NCT00574275

Brief Summary

The main objective of the study was to evaluate the effectiveness of aflibercept treatment by comparison to placebo in increasing the overall survival (OS) in participants with metastatic pancreatic cancer, treated with gemcitabine. The secondary objectives were to evaluate progression free survival, clinical benefit, overall response, safety and immunogenicity of aflibercept, in the two treatment arms (Arm 1: Aflibercept and Gemcitabine; Arm 2: Placebo and Gemcitabine). The study included an interim analysis of OS. In accordance with the study protocol, an interim analysis was performed for the purpose of futility and overwhelming efficacy. On the basis of the interim analysis, the Data Monitoring Committee (DMC) recommended that this study be terminated for futility based on predefined boundary rules.

Trial Health

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
546

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Dec 2007

Typical duration for phase_3

Geographic Reach
24 countries

24 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2007

Completed
13 days until next milestone

First Submitted

Initial submission to the registry

December 14, 2007

Completed
3 days until next milestone

First Posted

Study publicly available on registry

December 17, 2007

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2009

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2010

Completed
1.9 years until next milestone

Results Posted

Study results publicly available

September 25, 2012

Completed
Last Updated

June 7, 2016

Status Verified

May 1, 2016

Enrollment Period

1.8 years

First QC Date

December 14, 2007

Results QC Date

August 17, 2012

Last Update Submit

May 4, 2016

Conditions

Keywords

metastatic pancreatic cancerangiogenesis inhibitorgemcitabine

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    OS is the time interval from the date of randomization to the date of death due to any cause. If death was not observed during the study, data on OS were censored at the earlier of the last date participant was known to be alive, or the study data cutoff date (11 September 2009). OS time was estimated from Kaplan-Meier Plots.

    From the first randomization until the end of study data cutoff date (approximately 2 years)

Secondary Outcomes (5)

  • Progression Free Survival (PFS) Based on Response Evaluation Criteria in Solid Tumors [RECIST] Criteria

    From the first randomization until the end of study data cutoff date (approximately 2 years)

  • Objective Response Rate (ORR) Assessed by the Investigators According to RECIST Criteria

    From the first randomization until the end of the study data cutoff date (approximately 2 years)

  • Clinical Benefit

    From the first randomization until the end of the study data cutoff date (approximately 2 years)

  • Safety-Number of Participants With Adverse Events (AE)

    up to 30 days after treatment discontinuation. SAEs and related AEs were followed till resolved or stabilized.

  • Number of Participants With Anti-drug Antibodies

    Up to 90 days post last dose of study drug

Study Arms (2)

Placebo and Gemcitabine

PLACEBO COMPARATOR

Participants with metastatic pancreatic cancer administered Placebo and 1000 mg/m\^2 Gemcitabine.

Drug: PlaceboDrug: Gemcitabine

Aflibercept and Gemcitabine

EXPERIMENTAL

Participants with metastatic pancreatic cancer administered 4 mg/kg Aflibercept and 1000 mg/m\^2 Gemcitabine.

Drug: Aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®)Drug: Gemcitabine

Interventions

4 mg/kg was administered intravenously (IV) over 1 hour once every 2 weeks, on Days 1 and 15 of each 28-day cycle.

Aflibercept and Gemcitabine

4 mg/kg was administered intravenously (IV) over 1 hour once every 2 weeks, on Days 1 and 15 of each 28-day cycle

Placebo and Gemcitabine

1000 mg/m\^2 administered IV over 30 minutes on Days 1, 8, 15, and 22 of Cycle 1 (28 days), and then Days 1, 8, and 15 of subsequent 28-day cycles.

Also known as: Gemzar
Aflibercept and GemcitabinePlacebo and Gemcitabine

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Cytologically or histologically confirmed evidence of epithelial cancer (adenocarcinoma) of the exocrine pancreas
  • Metastatic disease
  • No prior chemotherapy for pancreatic disease
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2
  • Adequate renal, liver and bone marrow functions

You may not qualify if:

  • Less than 42 days elapsed from prior major surgery (28 days from other prior surgery) to the time of randomization
  • Prior treatment with anti-VEGF or VEGF-Receptor-inhibitors
  • Uncontrolled hypertension
  • Pregnancy or breastfeeding
  • Participant with reproductive potential (M/F) without effective method of contraception
  • The above information is not intended to contain all considerations relevant to potential participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (24)

Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, 08807, United States

Location

Sanofi-Aventis Administrative Office

Buenos Aires, Argentina

Location

Sanofi-Aventis Administrative Office

Vienna, Austria

Location

Sanofi-Aventis Administrative Office

Diegem, Belgium

Location

Sanofi-Aventis Administrative Office

Sofia, Bulgaria

Location

Sanofi-Aventis Administrative Office

Laval, Canada

Location

Sanofi-Aventis Administrative Office

Santiago, Chile

Location

Sanofi-Aventis Administrative Office

Bogotá, Colombia

Location

Sanofi-Aventis Administrative Office

Nicosia, Cyprus

Location

Sanofi-Aventis Administrative Office

Prague, Czechia

Location

Sanofi-Aventis Administrative Office

Paris, France

Location

Sanofi-Aventis Administrative Office

Berlin, Germany

Location

Sanofi-Aventis Administrative Office

Athens, Greece

Location

Sanofi-Aventis Administrative Office

Budapest, Hungary

Location

Sanofi-Aventis Administrative Office

Mumbai, India

Location

Sanofi-Aventis Administrative Office

Milan, Italy

Location

Sanofi-Aventis Administrative Office

México, Mexico

Location

Sanofi-Aventis Administrative Office

Warsaw, Poland

Location

Sanofi-Aventis Administrative Office

San Juan, Puerto Rico

Location

Sanofi-Aventis Administrative Office

Bucharest, Romania

Location

Sanofi-Aventis Administrative Office

Moscow, Russia

Location

Sanofi-Aventis Administrative Office

Brastislava, Slovakia

Location

Sanofi-Aventis Administrative Office

Barcelona, Spain

Location

Sanofi-Aventis Administrative Office

Geneva, Switzerland

Location

Related Publications (1)

  • Rougier P, Riess H, Manges R, Karasek P, Humblet Y, Barone C, Santoro A, Assadourian S, Hatteville L, Philip PA. Randomised, placebo-controlled, double-blind, parallel-group phase III study evaluating aflibercept in patients receiving first-line treatment with gemcitabine for metastatic pancreatic cancer. Eur J Cancer. 2013 Aug;49(12):2633-42. doi: 10.1016/j.ejca.2013.04.002. Epub 2013 Apr 30.

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

afliberceptGemcitabine

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Limitations and Caveats

As the study was terminated due to futility, some changes were made to the planned analyses, and the analyses for the following outcome measures were not performed: * Objective Response Rate (ORR) * Clinical Benefit

Results Point of Contact

Title
International Clinical Development Study Director
Organization
Sanofi

Study Officials

  • Clinical Sciences & Operations

    Sanofi

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 14, 2007

First Posted

December 17, 2007

Study Start

December 1, 2007

Primary Completion

October 1, 2009

Study Completion

November 1, 2010

Last Updated

June 7, 2016

Results First Posted

September 25, 2012

Record last verified: 2016-05

Locations