NCT01510561

Brief Summary

90Y-hPAM4 is administered weekly for 3 weeks combined with 4 weekly doses of gemcitabine to assess. This is a dose escalation study of 90Y-hPAM4 to assess which dose is safe and effective as 3rd line treatment for patients with metastatic pancreatic cancer. Patients are then followed weekly for 12 weeks and afterwards for up to 1 year.

Trial Health

30
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Mar 2012

Typical duration for phase_1

Geographic Reach
1 country

24 active sites

Status
withdrawn

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

January 5, 2012

Completed
11 days until next milestone

First Posted

Study publicly available on registry

January 16, 2012

Completed
2 months until next milestone

Study Start

First participant enrolled

March 1, 2012

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2015

Completed
Last Updated

August 19, 2021

Status Verified

December 1, 2020

Enrollment Period

3.3 years

First QC Date

January 5, 2012

Last Update Submit

August 12, 2021

Conditions

Keywords

metastatic pancreatic adenocarcinomapancreatic cancermetastatic pancreatic cancer

Outcome Measures

Primary Outcomes (1)

  • Safety (change in hematology and chemistry laboratory values from baseline)

    Acute safety will be assessed weekly for the 1st 12 weeks, and then for up to 1 year after completion of study drug treatment. Safety will be assessed by comparing baseline hematology and chemistry laboratory values with the values obtained weekly after treatment. Safety will also be assessed by the adverse events that are reported.

    1 year

Secondary Outcomes (2)

  • Dosage determination

    2 years

  • Efficacy

    1 year

Study Arms (2)

90Y-hPAM4

EXPERIMENTAL

90Y-hPAM4 is administered weekly for 3 weeks

Drug: 90Y-hPAM4

90Y-hPAM4 + gemcitabine

EXPERIMENTAL

90Y-hPAM4 is administered weekly for 3 weeks, while gemcitabine is administered weekly for 4 weeks.

Drug: 90Y-hPAM4Drug: 90Y-hPAM4 + gemcitabine

Interventions

90Y-hPAM4 will be administered weekly for 3 weeks in conjunction with gemcitabine which will be administered weekly x 4.

Also known as: Clivatuzumab Tetraxetan
90Y-hPAM490Y-hPAM4 + gemcitabine
Also known as: gemzar, clivatuzumab tetraxetan
90Y-hPAM4 + gemcitabine

Eligibility Criteria

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

You may qualify if:

  • Male or female patients, ≥ 18 years of age, who are able to understand and give written informed consent
  • Histologically or cytologically confirmed pancreatic adenocarcinoma
  • Stage IV (metastatic) disease, including patients who underwent surgery but had incomplete resections
  • Previously treated and received two prior treatment regimens for advanced disease
  • Karnofsky performance status ≥ 60 % (Appendix A)
  • Expected survival ≥ 3 months
  • At least 4 weeks beyond major surgery, 2 weeks beyond chemotherapy, radiotherapy, other experimental treatments
  • At least 2 weeks beyond corticosteroids, except low doses (i.e., 20 mg/day of prednisone or equivalent) to treat nausea or other illness such as rheumatoid arthritis
  • Adequate hematology without ongoing transfusional support (hemoglobin \> 9 g/dL, ANC \> 1,500 per mm3, platelets \> 100,000 per mm3)
  • Adequate renal and hepatic function (creatinine and bilirubin ≤ 1.5 X IULN, AST and ALT ≤ 2.0 X IULN \[5.0 X IULN if due to liver metastases\])
  • Otherwise, all toxicity at study entry ≤ Grade 1 by NCI CTC v3.0 or recovered to baseline or discussed with and agreed to with Immunomedics' Medical Monitor.

