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Pancreatic NeoplasmsPhase 2NCT00219557

AG-013736 In Combination With Gemcitabine Versus Gemcitabine Alone For Patients With Metastatic Pancreatic Cancer

A Phase 2 study testing Gemcitabine and AG-013736 in people with Pancreatic Neoplasms, run by Pfizer at 38 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a Phase 2 study being conducted at multiple centers in the United States, Europe and Canada. Patients having pancreatic cancer that is locally advanced or that has spread to other parts of the body (i.e., metastatic) are eligible to participate. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pancreatic Neoplasms
What is being tested?
Gemcitabine and AG-013736
Could I receive a placebo?
No, everyone receives an active treatment
How many people
111 participants
Where
38 sitesin 8 countries
Study dates
5 Jul 2005to 14 Mar 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patients with advanced (localized but surgically unresectable or metastatic) histologically/cytologically proven epithelial cancer of the exocrine pancreas
  • no prior therapy for metastatic disease

Who cannot join

  • patients with locally advanced disease who are candidates for radiation therapy.
  • uncontrolled brain metastases (a controlled brain metastasis must be previously treated, asymptomatic, and without growth for 4 months)

Trial locations and contacts

38 sites in 8 countries.

38 sites in 8 countries

United States17 sites
  • East Bay Medical Oncology/Hematology Medical Associates Inc.

    Antioch, California, 94509

  • Alta Bates Comprehensive Cancer Center

    Berkeley, California, 94704

  • Maine Center for Cancer Medicine and Blood Disorders

    Biddeford, Maine, 04005

  • Maine Center for Cancer Medicine and Blood Disorders

    Brunswick, Maine, 04011

  • Bay Area Cancer Research Group

    Concord, California, 94520

  • East Bay Medical Oncology/Hematology Medical Associates, Inc.

    Concord, California, 94520

  • Southeast Nebraska Cancer Center, Southeast Nebraska Hematology and Oncology Consultants, P.C.

    Lincoln, Nebraska, 68510

  • University of Wisconsin Hospital and Clinics

    Madison, Wisconsin, 53792

  • Jackson Memorial Hospital & Clinics

    Miami, Florida, 33136

  • University of Miami Hospital & clinics

    Miami, Florida, 33136

  • Maine Center for Cancer Medicine and Blood Disorders

    Scarborough, Maine, 04074

  • Arch Medical Services, Inc. d/b/a The Center for Cancer Care and Research

    St Louis, Missouri, 63141

  • Hematology Oncology, P.C.

    Stamford, Connecticut, 06902-3628

  • H Lee Moffitt Cancer Center & Research Institute

    Tampa, Florida, 33612-9497

  • Arch Medical Services, Inc. d/b/a The Center for Cancer Care and Research

    Washington, Missouri, 63090

  • Piedmont Hematology Oncology Association

    Winston-Salem, North Carolina, 27103

  • Piedmont Hematology Oncology Associates

    Winston-Salem, North Carolina, 27292

Other trials in United States

Canada6 sites
  • Cross Cancer Institute

    Edmonton, Alberta, T6G 1Z2

  • CHUM, Hopital Saint-Luc

    Montreal, Quebec, H2X 3J4

  • Sault Area Hospital

    Sault Ste. Marie, Ontario, P6A 2C4

  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9

  • Cancer Care Manitoba

    Winnipeg, Manitoba, R2H 2A6

  • CancerCare Manitoba

    Winnipeg, Manitoba, R3E 0V9

Other trials in Canada

France4 sites
  • Hopital La Timone

    Marseille, 13005

  • Hopital de la Pitie Salpetriere

    Paris, 75651

  • Service Oncologie Medicale

    Saint-Herblain, Saint Herblain Cedex, 44805

  • Institut Claudius Regaud

    Toulouse, 31052

Other trials in France

United Kingdom4 sites
  • Western General Hospitals Nhs Trust

    Edinburgh, EH4 2XU

  • Department of Cancer Studies & Molecular Medicine

    Leicester, Leicestershire, LE1 5WW

  • Hammersmith Hospital

    London, W12 OHS

  • Cancer Research Uk Clinical Centre

    Southampton, Hampshire, SO16 6YD

Other trials in United Kingdom

Spain3 sites
  • Hospital Universitario Vall D´Hebron

    Barcelona, 08035

  • Hospital Clinic I Provincial de Barcelona

    Barcelona, 08036

  • Hospital Universitario Virgen Del Rocio

    Seville, 41013

Other trials in Spain

Italy2 sites
  • Fondazione IRCCS, Istituto Nazionale Tumori, Oncologia Medica B

    Milan, 20133

  • Unita Operativa, Oncologia Medica, Istituto di Medicina Interna e Geriatria

    Roma, 00168

Other trials in Italy

Belgium1 site
  • Universitair Ziekenhuis Gent/Dienst Gastroenterologie

    Ghent, 9000

Other trials in Belgium

Germany1 site
  • Medizinische Klinik mit Schwerpunkt Haematologie und Onkologie, Charité-Universitaetsmedizin Berlin

