Phase 1A/1B Dose Escalation and Expansion Study of SBP-101 in Combination With Nab-Paclitaxel and Gemcitabine in Subjects With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma

Panbela Therapeutics, Inc.7 sites in 2 countries50 target enrollmentJune 4, 2018

ConditionsPancreatic Cancer Metastatic Pancreatic Cancer Stage IV Stage IV Pancreatic Cancer

DrugsSBP-101 nab-paclitaxel Gemcitabine Injection

Overview

Phase: Phase 1
Intervention: Not specified
Conditions: Pancreatic Cancer Metastatic
Sponsor: Panbela Therapeutics, Inc.
Enrollment: 50
Locations: 7
Primary Endpoint: Recommended dose of SBP-101
Status: Completed
Last Updated: 3 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

This is an open-label phase 1A/1B study to assess the safety, tolerability and pharmacokinetics of SBP-101 when combined with nab-paclitaxel and gemcitabine in subjects with previously untreated metastatic pancreatic ductal adenocarcinoma and to identify a recommended phase 2 dose. The study will also assess preliminary efficacy of the 3-drug treatment combination.

Detailed Description

The study will be conducted in two phases: dose escalation and expansion. Up to three dose levels of SBP-101 will be assessed in up to 18 subjects during dose escalation. The expansion phase of the study will consist of 10 additional subjects who will receive the recommended dose of SBP-101 combined with nab-paclitaxel and gemcitabine.

Registry

clinicaltrials.gov

Start Date

June 4, 2018

End Date

February 28, 2022

Last Updated

3 years ago

Study Type

Interventional

Study Design

Single Group

Sex

All

Investigators

Sponsor

Panbela Therapeutics, Inc.

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma. Patients with pancreatic acinar cell carcinoma may also be included.
•Is previously untreated for metastatic pancreatic ductal adenocarcinoma, was diagnosed within the past 3 months, and is expected to receive standard treatment with gemcitabine and nab-paclitaxel.
•Measurable disease on CT or MRI scan by RECIST v 1.1 criteria.
•ECOG Performance Status 0 or
•Adult, age ≥ 18 years, male or female.
•Females of child-bearing potential must have a negative serum pregnancy test within 14 days prior to start of study treatment and must use an adequate method of contraception during the study. All sexually active males must also use an adequate method of contraception during the study. Female subjects will be considered to be of childbearing potential unless they are postmenopausal (at least 12 months of consecutive amenorrhea, without other known or suspected cause) and over 55 years old or have been sterilized surgically (i.e., bilateral tubal ligation, hysterectomy or bilateral oophorectomy, all with surgery at least one month before dosing).
•Adequate bone marrow, hepatic, renal and coagulation function as defined by the following:
•Absolute neutrophil count ≥1.5 x 109/L
•Hemoglobin ≥9.0 g/dL (90 g/L)
•Platelets ≥100 x 109/L

Exclusion Criteria

•Evidence of severe or uncontrolled systemic disease or any concurrent condition that, in the opinion of the Investigator or Medical Monitor, makes it undesirable for the subject to participate in the study or that would jeopardize compliance with the protocol. Subjects with pre-existing well-controlled diabetes are not excluded.
•Medical or psychiatric conditions that compromise the subject's ability to give informed consent or to complete the protocol or a history of non-compliance
•Presence of islet-cell or pancreatic neuroendocrine tumor or mixed adenocarcinoma-neuroendocrine carcinoma
•Have symptomatic central nervous system (CNS) malignancy or metastasis. Screening of asymptomatic subjects without history of CNS metastases is not required.
•Serum albumin \<30 g/L (3.0 g/dL)
•Evidence of deep vein thrombosis or pulmonary embolism or other thromboembolic event during screening
•Presence of known active bacterial, fungal, or viral infection requiring systemic therapy
•Known active infection with human immunodeficiency virus (HIV), hepatitis B or C
•Presence of interstitial lung disease, pulmonary fibrosis, or pulmonary hypersensitivity reaction
•Myocardial infarction within the last 12 months, severe/unstable angina, symptomatic congestive heart failure New York Heart Association (NYHA) class III or IV

Outcomes

Primary Outcomes

Recommended dose of SBP-101

Time Frame: Up to 12 months following the first dose of treatment

Secondary Outcomes

Number of subjects with adverse events as a measure of safety and tolerability(Up to 24 months following the first dose of treatment)
Tumor response will be evaluated on RECIST definitions(Every 8 weeks during treatment assessed up to 24 months)
Area under the plasma concentration versus time curve (AUC) for all three drugs(Day 1 of Cycle 1)
Peak plasma concentration (Cmax) for all three drugs(Day 1 of Cycle 1)