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K-001 Treatment of Advanced Pancreatic Cancer: Clinical Trial of Monotherapy's Tolerability

Primary Purpose

Pancreatic Cancer

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
K-001
Sponsored by
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Disease-related criteria for inclusion:

  1. Based on histodiagnosis or cytodiagnosis;
  2. Locally advanced or metastatic pancreatic adenocarcinoma;
  3. Failure of standard treatment, >28 days after the last chemotherapy;
  4. Patients not suitable for or having given up standard treatment;
  5. At least one lesion measurable according to RECIST V 1.0 criteria;
  6. ECOG score: 0~1;
  7. Expected survival: ≥3 months;

    Haematological, biochemical and organ functions:

  8. Hematological indices:

    • Absolute neutrophil count: ≥1.5×109/L;
    • Platelet count: ≥80×109/L;
    • Hemoglobin: ≥9.0 g/dL.
  9. Total bilirubin: ≤1.5 x ULN, albumin: ≥3.0g/dL;
  10. Patients without liver metastasis: ALT (SGPT) & AST (SGOT) ≤3.0 x ULN Patients with liver metastasis: ALT (SGPT) & AST (SGOT)≤5.0 x ULN;
  11. Renal functions: serum creatinine ≤ 1.5xULN, Ccr ≥ 60ml/min (Cockcroft-Gault);

    General criteria for inclusion:

  12. Age: 18~70;
  13. Letter of Consent signed by the patient or his/her legal representative:
  14. Women of childbearing age must have a urine pregnancy test within 7 days before starting treatment, only negative results shall be included in the group. Male and female patients of childbearing age have agreed to use a reliable method of contraception before and during participating the study as well as 90 days (at least) after withdrawal.

Exclusion Criteria:

Disease-related criteria for exclusion:

  1. Patients of pancreatic tumor but not adenocarcinoma;
  2. Having received radiotherapy for his/her target lesions prior to this study, with no progress;
  3. Known presence of brain metastases or leptomeningeal metastases;
  4. With Vater's ampulla cancer or bile duct cancer;
  5. Partial or complete intestinal obstruction;
  6. History of other malignancies in past five years, except for:

    • A consecutive 5-year disease-free survival from single surgery of other malignancies;
    • Cured basal cell carcinoma and cured cervical carcinoma in situ.

    General criteria for exclusion:

  7. Pregnant or breast-feeding women;
  8. Any unstable systemic disease, including: active infection; hypertension uncontrollable by medication (≥160/100mmHg); unstable angina, or angina with the onset from within the last three months; congestive heart failure (≥level II according to New York Heart Association [NYHA], see Annex 4); myocardial infarction occurred within 1 year before the enrollment; severe arrhythmias requiring medical treatment; and mental disorders, etc.;
  9. Presence of active hepatitis B (history of hepatitis B infection, whether with or without medication, HBV DNA≥104 copy number or ≥2000u/ml) or HCV-Ab positive; known HIV-positive patients (no clinical signs or symptoms suggesting exemption of HIV test for HIV-infected individuals);
  10. Having received any of the following treatment within specific time period before inclusion:

    • Having had a major surgery within 4 weeks before inclusion;
    • Having received expanded scope of radiotherapy within 4 weeks, or having received limited scope of radiotherapy within 2 weeks before inclusion;
    • Having participated in any other therapeutic/interventive clinical trials within 4 weeks before inclusion, or taking part in an ongoing trial.
  11. With CTCAE toxicity at level II or above (excluding hair loss or skin pigmentation), uncured and caused by any previous treatment;
  12. Not fitting in the study, as conceived by the researcher.

Sites / Locations

  • Shanghai General Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A:K-001 2700mg/d (1350mg BID)

Group B: K-001 3240mg/d (1620mg BID)

Group C: K-001 3780mg/d (1890mg BID)

Group D: K-001 4320mg/d (2160mg BID)

Arm Description

K-001 1350mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.

K-001 1620mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.

K-001 1890mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.

K-001 2160mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.

Outcomes

Primary Outcome Measures

The maximum-tolerated dose (MTD) of K-001
The maximum-tolerated dose (MTD) of K-001 will be defined as the maximum dose level at which no more than one patient out of three experiences a dose-limiting toxicity (DLT) using Common Terminology Criteria for Adverse Events (CTCAE) criteria, version 4.0. If none of the patient experiences DLT, the maximum dose in the trial (4320mg/d) will be defined as MTD and the biologically effective dose.

