ACTIVE_NOT_RECRUITING

Ivosidenib + mFOLFIRINOX in Patients With Resectable Pancreatic Adenocarcinoma

Conditions

Pancreatic Ductal Adenocarcinoma Resectable Pancreatic Cancer

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study is a single-arm, phase I trial, up to 16 participants with resectable PDA. The study will examine the efficacy of the mutant IDH1 inhibitor ivosidenib, in conjunction with standard-of-care mFOLFIRINOX in the neoadjuvant setting.

Official Title

A Phase I, Single-Center, Open-Label, Dose De-escalation and Expansion Study Ivosidenib + mFOLFIRINOX in Patients With Resectable Pancreatic Adenocarcinoma

Quick Facts

Study Start:2022-09-08

Study Completion:2026-12-31

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:ACTIVE_NOT_RECRUITING

Study ID

NCT05209074

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 80 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* Subjects must have histologicallyor cytologically confirmed diagnosis of pancreatic adenocarcinomaor adenosquamous carcinoma. * Subjects must have resectable right-sided (head/neck/uncinate) pancreatic cancer based on CT or MRI imaging (pancreas protocol CT of the abdomen and pelvis if possible, MRI with contrast or CT with IV contrast in the absence of a pancreas protocol CT scan, CT of the chest with or without contrast) as determined by the PI or Co-investigators. Participants with contrast allergies may be permitted without contrastscans if approved by the PI or Co-Investigators for safety reasons. * Male or female subjects age \>18 years of age. * Eastern Cooperative Oncology Group (ECOG) Performance status being 0-1 within 2 weeks of planned start of therapy. * Subjects must have normal organ and marrow function as defined below within 2 weeks of C1D1: * Adequate hematologic (white blood cell \[WBC\] ≥ 3500 cells/mm3; platelet count ≥100,000 cells/mm3; absolute neutrophil count \[ANC\] ≥1500 cells/mm3; and hemoglobin ≥8 g/dL). * Adequate hepatic function (aspartate aminotransferase \[AST/SGOT\] \<3x upper normal limit \[UNL\], alanine aminotransferase \[ALT/SGPT\] \<3x UNL, bilirubin \<3x UNL). * Adequate renal function (serum creatinine \<2.0 mg/dL or 177 μmol/L). * Adequate coagulation ("International Normalized Ratio" or INR must be \<1.5) unless on therapeutic blood thinners. * Screening HgbA1C \< 7.0% * Expected survival ≥3 months in the view of the PI or investigators. * Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically sterile) must use accepted contraceptive methods (abstinence, intrauterine device \[IUD\], oral contraceptive or double barrier device) during the study, and must have a negative serum or urine pregnancy test within 1 week prior to treatment initiation. * Fertile men must practice effective contraceptive methods (i.e. surgical sterilization, or a condom used with a spermicide) during the study, unless documentation of infertility exists. * No evidence of clinically significant active infection and no seriousor chronicinfection requiring ongoing antibiotics during the study period. * Subjects must have the ability to understand and the willingness to sign a written informed consent document. * Inclusion of Women and Minorities * People of all races and ethnic groups are eligible for participation in this trial.	* Subjects under the age of 18yearsof age. * Subjects with unresectablepancreatic canceror resectableleft-sided (body/tail) pancreatic cancer * Subjects with endocrine or acinar pancreatic carcinoma. * Subjects with locally advanced or recurrentpancreatic cancer. * Subjects with metastatic pancreatic cancer based on imaging. * Subjects who have received prior radiation therapy, surgical or medical treatment for pancreatic cancer. * Subjects receiving any other standard or investigational treatment for their PDA. * Pregnant women or breast feeding women, or women of child-bearing potential not using reliable means of contraception are excluded from this study because the teratogenic or abortifacient effects of ivosidenibis unknown. Because there is an unknown, but potential risk for adverse events in nursinginfants secondary to treatment of the mother with ivosidenib, breastfeeding should be discontinued if the mother is treated withivosidenib. These potential risks may also apply to other agents used in this study. * Fertile men unwilling to practice contraceptive methods during the study period. * Subjects with a life expectancy less than 3 months. * Subjects with a serious medical illness that would potentially increase subjects' risk for toxicity * Subjects with any active uncontrolled bleeding, and any participants with a bleeding diathesis (e.g., active peptic ulcer disease). * Subjects with a history of myocardial infarction that is \<3 months prior to registration. * Subjects with uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure or coronary artery disease, unstable angina pectoris, cardiac arrhythmiarequiring medications that interact with ivosidenib, symptomatic myocardial infarction or psychiatric illness/social situations that would limit compliance with study requirements. * Subjects who are known to be HIV-positive and on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with ivosidenib.

