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Spots Global Cancer Trial Database for Vactosertib With Nal-IRI/FL in Metastatic Pancreatic Ductal Adenocarcinoma.

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Trial Identification

Brief Title: Vactosertib With Nal-IRI/FL in Metastatic Pancreatic Ductal Adenocarcinoma.

Official Title: Phase 1b Study of Vactosertib (TEW-7197) in Combination With Nal-IRI/FL in Patients With Metastatic Pancreatic Ductal Adenocarcinoma Who Have Failed First-Line Gemcitabine/Nab-Paclitaxel

Study ID: NCT04258072

Conditions

Pancreas Cancer

Interventions

Vactosertib

Study Description

Brief Summary: To determine recommended phase 2 dose and to evaluate the safety of vactosertib in combination with nal-IRI/FL in patients with metastatic pancreatic ductal adenocarcinoma (PDAC) who have failed first-line gemcitabine and nab-paclitaxel

Detailed Description: * Number of patients : Total 24 patients (6-12 patients in phase 1 part and 12 patients in expansion cohort ) * Treatment : * Vactosertib\* 100-300 mg bid for 5 days * Liposomal Irinotecan (Onivyde) 70mg/m2 on D1 * LV 200mg/m2 IV bolus on D1 * 5-FU 2400mg/m2 CIV over 46 hours on D1 * Vactosertib will be kindly provided by MedPacto. * Disease evaluation: Tumor assessment will be conducted at screening and before Day 1 of every third cycle starting with Cycle 4 * Period : Approximately 24 months from the date of Institutional Review Board (IRB) approval * Primary endpoint : To determine recommended phase 2 dose and to evaluate the safety of vactosertib in combination with nal-IRI/FL in patients with metastatic pancreatic ductal adenocarcinoma (PDAC) who have failed first-line gemcitabine and nab-paclitaxel * Secondary endpoint : * Progression-Free Survival (PFS) (RECIST 1.1 criteria) * Overall Survival (OS) * Objective Response Rate (ORR) (RECIST 1.1 criteria) * Disease Control Rate (DCR) (RECIST 1.1 criteria) * Exploratory endpoint * Pharmacokinetic assessment: before treatment, post treatment 1.5h, 4.5h, and 8hPharmacodynamic assessment: to evaluate changes in the amount of p-SMAD in PBMC. * Biomarker analysis in pre-treated and post-treated tumor samples

Keywords

Eligibility

Minimum Age: 19 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Samsung Medical Center, Seoul, , Korea, Republic of

Contact Details

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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