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Brief Title: Valproic Acid/Simvastatin Plus Gemcitabine/Nab-paclitaxel Based Regimens in Untreated Metastatic Pancreatic Adenocarcinoma Patients
Official Title: Randomized Phase 2 Study of Valproic Acid combinEd With Simvastatin and Gemcitabine/Nab-paclitaxel-based Regimens in Untreated Metastatic Pancreatic Adenocarcinoma Patients (The VESPA Trial).
Study ID: NCT05821556
Brief Summary: This is a proof-of-concept, Open label, randomized, multicentric, superiority phase-2 study.
Detailed Description: The study hypothesizes that valproic acid (VPA) in combination with simvastatin (SIM) may improve the efficacy of first-line gemcitabine and nab-paclitaxel-based regimens and extend progression free survival (PFS) as compared with chemotherapy alone, in patients with metastatic pancreatic ductal adenocarcinoma (mPDAC). Correlative studies on tumor and blood samples could identify potential biomarkers of toxicity and efficacy helping to define personalized treatment strategy and adding new insight into the antitumor mechanism of the combination approach.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Università vita e Salute, IRCCS San Raffaele, Milano, , Italy
Istituto Nazionale Tumori di Napoli - IRCCS - Fondazione G. Pascale, Napoli, , Italy
Università Cattolica Del Sacro Cuore, IRCCS Fondazione Policlinico Universitario Gemelli - Medical Oncology, Roma, Italia, Roma, , Italy
University of Verona Hospital Trust, Verona, , Italy
Ramon y Cajal Hospital and Health Research Institute (IRYCIS), Madrid, , Spain
Name: Alfredo Budillon
Affiliation: IRCCS I.N.T. "G. Pascale
Role: PRINCIPAL_INVESTIGATOR
Name: Antonio Avallone
Affiliation: IRCCS I.N.T. "G. Pascale
Role: PRINCIPAL_INVESTIGATOR