Pilot Phase 2 Study to Investigate the Preliminary Efficacy and Safety of INNO-206 in Advanced Pancreatic Cancer
Primary Purpose
Pancreatic Ductal Adenocarcinoma
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
INNO-206
Sponsored by

About this trial
This is an interventional treatment trial for Pancreatic Ductal Adenocarcinoma focused on measuring Pancreatic cancer, INNO-206, Doxorubicin-EMCH
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 years of age; male or female.
- Histologically or cytologically confirmed, locally advanced, unresectable, and/or metastatic pancreatic ductal adenocarcinoma.
- Cancer progression after treatment with one gemcitabine and one fluoropyrimidine-containing chemotherapy regimen.
- Capable of providing informed consent and complying with trial procedures.
- ECOG performance status 0-1.
- Life expectancy ≥ 8 weeks.
- Measurable tumor lesions according to RECIST 1.1 criteria.
- Women must not be able to become pregnant (eg post-menopausal for at least 1 year, surgically sterile, or practicing adequate birth control methods) for the duration of the study. (Adequate contraception includes: oral contraception, implanted contraception, intrauterine device implanted for at least 3 months, or barrier method in conjunction with spermicide.)
- Women of child bearing potential must have a negative serum or urine pregnancy test at the Screening Visit and be non-lactating.
- Geographic accessibility to the site.
Exclusion Criteria:
- Prior exposure to > 3 cycles or 225 mg/m2 of doxorubicin or Doxil®.
- Palliative surgery and/or radiation treatment less than 4 weeks prior to Randomization.
- Exposure to any investigational agent within 30 days of Randomization.
- Evidence of central nervous system (CNS) metastasis (negative imaging study, if clinically indicated, within 4 weeks of Screening Visit).
- 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.
- Laboratory values: Screening serum creatinine > 1.5x upper limit of normal (ULN), alanine aminotransferase (ALT) > 3×ULN or > 5×ULN if liver metastases are present, total bilirubin > 3×ULN, absolute neutrophil count < 1,500/mm3, platelet concentration < 100,000/mm3, absolute lymphocyte count < 1000/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, serum albumin ≤ 2.8 g/dL.
- Clinically evident congestive heart failure > class II of the New York Heart Association (NYHA) guidelines.
- Current, serious, clinically significant cardiac arrhythmias, defined as the existence of an absolute arrhythmia or ventricular arrhythmias classified as Lown III, IV or V.
- History or signs of active coronary artery disease with or without angina pectoris.
- Serious myocardial dysfunction ultrasound-determined, with absolute left ventricular ejection fraction (LVEF) < 45% of predicted.
- History of HIV infection.
- Active, clinically significant serious infection requiring treatment with antibiotics, anti-virals or anti-fungals.
- Major surgery within 4 weeks prior to Randomization.
- Substance abuse or any condition that might interfere with the subject's participation in the study or in the evaluation of the study results.
- Any condition that is unstable and could jeopardize the subject's participation in the study.
Sites / Locations
- Scottsdale Healthcare
- Samuel Oschin Comprehensive Cancer Institute
- Sarcoma Oncology Center
- Virginia Piper Cancer Institute
- Cancer Institute of New Jersey
- Medical College of Wisconsin - Division of Neoplastic Diseases and Related Disorders
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
INNO-206
Arm Description
Outcomes
Primary Outcome Measures
Objective Response Rate
Objective response rate is defined as Complete Responders + Partial Responders per RECIST 1.1.
Secondary Outcome Measures
Disease Control Rate
Disease control rate is Complete Responders + Partial Responders + Stable Disease
Progression-free Survival
A >=20% increase in the sum of the LD of target lesions from the smallest sum of the LD recorded since the treatment started.
Safety Assessments
Adverse events, serious adverse events, vital signs, physical examinations, ECG, safety labs will be evaluated for overall toxicity of INNO-206 in this population.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01580397
Brief Title
Pilot Phase 2 Study to Investigate the Preliminary Efficacy and Safety of INNO-206 in Advanced Pancreatic Cancer
Official Title
A Multicenter, Open-Label Pilot Phase 2 Study to Investigate the Preliminary Efficacy and Safety of INNO-206 (Doxorubicin-EMCH) in Subjects With Advanced or Unresectable Pancreatic Ductal Carcinoma Whose Tumors Have Progressed Following Prior Treatment With Gemcitabine and Fluoropyrimidine-Based Chemotherapy
Study Type
Interventional
2. Study Status
Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
June 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CytRx
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Patients with metastatic, locally advanced, or unresectable pancreatic ductal carcinomas (PDA) who have failed prior chemotherapy with gemcitabine regimens have an extremely poor prognosis with progression-free survival of around 13 weeks and median overall survival of approximately 20 weeks after second line chemotherapy. Recent studies suggest that albumin may be preferentially concentrated in pancreatic cancers that appear to be starved for this protein. Thus, any molecule attached to albumin would also collect inside the tumor. Based on its postulated mechanism of action, INNO-206 may improve the activity of doxorubicin without increasing its toxicity, as has been demonstrated in animal studies, and induce enhanced anti-tumor efficacy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Ductal Adenocarcinoma
Keywords
Pancreatic cancer, INNO-206, Doxorubicin-EMCH
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)
8. Arms, Groups, and Interventions
Arm Title
INNO-206
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
INNO-206
Intervention Description
INNO-206 at a total dose of 350 mg/m2 (260 mg/m2 doxorubicin equivalent) will be administered as a 30 minute IV infusion every 21 days.
