NCT04381130

Brief Summary

This study is a multi center, open-label, dose escalation, Phase I/IIa study of EF-009 in up to 30 patients with borderline resectable and unresectable pancreatic cancer.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
30

participants targeted

Target at P50-P75 for phase_1 pancreatic-cancer

Timeline
7mo left

Started Sep 2025

Shorter than P25 for phase_1 pancreatic-cancer

Status
not yet recruiting

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 Progress55%
Sep 2025Dec 2026

First Submitted

Initial submission to the registry

May 7, 2020

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 8, 2020

Completed
5.3 years until next milestone

Study Start

First participant enrolled

September 1, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Expected
Last Updated

February 26, 2025

Status Verified

February 1, 2025

Enrollment Period

3 months

First QC Date

May 7, 2020

Last Update Submit

February 24, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Maximum Tolerated Dose (MTD)

    Phase I

    21 days

  • Overall survival

    Phase IIa

    2 years

Secondary Outcomes (8)

  • Progression Free Survival

    2 years

  • Proportion of subjects underwent pancreatic resection surgery after the EF-009 wafer implantation

    2 years

  • Time to pancreatic resection surgery after the EF-009 wafer implantation

    2 years

  • Objective response rate

    2 years

  • Best response rate

    2 years

  • +3 more secondary outcomes

Study Arms (1)

EF-009

EXPERIMENTAL

In both the Phase I and Phase IIa portions of the study, subjects will be evaluated for response every 8 weeks after EF-009 wafer implantation for up to 2 years, by CT, PET/CT or MRI (per treating investigator's discretion) using the same method as at baseline. Tumor measurements will be assessed based on the Response Evaluation Criteria in Solid Tumors guidelines version 1.1 (RECIST v1.1). The total study duration for each subject consists of screening, treatment, and extended follow-up period and survival follow-up period.

Drug: EF-009

Interventions

EF-009DRUG

Subjects who meet the eligibility criteria will have completed following evaluations and assessments before receiving treatment: a) review of medical and medication history; b) physical examination, vital signs and documentation of ECOG; c) ECG; d) routine serum biochemical, hematologic, urine pregnancy (if applicable) and urine laboratory assessments; and e) evaluation of European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 score. On Day 0, subjects will undergo EF-009 wafer implantation via laparoscopy

EF-009

Eligibility Criteria

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

You may qualify if:

  • Female or male, age ≥ 18 years old
  • Subject has cytological, histological, or pathological confirmation of pancreatic cancer Note: All histologic subtype(s) of exocrine and endocrine pancreatic cancer are eligible to enroll in the study
  • Borderline resectable or unresectable pancreatic cancer judged by the PI in consultation with the designated site radiologist and surgeon at the treating institution Borderline resectable tumors are those that have:
  • no distant metastases;
  • venous involvement of the superior mesenteric vein (SMV)/portal vein (PV) with or without impingement and narrowing of the lumen;
  • short segment venous occlusion but with suitable vessel proximal and distal to occlusion, allowing for safe resection and reconstruction;
  • gastroduodenal artery (GDA) encasement up to the hepatic artery (HA) with either short segment encasement or direct abutment of HA, without extension to the celiac axis (CA); and
  • tumor abutment of the SMA not to exceed 180° of the circumference.
  • Unresectable tumors are those that have:
  • Arterial:
  • Head/uncinate process:
  • Solid tumor contact with SMA \>180°
  • Solid tumor contact with the CA \>180°
  • Body and tail:
  • Solid tumor contact of \>180° with the SMA or CA
  • +30 more criteria

You may not qualify if:

  • Subjects who have participated in other investigational studies within 4 weeks prior to receive EF-009
  • Subjects with known or suspected hypersensitivity to EF-009 or the excipient
  • Subject not eligible for resection without significantly affecting vital function
  • Subjects with distant metastasis or recurrence of pancreatic cancer
  • Patient has other severe and/or life-threatening disease(s) with life expectancy less than 12 months
  • Subjects who have an immuno-compromised condition, or is with known autoimmune conditions or is human immunodeficiency virus (HIV) seropositive.
  • Subjects with medical, social or psychological factors interfering with compliance of the study
  • Subjects that have on-going moderate to severe organ impairment, other than the study indication, that may confound the efficacy evaluation, safety evaluation or usage of standard chemotherapy
  • Female subjects that are lactating, pregnant, or planned to become pregnant

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

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 7, 2020

First Posted

May 8, 2020

Study Start

September 1, 2025

Primary Completion

December 1, 2025

Study Completion (Estimated)

December 1, 2026

Last Updated

February 26, 2025

Record last verified: 2025-02