    Berlin, 13353

Other trials in Germany

About this study

Official title: A RANDOMIZED PHASE 2 STUDY OF THE ANTI-ANGIOGENESIS AGENT AG-013736 IN COMBINATION WITH GEMCITABINE IN PATIENTS WITH CHEMOTHERAPY-NAIVE ADVANCED PANCREATIC CANCER PRECEDED BY A PHASE 1 PORTION

This is a Phase 2 study being conducted at multiple centers in the United States, Europe and Canada. Patients having pancreatic cancer that is locally advanced or that has spread to other parts of the body (i.e., metastatic) are eligible to participate. Patients must have not had any prior systemic treatment for advanced disease. The purpose of the study is to test whether the angiogenesis inhibitor Axitinib [AG-013736] in combination with gemcitabine is an effective treatment for advanced pancreatic cancer vs. gemcitabine alone by overall survival.

Being tested
Gemcitabine, AG-013736
Keywords
Randomized Phase 2 Study of AG-013736 in Combination with Gemcitabine versus Gemcitabine Alone in Advanced Pancreatic Cancer
Medical subject headings
Pancreatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GemcitabineDrug

    Gemcitabine 1000 mg/m^2 30 minutes IV infusion on Day 1, 8 and 15 of each cycle, in cycles of 4 weeks

  • AG-013736Drug

    Axitinib (AG-013736) 5 mg tablet orally BID starting from Day 1 of Cycle 1, in cycles of 4 weeks.

  • GemcitabineDrug

    Gemcitabine 1000 mg/m^2 30 minutes IV infusion on Day 1, 8 and 15 of each cycle, in cycles of 4 weeks.

Study groups in NCT00219557
Study groupRoleWhat they receive
GemcitabineActive comparatorNot described
Receives: Drug: Gemcitabine
Axitinib [AG-013736] plus gemcitabineExperimentalNot described
Receives: Drug: AG-013736; Drug: Gemcitabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival (OS)

    Time in days from randomization to date of death due to any cause. OS was calculated as the death date minus the date of randomization plus 1. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).

    Measured: Baseline of Phase 2 to death or until at least 1 year after the randomization of the last participant

Secondary outcomes (16)
  1. Dose Confirmation of Axitinib (AG-013736) on Basis of Number of Participants With Dose Limiting Toxicity (DLT)

    Dose of axitinib (AG-013736) was confirmed if not more than 1 out of 6 participants experienced a DLT during first cycle. DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (>=) Gr 3 anemia or non hematological toxicities for >= 7 days (except alopecia) or >= Gr 1 hemoptysis or >=2 gram /24 hours proteinuria or inability to resume background chemotherapy or axitinib (AG-013736) dosing within 14 days of stopping due to treatment related toxicity.

    Measured: Phase 1 baseline up to Week 4

  2. Dose Confirmation of Gemcitabine on Basis of Number of Participants With Dose Limiting Toxicity (DLT)

    Dose of gemcitabine was confirmed if not more than 1 out of 6 participants experienced a DLT during first cycle. DLT included grade (Gr) 4 neutropenia or thrombocytopenia, greater than or equal to (>=) Gr 3 anemia or non hematological toxicities for >= 7 days (except alopecia) or >= Gr 1 hemoptysis or >=2 gram /24 hours proteinuria or inability to resume background chemotherapy or axitinib (AG-013736) dosing within 14 days of stopping due to treatment related toxicity.

    Measured: Phase 1 Baseline up to Week 4

  3. Maximum Observed Plasma Concentration (Cmax) for Axitinib (AG-013736)

    Measured: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hours (hr) post-dose on Day 15 of Phase 1 Cycle 1

  4. Area Under the Curve From Time Zero to 24 Hours [AUC (0-24)] of Axitinib (AG-013736)

    AUC (0-24) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to 24 hours (0-24).

    Measured: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hr post-dose on Day 15 of Phase 1 Cycle 1

  5. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Axitinib (AG-013736)

    Tmax was based on the actual time points when the samples were collected.