Primary Outcome Measure Information:
Title
Objective Response Rate
Description
Objective response rate is defined as Complete Responders + Partial Responders per RECIST 1.1.
Time Frame
Approximately 15 months from randomization.
Secondary Outcome Measure Information:
Title
Disease Control Rate
Description
Disease control rate is Complete Responders + Partial Responders + Stable Disease
Time Frame
After all subjects have been on study for 4 months.
Title
Progression-free Survival
Description
A >=20% increase in the sum of the LD of target lesions from the smallest sum of the LD recorded since the treatment started.
Time Frame
From the date of randomization until the date of first documented progression assessed up to 20 months.
Title
Safety Assessments
Description
Adverse events, serious adverse events, vital signs, physical examinations, ECG, safety labs will be evaluated for overall toxicity of INNO-206 in this population.
Time Frame
From randomization upto 15 months.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age ≥ 18 years of age; male or female.
Histologically or cytologically confirmed, locally advanced, unresectable, and/or metastatic pancreatic ductal adenocarcinoma.
Cancer progression after treatment with one gemcitabine and one fluoropyrimidine-containing chemotherapy regimen.
Capable of providing informed consent and complying with trial procedures.
ECOG performance status 0-1.
Life expectancy ≥ 8 weeks.
Measurable tumor lesions according to RECIST 1.1 criteria.
Women must not be able to become pregnant (eg post-menopausal for at least 1 year, surgically sterile, or practicing adequate birth control methods) for the duration of the study. (Adequate contraception includes: oral contraception, implanted contraception, intrauterine device implanted for at least 3 months, or barrier method in conjunction with spermicide.)
Women of child bearing potential must have a negative serum or urine pregnancy test at the Screening Visit and be non-lactating.
Geographic accessibility to the site.
Exclusion Criteria:
Prior exposure to > 3 cycles or 225 mg/m2 of doxorubicin or Doxil®.
Palliative surgery and/or radiation treatment less than 4 weeks prior to Randomization.
Exposure to any investigational agent within 30 days of Randomization.
Evidence of central nervous system (CNS) metastasis (negative imaging study, if clinically indicated, within 4 weeks of Screening Visit).
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.
Laboratory values: Screening serum creatinine > 1.5x upper limit of normal (ULN), alanine aminotransferase (ALT) > 3×ULN or > 5×ULN if liver metastases are present, total bilirubin > 3×ULN, absolute neutrophil count < 1,500/mm3, platelet concentration < 100,000/mm3, absolute lymphocyte count < 1000/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, serum albumin ≤ 2.8 g/dL.
Clinically evident congestive heart failure > class II of the New York Heart Association (NYHA) guidelines.
Current, serious, clinically significant cardiac arrhythmias, defined as the existence of an absolute arrhythmia or ventricular arrhythmias classified as Lown III, IV or V.
History or signs of active coronary artery disease with or without angina pectoris.
Serious myocardial dysfunction ultrasound-determined, with absolute left ventricular ejection fraction (LVEF) < 45% of predicted.
History of HIV infection.
Active, clinically significant serious infection requiring treatment with antibiotics, anti-virals or anti-fungals.
Major surgery within 4 weeks prior to Randomization.
Substance abuse or any condition that might interfere with the subject's participation in the study or in the evaluation of the study results.
Any condition that is unstable and could jeopardize the subject's participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel Von Hoff, M.D., F.A.C.P.
Organizational Affiliation
Translational Genomics Research Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daniel Levitt, M.D., Ph.D.
Organizational Affiliation
CytRx
Official's Role
Study Director
Facility Information:
Facility Name
Scottsdale Healthcare
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
Samuel Oschin Comprehensive Cancer Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Sarcoma Oncology Center
City
Santa Monica
State/Province
California
ZIP/Postal Code
90403
Country
United States
Facility Name
Virginia Piper Cancer Institute
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55407-3799
Country
United States
Facility Name
Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Facility Name
Medical College of Wisconsin - Division of Neoplastic Diseases and Related Disorders
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53266
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Pilot Phase 2 Study to Investigate the Preliminary Efficacy and Safety of INNO-206 in Advanced Pancreatic Cancer
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