Study of Efficacy and Safety of NIS793 in Combination With Standard of Care (SOC) Chemotherapy in First-line Metastatic Pancreatic Ductal Adenocarcinoma (mPDAC) - daNIS-2
Metastatic Pancreatic Ductal Adenocarcinoma

About this trial
This is an interventional treatment trial for Metastatic Pancreatic Ductal Adenocarcinoma focused on measuring mPDAC, NIS793, Pancreas, metastatic pancreatic ductal adenocarcinoma (mPDAC), Nab-paclitaxel, Abraxane, Gemcitabine
Eligibility Criteria
Inclusion Criteria:
Applicable for both Safety run-in and Randomized part
- Participants aged ≥18 years with histologically or cytologically confirmed (based on local assessment and per local guidelines) mPDAC eligible for treatment in the first line setting and not amenable for potentially curative surgery
- Presence of at least one measurable lesion assessed by Computerized Tomography (CT) and/or Magnetic Resonance Imaging (MRI) according to RECIST 1.1
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1
- Adequate organ function (assessed by central laboratory for eligibility)
- Participants must have recovered from treatment-related toxicities of prior anticancer therapies to grade ≤ 1 (CTCAE v 5.0) at time of screening, except alopecia.
Main Exclusion Criteria:
Applicable for both Safety run-in and Randomized part
- Previous systemic anti-cancer treatment for metastatic PDAC
- Pancreatic neuroendocrine, acinar, or islet tumors
- Participants with known status of microsatellite instability-high (MSI-H) or mismatch repair-deficient pancreatic cancer (if status is not already available, testing is not required at screening).
- Participant has not recovered from a major surgery performed prior to start of study treatment or has had a major surgery within 4 weeks prior to start of study treatment.
- Radiation therapy or brain radiotherapy ≤ 4 weeks prior to start of study treatment (palliative radiotherapy to bone lesions allowed > 2 weeks prior to start of study treatment).
- Impaired cardiac function or clinically significant cardio-vascular disease
- Use of hematopoietic growth factors or transfusion support ≤ 2 weeks prior to start of study treatment.
- Participant has conditions that are considered to have a high risk of clinically significant gastrointestinal tract bleeding or any other condition associated with or history of significant bleeding.
- Serious non-healing wounds.
- Pregnant or breast-feeding women
- Women of childbearing potential, unless willing to use highly effective contraception methods during treatment and after stopping study treatments as indicated
- Pre-existing peripheral neuropathy > grade 1 (CTCAE v5.0)
Sites / Locations
- Highlands Oncology Group .
- University Of California Los Angeles Santa Monica Location
- Advent Health Cancer Institute
- Fort Wayne Medical Oncology/Hematology, Inc. Jefferson Blvd
- NYU Clinical Cancer Center Dept of NYU Clin CancerCenter
- NYU Clinical Cancer Center
- US Oncology Research, Dallas .
- Houston Methodist Hospital OPC 26
- Huntsman Cancer Institute
- Seattle Cancer Care Alliance
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Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Safety run-in part: NIS793+gemcitabine+nab-paclitaxel
Randomized part: NIS793+gemcitabine+nab-paclitaxel
Randomized part: placebo+gemcitabine+nab-paclitaxel
In the safety run-in part, participants will receive a combination of NIS793, gemcitabine and nab-paclitaxel.
Participants will receive a combination of NIS793, gemcitabine and nab-paclitaxel Note: As of 07-Jul-2023, treatment with NIS793/placebo was stopped.
Participants will receive a combination of placebo, gemcitabine and nab-paclitaxel Note: As of 07-Jul-2023, treatment with NIS793/placebo was stopped.