have been receiving short term steroids for palliation of cancer related symptoms.
7. Administration of medicines from other clinical trials within 8 weeks from registration.
8. Pregnancy or breast feeding.
9. Uncontrolled angina pectoris.
10. Known malabsorption syndromes.
11. Patients with a known hypersensitivity to any of the investigational products or patients with a dihydropyrimidine dehydrogenase (DPD) deficiency.
12. All men or women of reproductive potential, unless using at least two contraceptive precautions, one of which must be a condom.
13. Investigator's judgment against participation in the study
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Si Young Song, M.D.

Role: STUDY_CHAIR

Severance Hospital

Yong-Tae Kim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Ho Soon Choi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Hanyang University Seoul Hospital

Ho Gak Kim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Daegu Catholic University Medical Center

Hong Sik Lee, M.D.

Role: PRINCIPAL_INVESTIGATOR

Korea University Anam Hospital

Young Woo Choi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Konyang University Hospital

Gwang Ha Kim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Pusan National University Hospital

Kwang Hyuck Lee, M.D.

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center

Jae Hee Cho, M.D.

Role: PRINCIPAL_INVESTIGATOR

Gachon University Gil Medical Center

Joung-Ho Han, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chungbuk National University Hospital

Seung Ok Lee, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chonbuk National University Hospital

Chang-Hwan Park, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chonnam National University Hospital

Eun Kwang Choi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Jeju National University Hospital

Kyong Joo Lee, M.D.

Role: PRINCIPAL_INVESTIGATOR

Wonju Severance Christian Hospital

Jae Yong Cho, M.D.

Role: PRINCIPAL_INVESTIGATOR

Gangnam Severance Hospital

Woo Jin Lee, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Cancer Center

Locations

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Wonju Severance Christian Hospital

Wŏnju, Gangwon-do, South Korea

Site Status RECRUITING

National Cancer Center

Goyang-si, Gyeonggi-do, South Korea

Site Status RECRUITING

Jeju National University Hospital

Jeju City, Jeju-do, South Korea

Site Status RECRUITING

Chonbuk National University Hospital

Jeonju, Jeollabuk-do, South Korea

Site Status RECRUITING

Chungbuk National University Hospital

Cheongju-si, North Chungcheong, South Korea

Site Status RECRUITING

Pusan National University Hospital

Busan, , South Korea

Site Status RECRUITING

Daegu Catholic University Medical Center

Daegu, , South Korea

Site Status RECRUITING

Konyang University Hospital

Daejeon, , South Korea

Site Status RECRUITING

Chonnam National University Hospital

Gwangju, , South Korea

Site Status RECRUITING

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status RECRUITING

Gangnam Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Hanyang University Seoul Hospital

Seoul, , South Korea

Site Status RECRUITING

Korea University Anam Hospital

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Hanna Park

Role: CONTACT

Email: [email protected]

Yoon Jin Lee

Role: CONTACT

Email: [email protected]

Facility Contacts

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Kyong Joo Lee, M.D.

Role: primary

Woo Jin Lee, M.D.

Role: primary

Eun Kwang Choi, M.D.

Role: primary

Seung Ok Lee, M.D.

Role: primary

Joung-Ho Han, M.D.

Role: primary

Gwang Ha Kim, M.D.

Role: primary

Ho Gak Kim, M.D.

Role: primary

Young Woo Choi, M.D.

Role: primary

Chang-Hwan Park, M.D.

Role: primary

Jae Hee Cho, M.D.

Role: primary

Jae Yong Cho, M.D.

Role: primary

Ho Soon Choi, M.D.

Role: primary

Hong Sik Lee, M.D.

Role: primary

Kwang Hyuck Lee, M.D.

Role: primary

Yong-Tae Kim, M.D.

Role: primary

Si Young Song, M.D.

Role: primary

References

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Jo JH, Kim YT, Choi HS, Kim HG, Lee HS, Choi YW, Kim DU, Lee KH, Kim EJ, Han JH, Lee SO, Park CH, Choi EK, Kim JW, Cho JY, Lee WJ, Moon HR, Park MS, Kim S, Song SY. Efficacy of GV1001 with gemcitabine/capecitabine in previously untreated patients with advanced pancreatic ductal adenocarcinoma having high serum eotaxin levels (KG4/2015): an open-label, randomised, Phase 3 trial. Br J Cancer. 2024 Jan;130(1):43-52. doi: 10.1038/s41416-023-02474-w. Epub 2023 Oct 30.

Reference Type DERIVED
PMID: 37903909 (View on PubMed)

Other Identifiers

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KG 4/2015

Identifier Type: -

Identifier Source: org_study_id