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Investigator's Initiated Phase II Study for Pancreatic Cancer Patients

Primary Purpose

Pancreatic Cancer

Status
Unknown status
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
TL-118
Sponsored by
Tiltan Pharma Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer focused on measuring Patients

Eligibility Criteria

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

Inclusion Criteria:

  1. Age at least 18 years at enrollment.
  2. Locally Advanced Pancreatic Cancer and/or Metastatic Pancreatic Cancer which failed to respond to one or two lines of chemotherapy
  3. The patient has histologically or cytologically confirmed pancreatic cancer.
  4. Patient has measurable disease by radiological imaging techniques as defined according to Response Evaluation Criteria in Solid Tumors (RECIST).
  5. ECOG performance status ≤ 2
  6. Adequate renal function.
  7. Adequate hepatic function
  8. Adequate bone marrow reserve -
  9. Resolution of prior therapy acute adverse events.
  10. Patient is capable of swallowing.
  11. Patient's Informed Consent.

Exclusion Criteria:

  1. Hypersensitivity to one or more of the TL-118 active components
  2. Known Glucose-6-phosphate-dehydrogenase deficiency (G6PD).
  3. Known CNS or Brain metastases
  4. Patient has received 3 or more different prior chemotherapies for the treatment of pancreatic cancer
  5. Any significant change in treatment within the 14 days before screening or an un-stable medical condition that may affect patient participation or evaluation in the study.
  6. Concurrent use of any other investigational product or within 28 days before study entry.
  7. Chronic treatment with: (a) immunosuppressive agent other than systemic corticosteroid, (b) patients who are under chronic treatment with NSAIDs with the exception of Aspirin at a daily dose ≤ 100mg.
  8. Use of supplements or complementary medicines/botanicals, except for conventional multivitamin supplements, calcium, selenium and soy supplements.
  9. Patients at increased risk of gastro intestinal bleeding such as patients with known active gastro intestinal ulcer, erosive gastritis or varices, as confirmed by gastroscopy performed within one year before screening.
  10. Serious or uncontrolled co-existent diseases that are likely to significantly increase the risks associated with TL-118 therapy (e.g. severe cardiovascular disease, congestive heart failure, recent myocardial infarction, significant vascular disease, active or uncontrolled autoimmune disease, active or uncontrolled infection).
  11. Patient has known historical or active infection with HIV, hepatitis B, or hepatitis C
  12. Serious or non-healing wound, ulcer or bone fracture.
  13. Circumstances likely to interfere with absorption of orally administrated drugs.
  14. History of noncompliance to medical regimens or coexisting conditions precluding full compliance with study protocol, or any other condition that in the discretion of the Investigator may preclude safe and complete study participation.
  15. Subjects unwilling or unable to comply with study protocol.
  16. Know pregnancy or breast-feeding women.
  17. Women of child bearing potential not exercising two methods of contraception.

Sites / Locations

  • Hadassah Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TL-118 alone or with pancreas cancer chemotherapy

Arm Description

Outcomes

Primary Outcome Measures

Clinical Benefit Measurement
Clinical Benefit Measurement is a composite of measurements of pain (analgesic consumption and pain intensity), performance status and weight. Clinical benefit requires an improvement in at least one parameter, without worsening in any others, sustained for at least 4 weeks

Secondary Outcome Measures

Safety and tolerability
Safety and tolerability profiles will be judged by: Local and systemic toxicities. Number, type and degree of toxicities as measured by the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) v4.0
Response Rate (RR)
Overall Survival
Progression Free Survival (PFS)

