NCT03859869

Brief Summary

This is a study in participants with Exocrine Pancreatic Insufficiency (EPI) due to pancreatic cancer. This study will include resected participants who are post pancreatic cancer surgery, and an additional cohort in non-resected participants.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
1

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Feb 2020

Typical duration for phase_4

Geographic Reach
1 country

33 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

February 28, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 1, 2019

Completed
12 months until next milestone

Study Start

First participant enrolled

February 25, 2020

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 23, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 23, 2022

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

June 5, 2023

Completed
Last Updated

June 5, 2023

Status Verified

June 1, 2023

Enrollment Period

2.1 years

First QC Date

February 28, 2019

Results QC Date

March 17, 2023

Last Update Submit

June 2, 2023

Conditions

Keywords

Exocrine Pancreatic Insufficiency (EPI)Pancreatic CancerCreonPancrelipase

Outcome Measures

Primary Outcomes (1)

  • Change in Stool Fat From Baseline (Day 1) to Week 1 (Day 8) Among Participants With Resected Pancreatic Cancer

    Stool samples were collected during the 48 hours prior to the Day 1 and Week 1 visits and analyzed for fat content.

    Baseline (Day 1), Week 1 (Day 8)

Secondary Outcomes (3)

  • Change in Average Daily Stool Frequency From Baseline (Day 1) to Week 1 (Day 8) Among Participants With Resected Pancreatic Cancer

    Baseline (Day 1), Week 1 (Day 8)

  • Change in Stool Consistency From Baseline to Week 1 Among Participants With Resected Pancreatic Cancer

    Baseline (Day 1), Week 1 (Day 8)

  • Change in the Total EPI Symptoms Score From Baseline to Week 1 Among Participants With Resected Pancreatic Cancer

    Baseline (Day 1), Week 1 (Day 8)

Study Arms (3)

Resected Participants Receiving Low Dose (12,000/6,000 units lipase) Pancrelipase

EXPERIMENTAL

Resected participants (surgery to remove pancreatic cancer) will first be given low dose pancrelipase. Low dose is defined as 12,000 USP units (lipase) with meals and 6000 U with snacks. At Weeks 1, 5, or 9, participants will be evaluated, and those who meet criteria for dose increase will be given high dose pancrelipase. High dose is defined as 72,000 U with meals and 36,000 U with snacks. All participants will receive placebo as needed to keep the number of pills the same in each group and for blinding.

Drug: PancrelipaseDrug: Placebo

Resected Participants Receiving High Dose (72,000/36,000 units lipase) Pancrelipase

EXPERIMENTAL

Resected participants (surgery to remove pancreatic cancer) will receive and continue on high dose pancrelipase throughout the study. High dose is defined as 72,000 USP units (lipase) with meals and 36,000 U with snacks. All participants will receive placebo as needed to keep the number of pills the same in each group and for blinding.

Drug: PancrelipaseDrug: Placebo

Non-Resected Participants Receiving High Dose (72,000/36,000 units lipase) Pancrelipase

EXPERIMENTAL

Non-resected participants (those who did not have surgery to remove pancreatic cancer) will receive high dose pancrelipase throughout the study in an open-label cohort. High dose is defined as 72,000 USP units (lipase) with meals and 36,000 U with snacks.

Drug: Pancrelipase

Interventions

Pancrelipase is administered orally as capsules with a meal or snack

Also known as: Creon
Non-Resected Participants Receiving High Dose (72,000/36,000 units lipase) PancrelipaseResected Participants Receiving High Dose (72,000/36,000 units lipase) PancrelipaseResected Participants Receiving Low Dose (12,000/6,000 units lipase) Pancrelipase

Placebo is administered orally as capsules with a meal or snack

Resected Participants Receiving High Dose (72,000/36,000 units lipase) PancrelipaseResected Participants Receiving Low Dose (12,000/6,000 units lipase) Pancrelipase

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participant has diagnosed cancer of pancreas with biopsy and/or radiography, with a life expectancy of at least 5 months at screening
  • Participant's pancreatic cancer must involve the head and/or neck of the pancreas
  • Confirmed exocrine pancreatic insufficiency (EPI) as evidenced by fecal elastase-1 (FE-1) ≤ 150 µg/g stool at screening
  • A positive Sudan stain for participants without history of fat malabsorption (fat malabsorption is defined as clinical steatorrhea, or measured stool fat \> 7 g/day, or positive stool results by Sudan stain) within 1 week of screening -- Positive stool results are defined as increased level of neutral OR total fats

You may not qualify if:

  • Participant has neuroendocrine pancreatic cancer
  • Participant has fibrosing colonopathy
  • Participant has any other malignancy within 1 year of screening
  • Participant has uncontrolled gout, including those with a recent flare within 60 days of screening
  • Participant has other significant organ or bone marrow abnormality within 60 days of screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

