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Combination Therapy With NC-6004 and Gemcitabine Versus Gemcitabine Alone in Pancreatic Cancer

Phase 3
Completed
Conditions
Pancreatic Neoplasms
Interventions
Registration Number
NCT02043288
Lead Sponsor
Orient Europharma Co., Ltd.
Brief Summary

This clinical trial is designed to evaluate the impact of the addition of NC-6004 to gemcitabine in the treatment of patients with locally advanced or metastatic pancreatic cancer in Asian countries.

Detailed Description

Pancreatic cancer is one of the most deadly cancers because of the predominately late diagnosis. Gemcitabine (GEM) is the standard treatment for advanced and metastatic pancreatic cancer. According to preclinical data and few early phase studies, a combined use of gemcitabine and cisplatin (CDDP) showed synergistic efficacy against pancreatic cancer. NC-6004, a novel micellar cisplatin formulation, retains the activity but avoids the renal toxicity and neurotoxicity caused by the high peak Cmax concentrations of cisplatin. This trial is designed to evaluate the impact of the addition of NC-6004 to gemcitabine in the treatment of patients with locally advanced or metastatic pancreatic cancer.

The main hypothesis of this study is that NC-6004 plus gemcitabine combination is superior to gemcitabine alone in terms of overall survival in locally advanced or metastatic pancreatic cancer patients

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
310
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NC-6004 and Gemcitabine combinationNC-6004NC-6004 90mg/m2 i.v. on Day 1 and Gemcitabine 1000mg/m2 i.v. on Day 1 and Day 8 respectively
NC-6004 and Gemcitabine combinationGemcitabineNC-6004 90mg/m2 i.v. on Day 1 and Gemcitabine 1000mg/m2 i.v. on Day 1 and Day 8 respectively
Gemcitabine monotherapyGemcitabineGemcitabine 1000mg/m2 i.v. on Day 1 ,8 and 15
Primary Outcome Measures
NameTimeMethod
Overall survival (OS)3.5 years

Overall survival is defined as the time from the treatment initiation until death from any cause, and censored at the last follow up time.

Secondary Outcome Measures
NameTimeMethod
CA19-93.5 years

CA19-9 values and changes from baseline will be summarized.

Progression free survival (PFS)3.5 years

Progression free survival is defined as the time from the treatment initiation until progression or death, and censored at the last follow up time.

Duration of response3.5 years

* Duration of overall response (DOR) will be measured from the time of initial response (CR or PR) until documented progression or death, and censored at last follow up time.

* Duration of stable disease (DSD) will be measured from the time of initial stable disease (SD) until documented progression or death, and censored at last follow up time.

Response rate (RR) and disease control rate (DCR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria3.5 years

* Response rate is defined as counts and proportions of patients responding complete response or partial response within the duration of the study.

* Disease control rate is defined as counts and proportions of patients responding complete response, partial response or progressive disease within the duration of the study.

Quality of life (QoL) using EORTC QLQ-C303.5 years

Quality of life (QoL) values and changes from baseline will be summarized.

Trial Locations

Locations (43)

Yonsei University Health System, Severance Hospital

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

Chiba Cancer Center

πŸ‡―πŸ‡΅

Chiba, Japan

Korea University Guro Hospital (KUGH)

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

The Catholic University of Korea, Seoul St. Mary's Hospital (CUK SSMH)

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

Samsung Medical Center (SMC)

πŸ‡°πŸ‡·

Seoul, Korea, Republic of

Hokkaido University Hospital

πŸ‡―πŸ‡΅

Hokkaido, Japan

Osaka Medical Center for Cancer and Cardiovascular Diseases

πŸ‡―πŸ‡΅

Osaka, Japan

Saitama Cancer Center

πŸ‡―πŸ‡΅

Saitama, Japan

Kanagawa Cancer Center

πŸ‡―πŸ‡΅

Yokohama, Japan

Ajou University Hospital (AUH)

πŸ‡°πŸ‡·

Gyeonggi-do, Korea, Republic of

National Cancer Centre

πŸ‡ΈπŸ‡¬

Singapore, Singapore

Hospital Kuala Lumpur

πŸ‡²πŸ‡Ύ

Kuala Lumpur, Malaysia

Chiayi Chang Gung Memorial Hospital

πŸ‡¨πŸ‡³

Chiayi City, Taiwan

Koo Foundation Sun Yat-Sen Cancer Center

πŸ‡¨πŸ‡³

Taipei, Taiwan

Prince of Wales Hospital

πŸ‡­πŸ‡°

Hong Kong, Hong Kong

Shizuoka Cancer Center

πŸ‡―πŸ‡΅

Shizuoka, Japan

The University of Tokyo Hospital

πŸ‡―πŸ‡΅

Tokyo, Japan

Aichi Cancer Center

πŸ‡―πŸ‡΅

Aichi, Japan

National Hospital Organization Kyushu Cancer Center

πŸ‡―πŸ‡΅

Fukuoka, Japan

National Hospital Organization Osaka National Hospital

πŸ‡―πŸ‡΅

Osaka, Japan

National Hospital Organization Shikoku Cancer Center

πŸ‡―πŸ‡΅

Shikokuchūō, Japan

The Cancer Institute Hospital of JFCR

πŸ‡―πŸ‡΅

Tokyo, Japan

Center Hospital of the National Center for Global Health and Medicine

πŸ‡―πŸ‡΅

Tokyo, Japan

Kyorin university Hospital

πŸ‡―πŸ‡΅

Tokyo, Japan

National Cancer Center Hospital East

πŸ‡―πŸ‡΅

Tokyo, Japan

National Cancer Center Hospital

πŸ‡―πŸ‡΅

Tokyo, Japan

Makati Medical Center

πŸ‡΅πŸ‡­

Makati, Philippines

Hospital Sultan Ismail

πŸ‡²πŸ‡Ύ

Johor Bahru, Malaysia

Kaohsiung Medical University Hospital

πŸ‡¨πŸ‡³

Kaohsiung, Taiwan

Chang Gung Memorial Hospital, Kaohsiung Branch

πŸ‡¨πŸ‡³

Kaohsiung, Taiwan

China Medical University Hospital

πŸ‡¨πŸ‡³

Taichung, Taiwan

Taichung Veterans General Hospital

πŸ‡¨πŸ‡³

Taichung, Taiwan

Chi Mei Hospital

πŸ‡¨πŸ‡³

Tainan, Taiwan

National Cheng Kung University Hospital

πŸ‡¨πŸ‡³

Tainan, Taiwan

National Taiwan University Hospital

πŸ‡¨πŸ‡³

Taipei, Taiwan

Chi Mei Medical Center

πŸ‡¨πŸ‡³

Yongkang, Taiwan

Mackay Memorial Hospital

πŸ‡¨πŸ‡³

Taipei, Taiwan

Taipei Medical University Hospital

πŸ‡¨πŸ‡³

Taipei, Taiwan

Tri-Service General Hospital

πŸ‡¨πŸ‡³

Taipei, Taiwan

Taipei Veterans General Hospital

πŸ‡¨πŸ‡³

Taipei, Taiwan

Chang Gung Memorial Hospital, Linkou Branch

πŸ‡¨πŸ‡³

Taipei, Taiwan

Taipei Medical University-Shuang-Ho Hospital, Ministry of Health and Welfare

πŸ‡¨πŸ‡³

Taipei, Taiwan

Queen Mary Hospital

πŸ‡­πŸ‡°

Hong Kong, Hong Kong

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