You may not qualify if:

  • Women who are pregnant or lactating
  • Women of childbearing potential and fertile men unwilling to use effective contraception during study until conclusion of 12-week post-treatment evaluation period
  • Known metastatic disease to the central nervous system
  • Presence of bulky disease (defined as any single mass \> 10 cm in its greatest dimension)
  • Patients with \> Grade 2 nausea or vomiting and/or signs of intestinal obstruction
  • Prior radiation dose \> 3,000 cGy to the liver, \> 2,000 cGy to lungs and kidneys or prior external beam irradiation to a field that includes more than 30% of the red marrow
  • Patients with non-melanoma skin cancer or carcinoma in situ of the cervix are not excluded, but patients with other prior malignancies must have had at least a 3-year disease free interval
  • Patients known to be HIV positive, hepatitis B positive, or hepatitis C positive
  • Known history of active coronary artery disease, unstable angina, myocardial infarction, or congestive heart failure present within 6 months, or cardiac arrhythmia (other than stable atrial fibrillation) requiring anti-arrhythmia therapy
  • Known history of active COPD, or other moderate-to-severe respiratory illness present within 6 months
  • Known autoimmune disease or presence of autoimmune phenomena (except rheumatoid arthritis requiring only low dose maintenance corticosteroids)
  • Infection requiring intravenous antibiotic use within 1 week
  • Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (24)

Banner Healthcare

Gilbert, Arizona, 85234, United States

Location

Scottsdale Healthcare

Scottsdale, Arizona, 85258, United States

Location

Christiana Care Health Services Helen Graham Cancer Center

Newark, Delaware, 19713, United States

Location

Sylvester Comprehensive Cancer Center Univ. Miami

Miami, Florida, 33136, United States

Location

Jackson North Medical Center

Miami, Florida, 33169, United States

Location

Moffitt Cancer Center

Tampa, Florida, 33612, United States

Location

Winship Cancer Institute

Atlanta, Georgia, 30308, United States

Location

Mountain States Tumor Institute

Boise, Idaho, 83712, United States

Location

Goshen Center for Cancer Care

Goshen, Indiana, 46526, United States

Location

Detroit Clinical Research Center

Detroit, Michigan, 48377, United States

Location

St. Mary's Trinity Healthcare

Grand Rapids, Michigan, 49503, United States

Location

New Mexico Cancer Care Alliance

Albuquerque, New Mexico, 87131, United States

Location

Weill Cornell NY Presbyterian Hospital

New York, New York, 10021, United States

Location

Mt. Sinai Medical Center

New York, New York, 10029, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

University of North Carolina Medical Center

Chapel Hill, North Carolina, 27599, United States

Location

Ohio State University Medical Center

Columbus, Ohio, 43210, United States

Location

Kimmel Cancer Center at Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

Fox Chase Cancer Center

Philadelphia, Pennsylvania, 19111, United States

Location

Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Institute of Translational Oncology Research

Greenville, South Carolina, 29605, United States

Location

Tyler Cancer Center

Tyler, Texas, 75702, United States

Location

VA Oncology Associates

Norfolk, Virginia, 23502, United States

Location

Virginia Mason Medical Center

Seattle, Washington, 98111, United States

Location

Related Publications (1)

  • Picozzi VJ, Ramanathan RK, Lowery MA, Ocean AJ, Mitchel EP, O'Neil BH, Guarino MJ, Conkling PR, Cohen SJ, Bahary N, Frank RC, Dragovich T, Bridges BB, Braiteh FS, Starodub AN, Lee FC, Gribbin TE, Richards DA, Lee M, Korn RL, Pandit-Taskar N, Goldsmith SJ, Intenzo CM, Sheikh A, Manzone TC, Horne H, Sharkey RM, Wegener WA, O'Reilly EM, Goldenberg DM, Von Hoff DD. (90)Y-clivatuzumab tetraxetan with or without low-dose gemcitabine: A phase Ib study in patients with metastatic pancreatic cancer after two or more prior therapies. Eur J Cancer. 2015 Sep;51(14):1857-64. doi: 10.1016/j.ejca.2015.06.119. Epub 2015 Jul 14.

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

clivatuzumabGemcitabine

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

  • William A Wegener, MD, PhD

    Gilead Sciences

    STUDY CHAIR
0

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 5, 2012

First Posted

January 16, 2012

Study Start

March 1, 2012

Primary Completion

June 1, 2015

Study Completion

September 1, 2015

Last Updated

August 19, 2021

Record last verified: 2020-12

Locations