RECRUITING

A Study of Ivaltinostat Plus Capecitabine or Capecitabine in Metastatic Pancreatic Adenocarcinoma

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 Phase 1b/2, dose-escalation, randomized, multicenter study to assess the efficacy, safety, tolerability, and PK of ivaltinostat in combination with capecitabine and capecitabine monotherapy in patients with metastatic pancreatic adenocarcinoma whose disease has not progressed on a first line fluoropyrimidine-based chemotherapy (e.g., FOLFIRINOX). In Phase 1b, 3 dose levels of ivaltinostat will be studied in combination with a fixed dose of capecitabine to determine the RP2D of ivaltinostat. In Phase 2, patients will be randomized in a 1:1 ratio to the combination of ivaltinostat and capecitabine or to capecitabine monotherapy. A fixed dose for capecitabine 1000 mg/m2 orally twice daily will be taken on Days 1 to 14, and the RP2D of ivaltinostat will be administered intravenously once a week for 2 weeks, followed by 1 week of rest. One cycle consists of 21 days. Tumor response during study treatment will be assessed every 6 weeks up to Cycle 10, then every 9 weeks afterwards using RECIST v1.1 criteria.

Official Title

A Phase 1b/2, Dose-escalation, Randomized, Multicenter Study of Maintenance Ivaltinostat Plus Capecitabine or Capecitabine in Patients With Metastatic Pancreatic Adenocarcinoma Whose Disease Has Not Progressed on FOLFIRINOX

Quick Facts

Study Start:2022-08-15
Study Completion:2025-04
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05249101

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
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Age: ≥18 years
  2. * For Phase 1b, histologically or cytologically confirmed pancreatic adenocarcinoma (locally advanced or metastatic) with at least 1 prior therapy in either the advanced or perioperative setting
  3. * For Phase 1b, measurable disease and/or non-measurable disease per RECIST v1.1
  4. * For Phase 2, histologically or cytologically confirmed pancreatic adenocarcinoma without evidence of disease progression while receiving initial chemotherapy for metastatic disease (e.g., must have had a demonstrated CR, PR, or SD following initial chemotherapy).
  5. * For Phase 2, measurable disease and/or non-measurable or no evidence of disease assessed by baseline CT (or MRI where CT is contraindicated). RECIST v1.1 will be used to allow for assessment of disease progression due to new lesions in patients with no evidence of disease at baseline. Patients with no evidence of disease following FOLFIRINOX chemotherapy will be deemed to have radiographic disease progression if new lesions are detected.
  6. * For Phase 2, treatment with FOLFIRINOX for metastatic pancreatic adenocarcinoma at full or modified doses, for a minimum of 16 weeks, and no evidence of progression based on the radiographic imaging.
  7. * a. Randomization must occur within 6 weeks of the last dose of chemotherapy.
  8. * b. Patients who have received at least 16 weeks of FOLFIRINOX combination regimen but had non-fluoropyrimidine chemotherapeutic agents discontinued prior to 16 weeks due to toxicity are eligible if they have no radiographic evidence of disease.
  9. * For Phase 2, patients who received prior chemotherapy or prior chemoradiation for a prior cancer or as adjuvant/neoadjuvant treatment for pancreatic adenocarcinoma are eligible provided at least 12 months have elapsed between the last dose of treatment and initiation of the FOLFIRINOX chemotherapy for metastatic pancreatic adenocarcinoma.
  10. * Prior radiation therapy is allowed, provided \>14 days have elapsed since completion of radiation prior to randomization.
  11. * Adequate organ function
  12. * ECOG Performance Status 0-1 at the date of signing the informed consent.
  1. * For Phase 2, radiographic progression of tumor per RECIST 1.1 between start of first line FOLFIRINOX chemotherapy for metastatic pancreatic adenocarcinoma and randomization.
  2. * Cytotoxic chemotherapy or non-hormonal targeted therapy within 28 days of Cycle 1 Day 1 is not permitted. Palliative radiotherapy must have been completed 14 or more days before Cycle 1 Day 1. The patient can receive a stable dose of bisphosphonates or RANKL directed therapy for bone metastases before and during the study as long as these were initiated at least 2 weeks prior to study treatment
  3. * For Phase 2, not receiving FOLFIRINOX as initial therapy for metastatic PDAC. Patients who received FOLFIRINOX initially and who needed to discontinue irinotecan or oxaliplatin due to toxicity are eligible, provided they received at least 4 weeks (2 cycles) of FOLFIRINOX
  4. * For Phase 2, more than 1 prior line of therapy for metastatic PDAC
  5. * Exposure to an investigational agent within 30 days or 5 half-lives (whichever is longer) prior to randomization
  6. * Any previous treatment with a HDAC inhibitor, including ivaltinostat

Contacts and Locations

Study Contact

Glenn C. Michelson, MD
CONTACT
+1 (415) 690-6206
Glenn.C.Michelson@cgxinc.com

Principal Investigator

Andrew H. Ko, MD
PRINCIPAL_INVESTIGATOR
University of California, San Francisco

Study Locations (Sites)

HonorHealth Medical Center
Scottsdale, Arizona, 85258
United States
Hoag Medical Group
Newport Beach, California, 92663
United States
UCSF Medical Center
San Francisco, California, 94143
United States
UCLA Hematology/Oncology, Gastrointestinal Oncology
Santa Monica, California, 90404
United States
University Cancer and Blood Center
Athens, Georgia, 30607
United States
IACT Health
Columbus, Georgia, 31904
United States
Beacon Cancer Care
Coeur d'Alene, Idaho, 83854
United States
Community Health Network
Indianapolis, Indiana, 46250
United States
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
United States
Norton Cancer Institute Audubon
Louisville, Kentucky, 40217
United States
University Medical Center New Orleans
New Orleans, Louisiana, 70112
United States
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
United States
Roswell Park Comprehensive Cancer Center
Buffalo, New York, 14263
United States
Clinical Research Alliance
New York, New York, 11590
United States
Penn State Hershey Cancer Institute
Hershey, Pennsylvania, 17033
United States
The University of Texas Southwestern Medical Center
Dallas, Texas, 75390
United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
United States
Utah Cancer Specialists
Salt Lake City, Utah, 84107
United States
Virginia Cancer Specialists
Fairfax, Virginia, 22031
United States
Kadlec Regional Medical Center
Kennewick, Washington, 99336
United States

Collaborators and Investigators

Sponsor: CG Pharmaceuticals, Inc

  • Andrew H. Ko, MD, PRINCIPAL_INVESTIGATOR, University of California, San Francisco

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 Date2022-08-15
Study Completion Date2025-04

Study Record Updates

Study Start Date2022-08-15
Study Completion Date2025-04

Terms related to this study

Additional Relevant MeSH Terms

  • Metastatic Pancreatic Adenocarcinoma