Alabama Oncology /ID# 207770

Birmingham, Alabama, 35223-2437, United States

Location

Banner University of Arizona Medical Center Phoenix /ID# 208402

Phoenix, Arizona, 85006, United States

Location

UCSF Fresno /ID# 205757

Fresno, California, 93701-2302, United States

Location

Stanford University School of Med /ID# 208821

Stanford, California, 94305-2200, United States

Location

UCH-MHS Memorial Hospital Central /ID# 207093

Colorado Springs, Colorado, 80909-4533, United States

Location

UCHealth Cancer Care and Hematology Clinic /ID# 207091

Fort Collins, Colorado, 80528-3400, United States

Location

George Washington University Medical Faculty Associates /ID# 203363

Washington D.C., District of Columbia, 20037-3201, United States

Location

University of Florida - Archer /ID# 202679

Gainesville, Florida, 32610, United States

Location

Columbus Regional Research Institute /ID# 211394

Columbus, Georgia, 31904-8915, United States

Location

Northwest Community Hospital /ID# 202270

Arlington Heights, Illinois, 60005-2355, United States

Location

NorthShore University HealthSystem /ID# 209026

Evanston, Illinois, 60201, United States

Location

Ingalls Memorial Hosp /ID# 203962

Harvey, Illinois, 60426, United States

Location

Advocate Christ Medical Center /ID# 203132

Oak Lawn, Illinois, 60453-2600, United States

Location

University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 204407

Ann Arbor, Michigan, 48109, United States

Location

Ascension Providence Hospital /ID# 203449

Southfield, Michigan, 48075-4825, United States

Location

St. Louis University /ID# 205769

St Louis, Missouri, 63104, United States

Location

Mercy Hospital South /ID# 221766

St Louis, Missouri, 63128, United States

Location

Northwell Health Center for Liver Diseases /ID# 207321

Manhasset, New York, 11030-3815, United States

Location

NYU Winthrop Hospital /ID# 207513

Mineola, New York, 11501, United States

Location

New York University Langone Me /ID# 202290

New York, New York, 10016, United States

Location

Columbia University Medical Center /ID# 204165

New York, New York, 10032-3729, United States

Location

East Carolina University /ID# 206661

Greenville, North Carolina, 27858, United States

Location

Gabrail Cancer Center Research /ID# 208030

Canton, Ohio, 44718, United States

Location

Ohio State Cancer Center /ID# 203131

Columbus, Ohio, 43210, United States

Location

Fox Chase Cancer Center /ID# 202288

Philadelphia, Pennsylvania, 19111, United States

Location

Reading Hospital /ID# 206869

Reading, Pennsylvania, 19611, United States

Location

Musc /Id# 210727

Charleston, South Carolina, 29425, United States

Location

Tennessee Cancer Specialists /ID# 208235

Knoxville, Tennessee, 37909, United States

Location

Vanderbilt University Medical Center /ID# 204231

Nashville, Tennessee, 37232-0011, United States

Location

Texas Oncology- Baylor Charles A. Sammons Cancer Center /ID# 206156

Dallas, Texas, 75246-2003, United States

Location

UT MD Anderson Cancer Center /ID# 202271

Houston, Texas, 77030, United States

Location

Wisconsin Center for Advanced Research, a division of GI Associates, LLC /ID# 205746

Milwaukee, Wisconsin, 53215, United States

Location

Medical College of Wisconsin /ID# 205714

Milwaukee, Wisconsin, 53226-3522, United States

Location

Related Links

MeSH Terms

Conditions

Exocrine Pancreatic InsufficiencyPancreatic Neoplasms

Interventions

Pancrelipase

Condition Hierarchy (Ancestors)

Pancreatic DiseasesDigestive System DiseasesDigestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsEndocrine System Diseases

Intervention Hierarchy (Ancestors)

LipaseCarboxylic Ester HydrolasesEsterasesHydrolasesEnzymesEnzymes and CoenzymesPancreatic ExtractsTissue ExtractsComplex Mixtures

Limitations and Caveats

This study was terminated due to low enrollment rates. The decision to terminate the study was not based on any safety or efficacy data.

Results Point of Contact

Title
Global Medical Services
Organization
AbbVie

Study Officials

  • ABBVIE INC.

    AbbVie

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 28, 2019

First Posted

March 1, 2019

Study Start

February 25, 2020

Primary Completion

March 23, 2022

Study Completion

March 23, 2022

Last Updated

June 5, 2023

Results First Posted

June 5, 2023

Record last verified: 2023-06

Data Sharing

IPD Sharing
Will share

AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link: https://www.abbvieclinicaltrials.com/hcp/data-sharing/
More information

Locations