NCT06225999

Brief Summary

This study is to assess the anti-tumour activity, safety and tolerability of irinotecan liposome injection (S095013) in combination with oxaliplatin, 5-Fluorouracil (5-FU) and levoisomer form of leucovorin (LLV). S095013, oxaliplatin, 5-FU and LLV will be administered on days 1 and 15 of each 28-day cycle. Cycles will continue until clinical or radiological progressive disease, unacceptable study medication-related toxicity or withdrawal from study. During the treatment period participants will have study visits on day 1, 3, 15, and 17 of each cycle, some of which may occur as a home visit. At least 30 days after treatment has ended a end of treatment visit will occur and then participants will be followed for survival every month via telephone or email until death or end of the study. Study visits may include questionnaires, blood and urine tests, ECG, vital signs, physical examination, and administration of study treatment.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
41

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Apr 2024

Shorter than P25 for phase_2

Geographic Reach
1 country

14 active sites

Status
completed

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 17, 2024

Completed
9 days until next milestone

First Posted

Study publicly available on registry

January 26, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

April 25, 2024

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 28, 2025

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 29, 2025

Completed
Last Updated

May 4, 2026

Status Verified

April 1, 2026

Enrollment Period

1 year

First QC Date

January 17, 2024

Last Update Submit

April 28, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall Response (OR)

    OR is defined as complete response (CR) or partial response (PR), as assessed by the independent central review (ICR) per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1.

    Through the end of study treatment (approximately 16 months after study start)

Study Arms (1)

Irinotecan liposome Injection in combination with oxaliplatin, 5-FU and LLV

EXPERIMENTAL
Drug: Irinotecan liposome injection (S095013)Drug: OxaliplatinDrug: LLV (levoisomer form of leucovorin)Drug: 5- FU (5-Fluorouracil)

Interventions

Irinotecan liposome injection (S095013) will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

Also known as: MM-398, Nal-IRI, BAX2398, PEP02, liposomal irinotecan
Irinotecan liposome Injection in combination with oxaliplatin, 5-FU and LLV

Oxaliplatin will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

Irinotecan liposome Injection in combination with oxaliplatin, 5-FU and LLV

LLV will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

Irinotecan liposome Injection in combination with oxaliplatin, 5-FU and LLV

5-FU will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

Irinotecan liposome Injection in combination with oxaliplatin, 5-FU and LLV

Eligibility Criteria

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

You may qualify if:

  • Male or non-pregnant and non-lactating female ≥ 18 years of age.
  • Histologically or cytologically confirmed adenocarcinoma of the pancreas that has not been previously treated in the metastatic setting.
  • Initial diagnosis of metastatic disease (as per American Joint Committee on Cancer 8th Edition \[AJCC 2017\]) must have occurred ≤ 6 weeks prior to screening.
  • Participant has one or more metastatic lesions measurable by CT-scan (or MRI), if the participant is allergic to CT contrast media, according to RECIST Version 1.1 criteria.
  • ECOG PS of 0 or 1 at screening and within 7 days prior to first dosing.
  • Participant has adequate hematological, biochemical, hepatic, and renal function parameters.

You may not qualify if:

  • Prior treatment of pancreatic cancer in the metastatic setting with surgery, radiotherapy, chemotherapy or investigational therapy (palliative surgery, palliative radiotherapy and placement of biliary stent/tube are permitted).
  • Prior treatment of pancreatic adenocarcinoma with chemotherapy in the adjuvant setting, except those where at least 12 months have elapsed since completion of the last dose and no persistent treatment-related relevant toxicities are present.
  • Participant has only locally advanced disease.
  • Known hypersensitivity to any of the components of irinotecan liposome injection, other liposomal products, or any components of 5-FU, LLV or oxaliplatin products.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

National Cancer Center Hospital East (003)

Kashiwa, Chiba, 277-8577, Japan

Location

Chiba University Hospital (015)

Chiba, 260-8677, Japan

Location

Chiba Cancer Center (011)

Chiba, 260-8717, Japan

Location

National Hospital Organization Shikoku Cancer Center (013)

Ehime, 791-0280, Japan

Location

National Hospital Organization Kyushu Cancer Center (005)

Fukuoka, 811-1395, Japan

Location

Kanazawa University Hospital (008)

Ishikawa, 920-8641, Japan

Location

Kanagawa Cancer Center (002)

Kanagawa, 241-8515, Japan

Location

Aichi Cancer Center (007)

Nagoya, 464-8681, Japan

Location

Osaka International Cancer Institute (009)

Osaka, 541-8567, Japan

Location

Saitama Cancer Center (012)

Saitama, 362-0806, Japan

Location

Hokkaido University Hospital (004)

Sapporo, 060-8648, Japan

Location

National Cancer Center Hospital (001)

Tokyo, 104-0045, Japan

Location

The Cancer Institute Hospital of JFCR (006)

Tokyo, 135-8550, Japan

Location

Yamaguchi University Hospital (010)

Yamaguchi, 755-8505, Japan

Location

Related Publications (1)

  • Ikeda M, Okusaka T, Ueno M, Ozaka M, Satoi S, Skanji D, Martin-Fernandez L, Amellal N, Furuse J. NALIRIFOX in Japanese treatment-naive patients with metastatic pancreatic adenocarcinoma: an open-label, phase II trial design. Future Oncol. 2025 Apr;21(8):959-965. doi: 10.1080/14796694.2025.2469467. Epub 2025 Feb 22.

MeSH Terms

Interventions

irinotecan sucrosofateOxaliplatinFluorouracil

Intervention Hierarchy (Ancestors)

Coordination ComplexesOrganic ChemicalsUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 17, 2024

First Posted

January 26, 2024

Study Start

April 25, 2024

Primary Completion

April 28, 2025

Study Completion

September 29, 2025

Last Updated

May 4, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
After Marketing Authorization in EEA or US if the study is used for the approval.
Access Criteria
Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.
More information

Locations