Inclusion Criteria

Exclusion Criteria

* Subjects must have histologicallyor cytologically confirmed diagnosis of pancreatic adenocarcinomaor adenosquamous carcinoma.
* Subjects must have resectable right-sided (head/neck/uncinate) pancreatic cancer based on CT or MRI imaging (pancreas protocol CT of the abdomen and pelvis if possible, MRI with contrast or CT with IV contrast in the absence of a pancreas protocol CT scan, CT of the chest with or without contrast) as determined by the PI or Co-investigators. Participants with contrast allergies may be permitted without contrastscans if approved by the PI or Co-Investigators for safety reasons.
* Male or female subjects age \>18 years of age.
* Eastern Cooperative Oncology Group (ECOG) Performance status being 0-1 within 2 weeks of planned start of therapy.
* Subjects must have normal organ and marrow function as defined below within 2 weeks of C1D1:
* Adequate hematologic (white blood cell \[WBC\] ≥ 3500 cells/mm3; platelet count ≥100,000 cells/mm3; absolute neutrophil count \[ANC\] ≥1500 cells/mm3; and hemoglobin ≥8 g/dL).
* Adequate hepatic function (aspartate aminotransferase \[AST/SGOT\] \<3x upper normal limit \[UNL\], alanine aminotransferase \[ALT/SGPT\] \<3x UNL, bilirubin \<3x UNL).
* Adequate renal function (serum creatinine \<2.0 mg/dL or 177 μmol/L).
* Adequate coagulation ("International Normalized Ratio" or INR must be \<1.5) unless on therapeutic blood thinners.
* Screening HgbA1C \< 7.0%
* Expected survival ≥3 months in the view of the PI or investigators.
* Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically sterile) must use accepted contraceptive methods (abstinence, intrauterine device \[IUD\], oral contraceptive or double barrier device) during the study, and must have a negative serum or urine pregnancy test within 1 week prior to treatment initiation.
* Fertile men must practice effective contraceptive methods (i.e. surgical sterilization, or a condom used with a spermicide) during the study, unless documentation of infertility exists.
* No evidence of clinically significant active infection and no seriousor chronicinfection requiring ongoing antibiotics during the study period.
* Subjects must have the ability to understand and the willingness to sign a written informed consent document.
* Inclusion of Women and Minorities
* People of all races and ethnic groups are eligible for participation in this trial.

* Subjects under the age of 18yearsof age.
* Subjects with unresectablepancreatic canceror resectableleft-sided (body/tail) pancreatic cancer
* Subjects with endocrine or acinar pancreatic carcinoma.
* Subjects with locally advanced or recurrentpancreatic cancer.
* Subjects with metastatic pancreatic cancer based on imaging.
* Subjects who have received prior radiation therapy, surgical or medical treatment for pancreatic cancer.
* Subjects receiving any other standard or investigational treatment for their PDA.
* Pregnant women or breast feeding women, or women of child-bearing potential not using reliable means of contraception are excluded from this study because the teratogenic or abortifacient effects of ivosidenibis unknown. Because there is an unknown, but potential risk for adverse events in nursinginfants secondary to treatment of the mother with ivosidenib, breastfeeding should be discontinued if the mother is treated withivosidenib. These potential risks may also apply to other agents used in this study.
* Fertile men unwilling to practice contraceptive methods during the study period.
* Subjects with a life expectancy less than 3 months.
* Subjects with a serious medical illness that would potentially increase subjects' risk for toxicity
* Subjects with any active uncontrolled bleeding, and any participants with a bleeding diathesis (e.g., active peptic ulcer disease).
* Subjects with a history of myocardial infarction that is \<3 months prior to registration.
* Subjects with uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure or coronary artery disease, unstable angina pectoris, cardiac arrhythmiarequiring medications that interact with ivosidenib, symptomatic myocardial infarction or psychiatric illness/social situations that would limit compliance with study requirements.
* Subjects who are known to be HIV-positive and on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with ivosidenib.

Contacts and Locations

Principal Investigator

David Bajor, MD

PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Study Locations (Sites)

University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Cleveland, Ohio, 44106

United States

Collaborators and Investigators

Sponsor: Case Comprehensive Cancer Center

David Bajor, MD, PRINCIPAL_INVESTIGATOR, University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-09-08

Study Completion Date2026-12-31

Study Record Updates

Study Start Date2022-09-08

Study Completion Date2026-12-31

Terms related to this study

Additional Relevant MeSH Terms

Pancreatic Ductal Adenocarcinoma
Resectable Pancreatic Cancer