    Measured: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hr post-dose on Day 15 of Phase 1 Cycle 1

  6. Plasma Decay Half-life (t1/2) of Axitinib (AG-013736)

    Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

    Measured: 0 (pre-dose), 0.5, 1, 1.5, 2, 3.5, 4.5, 9.5, and 12.5 hr post-dose on Day 15 of Phase 1 Cycle 1

  7. Maximum Observed Plasma Concentration (Cmax) of Gemcitabine

    Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 9 and 12 hr after start of infusion on Day 15 of Phase 1 Cycle 1

  8. Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Gemcitabine

    AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞).

    Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 9 and 12 hr after start of infusion on Day 15 of Phase 1 Cycle 1

  9. Plasma Decay Half-life (t1/2) of Gemcitabine

    Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

    Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 9 and 12 hr after start of infusion on Day 15 of Phase 1 Cycle 1

  10. Population Pharmacokinetics of Axitinib (AG-013736) in Phase 2

    Data for this outcome measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.

    Measured: Phase 2 Day 1 (Pre-dose), Day 29, Day 57 and then every 8 weeks until disease progression or discontinuation from study or up to 80 weeks

  11. Percentage of Participants With Overall Response (OR)

    Percentage of participants with OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as the disappearance of all lesions (target and/or non-target). PR are those with at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum of longest dimensions.

    Measured: Phase 2 baseline to disease progression or discontinuation from study, assessed every 8 weeks up to 80 weeks

  12. Duration of Response (DR)

    Time in days from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1. DR was calculated for the subgroup of participants with a confirmed objective tumor response.

    Measured: Phase 2 baseline to disease progression or discontinuation from study due to any cause, assessed every 8 weeks up to 80 weeks

  13. Progression-free Survival (PFS)

    Time in days from randomization to first documentation of objective tumor progression or death due to any cause. PFS was calculated as first event date minus the date of randomization plus 1. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was "Death").

    Measured: Phase 2 baseline until the date of first documented progression or death due to any cause, assessed every 8 weeks up to 80 weeks

  14. One Year Survival Probability

    One year survival probability was defined as the probability of survival at one year after the date of randomization based on the Kaplan Meier estimate.

    Measured: Phase 2 baseline to disease progression or death due to any cause or at least 1 year after the first dose for the last participant

  15. Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score at Day 1 of Every Cycle and End of Study

    EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties). Most questions used 4-point scale (1 'Not at All' to 4 'Very Much'); 2 questions used 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms. Change from baseline=Cycle/Day score minus baseline score.

    Measured: Phase 2 baseline [Day (D)1 of Cycle (C)1], Day 1 of all subsequent cycles up to Cycle 14 and end of study (EoS).

  16. Change From Baseline in 26-item Pancreatic Cancer-specific Quality of Life Questionnaire (QLQ-PAN26) Score at Day 1 of Every Cycle and End of Study

    QLQ-PAN26 consists of 26 questions (Qs) relating to disease symptoms, treatment (Tx) side effects and emotional issues specific to pancreatic cancer (PC). Questions include on altered bowel habits, pain, dietary changes, disease and Tx-related symptoms and issues related to the emotional and social well-being of participants with PC. All 26 Qs are answered on 4-point Likert scale ranging from '1=not at all' to 4='very much' and subsequently transformed into scales that range from 0-100. Higher scores on functioning scales=better functioning; higher scores on the symptom scales=more symptoms.

    Measured: Phase 2 baseline [Day (D) 1 of Cycle (C)1], Day 1 of all subsequent cycles up to Cycle 14 and end of study (EoS).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Sep 2005 (estimated)
  2. Study start5 Jul 2005
  3. Primary completion14 Mar 2008
  4. Study completion14 Mar 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
111 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00219557
Sponsor's protocol ID
A4061016
Other IDs
2005-000053-30, 2005
Status last verified
Apr 2019
First submitted
13 Sep 2005
Last updated
14 May 2019
Data monitoring committee
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Spano JP, Chodkiewicz C, Maurel J, Wong R, Wasan H, Barone C, Letourneau R, Bajetta E, Pithavala Y, Bycott P, Trask P, Liau K, Ricart AD, Kim S, Rixe O. Efficacy of gemcitabine plus axitinib compared with gemcitabine alone in patients with advanced pancreatic cancer: an open-label randomised phase II study. Lancet. 2008 Jun 21;371(9630):2101-8. doi: 10.1016/S0140-6736(08)60661-3. Epub 2008 May 29.

    PubMed 18514303

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Gemcitabine and AG-013736 in people with Pancreatic Neoplasms, run by Pfizer at 38 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Canada, France, United Kingdom, Spain and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Survival (OS) (time frame: Baseline of Phase 2 to death or until at least 1 year after the randomization of the last participant). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00219557, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2019.

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