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Combination Therapy for Patients With Untreated Metastatic Pancreatic Ductal Adenocarcinoma


2016-04


2023-04-11


2024-03-22


35

Study Overview

Combination Therapy for Patients With Untreated Metastatic Pancreatic Ductal Adenocarcinoma

The purpose of this study is to find out if the study drugs nivolumab, albumin- bound paclitaxel, paricalcitol, cisplatin, and gemcitabine given together are safe and effective when combined to treat advanced pancreatic cancer.

N/A

  • Untreated Metastatic Pancreatic Ductal Adenocarcinoma
  • DRUG: Nivolumab
  • DRUG: Albumin-bound paclitaxel
  • DRUG: Paricalcitol
  • DRUG: Cisplatin
  • DRUG: Gemcitabine
  • NAPPCG-EB 2015-001

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2016-04-19  

2024-06-27  

2024-12-02  

2016-04-25  

2024-12-02  

2024-12-10  

2016-04-28  

2024-12-10  

2024-12  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
OTHER: single arm

open label using combination therapy

DRUG: Nivolumab

  • Nivolumab 240mg 240 mg as a 60 minute infusion on days 1, 15, 29 per 42 day cycle

DRUG: Albumin-bound paclitaxel

  • 125 mg/m2 over 30 minutes IV infusion on days 1, 8 and 22, 29 per 42 day cycle

DRUG: Paricalcitol

  • 25 micrograms IV on days 1,4,8,12,15,18,22,26,29,32,36,39 (+/-1 day allowed for dosing per 42 day cycle

DRUG: Cisplatin

  • 25 mg/m2 over 60 minutes IV infusion on days 1, 8 and 22, 29 per 42 day cycle

DRUG: Gemcitabine

  • 1000 mg/m2 over 30 minutes IV infusion on days 1, 8 and 22, 29 per 42 day cycle
Primary Outcome MeasuresMeasure DescriptionTime Frame
Complete Response RatePer Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete response (CR) rate as defined by CT scan using RECIST 1.1 criteria - disappearance of all target lesions and no new sites or disease-related symptoms confirmed at least 4 weeks after initial documentation and CA 19-9 (or CA 125, or CEA if not expressers of CA 19-9) down to normal limits; Partial Response (PR), at least a 30% decrease in the sum of the diameters of target lesions; Overall Response (OR) = CR + PR. When a complete response is documented, a Positron emission tomography (PET) scan will be obtained to confirm.From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 84 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Patients will be followed throughout their study participation and every 12 weeks following last dose of treatment until reported date of death.From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 84 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Age ≥18 years of age . 2. Histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma. 3. Capable of providing informed consent and complying with Trial procedures. 4. Karnofsky Performance Status (KPS) of ≥ 70%. 5. Life expectancy ≥ 12 weeks. 6. Measurable tumor lesions according to RECIST 1.1 criteria. 7. Women must not be able to become pregnant (e.g. post-menopausal for at least 1 year, surgically sterile, or practicing adequate birth control methods) for the duration of the study. Women of child bearing potential must have a negative serum or urine pregnancy test at the Screening Visit and be non-lactating. Both male and female patients of reproductive potential must agree to use a reliable method of birth control during the study.
    Exclusion Criteria:
    1. Patients must have received no previous radiotherapy, surgery, chemotherapy or investigational therapy for the treatment of metastatic disease. Prior treatments in the adjuvant setting with gemcitabine and/or 5-FU (5-Fluorouracil) or gemcitabine administered as a radiation sensitizer are allowed, provided at least 6 months have elapsed since completion of the last dose and no lingering toxicities are present. 2. Palliative surgery and/or radiation treatment less than 4 weeks prior to initiation of study treatment. 3. Exposure to any investigational agent within 4 weeks prior to initiation of study treatment. 4. Evidence of central nervous system (CNS) metastasis (negative imaging study, if clinically indicated, within 4 weeks of Screening Visit). 5. History of other malignancies (except cured basal cell carcinoma, superficial bladder cancer or carcinoma in situ of the cervix) unless documented free of cancer for ≥5 years. 6. Laboratory values: Screening serum creatinine > upper limit of normal (ULN); total bilirubin > (ULN); alanine aminotransferase (ALT) and Aspartate transaminase (AST) ≥ 2.5 ULN or ≥ 5.0×ULN if liver metastases are present; absolute neutrophil count <1,500/mm3, platelet concentration <100,000/mm3, hematocrit level <27% for females or <30% for males, or coagulation tests (prothrombin time [PT], partial thromboplastin time [PTT], International Normalized Ratio [INR]) >1.5×ULN unless on therapeutic doses of warfarin. 7. Current, serious, clinically significant cardiac arrhythmias as determined by the investigator. 8. History of HIV infection or active or chronic hepatitis B or C. 9. Active, clinically significant serious infection requiring treatment with antibiotics, anti-virals or anti-fungals. 10. Major surgery within 4 weeks prior to initiation of study treatment. 11. Any condition that might interfere with the patient's participation in the study or in the evaluation of the study results. 12. Any condition that is unstable and could jeopardize the patient's participation in the study. 13. Patient has a transplanted organ. 14. Patients with a history of autoimmune disease. 15. Prior Programmed cell death protein-1 (PD-1) or Programmed death-ligand-1 (PD-L1) therapy. 16. Patients taking any chemo or immunosuppressive steroids (equivalent to > 20 mg hydrocortisone per day). 17. Patients cannot have > Grade 1 pre-existing peripheral neuropathy (per CTCAE).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Translational Genomics Research Institute
  • Bristol-Myers Squibb
  • Lustgarten Foundation

  • PRINCIPAL_INVESTIGATOR: Erkut Borazanci, MD, HonorHealth Research Institute

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available