NCT03301805

Brief Summary

The primary purpose of this study is to determine the safety and recommended dose level (RDL) of BLEX 404 Oral Liquid combined with Gemcitabine monotherapy in a 28-day schedule.The secondary purpose is to assess the efficacy and safety of BLEX 404 Oral Liquid combined with Gemcitabine monotherapy at the recommended dose.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for phase_2 pancreatic-cancer

Timeline
12mo left

Started Jul 2026

Shorter than P25 for phase_2 pancreatic-cancer

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 29, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 4, 2017

Completed
8.7 years until next milestone

Study Start

First participant enrolled

July 1, 2026

Expected
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Last Updated

April 20, 2026

Status Verified

April 1, 2026

Enrollment Period

10 months

First QC Date

September 29, 2017

Last Update Submit

April 15, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Part I: Dose-limiting toxicity (DLT) observation

    Presence or absence of dose-limiting toxicity (DLT) related to BLEX 404 Oral Liquid for each patient during first cycle of Gemcitabine monotherapy to determine the recommended dose level (RDL).

    4 weeks (1 cycle)

  • Part II: Overall response rate (PR + CR)

    Overall response rate (PR + CR) after 4 cycles of combination use in BLEX 404 + Gemcitabine monotherapy.

    12 weeks (3 cycle)

Secondary Outcomes (2)

  • Part II: Overall benefit rate (CR + PR + SD)

    12 weeks (3 cycle)

  • Part II: Incidence of grade 3/4 hematological toxicity

    4 weeks (1 cycle)

Study Arms (1)

BLEX 404 Oral Liquid

EXPERIMENTAL

During Phase I study (dose escalation), a standard 3+3 design will be followed, and the dose range is 3 to 10 mg/kg BID. The recommended dose level (RDL) for the Phase II study is defined as the dose level with 0 to 1 DLT observed during cycle I of Gemcitabine monotherapy among 6 patients in the Phase I study.

Drug: BLEX 404

Interventions

BLEX 404 Oral Liquid is administered twice daily during the Gemcitabine monotherapy period. The dose of Gemcitabine 1,000 mg/m2 IV fusion at Day 1, 8, 15 of every cycle * 28 days a cycle.

BLEX 404 Oral Liquid

Eligibility Criteria

Age20 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients aged 20 - 80 years old at the time of signing the ICF.

You may not qualify if:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 1 to 2.
  • Adequate hematologic function defined as: absolute neutrophil count (ANC) \>= 2,000/μL; platelets count \>= 100,000/μL; hemoglobin must be \>= 10 g/dL (can be corrected by growth factor or transfusion).
  • Adequate hepatic function defined as: serum bilirubin =\< 1.5-fold upper limit of normal (ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP) =\< 3-fold ULN (5-fold ULN if liver metastasis is observed).
  • Adequate renal function with: serum creatinine =\< 1.3 mg/dL or calculated creatinine clearance \>= 60 mL/minute according to the Cockcroft and Gault formula.
  • At least one measurable disease according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
  • Women must be either of non-child bearing potential, or women with child-bearing potential agree to use effective a highly contraceptive method or a contraceptive implant, exception of hormonal contraception (estrogen/progesterone), during treatment from time of Screening Visit and after cessation of therapy at least 3 months.
  • Planning to receive Gemcitabine monotherapy.
  • Willing and able to comply with all aspects of the treatment protocol.
  • Provide written informed consent.
  • Patients with following treatment prior to Gemcitabine monotherapy: chemotherapy, immunotherapy, or biologic systemic anticancer therapy within 28 days of study entry.
  • Pancreatic patients with prior history of Gemcitabine chemotherapy.
  • Women who are pregnant or breastfeeding.
  • Patients with brain metastasis.
  • Patients with bone metastasis alone.
  • Patients with autoimmune disease that requires systemic steroids or immunosuppression agents.
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Pancreatic Neoplasms

Condition Hierarchy (Ancestors)

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

Study Officials

  • Gi-Ming Lai, M.D.

    Taipei Municipal Wanfang Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Study Objectives Part I To determine the safety and recommended dose level (RDL) of BLEX 404 Oral Liquid combined with Gemcitabine monotherapy in a 28-day schedule. Part II To assess the efficacy and safety of BLEX 404 Oral Liquid combined with Gemcitabine monotherapy at the recommended dose.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 29, 2017

First Posted

October 4, 2017

Study Start (Estimated)

July 1, 2026

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

June 30, 2027

Last Updated

April 20, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share