Phase I Study of TBI-1401(HF10) Plus Chemotherapy in Patients with Unresectable Pancreatic Cancer.

NCT ID: NCT03252808

Last Updated: 2024-12-09

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-25

Study Completion Date

2035-03-31

Brief Summary

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The purpose of this study is to determine the recommended dose of TBI-1401(HF10) treatment in combination with chemotherapy (Gemcitabine + Nab-paclitaxel or TS-1) in patients with stage III or IV unresectable pancreatic cancer.

Detailed Description

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A Phase I, open-label, multi-center study to determine the recommended dose of TBI-1401(HF10) treatment in combination with chemotherapy (Gemcitabine + Nab-paclitaxel or TS-1) in patients with stage III or IV unresectable pancreatic cancer. Patients with stage IV must failed a gemcitabine based first-line chemotherapy.

Patients with stage III will receive the repeated intratumoral injection of TBI-1401(HF10) at recommended dose at 2-week intervals in combination with intravenous infusion of 1000 mg/m\^2 Gemcitabine and 125 mg/m\^2 Nab-paclitaxel at weekly for 3 weeks followed by 1 week rest.

Patients with stage IV will receive the repeated intratumoral injection of TBI-1401(HF10) at recommended dose at 2-week intervals in combination with oral of 40 - 60 mg TS-1 at twice daily for 4 weeks followed by 2 weeks rest.

Patients will receive the combination therapy of TBI-1401(HF10) + chemo for up to 1 year if eligible for treatment.

Conditions

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Pancreatic Cancer Stage III Pancreatic Cancer Stage IV

Keywords

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Unresectable pancreatic cancer Metastatic pancreatic cancer Pancreatic adenocarcinoma TBI-1401(HF10) HF10 Oncolytic virus Oncolytic viral immunotherapy Gemcitabine Nab-paclitaxel Albumin-bound paclitaxel Abraxane Tegafur-gimeracil-oteracil potassium TS-1 canerpaturev

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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TBI-1401(HF10) + Gem/nab-PTX

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered to the tumor in a total volume up to 2.0 mL (injection volume will be adjusted based on the tumor size) by EUS-guided intratumoral injection and 1000 mg/m\^2 Gemcitabine and 125 mg/m\^2 Nab-paclitaxel injected by intravenous infusions.

Group Type EXPERIMENTAL

TBI-1401(HF10)

Intervention Type BIOLOGICAL

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered by intratumoral injection at 2-week intervals. Patients may continue to receive the injections for up to 1 year if eligible for injection.

Gemcitabine

Intervention Type DRUG

1000 mg/m\^2 Gemcitabine administered by intravenous infusion at weekly for 3 weeks followed by a week of rest.

Nab-paclitaxel

Intervention Type DRUG

125 mg/m\^2 Nab-paclitaxel administered by intravenous infusion at weekly for 3 weeks followed by a week of rest.

TBI-1401(HF10) + TS-1 (primary)

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered to the primary tumor in a total volume up to 2.0 mL (injection volume will be adjusted based on the tumor size) by EUS-guided intratumoral injection and TS-1 administered by oral.

Group Type EXPERIMENTAL

TBI-1401(HF10)

Intervention Type BIOLOGICAL

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered by intratumoral injection at 2-week intervals. Patients may continue to receive the injections for up to 1 year if eligible for injection.

TS-1

Intervention Type DRUG

TS-1 (40-60 mg per body surface area) administered by oral at twice daily for 4 weeks followed by 2 weeks of rest.

TBI-1401(HF10) + TS-1 (primary and meta)

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered to the primary tumor in a total volume up to 2.0 mL (injection volume will be adjusted based on the tumor size) by EUS-guided intratumoral injection and hepatic metastasis in a total volume up to 2.0 mL (injection volume will be adjusted based on the tumor size) by EUS-guided intratumoral injection or percutaneous injection and TS-1 administered by oral.

