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Combination With Gemcitabine in Advanced Pancreatic Cancer

Phase 1
Completed
Conditions
Pancreatic Neoplasms
Interventions
Drug: BAY86-9766+Gemcitabine
Registration Number
NCT01251640
Lead Sponsor
Bayer
Brief Summary

Open-label, uncontrolled, Phase I/II study to evaluate safety and efficacy of BAY86-9766 plus gemcitabine in locally advanced, unresectable or metastatic pancreatic cancer.

Phase I: Dose escalation study investigating 20, 30 and 50 mg BAY86-9766 plus gemcitabine (1000mg/m2); determination of maximum tolerated dose and recommended phase 2 dose.

Phase II: Determination of response (RECIST 1.1; primary endpoint). Secondary endpoints: response duration, disease control rate, time to progression, progression-free survival, overall survival, safety and tolerability.

Tumor assessments at Screening and than every 8 weeks.; Safety evaluations at Screening and weekly throughout the study; Safety follow-up visit 30 days after the last dose of study treatment; Survival follow up monthly for up to 8 month after LPFV.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  • Male or female patients ≥18 years of age
  • Histological or cytologically confirmed locally advanced, inoperable or metastatic pancreatic adenocarcinoma not amenable to curative radiotherapy or surgery
  • Patients must have at least one uni-dimensional measurable lesion by CT or MRI according to RECIST, Version 1.1
  • Resolution of all acute toxic effects of any prior local treatment to Common Terminology Criteria for Adverse Events (CTCAE) Grade </= 1
  • Eastern Cooperative Oncology Group performance status (ECOG PS) </= 2
  • Patient has cardiac function, within normal range, as measured by an echocardiogram
Exclusion Criteria
  • Known history of, or symptomatic metastatic brain or meningeal tumors
  • History of cardiac disease
  • Active clinically serious infections
  • Clinically significant (ie. symptomatic) peripheral vascular disease
  • Pregnant or lactating women; women of childbearing potential not employing adequate contraception
  • Use of strong inhibitors or inducers of CYP3A4
  • Prior systemic therapy for metastatic or locally advanced, unresectable pancreatic cancer, or other malignancy
  • Previous gemcitabine or 5-fluorouracil (5-FU) given concurrently as radiosensitizers to radiation therapy in adjuvant intention if given within 6 months from start of study treatment
  • Thrombotic or embolic events such within 6 months prior to start of study treatment

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm 1BAY86-9766+Gemcitabine-
Primary Outcome Measures
NameTimeMethod
Number of Subjects With Dose Limiting Toxicities (DLT): Phase IFrom randomization up to the first 8 weeks of therapy
Tumor Response (Adjudicated Blinded Read Assessment): Phase IIFrom start of treatment until 134 weeks assessed every 8 weeks
Secondary Outcome Measures
NameTimeMethod
Disease Control (DC): Phase IIFrom start of treatment until 134 weeks assessed every 8 weeks
Time to Progression (TTP): Phase IIFrom start of treatment until 134 weeks assessed every 8 weeks
Tumor Response: Investigator Assessment: Phase IFrom start of treatment until 134 weeks assessed every 8 weeks
Disease Control (DC): Phase IFrom start of treatment until 134 weeks assessed every 8 weeks
Duration of Response (DOR): Phase IFrom start of treatment until 134 weeks assessed every 8 weeks
Duration of Response: Phase IIFrom start of treatment until 134 weeks assessed every 8 weeks
Time to Progression (TTP): Phase IFrom start of treatment until 134 weeks assessed every 8 weeks
Progression-Free Survival (PFS): Phase IFrom start of treatment until 134 weeks assessed every 8 weeks
Progression-Free Survival (PFS): Phase IIFrom start of treatment until 134 weeks assessed every 8 weeks
Overall Survival (OS): Phase IFrom start of treatment until 134 weeks assessed every 8 weeks
Overall Survival (OS): Phase IIFrom start of treatment until 134 weeks assessed every 8 weeks
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