Randomized Phase II Study of Weekly ABI-007 Plus Gemcitabine or Simplified LV5FU2 as First-line Therapy in Patients With Metastatic Pancreatic Cancer
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 114
- 试验地点
- 15
- 主要终点
- Progression-free survival (PFS)
研究概览
简要总结
To evaluate the combination of ABI-007 with gemcitabine or with LV5FU2.
详细描述
Gemcitabine alone or the triplet combination of 5FU, irinotecan and oxaliplatin (FOLFIRINOX)are the reference 1st line treatment for metastatic pancreatic cancer.
The aim of the AFUGEM study is to evaluate the efficacy of weekly ABI-007 in combination with weekly gemcitabine or with fortnightly simplified LV5FU2 regimen in terms of progression-free survival in patients with previously untreated metastatic pancreatic cancer.
ABI-007 has been approved for commercialization in 38 countries, including the US, Canada, the EU, Australia, China, India and Korea for the treatment of women with metastatic breast cancer. ABI-007 alone and in combination is being evaluated in a number of cancers, including metastatic melanoma, non-small cell lung cancer, pancreatic cancer, and other solid tumors. Conditions which are responsive to paclitaxel such as non-hematological solid tumor malignancies are good clinical candidates for treatment with ABI-007.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Signed and dated informed consent, and willing and able to comply with protocol requirements,
- •Histologically or cytologically proven adenocarcinoma of the pancreas,
- •Metastatic disease confirmed (stage IV),
- •No prior therapy for metastatic disease (in case of previous adjuvant therapy, interval from end of chemotherapy and relapse must be >12 months),
- •At least one measurable or evaluable lesion as assessed by CT-scan or MRI (Magnetic Resonance Imaging) according to RECIST v1.1 guidelines,
- •Age ≥18 years,
- •ECOG Performance status (PS) 0-2,
- •Hematological status: neutrophils (ANC) >1.5x109/L; platelets >100x109/L; haemoglobin ≥9g/dL,
- •Adequate renal function: serum creatinine level <150µM,
- •Adequate liver function: AST (SGOT) and ALT (SGPT) ≤2.5xULN (≤5xULN in case of liver metastases)
- •Total bilirubin ≤1.5 x ULN, albumin ≥25g/L
- •Baseline evaluations performed before randomization: clinical and blood evaluations no more than 2 weeks (14 days) prior to randomization, tumor assessment (CT-scan or MRI, evaluation of non-measurable lesions) no more than 3 weeks (21 days) prior to randomization,
- •Female patients must be surgically sterile, or be postmenopausal, or must commit to using reliable and appropriate methods of contraception during the study and during at least six months after the end of study treatment (when applicable). All female patients with reproductive potential must have a negative pregnancy test (β HCG) within 72 hours prior to starting ABI-007 treatment. Breastfeeding is not allowed. Male patients must agree to use effective contraception in addition to having their partner use a contraceptive method as well during the trial and during at least six months after the end of the study treatment,
- •Registration in a national health care system (CMU included for France).
排除标准
- •History or evidence upon physical examination of CNS metastasis unless adequately treated (e.g. non irradiated CNS metastasis, seizure not controlled with standard medical therapy)
- •Local or locally advanced disease (stage I to III),
- •Patient uses warfarin,
- •Uncontrolled hypercalcemia,
- •Pre-existing permanent neuropathy (NCI grade ≥2),
- •Known dihydropyrimidine dehydrogenase (DPD) deficiency,
- •Concomitant unplanned antitumor therapy (e.g. chemotherapy, molecular targeted therapy, immunotherapy),
- •Treatment with any other investigational medicinal product within 28 days prior to study entry,
- •Other serious and uncontrolled non-malignant disease (eg. active infection requiring systemic therapy, coronary stenting or myocardial infarction or stroke in the past 6 months),
- •Known or historical active infection with HIV, or known active infection untreated with hepatitis B or hepatitis C.
- •History or active interstitial lung disease (ILD),
- •Other concomitant or previous malignancy, except: i/ adequately treated in-situ carcinoma of the uterine cervix, ii/ basal or squamous cell carcinoma of the skin, iii/ cancer in complete remission for >5 years,
- •Patients with known allergy to any excipient of study drugs,
- •Concomitant administration of live, attenuated virus vaccine such as yellow fever vaccine and concomitant administration of prophylactic phenytoin
研究组 & 干预措施
ARM 1 ABI-007 + Gemcitabine
ABI-007 : 125mg/m² IV / 30min (day 1, day 8, day 15) Gemcitabine : 1000mg/m² IV /30 min (day 1, day 8, day 15) One cycle every four weeks treatment until progression or limiting toxicity
干预措施: ABI-007 (Drug)
ARM 1 ABI-007 + Gemcitabine
ABI-007 : 125mg/m² IV / 30min (day 1, day 8, day 15) Gemcitabine : 1000mg/m² IV /30 min (day 1, day 8, day 15) One cycle every four weeks treatment until progression or limiting toxicity
干预措施: Gemcitabine (Drug)
Arm 2 ABI-007 + simplified LV5FU2
ABI-007 : 125mg/m² IV /30 min (day 1, day 15) folinic acid : 400mg/m² IV /2h (day 1, day 15) Bolus 5-FU : 400mg/m² IV /15min 5-FU infusion : 2400mg/m² IV / 46h (day 1-2, day 15-16) One cycle every four weeks Treatment until progression or limiting toxicity
干预措施: ABI-007 (Drug)
Arm 2 ABI-007 + simplified LV5FU2
ABI-007 : 125mg/m² IV /30 min (day 1, day 15) folinic acid : 400mg/m² IV /2h (day 1, day 15) Bolus 5-FU : 400mg/m² IV /15min 5-FU infusion : 2400mg/m² IV / 46h (day 1-2, day 15-16) One cycle every four weeks Treatment until progression or limiting toxicity
干预措施: simplified LV5FU2 (Drug)
结局指标
主要结局
Progression-free survival (PFS)
时间窗: time interval from randomization to the date of first documented disease progression or death from any cause, whichever occurs first.Assessed at 4 months.
To evaluate the efficacy of weekly ABI-007 in combination with weekly gemcitabine or with fortnightly simplified LV5FU2 regimen in terms of progression-free survival in patients with previously untreated metastatic pancreatic cancer
次要结局
- Quality of life(Assessed from study entry to 1 month after last study drug administration and up to 30 months after the beginning of the study.)
- Duration of disease control (DDC)(Assessed up to 30 months after the beginning of the study)
- Tumor Response Rate(Assessed every 2 months during treatment period (- Estimated treatment duration per patient : 6 months).)
- Overall Survival(time interval from inclusion to the date of death from any cause. Assessed up to 30 months after the beginning of the study.)
- Number of Adverse Events(Assessed from study entry to 1 month after last study drug administration, assessed up to 30 months after the beginning of the study)