Group Type EXPERIMENTAL

TBI-1401(HF10)

Intervention Type BIOLOGICAL

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered by intratumoral injection at 2-week intervals. Patients may continue to receive the injections for up to 1 year if eligible for injection.

TS-1

Intervention Type DRUG

TS-1 (40-60 mg per body surface area) administered by oral at twice daily for 4 weeks followed by 2 weeks of rest.

Interventions

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TBI-1401(HF10)

1x10\^6 or 1x10\^7 TCID50/mL TBI-1401(HF10) administered by intratumoral injection at 2-week intervals. Patients may continue to receive the injections for up to 1 year if eligible for injection.

Intervention Type BIOLOGICAL

Gemcitabine

1000 mg/m\^2 Gemcitabine administered by intravenous infusion at weekly for 3 weeks followed by a week of rest.

Intervention Type DRUG

Nab-paclitaxel

125 mg/m\^2 Nab-paclitaxel administered by intravenous infusion at weekly for 3 weeks followed by a week of rest.

Intervention Type DRUG

TS-1

TS-1 (40-60 mg per body surface area) administered by oral at twice daily for 4 weeks followed by 2 weeks of rest.

Intervention Type DRUG

Other Intervention Names

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HF10 canerpaturev Gemzar Abraxane Tegafur-gimeracil-oteracil potassium

Eligibility Criteria

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Inclusion Criteria

* Patients with histologically or cytologically confirmed unresectable pancreatic cancer (stage III or IV) based on the General Rules for the Study of Pancreatic Cancer (The 7th edition), and never received anti-cancer therapy (radiation therapy, chemotherapy, immunotherapy, surgery, clinical trials).
* Patients with primary lesion will be intratumorally injectable for TBI-1401(HF10) by EUS (endoscopic ultrasound).
* Patients must be ≧20 years of age.
* Patients must have at least one measurable lesion evaluated by Computed Tomography (CT) scan on RECIST ver.1.1 at pre-treatment.
* Patients must have a life expectancy ≧12 weeks.
* Patients must have an ECOG PS (Eastern Cooperative Oncology Group Performance Status) of 0-1.
* Patients demonstrated adequate organ function (≦7 days prior to treatment).
* Females of childbearing potential must have a negative urine or serum pregnancy test within 1 week prior to start of treatment.
* Patients must be able to understand the study and willing to sign a written informed consent document.

Exclusion Criteria

* Patients receiving anti-herpes medication within 1 week prior to TBI-1401(HF10) treatment (except local treatment such as ointment).
* Patients with a significant tumor bleeding or coagulation abnormality that could not treat intratumoral injection or biopsy in safe.
* Patients with clinically evident Hepatitis B surface antigen (HBs) positive, Hepatitis C virus (HCV) antibody positive and HSV-RNA positive, Human Immunodeficiency Virus (HIV) antibody positive.
* Patients with the active symptom of Epstein-Barr virus (EBV) infection.
* Patients with active CNS metastases.
* Patients with ascites, except acceptable mild ascites.
* Patients with multiple cancer.
* Patients need to treat anticoagulant or antiplatelet agent.
* Patients has a history of allergy for CT contrast agent, live vaccine, any drug excipients, Nab-paclitaxel, Gemcitabine, or any study drugs.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takara Bio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Takara Bio Inc.

Role: STUDY_DIRECTOR

Clinical Development & Strategy Division 2

Locations

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Clinical Site

Nagoya, Aichi-ken, Japan

Site Status

Clinical Site

Chiba, Chiba, Japan

Site Status

Clinical Site

Kashiwa, Chiba, Japan

Site Status

Clinical Site

Yokohama, Kanagawa, Japan

Site Status

Clinical Site

Osaka, Osaka, Japan

Site Status

Clinical Site

Chūōku, Tokyo, Japan

Site Status

Clinical Site

Koto-Ku, Tokyo, Japan

Site Status

Clinical Site

Nagoya, , Japan

Site Status

Countries

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Japan

Other Identifiers

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TBI1401-03

Identifier Type: -

Identifier Source: org_study_id