Secondary Outcome Measures

Change of life quality assessed using EORTC QLQ-C30 V 3.0
EORTC QLQ-C30 V 3.0
Change from Baseline of the Treg cell count
Laboratory tests: blood immunity test of FOXP3+CD4+Treg cell count
Evaluation of suffered pains assessed using Numerical Rating Scale (NRS)
Numerical Rating Scale (NRS)
Change from Baseline of the C-reactive protein (CRP)
Evaluation the level of CRP with laboratory tests of blood.
Clinical efficacy of K-001 assessed by disease control rate (DCR) according to RECIST V 1.0 criteria
Evaluate patients with imaging, including CT/MRI of the chest, abdomen and pelvic, and get disease control rate (DCR) according to RECIST V 1.0 criteria.

Full Information

First Posted
February 13, 2016
Last Updated
January 5, 2017
Sponsor
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT02720666
Brief Title
K-001 Treatment of Advanced Pancreatic Cancer: Clinical Trial of Monotherapy's Tolerability
Official Title
K-001 Treatment of Advanced Pancreatic Cancer: Phase I Clinical Trial of Monotherapy's Tolerability
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
January 2016 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is an open and single-center Phase I clinical research on patients with advanced pancreatic cancer, for evaluating their adverse reactions or tolerance to K-001, so as to determine the safe and reasonable dosage and dosing regimen.
Detailed Description
According to past experience to toxicology studies and clinical test, K-001 at a dose of 2700mg/day has a good safety profile for human body. Upon observation, pancreatic cancer patients receiving a medication at 2160mg/day (1080mg BID) have had good therapeutic efficacy, no sign of significant toxicity. Dosing regimen: Phase I clinical test: maximum dose of monotherapy at 2700mg/day. Four groups of repeated administration of monotherapy, at least 3 patients for each group. Group A: 2700mg/d (1350mg BID); Group B: 3240mg/d (1620mg BID); Group C: 3780mg/d (1890mg BID); Group D: 4320mg/d (2160mg BID). Twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group. In case of severe adverse reactions associated with the test drug, or if half of the participants show adverse reactions at Ⅲ level and above, the test should be terminated. The maximum dosage not causing the above-described situation shall be considered as the maximum tolerated dose or the biologically effective dose. After the test, continuous medication shall be given upon request from patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A:K-001 2700mg/d (1350mg BID)
Arm Type
Experimental
Arm Description
K-001 1350mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.
Arm Title
Group B: K-001 3240mg/d (1620mg BID)
Arm Type
Experimental
Arm Description
K-001 1620mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.
Arm Title
Group C: K-001 3780mg/d (1890mg BID)
Arm Type
Experimental
Arm Description
K-001 1890mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.
Arm Title
Group D: K-001 4320mg/d (2160mg BID)
Arm Type
Experimental
Arm Description
K-001 2160mg twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group.
Intervention Type
Drug
Intervention Name(s)
K-001
Other Intervention Name(s)
Peptidoglycan Complex of Spirulina
Intervention Description
In case of severe adverse reactions associated with the test drug, or if half of the participants show adverse reactions at Ⅲ level and above, the test should be terminated. The maximum dosage not causing the above-described situation shall be considered as the maximum tolerated dose or the biologically effective dose. After the test, continuous medication shall be given upon request from patients.
Primary Outcome Measure Information:
Title
The maximum-tolerated dose (MTD) of K-001
Description
The maximum-tolerated dose (MTD) of K-001 will be defined as the maximum dose level at which no more than one patient out of three experiences a dose-limiting toxicity (DLT) using Common Terminology Criteria for Adverse Events (CTCAE) criteria, version 4.0. If none of the patient experiences DLT, the maximum dose in the trial (4320mg/d) will be defined as MTD and the biologically effective dose.
Time Frame
day 29
Secondary Outcome Measure Information:
Title
Change of life quality assessed using EORTC QLQ-C30 V 3.0
Description
EORTC QLQ-C30 V 3.0
Time Frame
within 7 days before taking drugs and day 8, day 15, day 22 and day 29
Title
Change from Baseline of the Treg cell count
Description
Laboratory tests: blood immunity test of FOXP3+CD4+Treg cell count
Time Frame
within 14 days before taking drugs, day 15 and day 29
Title
Evaluation of suffered pains assessed using Numerical Rating Scale (NRS)
Description