Full Information

First Posted
July 23, 2012
Last Updated
December 4, 2013
Sponsor
Tiltan Pharma Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01659502
Brief Title
Investigator's Initiated Phase II Study for Pancreatic Cancer Patients
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Unknown status
Study Start Date
December 2013 (undefined)
Primary Completion Date
October 2014 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tiltan Pharma Ltd.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy, safety and tolerability of TL-118 alone or in combination with pancreatic cancer chemotherapy.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TL-118 alone or with pancreas cancer chemotherapy
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TL-118
Intervention Description
TL-118 investigational product is supplied as an oral liquid for daily administration at a specific dosing regimen. Treatment protocol includes weekly therapy cycles
Primary Outcome Measure Information:
Title
Clinical Benefit Measurement
Description
Clinical Benefit Measurement is a composite of measurements of pain (analgesic consumption and pain intensity), performance status and weight. Clinical benefit requires an improvement in at least one parameter, without worsening in any others, sustained for at least 4 weeks
Time Frame
Baseline up to 2 years
Secondary Outcome Measure Information:
Title
Safety and tolerability
Description
Safety and tolerability profiles will be judged by: Local and systemic toxicities. Number, type and degree of toxicities as measured by the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) v4.0
Time Frame
Baseline up to 2 years
Title
Response Rate (RR)
Time Frame
RR measured every 8 weeks after enrollment up to 2 years
Title
Overall Survival
Time Frame
OS measured at 16 and 52 weeks after treatment initiation or at death, whichever comes first up to 2 years
Title
Progression Free Survival (PFS)
Time Frame
PFS measured at 8 weeks after enrollment until the date of first documented progression or date of death, whichever comes first, up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age at least 18 years at enrollment. Locally Advanced Pancreatic Cancer and/or Metastatic Pancreatic Cancer which failed to respond to one or two lines of chemotherapy The patient has histologically or cytologically confirmed pancreatic cancer. Patient has measurable disease by radiological imaging techniques as defined according to Response Evaluation Criteria in Solid Tumors (RECIST). ECOG performance status ≤ 2 Adequate renal function. Adequate hepatic function Adequate bone marrow reserve - Resolution of prior therapy acute adverse events. Patient is capable of swallowing. Patient's Informed Consent. Exclusion Criteria: Hypersensitivity to one or more of the TL-118 active components Known Glucose-6-phosphate-dehydrogenase deficiency (G6PD). Known CNS or Brain metastases Patient has received 3 or more different prior chemotherapies for the treatment of pancreatic cancer Any significant change in treatment within the 14 days before screening or an un-stable medical condition that may affect patient participation or evaluation in the study. Concurrent use of any other investigational product or within 28 days before study entry. Chronic treatment with: (a) immunosuppressive agent other than systemic corticosteroid, (b) patients who are under chronic treatment with NSAIDs with the exception of Aspirin at a daily dose ≤ 100mg. Use of supplements or complementary medicines/botanicals, except for conventional multivitamin supplements, calcium, selenium and soy supplements. Patients at increased risk of gastro intestinal bleeding such as patients with known active gastro intestinal ulcer, erosive gastritis or varices, as confirmed by gastroscopy performed within one year before screening. Serious or uncontrolled co-existent diseases that are likely to significantly increase the risks associated with TL-118 therapy (e.g. severe cardiovascular disease, congestive heart failure, recent myocardial infarction, significant vascular disease, active or uncontrolled autoimmune disease, active or uncontrolled infection). Patient has known historical or active infection with HIV, hepatitis B, or hepatitis C Serious or non-healing wound, ulcer or bone fracture. Circumstances likely to interfere with absorption of orally administrated drugs. History of noncompliance to medical regimens or coexisting conditions precluding full compliance with study protocol, or any other condition that in the discretion of the Investigator may preclude safe and complete study participation. Subjects unwilling or unable to comply with study protocol. Know pregnancy or breast-feeding women. Women of child bearing potential not exercising two methods of contraception.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ayala Huberrt, MD
Email
AyalaH@hadassah.org.il
Facility Information:
Facility Name
Hadassah Medical Center
City
Jerusalem
Country
Israel
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ayala Hubert, MD
Email
AyalaH@hadassah.org.il
First Name & Middle Initial & Last Name & Degree
Ayala Hubert, MD

12. IPD Sharing Statement

Learn more about this trial

Investigator's Initiated Phase II Study for Pancreatic Cancer Patients

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