Trial Outcomes & Findings for Ascorbic Acid and Combination Chemotherapy in Treating Patients With Locally Advanced or Recurrent Pancreatic Cancer That Cannot Be Removed by Surgery (NCT NCT02896907)

NCT ID: NCT02896907

Last Updated: 2025-04-30

Results Overview

After 4 patients are enrolled on the study and receive at least one dose of intravenous ascorbic acid, the data will be reviewed. If 2 out of the 4 cannot complete 2 courses of FOLFIRINOX then the study will be halted.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

8 participants

Primary outcome timeframe

Up to 28 days after the last treatment

Results posted on

2025-04-30

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (FOLFIRINOX, Ascorbic Acid)
Patients receive oxaliplatin IV over 2 hours, irinotecan hydrochloride IV over 90 minutes, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46 hours on day 1. Patients then receive ascorbic acid IV over 2 hours on days 3, 5, 8, 10 and 12. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Oxaliplatin: Given IV Irinotecan Hydrochloride: Given IV Leucovorin Calcium: Given IV Fluorouracil: Given IV Ascorbic Acid: Given IV
Overall Study
STARTED
8
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ascorbic Acid and Combination Chemotherapy in Treating Patients With Locally Advanced or Recurrent Pancreatic Cancer That Cannot Be Removed by Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (FOLFIRINOX, Ascorbic Acid)
n=8 Participants
Patients receive oxaliplatin IV over 2 hours, irinotecan hydrochloride IV over 90 minutes, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46 hours on day 1. Patients then receive ascorbic acid IV over 2 hours on days 3, 5, 8, 10 and 12. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Oxaliplatin: Given IV Irinotecan Hydrochloride: Given IV Leucovorin Calcium: Given IV Fluorouracil: Given IV Ascorbic Acid: Given IV
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 28 days after the last treatment

After 4 patients are enrolled on the study and receive at least one dose of intravenous ascorbic acid, the data will be reviewed. If 2 out of the 4 cannot complete 2 courses of FOLFIRINOX then the study will be halted.

Outcome measures

Outcome measures
Measure
Treatment (FOLFIRINOX, Ascorbic Acid)
n=8 Participants
Patients receive oxaliplatin IV over 2 hours, irinotecan hydrochloride IV over 90 minutes, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46 hours on day 1. Patients then receive ascorbic acid IV over 2 hours on days 3, 5, 8, 10 and 12. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Oxaliplatin: Given IV Irinotecan Hydrochloride: Given IV Leucovorin Calcium: Given IV Fluorouracil: Given IV Ascorbic Acid: Given IV
Number of Participants With Adverse Events as Determined by CTCAE Version 4.03
Grade 4 adverse event
1 Participants
Number of Participants With Adverse Events as Determined by CTCAE Version 4.03
Grade 5 adverse event
1 Participants
Number of Participants With Adverse Events as Determined by CTCAE Version 4.03
Grade 3 adverse event
4 Participants
Number of Participants With Adverse Events as Determined by CTCAE Version 4.03
No Serious Adverse Events
2 Participants

SECONDARY outcome

Timeframe: Baseline to up to 28 days after the last treatment

Change in quality of life over the six measurement times will be modeled using mixed effects linear regression to account for correlation among repeated measurements from the same subjects. Average change in QoL from baseline to follow-up will be computed.

Outcome measures

Outcome measures
Measure
Treatment (FOLFIRINOX, Ascorbic Acid)
n=8 Participants
Patients receive oxaliplatin IV over 2 hours, irinotecan hydrochloride IV over 90 minutes, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46 hours on day 1. Patients then receive ascorbic acid IV over 2 hours on days 3, 5, 8, 10 and 12. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Oxaliplatin: Given IV Irinotecan Hydrochloride: Given IV Leucovorin Calcium: Given IV Fluorouracil: Given IV Ascorbic Acid: Given IV
Change in Quality of Life as Defined by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C-30
NA score on a scale
Standard Deviation NA
Due to the small number of participants, quality of life assessments were not looked at quantitatively. Attempts have been made to obtain additional information from the investigator but no information has been provided.

Adverse Events

Treatment (FOLFIRINOX, Ascorbic Acid)

Serious events: 6 serious events
Other events: 0 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (FOLFIRINOX, Ascorbic Acid)
n=8 participants at risk
Patients receive oxaliplatin IV over 2 hours, irinotecan hydrochloride IV over 90 minutes, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46 hours on day 1. Patients then receive ascorbic acid IV over 2 hours on days 3, 5, 8, 10 and 12. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Oxaliplatin: Given IV Irinotecan Hydrochloride: Given IV Leucovorin Calcium: Given IV Fluorouracil: Given IV Ascorbic Acid: Given IV
Blood and lymphatic system disorders
Sepsis
12.5%
1/8 • baseline through 30 days after completing treatment; an average of 4 months.
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
12.5%
1/8 • baseline through 30 days after completing treatment; an average of 4 months.
General disorders
Hypokalemia
50.0%
4/8 • baseline through 30 days after completing treatment; an average of 4 months.
Blood and lymphatic system disorders
Anemia
37.5%
3/8 • baseline through 30 days after completing treatment; an average of 4 months.
Blood and lymphatic system disorders
Neutropenia
12.5%
1/8 • baseline through 30 days after completing treatment; an average of 4 months.

Other adverse events

Adverse event data not reported

Additional Information

Dr. James Posey

Sidney Kimmel Cancer Center at Thomas Jefferson University

Phone: 215-503-6442

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place