Numerical Rating Scale (NRS)
Time Frame
within 7 days before taking drugs and day 8, day 15, day 22 and day 29
Title
Change from Baseline of the C-reactive protein (CRP)
Description
Evaluation the level of CRP with laboratory tests of blood.
Time Frame
within 14 days before taking drugs, day 15 and day 29
Title
Clinical efficacy of K-001 assessed by disease control rate (DCR) according to RECIST V 1.0 criteria
Description
Evaluate patients with imaging, including CT/MRI of the chest, abdomen and pelvic, and get disease control rate (DCR) according to RECIST V 1.0 criteria.
Time Frame
day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Disease-related criteria for inclusion: Based on histodiagnosis or cytodiagnosis; Locally advanced or metastatic pancreatic adenocarcinoma; Failure of standard treatment, >28 days after the last chemotherapy; Patients not suitable for or having given up standard treatment; At least one lesion measurable according to RECIST V 1.0 criteria; ECOG score: 0~1; Expected survival: ≥3 months; Haematological, biochemical and organ functions: Hematological indices: Absolute neutrophil count: ≥1.5×109/L; Platelet count: ≥80×109/L; Hemoglobin: ≥9.0 g/dL. Total bilirubin: ≤1.5 x ULN, albumin: ≥3.0g/dL; Patients without liver metastasis: ALT (SGPT) & AST (SGOT) ≤3.0 x ULN Patients with liver metastasis: ALT (SGPT) & AST (SGOT)≤5.0 x ULN; Renal functions: serum creatinine ≤ 1.5xULN, Ccr ≥ 60ml/min (Cockcroft-Gault); General criteria for inclusion: Age: 18~70; Letter of Consent signed by the patient or his/her legal representative: Women of childbearing age must have a urine pregnancy test within 7 days before starting treatment, only negative results shall be included in the group. Male and female patients of childbearing age have agreed to use a reliable method of contraception before and during participating the study as well as 90 days (at least) after withdrawal. Exclusion Criteria: Disease-related criteria for exclusion: Patients of pancreatic tumor but not adenocarcinoma; Having received radiotherapy for his/her target lesions prior to this study, with no progress; Known presence of brain metastases or leptomeningeal metastases; With Vater's ampulla cancer or bile duct cancer; Partial or complete intestinal obstruction; History of other malignancies in past five years, except for: A consecutive 5-year disease-free survival from single surgery of other malignancies; Cured basal cell carcinoma and cured cervical carcinoma in situ. General criteria for exclusion: Pregnant or breast-feeding women; Any unstable systemic disease, including: active infection; hypertension uncontrollable by medication (≥160/100mmHg); unstable angina, or angina with the onset from within the last three months; congestive heart failure (≥level II according to New York Heart Association [NYHA], see Annex 4); myocardial infarction occurred within 1 year before the enrollment; severe arrhythmias requiring medical treatment; and mental disorders, etc.; Presence of active hepatitis B (history of hepatitis B infection, whether with or without medication, HBV DNA≥104 copy number or ≥2000u/ml) or HCV-Ab positive; known HIV-positive patients (no clinical signs or symptoms suggesting exemption of HIV test for HIV-infected individuals); Having received any of the following treatment within specific time period before inclusion: Having had a major surgery within 4 weeks before inclusion; Having received expanded scope of radiotherapy within 4 weeks, or having received limited scope of radiotherapy within 2 weeks before inclusion; Having participated in any other therapeutic/interventive clinical trials within 4 weeks before inclusion, or taking part in an ongoing trial. With CTCAE toxicity at level II or above (excluding hair loss or skin pigmentation), uncured and caused by any previous treatment; Not fitting in the study, as conceived by the researcher.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xingpeng Wang, MD
Organizational Affiliation
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Official's Role
Study Director
Facility Information:
Facility Name
Shanghai General Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34098895
Citation
Cui J, Yang H, Liu J, Chen D, Hu J, Zhang H, Wang Y, Han T, Mao T, Jiao F, Biskup E, Pan Y, Liu M, Wang L. A phase I study of the safety and activity of K-001 in patients with advanced pancreatic ductal adenocarcinoma. BMC Cancer. 2021 Jun 7;21(1):672. doi: 10.1186/s12885-021-08375-6.
Results Reference
derived

Learn more about this trial

K-001 Treatment of Advanced Pancreatic Cancer: Clinical Trial of Monotherapy's Tolerability

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