A Study of Nab-Paclitaxel and Gemcitabine With or Without Olaratumab (LY3012207) in Participants With Metastatic Pancreatic Cancer
Metastatic Pancreatic Cancer
About this trial
This is an interventional treatment trial for Metastatic Pancreatic Cancer
Eligibility Criteria
Inclusion Criteria:
- Histological or cytological diagnosis of adenocarcinoma of the exocrine pancreas that is metastatic (Stage IV) and not amenable to resection with curative intent.
- If present, clinically significant or symptomatic amounts of ascites should be drained prior to Day 1.
- Have had no prior systemic treatment for metastatic disease. Prior adjuvant or neo-adjuvant chemotherapy or radiochemotherapy (other than nab-paclitaxel) is allowed if completed ≥3 months prior to enrollment and no lingering toxicities are present.
- Prior radiation therapy for treatment of cancer is allowed to <25% of the bone marrow.
- Phase 2: archival tumor tissue or be willing to provide a pre-treatment biopsy.
- Measurable or nonmeasurable but evaluable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Discontinued all previous treatments for cancer ≥4 weeks prior.
- Adequate organ function.
- Life expectancy of at least 3 months.
Exclusion Criteria:
- Serious concomitant systemic disorder.
- Have received first line treatment for metastatic pancreatic cancer.
- Received prior treatment with nab-paclitaxel.
- Have known central nervous system malignancy or metastasis.
- Current hematologic malignancies.
- Participated within the last 30 days in a clinical trial involving an investigational product.
- Women with a positive pregnancy test or lactating.
- Have endocrine pancreatic tumors or ampullary cancer.
- Currently enrolled in another clinical trial.
- Have a known additional malignancy that is progressing or required active treatment within the past 1 year.
- Known allergy to nab-paclitaxel or gemcitabine or any ingredient of study drug formulations.
- Are taking certain anti-coagulant medications such as warfarin and are unable to be switched to other similar medicines.
Sites / Locations
- TGen Clinical Research Services at Scottsdale Healthcare
- University of Arizona Cancer Center
- Highlands Oncology Group
- Comprehensive Blood and Cancer Center
- St Jude Medical Center
- TRIO - Translational Research in Oncology-US, Inc.
- UCLA Medical Center
- Cancer Center of Santa Barbara with Sansum Clinic
- Central Coast Medical Oncology Corporation
- Smilow Cancer Hospital at Yale-New Haven
- Florida Cancer Specialists
- Florida Cancer Specialists and Research Institute
- H Lee Moffitt Cancer Center
- Fort Wayne Oncology & Hematology
- Cancer Center of Kansas
- Nebraska Methodist Hospital
- Comprehensive Cancer Centers of Nevada
- Dartmouth Hitchcock Medical Center
- Rutgers Cancer Institute of New Jersey
- Roswell Park Cancer Institute
- Monter Cancer Center
- Thomas Jefferson University
- UPMC Hillman Cancer Center
- Medical University of South Carolina
- Sanford Research/USD
- Chattanooga Oncology Hematology Associates
- Sarah Cannon Research Institute SCRI
- Tennessee Oncology PLLC
- Vanderbilt University Medical Center
- Univ of Texas Health Science Center at San Antonio
- University of Utah School of Medicine
- University of Wisconsin-Madison Hospital and Health Clinic
- Charité Campus Virchow-Klinikum
- Hospital Universitari Vall d'Hebron
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine
Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine
Phase1b (cohort expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine
Participants received intravenous (IV) infusions of olaratumab 15 milligrams per kilogram (mg/kg), nab-paclitaxel 125 milligrams per meter square (mg/m^2) and gemcitabine 1000 mg/m^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.
Participants received intravenous infusions of olaratumab 20 mg/kg, nab-paclitaxel 125 mg/m^2 and gemcitabine 1000 mg/m^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.
Following a protocol amendment, "cohort expansion" arm was added in phase 1b with new participants enrolled to confirm the safety of the olaratumab 20 mg/kg dose prior to opening the Phase 2. Participants received intravenous infusions of olaratumab 20 mg/kg, nab-paclitaxel 125 mg/m^2 and gemcitabine 1000 mg/m^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.
Participants received intravenous infusions of olaratumab 20 mg/kg loading dose on days 1, 8, 15 of cycle 1 followed by 15 mg/kg on days 1, 8, 15 of all subsequent cycles, in combination with nab-paclitaxel 125 mg/m^2 and gemcitabine 1000 mg/m^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.
Participants received intravenous infusions of placebo, nab-paclitaxel 125 mg/m^2 and gemcitabine 1000 mg/m^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.