Clinical Trials /

A Phase 2 Study of siG12D LODER in Combination With Chemotherapy in Patients With Locally Advanced Pancreatic Cancer

NCT01676259

Description:

In this Phase II study a dose of 2.8 mg (eight 0.35 mg siG12D-LODERs) will be administered in 12-week cycles to patients with unresectable or borderline resectable locally advanced pancreatic cancer combined with chemotherapy treatment. Primary Outcome: - ORR at 6 months.

Related Conditions:
  • Pancreatic Adenocarcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Phase II Study of siG12D LODER in Combination With Chemotherapy in Patients With Unresectable Locally Advanced Pancreatic Cancer
  • Official Title: A Phase II, Randomized, Open Label Study of Single Dose siG12D LODER in Combination With Chemotherapy in Patients With Unresectable Locally Advanced Pancreatic Cancer

Clinical Trial IDs

  • ORG STUDY ID: SLSG12D-P2
  • NCT ID: NCT01676259

Conditions

  • Pancreatic Ductal Adenocarcinoma
  • Pancreatic Cancer

Interventions

DrugSynonymsArms
siG12D-LODERsiG12D-LODER + chemotherapy
Gemcitabine+nab-PaclitaxelChemotherapyChemotherapy

Purpose

In this Phase II study a single dose 2.8 mg (eight 0.35 mg siG12D-LODERs) will be administered to patients with unresectable locally advanced pancreatic cancer combined with chemotherapy treatment. Primary Outcome: - Progression-free survival (PFS) in the study population.

Detailed Description

      In this Phase II study a single dose 2.8 mg (eight 0.35 mg siG12D-LODERs) will be
      administered to patients with unresectable LAPC combined with chemotherapy treatment
      (Gemcitabine+nab-Paclitaxel). This will be the first study to assess the response rate of
      the siG12D-LODER in patients with unresectable LAPC. The study is of a two-arm design with
      one arm receiving siG12D-LODER + chemotherapy, while the other arm receiving only
      chemotherapy.

      The investigational agent siG12D-LODER is a miniature biodegradable bio polymeric matrix
      that encompasses the drug, designed and produced by Silenseed Ltd. The implantation of
      LODERs is selected to meet current gastroenterology endoscopic ultrasound (EUS) biopsy
      procedures, proved to be highly effective and safe.

      siG12D-LODER has been studied in the escalating dose Phase I study of 15 patients, and
      results showed a high safety and tolerability profiles, with no single DLT.
    

Trial Arms

NameTypeDescriptionInterventions
ChemotherapyActive ComparatorGemcitabine+nab-Paclitaxel
  • Gemcitabine+nab-Paclitaxel
siG12D-LODER + chemotherapyExperimentalEight siG12D-LODER+(Gemcitabine+nab-Paclitaxel)
  • siG12D-LODER
  • Gemcitabine+nab-Paclitaxel

Eligibility Criteria

        Inclusion Criteria:

          -  Subjects who provide written informed consent to participate in the study

          -  Men and women patients 18 years of age and up

          -  Have an unresectable, locally advanced pancreatic cancer (AJCC stage III). (Excluded:
             resectable and borderline resectable patients are ineligible per NCCN criteria)

          -  Allocated to receive Gemcitabine + nab-Paclitaxel as first line treatment.

          -  Have a target tumor that is accessible for intratumoral administration by PTA
             (Percutaneous transluminal approach) or EUS (Endoscopic Ultrasound) guidance as
             determined by the radiologist/gastroenterologist performing the PTA/EUS injection.

          -  Have an ECOG performance status of ≤ 1

          -  If female and of childbearing potential, have a negative serum or urine pregnancy
             test during screening. Agree to use a barrier method of contraception if sexually
             active (both men and women) from the time of administration of the first treatment
             and for at least 8 weeks after treatment.

          -  Have serum creatinine <1.6 mg/dL, INR < 1.5 U, absolute neutrophil count (ANC) > 1 x
             109/L , platelets ≥ 100 x 109/L , hemoglobin ≥ 10 mg/dL, ALT and AST ≤ 3 x ULN,
             bilirubin ≤ 1.5 x ULN

          -  Have measurable disease. Patients must have clinically and/or radiographically
             documented measurable primary disease according to RECIST 1.1. At least one site of
             disease must be unidimensionally measurable. All radiology scans must be performed
             within 28 days prior to registration

        Exclusion Criteria:

          -  Evidence of metastatic disease

          -  Other malignancy that would interfere with the current intervention

          -  Any evidence of ascites (beyond trace)

          -  Bulky celiac adenopathy (≥2.5 cm) or nonadenocarcinoma histology.

          -  Any prior therapy for the treatment of pancreatic malignancy (including chemotherapy,
             immunotherapy, vaccines, monoclonal antibodies, major surgery, or irradiation,
             whether conventional or investigational).

          -  Prior therapy with any hypoxic cytotoxin (hypoxia-targeting drugs).

          -  Previously treated malignancies, except for adequately treated non-melanoma skin
             cancer, in situ cancer, or other cancers from which the subject has been disease-free
             for at least 2 years

          -  Severe chronic obstructive or other pulmonary disease with hypoxemia (requires
             supplementary oxygen, symptoms due to hypoxemia or oxygen saturation <90% by pulse
             oximetry after a 2 minute walk) or in the opinion of the investigator any
             physiological state likely to cause systemic or regional hypoxemia

          -  History of clinically significant coagulopathy

          -  Major surgery, other than diagnostic surgery, within 4 weeks prior to Day 1, without
             complete recovery

          -  New York Heart Association (NYHA) Class III or IV, cardiac disease, myocardial
             infarction within 4months prior to Day 1, unstable arrhythmia or symptomatic
             peripheral arterial vascular disease

          -  Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic
             therapy

          -  Subjects who participated in an investigational drug or device study within 28 days
             prior to study entry

          -  Known active infection with HIV, hepatitis B virus, or hepatitis C virus

          -  Females who are pregnant or breast-feeding

          -  Concomitant disease or condition that could interfere with the conduct of the study,
             or that would, in the opinion of the investigator, pose an unacceptable risk to the
             subject in this study

          -  Unwillingness or inability to comply with the study protocol for any reason

          -  Participation in another clinical trial with drugs received within 3 months prior to
             dosing (calculated from the previous study's last dosing date).
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Progression-free survival (PFS) in the study population
Time Frame:One year
Safety Issue:
Description:

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Not yet recruiting
Lead Sponsor:Silenseed Ltd

Trial Keywords

  • siRNA
  • RNA interference (RNAi)
  • Cancer
  • Pancreatic ductal adenocarcinoma
  • Locally Advanced Pancreatic cancer
  • Solid tumor
  • Non operable pancreatic ductal adenocarcinoma

Last Updated

November 9, 2016