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A Study Evaluating IPI-926 in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer

Primary Purpose

Metastatic Pancreatic Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
IPI-926 plus gemcitabine
Placebo plus gemcitabine
Sponsored by
Infinity Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Pancreatic Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • 18 years of age
  • Pathologically confirmed metastatic pancreatic adenocarcinoma
  • At least 1 radiologically evaluable metastatic lesion (RECIST 1.1).
  • ECOG 0 or 1
  • Life expectancy ≥3 months.
  • All women of child bearing potential, all sexually active male patients, and partners of patients must agree to use adequate methods of birth control
  • Ability to adhere to the study visit schedule
  • Voluntarily signed an informed consent form

Exclusion Criteria:

  • Islet cell, acinar cell carcinoma, non-adenocarcinoma, (i.e., lymphoma, sarcoma), adenocarcinoma originated from biliary tree or cystadenocarcinoma
  • Prior treatment with chemotherapy for pancreatic cancer.
  • Known central nervous system metastases
  • Inadequate hematologic function
  • Inadequate hepatic function
  • Inadequate renal function
  • External (percutaneous) biliary drain
  • History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or mechanical control within the last 6 months.
  • Venous thromboembolic event (e.g., pulmonary embolism or deep vein thrombosis) requiring anticoagulation not appropriately anticoagulated or have NCI CTCAE Grade 2 or greater bleeding episode in the 3 weeks prior to administration of IPI-926
  • Concurrent administration of the medications or foods known to inhibit CYP3A activity to a clinically relevant degree
  • Presence of active infection or systemic use of antibiotics within 72 hours of treatment
  • Significant co-morbid condition or disease which in the judgment of the Investigator would place the patient at undue risk or interfere with the study.
  • Known human immunodeficiency virus (HIV) positivity
  • Known hypersensitivity to gemcitabine, IPI-926, or their excipients
  • Pregnant or lactating women

Sites / Locations

  • Arizona Clinical Research Center
  • University of California San Diego Medical Center
  • University of California San Francisco
  • Kaiser Permanente
  • University of Colorado Cancer Center
  • H. Lee Moffitt Cancer Center and Research Institute
  • Kansas City Cancer Center
  • Norton Health Care
  • Dana-Farber Cancer Institute
  • West Michigan Cancer Center
  • Hackensack University Medical Center
  • Columbia University Medical Center
  • Weill Cornell Medical Center
  • University of Rochester
  • Willamette Valley Cancer Institute and Research Center
  • Providence Portland Medical Center
  • University of Pittsburgh Medical Center
  • Rhode Island Hospital
  • Institute of Translational Oncology Research
  • Texas Oncology- Bedford
  • Texas Oncology, PA
  • South Texas Oncology and Hematology
  • Tyler Cancer Center
  • Virginia Oncology Associates
  • Seattle Cancer Care Alliance
  • Cancer Care Manitoba
  • Toronto Sunnybrook Regional Cancer Centre
  • Jewish General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Arm 1 (Phase 2)

Arm 2 (Phase 2)

Arm Description

IPI-926 in combination with gemcitabine

Placebo in combination with gemcitabine

Outcomes

Primary Outcome Measures

Evaluation of safety profile including MTD
To determine the safety profile, including maximum tolerated dose, of IPI-926 plus gemcitabine in patients with previously untreated metastatic pancreatic cancer.
Overall survival comparison
To compare the overall survival (OS) of patients with previously untreated metastatic pancreatic cancer treated with IPI-926 plus gemcitabine or placebo plus gemcitabine. To evaluate the safety of IPI-926 plus gemcitabine or placebo plus gemcitabine.

Secondary Outcome Measures

Measurement of the maximum plasma concentration (Cmax) and area under the concentration versus time curve (AUC0-t) of IPI-926 and gemcitabine.
- To evalutate pharmacokinetics (PK) of IPI-926, gemcitabine, and their relevant metabolites.
Comparison of PFS, TTP and ORR
- To compare the progression free survival (PFS), time to progression (TTP) and overall response rate (ORR) of patients treated with IPI-926 plus gemcitabine or placebo plus gemcitabine.

