NCT01130142

Brief Summary

Study IPI-926-03 is a Phase 1b/2 clinical trial to evaluate IPI 926 in combination with gemcitabine in patients with previously untreated metastatic pancreatic cancer. Phase 1b is designed as a dose escalation study. Once the maximum tolerated dose of IPI-926 in combination with gemcitabine is established in the Phase 1b portion of the study, the Phase 2 portion will commence. Phase 2 is designed as a randomized, double-blind (investigator/patient), placebo-controlled study. There is no cross-over option for patients in either arm of the Phase 2 (i.e., there is no option for patients receiving placebo to cross-over to IPI-926).

Trial Health

90
On Track

Trial Health Score

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

Enrollment
122

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Apr 2010

Typical duration for phase_1

Geographic Reach
2 countries

28 active sites

Status
completed

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

April 1, 2010

Completed
20 days until next milestone

First Submitted

Initial submission to the registry

April 21, 2010

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 25, 2010

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2012

Completed
Last Updated

March 6, 2017

Status Verified

March 1, 2017

Enrollment Period

2.1 years

First QC Date

April 21, 2010

Last Update Submit

March 2, 2017

Conditions

Outcome Measures

Primary Outcomes (2)

  • Evaluation of safety profile including MTD

    To determine the safety profile, including maximum tolerated dose, of IPI-926 plus gemcitabine in patients with previously untreated metastatic pancreatic cancer.

    Once per week for 3 weeks of a 4 week cycle

  • Overall survival comparison

    * To compare the overall survival (OS) of patients with previously untreated metastatic pancreatic cancer treated with IPI-926 plus gemcitabine or placebo plus gemcitabine. * To evaluate the safety of IPI-926 plus gemcitabine or placebo plus gemcitabine.

    An average of 6 months

Secondary Outcomes (2)

  • Measurement of the maximum plasma concentration (Cmax) and area under the concentration versus time curve (AUC0-t) of IPI-926 and gemcitabine.

    During the 3rd week of the first 4 week cycle

  • Comparison of PFS, TTP and ORR

    An average of 6 months

Study Arms (2)

Arm 1 (Phase 2)

ACTIVE COMPARATOR

IPI-926 in combination with gemcitabine

Drug: IPI-926 plus gemcitabine

Arm 2 (Phase 2)

PLACEBO COMPARATOR

Placebo in combination with gemcitabine

Drug: IPI-926 plus gemcitabineDrug: Placebo plus gemcitabine

Interventions

Daily IPI-926 (oral) at 160 mg plus gemcitabine (infusion) at 1000 mg/m2 once weekly for 3 weeks of a 28 day cycle

Also known as: IPI-926, Hedgehog pathway inhibitor, Hedgehog
Arm 1 (Phase 2)Arm 2 (Phase 2)

Daily Oral placebo/IPI-926 160 mg plus gemcitabine infusion at 1000 mg/m2 once every 3 weeks in a 28 day cycle

Also known as: Gemcitabine, Hedgehog, Hedgehog pathway inhibitor, Gemzar
Arm 2 (Phase 2)

Eligibility Criteria

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

You may qualify if:

  • years of age
  • Pathologically confirmed metastatic pancreatic adenocarcinoma
  • At least 1 radiologically evaluable metastatic lesion (RECIST 1.1).
  • ECOG 0 or 1
  • Life expectancy ≥3 months.
  • All women of child bearing potential, all sexually active male patients, and partners of patients must agree to use adequate methods of birth control
  • Ability to adhere to the study visit schedule
  • Voluntarily signed an informed consent form

You may not qualify if:

  • Islet cell, acinar cell carcinoma, non-adenocarcinoma, (i.e., lymphoma, sarcoma), adenocarcinoma originated from biliary tree or cystadenocarcinoma
  • Prior treatment with chemotherapy for pancreatic cancer.
  • Known central nervous system metastases
  • Inadequate hematologic function
  • Inadequate hepatic function
  • Inadequate renal function
  • External (percutaneous) biliary drain
  • History of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or mechanical control within the last 6 months.
  • Venous thromboembolic event (e.g., pulmonary embolism or deep vein thrombosis) requiring anticoagulation not appropriately anticoagulated or have NCI CTCAE Grade 2 or greater bleeding episode in the 3 weeks prior to administration of IPI-926
  • Concurrent administration of the medications or foods known to inhibit CYP3A activity to a clinically relevant degree
  • Presence of active infection or systemic use of antibiotics within 72 hours of treatment
  • Significant co-morbid condition or disease which in the judgment of the Investigator would place the patient at undue risk or interfere with the study.
  • Known human immunodeficiency virus (HIV) positivity
  • Known hypersensitivity to gemcitabine, IPI-926, or their excipients
  • Pregnant or lactating women

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (28)

Arizona Clinical Research Center

Tucson, Arizona, 85745, United States

Location

University of California San Diego Medical Center

San Diego, California, United States

Location

University of California San Francisco

San Francisco, California, United States

Location

Kaiser Permanente

Vallejo, California, 94503, United States

Location

University of Colorado Cancer Center

Aurora, Colorado, 80045, United States

Location

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, 33612, United States

Location

Kansas City Cancer Center

Overland Park, Kansas, 66210, United States

Location

Norton Health Care

Louisville, Kentucky, 40220, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02115, United States

Location

West Michigan Cancer Center

Kalamazoo, Michigan, 49007, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Weill Cornell Medical Center

New York, New York, 10065, United States

Location

University of Rochester

Rochester, New York, 14604, United States

Location

Willamette Valley Cancer Institute and Research Center

Eugene, Oregon, 97401, United States

Location

Providence Portland Medical Center

Portland, Oregon, 97213, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Location

Rhode Island Hospital

Providence, Rhode Island, United States

Location

Institute of Translational Oncology Research

Greenville, South Carolina, 29605, United States

Location

Texas Oncology- Bedford

Bedford, Texas, United States

Location

Texas Oncology, PA

Dallas, Texas, 75246, United States

Location

South Texas Oncology and Hematology

San Antonio, Texas, United States

Location

Tyler Cancer Center

Tyler, Texas, 75702, United States

Location

Virginia Oncology Associates

Newport News, Virginia, 23606, United States

Location

Seattle Cancer Care Alliance

Seattle, Washington, 98109, United States

Location

Cancer Care Manitoba

Winnipeg, Manitoba, R2H 2A6, Canada

Location

Toronto Sunnybrook Regional Cancer Centre

Toronto, Ontario, M4N 3M5, Canada

Location

Jewish General Hospital

Montreal, Quebec, Canada

Location

Related Publications (1)

  • Kochetkova M, Samuel MS. Differentiation of the tumor microenvironment: are CAFs the Organizer? Trends Cell Biol. 2022 Apr;32(4):285-294. doi: 10.1016/j.tcb.2021.11.008. Epub 2021 Dec 9.

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

IPI-926Gemcitabine

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Study Officials

  • Robert Ross, MD

    Infinity Pharmaceuticals, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 21, 2010

First Posted

May 25, 2010

Study Start

April 1, 2010

Primary Completion

May 1, 2012

Study Completion

May 1, 2012

Last Updated

March 6, 2017

Record last verified: 2017-03

Locations