NCT01318642

Brief Summary

This study is a phase 2, multicenter, randomized, double-blind, active placebo-controlled trial of AMG 479 or placebo in combination with gemcitabine as first-line therapy for locally advanced unresectable adenocarinoma of the pancreas. Approximately 150 subjects will be randomized in a 1:1 ratio to AMG 479 and gemcitabine, or gemcitabine and placebo. Randomization will be stratified by ECOG (0 or 1). Gemcitabine will be given on days 1, 8, and 15, followed by AMG 479 on days 1 and 15 of every 28 day cycle. Treatment will continue until radiographic disease progression, unacceptable toxicity, withdrawal of consent, or start of a new anti-cancer therapy.

Trial Health

68
Monitor

Trial Health Score

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

Enrollment
10

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started May 2012

Shorter than P25 for phase_2

Geographic Reach
13 countries

35 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

First Submitted

Initial submission to the registry

March 17, 2011

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 18, 2011

Completed
1.2 years until next milestone

Study Start

First participant enrolled

May 31, 2012

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 27, 2012

Completed
6 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 3, 2012

Completed
11.9 years until next milestone

Results Posted

Study results publicly available

November 8, 2024

Completed
Last Updated

November 8, 2024

Status Verified

May 1, 2024

Enrollment Period

6 months

First QC Date

March 17, 2011

Results QC Date

April 18, 2024

Last Update Submit

November 7, 2024

Conditions

Keywords

Adenocarcinomapancreaspancreatic cancerlocalunresectablestage IIstage III

Outcome Measures

Primary Outcomes (1)

  • The Primary Endpoint is Progression-free Survival (PFS) as Defined as the Time From Randomization to Progression (Per RECIST v1.1) or Death.

    The time from randomization to progression (per RECIST version 1.1) or death from any cause. Disease progression per RECIST is defined as at least a 20% increase in the sum of diameters of target lesions in reference to the smallest sum on study and an absolute increase of at least 5 mm; the appearance of any new lesions is also considered progression.

    From randomization to the date of either disease progression or death, up to 181 days progression or death

Secondary Outcomes (5)

  • Overall Survival

    Up to 181 days

  • Number of Participants With Adverse Events

    Up to 4 months

  • Progression Free Survival Rate and Overall Survival Rate at at 3 and 6 Months, Objective Response Rate, Disease Control Rate

    Up to 181 days

  • Duration of Response

    Up to 181 days

  • Number of Participants With Anti-AMG 479 Antibodies

    Up to 181 days

Study Arms (2)

Placebo + Gemcitabine

ACTIVE COMPARATOR

Arm 2: AMG479-placebo IV days 1 and 15 plus gemcitabine 1000mg/m2 IV days 1, 8, and 15 of a 28 day cycle

Drug: GemcitabineDrug: Placebo

AMG 479 20 mg/kg + Gemcitabine

EXPERIMENTAL

ARM 1: AMG 479 20mg/kg IV days 1 and 15 plus gemcitabine 1000mg/m2 IV days 1, 8, and 15 of a 28 day cycle.

Drug: GemcitabineDrug: AMG 479

Interventions

Gemcitabine on days 1, 8, and 15, followed by placebo on days 1 and 15 of every 28 day cycle.

Also known as: Gemzar
AMG 479 20 mg/kg + GemcitabinePlacebo + Gemcitabine

Gemcitabine on days 1, 8, and 15, followed by AMG 479 20 mg/kg on days 1 and 15 of every 28 day cycle.

Also known as: gemcitabine = Gemzar
AMG 479 20 mg/kg + Gemcitabine

Gemcitabine on Days 1, 8, and 15 followed by Placebo 20 mg/kg on days 1 and 15 of every 28 day cycle

Placebo + Gemcitabine

Eligibility Criteria

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

You may qualify if:

  • Subjects must have histologically or cytologically confirmed locally advanced adenocarcinoma of the pancreas that is unresectable, per institutional practice
  • Radiologically measurable and/or non-measurable disease as defined by RECIST version 1.1
  • Eastern Cooperative Oncology Group (ECOG) score of 0 or 1
  • Men or women \>/= 18 years of age
  • Adequate organ function

You may not qualify if:

  • Early (stage I) or metastatic (stage IV) disease
  • Islet cell, acinar cell carcinoma, non-adenocarcinoma, (eg, lymphoma, sarcoma, etc), adenocarcinoma originating from biliary tree or cystadenocarcinoma
  • External biliary drain
  • Currently treated or previously treated with biologic, small molecule, immunotherapy, chemotherapy (ie, including gemcitabine), or other agents for pancreatic cancer
  • Currently treated or previously treated with radiotherapy, or chemoradiotherapy for pancreatic cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (35)

Research Site

San Francisco, California, 94115, United States

Location

Research Site

Knoxville, Tennessee, 37909, United States

Location

Research Site

Salzburg, 5020, Austria

Location

Research Site

Steyr, 4400, Austria

Location

Research Site

Vienna, 1090, Austria

Location

Research Site

Edegem, 2650, Belgium

Location

Research Site

La Louvière, 7100, Belgium

Location

Research Site

Hradec Králové, 500 05, Czechia

Location

Research Site

Olomouc, 775 20, Czechia

Location

Research Site

Prague, 100 34, Czechia

Location

Research Site

Herlev, 2730, Denmark

Location

Research Site

Hamburg, 20249, Germany

Location

Research Site

Budapest, 1097, Hungary

Location

Research Site

Debrecen, 4012, Hungary

Location

Research Site

Miskolc, 3526, Hungary

Location

Research Site

Szolnok, 5004, Hungary

Location

Research Site

Lodz, 93-509, Poland

Location

Research Site

Poznan, 60-569, Poland

Location

Research Site

Warsaw, 02-097, Poland

Location

Research Site

Lisbon, 1649-035, Portugal

Location

Research Site

Porto, 4200-072, Portugal

Location

Research Site

Chelyabinsk, 454087, Russia

Location

Research Site

Moscow, 115478, Russia

Location

Research Site

Saint Petersburg, 197022, Russia

Location

Research Site

Samara, 443031, Russia

Location

Research Site

Seoul, 120-752, South Korea

Location

Research Site

Seoul, 135-710, South Korea

Location

Research Site

Seoul, 138-736, South Korea

Location

Research Site

Seoul, 152-703, South Korea

Location

Research Site

Barcelona, Cataluña, 08035, Spain

Location

Research Site

Madrid, 28034, Spain

Location

Research Site

Madrid, 28050, Spain

Location

Guys Hospital

London, SE1 9RT, United Kingdom

Location

Research Site

London, W12 0HS, United Kingdom

Location

Research Site

Preston, PR2 9HT, United Kingdom

Location

Related Links

MeSH Terms

Conditions

AdenocarcinomaPancreatic Neoplasms

Interventions

Gemcitabineganitumab

Condition Hierarchy (Ancestors)

CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsDigestive System NeoplasmsNeoplasms by SiteEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Limitations and Caveats

The study was terminated early. Only the safety data is provided.

Results Point of Contact

Title
Sandeep Bobby Reddy, Chief Medical Officer
Organization
ImmunityBio

Study Officials

  • MD

    Amgen

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
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

March 17, 2011

First Posted

March 18, 2011

Study Start

May 31, 2012

Primary Completion

November 27, 2012

Study Completion

December 3, 2012

Last Updated

November 8, 2024

Results First Posted

November 8, 2024

Record last verified: 2024-05

Locations