Full Information

First Posted
April 21, 2010
Last Updated
March 2, 2017
Sponsor
Infinity Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01130142
Brief Title
A Study Evaluating IPI-926 in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer
Official Title
A Phase 1b/2 Study Evaluating IPI-926 in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
April 2010 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Infinity Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study IPI-926-03 is a Phase 1b/2 clinical trial to evaluate IPI 926 in combination with gemcitabine in patients with previously untreated metastatic pancreatic cancer. Phase 1b is designed as a dose escalation study. Once the maximum tolerated dose of IPI-926 in combination with gemcitabine is established in the Phase 1b portion of the study, the Phase 2 portion will commence. Phase 2 is designed as a randomized, double-blind (investigator/patient), placebo-controlled study. There is no cross-over option for patients in either arm of the Phase 2 (i.e., there is no option for patients receiving placebo to cross-over to IPI-926).
Detailed Description
IPI 926 is an inhibitor of the Hedgehog Pathway. IPI-926 in combination with gemcitabine may improve therapeutic outcomes in patients with pancreatic cancer. Infinity is conducting a Phase 1b/2 clinical trial to evaluate the safety and efficacy of IPI-926 in combination with gemcitabine in patients with previously untreated metastatic pancreatic cancer.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
122 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1 (Phase 2)
Arm Type
Active Comparator
Arm Description
IPI-926 in combination with gemcitabine
Arm Title
Arm 2 (Phase 2)
Arm Type
Placebo Comparator
Arm Description
Placebo in combination with gemcitabine
Intervention Type
Drug
Intervention Name(s)
IPI-926 plus gemcitabine
Other Intervention Name(s)
IPI-926, Hedgehog pathway inhibitor, Hedgehog
Intervention Description
Daily IPI-926 (oral) at 160 mg plus gemcitabine (infusion) at 1000 mg/m2 once weekly for 3 weeks of a 28 day cycle
Intervention Type
Drug
Intervention Name(s)
Placebo plus gemcitabine
Other Intervention Name(s)
Gemcitabine, Hedgehog, Hedgehog pathway inhibitor, Gemzar
Intervention Description
Daily Oral placebo/IPI-926 160 mg plus gemcitabine infusion at 1000 mg/m2 once every 3 weeks in a 28 day cycle
Primary Outcome Measure Information:
Title
Evaluation of safety profile including MTD
Description
To determine the safety profile, including maximum tolerated dose, of IPI-926 plus gemcitabine in patients with previously untreated metastatic pancreatic cancer.
Time Frame
Once per week for 3 weeks of a 4 week cycle
Title
Overall survival comparison
Description
To compare the overall survival (OS) of patients with previously untreated metastatic pancreatic cancer treated with IPI-926 plus gemcitabine or placebo plus gemcitabine. To evaluate the safety of IPI-926 plus gemcitabine or placebo plus gemcitabine.
Time Frame
An average of 6 months
Secondary Outcome Measure Information:
Title
Measurement of the maximum plasma concentration (Cmax) and area under the concentration versus time curve (AUC0-t) of IPI-926 and gemcitabine.
Description
- To evalutate pharmacokinetics (PK) of IPI-926, gemcitabine, and their relevant metabolites.
Time Frame
During the 3rd week of the first 4 week cycle
Title
Comparison of PFS, TTP and ORR
Description
- To compare the progression free survival (PFS), time to progression (TTP) and overall response rate (ORR) of patients treated with IPI-926 plus gemcitabine or placebo plus gemcitabine.
Time Frame
An average of 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age Pathologically confirmed metastatic pancreatic adenocarcinoma At least 1 radiologically evaluable metastatic lesion (RECIST 1.1). ECOG 0 or 1 Life expectancy ≥3 months. All women of child bearing potential, all sexually active male patients, and partners of patients must agree to use adequate methods of birth control Ability to adhere to the study visit schedule Voluntarily signed an informed consent form Exclusion Criteria: Islet cell, acinar cell carcinoma, non-adenocarcinoma, (i.e., lymphoma, sarcoma), adenocarcinoma originated from biliary tree or cystadenocarcinoma Prior treatment with chemotherapy for pancreatic cancer. Known central nervous system metastases Inadequate hematologic function Inadequate hepatic function Inadequate renal function External (percutaneous) biliary drain History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or mechanical control within the last 6 months. Venous thromboembolic event (e.g., pulmonary embolism or deep vein thrombosis) requiring anticoagulation not appropriately anticoagulated or have NCI CTCAE Grade 2 or greater bleeding episode in the 3 weeks prior to administration of IPI-926 Concurrent administration of the medications or foods known to inhibit CYP3A activity to a clinically relevant degree Presence of active infection or systemic use of antibiotics within 72 hours of treatment Significant co-morbid condition or disease which in the judgment of the Investigator would place the patient at undue risk or interfere with the study. Known human immunodeficiency virus (HIV) positivity Known hypersensitivity to gemcitabine, IPI-926, or their excipients Pregnant or lactating women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Ross, MD
Organizational Affiliation
Infinity Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Clinical Research Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85745
Country
United States
Facility Name
University of California San Diego Medical Center
City
San Diego
State/Province
California
Country
United States
Facility Name
University of California San Francisco
City
San Francisco
State/Province
California
Country
United States
Facility Name
Kaiser Permanente
City
Vallejo
State/Province
California
ZIP/Postal Code
94503
Country
United States
Facility Name
University of Colorado Cancer Center
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
H. Lee Moffitt Cancer Center and Research Institute
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Kansas City Cancer Center
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66210
Country
United States
Facility Name
Norton Health Care
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40220
Country
United States
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
West Michigan Cancer Center
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49007
Country
United States
Facility Name
Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
Country
United States
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Weill Cornell Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
University of Rochester
City
Rochester
State/Province
New York
ZIP/Postal Code
14604
Country
United States
Facility Name
Willamette Valley Cancer Institute and Research Center
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97401
Country
United States
Facility Name
Providence Portland Medical Center
City
Portland
State/Province
Oregon
ZIP/Postal Code
97213
Country
United States
Facility Name
University of Pittsburgh Medical Center
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
Rhode Island Hospital
City
Providence
State/Province
Rhode Island
Country
United States
Facility Name
Institute of Translational Oncology Research
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Facility Name
Texas Oncology- Bedford
City
Bedford
State/Province
Texas
Country
United States
Facility Name
Texas Oncology, PA
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
South Texas Oncology and Hematology
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Tyler Cancer Center
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Facility Name
Virginia Oncology Associates
City
Newport News
State/Province
Virginia
ZIP/Postal Code
23606
Country
United States
Facility Name
Seattle Cancer Care Alliance
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
Cancer Care Manitoba
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R2H 2A6
Country
Canada
Facility Name
Toronto Sunnybrook Regional Cancer Centre
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4N 3M5
Country
Canada
Facility Name
Jewish General Hospital
City
Montreal
State/Province
Quebec
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
34895986
Citation
Kochetkova M, Samuel MS. Differentiation of the tumor microenvironment: are CAFs the Organizer? Trends Cell Biol. 2022 Apr;32(4):285-294. doi: 10.1016/j.tcb.2021.11.008. Epub 2021 Dec 9.
Results Reference
derived

Learn more about this trial

A Study Evaluating IPI-926 in Combination With Gemcitabine in Patients With Metastatic Pancreatic Cancer

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