A Study of Nab-Paclitaxel and Gemcitabine With or Without Olaratumab (LY3012207) in Participants With Metastatic Pancreatic Cancer

NCT ID: NCT03086369

Last Updated: 2022-06-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-22

Study Completion Date

2021-06-17

Brief Summary

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The purpose of this study is to determine the safety and efficacy of nab-paclitaxel and gemcitabine with or without olaratumab in the treatment of first-line metastatic pancreatic cancer.

Detailed Description

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Conditions

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Metastatic 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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Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine

Participants received intravenous (IV) infusions of olaratumab 15 milligrams per kilogram (mg/kg), nab-paclitaxel 125 milligrams per meter square (mg/m\^2) and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

Group Type EXPERIMENTAL

Olaratumab

Intervention Type DRUG

Administered IV

Nab-paclitaxel

Intervention Type DRUG

Administered IV

Gemcitabine

Intervention Type DRUG

Administered IV

Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine

Participants received intravenous infusions of olaratumab 20 mg/kg, nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

Group Type EXPERIMENTAL

Olaratumab

Intervention Type DRUG

Administered IV

Nab-paclitaxel

Intervention Type DRUG

Administered IV

Gemcitabine

Intervention Type DRUG

Administered IV

Phase1b (cohort expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine

Following a protocol amendment, "cohort expansion" arm was added in phase 1b with new participants enrolled to confirm the safety of the olaratumab 20 mg/kg dose prior to opening the Phase 2. Participants received intravenous infusions of olaratumab 20 mg/kg, nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

Group Type EXPERIMENTAL

Olaratumab

Intervention Type DRUG

Administered IV

Nab-paclitaxel

Intervention Type DRUG

Administered IV

Gemcitabine

Intervention Type DRUG

Administered IV

Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine

Participants received intravenous infusions of olaratumab 20 mg/kg loading dose on days 1, 8, 15 of cycle 1 followed by 15 mg/kg on days 1, 8, 15 of all subsequent cycles, in combination with nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

Group Type EXPERIMENTAL

Olaratumab

Intervention Type DRUG

Administered IV

Nab-paclitaxel

Intervention Type DRUG

Administered IV

Gemcitabine

Intervention Type DRUG

Administered IV

Phase 2: Placebo + Nab-paclitaxel + Gemcitabine

Participants received intravenous infusions of placebo, nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

Group Type PLACEBO_COMPARATOR

Nab-paclitaxel

Intervention Type DRUG

Administered IV

Gemcitabine

Intervention Type DRUG

Administered IV

Placebo

Intervention Type DRUG

Administered IV

Interventions

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Olaratumab

Administered IV

Intervention Type DRUG

Nab-paclitaxel

Administered IV

Intervention Type DRUG

Gemcitabine

Administered IV

Intervention Type DRUG

Placebo

Administered IV

Intervention Type DRUG

Other Intervention Names

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LY3012207

Eligibility Criteria

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Inclusion Criteria

* Histological or cytological diagnosis of adenocarcinoma of the exocrine pancreas that is metastatic (Stage IV) and not amenable to resection with curative intent.
* If present, clinically significant or symptomatic amounts of ascites should be drained prior to Day 1.
* Have had no prior systemic treatment for metastatic disease. Prior adjuvant or neo-adjuvant chemotherapy or radiochemotherapy (other than nab-paclitaxel) is allowed if completed ≥3 months prior to enrollment and no lingering toxicities are present.
* Prior radiation therapy for treatment of cancer is allowed to \<25% of the bone marrow.
* Phase 2: archival tumor tissue or be willing to provide a pre-treatment biopsy.
* Measurable or nonmeasurable but evaluable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
* Discontinued all previous treatments for cancer ≥4 weeks prior.
* Adequate organ function.
* Life expectancy of at least 3 months.

Exclusion Criteria

* Serious concomitant systemic disorder.
* Have received first line treatment for metastatic pancreatic cancer.
* Received prior treatment with nab-paclitaxel.
* Have known central nervous system malignancy or metastasis.
* Current hematologic malignancies.
* Participated within the last 30 days in a clinical trial involving an investigational product.
* Women with a positive pregnancy test or lactating.
* Have endocrine pancreatic tumors or ampullary cancer.
* Currently enrolled in another clinical trial.
* Have a known additional malignancy that is progressing or required active treatment within the past 1 year.
* Known allergy to nab-paclitaxel or gemcitabine or any ingredient of study drug formulations.
* Are taking certain anti-coagulant medications such as warfarin and are unable to be switched to other similar medicines.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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TGen Clinical Research Services at Scottsdale Healthcare

Scottsdale, Arizona, United States

Site Status

University of Arizona Cancer Center

Tucson, Arizona, United States

Site Status

Highlands Oncology Group

Fayetteville, Arkansas, United States

Site Status

Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status

St Jude Medical Center

Fullerton, California, United States

Site Status

TRIO - Translational Research in Oncology-US, Inc.

Los Angeles, California, United States

Site Status

UCLA Medical Center

Los Angeles, California, United States

Site Status

Cancer Center of Santa Barbara with Sansum Clinic

Santa Barbara, California, United States

Site Status

Central Coast Medical Oncology Corporation

Santa Maria, California, United States

Site Status

Smilow Cancer Hospital at Yale-New Haven

New Haven, Connecticut, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Florida Cancer Specialists and Research Institute

St. Petersburg, Florida, United States

Site Status

H Lee Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Fort Wayne Oncology & Hematology

Fort Wayne, Indiana, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

Nebraska Methodist Hospital

Omaha, Nebraska, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Monter Cancer Center

Lake Success, New York, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Sanford Research/USD

Sioux Falls, South Dakota, United States

Site Status

Chattanooga Oncology Hematology Associates

Chattanooga, Tennessee, United States

Site Status

Sarah Cannon Research Institute SCRI

Nashville, Tennessee, United States

Site Status

Tennessee Oncology PLLC

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Univ of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

University of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status

University of Wisconsin-Madison Hospital and Health Clinic

Madison, Wisconsin, United States

Site Status

Charité Campus Virchow-Klinikum

Berlin, , Germany

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Countries

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United States Germany Spain

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lillytrialguide.com/en-US/trial/13wSI7GbbMae4kSSGsoWOw

A Study of Nab-Paclitaxel and Gemcitabine With or Without Olaratumab (LY3012207) in Participants With Metastatic Pancreatic Cancer

Other Identifiers

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I5B-MC-JGDP

Identifier Type: OTHER

Identifier Source: secondary_id

2016-001099-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

15844

Identifier Type: -

Identifier Source: org_study_id

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