Carcinoma, Pancreatic DuctalPhase 3NCT00471146
Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine For Advanced Pancreatic Cancer.
A Phase 3 study testing AG-013736 and Gemcitabine in people with Carcinoma, Pancreatic Ductal, run by Pfizer at 204 sites in 24 countries.
Trial summary
The purpose of this study is to determine whether investigational study drug, AG-013736, and gemcitabine are effective in the first-line treatment of advanced pancreatic cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Pancreatic Ductal
- What is being tested?
- AG-013736 and Gemcitabine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 630 participants
- Where
- 204 sitesin 24 countries
- Study dates
- Jul 2007to Nov 2010
- Phase
- Phase 3
- 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
- Histologically or cytologically confirmed, metastatic or locally-, advanced pancreatic adenocarcinoma not amenable to curative resection.
- Adequate renal, hepatic and bone marrow function.
- Performance status 0 or 1.
Who cannot join
- Prior treatment with any systemic chemotherapy for metastatic disease.
- Prior treatment with gemcitabine, AG-013736, or other vascular endothelial growth factor inhibitors.
- Current or recent bleeding, thromboembolic event and or use of a thrombolytic agent.
- Inability to take oral medication.
Trial locations and contacts
204 sites in 24 countries.
204 sites in 24 countries
United States77 sites
Pfizer Investigational Site
Alton, Illinois, 62002
Pfizer Investigational Site
Annapolis, Maryland, 21401
Pfizer Investigational Site
Antioch, California, 94531
Pfizer Investigational Site
Atlanta, Georgia, 30309
Pfizer Investigational Site
Augusta, Georgia, 30901
Pfizer Investigational Site
Augusta, Georgia, 30909
Pfizer Investigational Site
Austin, Texas, 78705
Pfizer Investigational Site
Austin, Texas, 78745
Pfizer Investigational Site
Austin, Texas, 78758
Pfizer Investigational Site
Austin, Texas, 78759
Pfizer Investigational Site
Baton Rouge, Louisiana, 70806
Pfizer Investigational Site
Baton Rouge, Louisiana, 70809
Pfizer Investigational Site
Beech Grove, Indiana, 46107
Pfizer Investigational Site
Billings, Montana, 59101
Pfizer Investigational Site
Burlington, Massachusetts, 01805
Pfizer Investigational Site
Canton, Ohio, 44718
Pfizer Investigational Site
Chicago, Illinois, 60637
Pfizer Investigational Site
Coeur d'Alene, Idaho, 83814
Pfizer Investigational Site
Columbus, Mississippi, 39705
Pfizer Investigational Site
Columbus, Ohio, 43214
Pfizer Investigational Site
Corinth, Mississippi, 38834
Pfizer Investigational Site
Corona, California, 92878
Pfizer Investigational Site
Dallas, Texas, 75325-7786
Pfizer Investigational Site
Dallas, Texas, 75325
Pfizer Investigational Site
Dallas, Texas, 75390
Pfizer Investigational Site
Everett, Washington, 98201
Pfizer Investigational Site
Federal Way, Washington, 98003
Pfizer Investigational Site
Glendora, California, 91741
Pfizer Investigational Site
Hollywood, Florida, 33021
Pfizer Investigational Site
Indianapolis, Indiana, 46237
Pfizer Investigational Site
Indianapolis, Indiana, 46260
Pfizer Investigational Site
Jeffersonville, Indiana, 47130
Pfizer Investigational Site
Kalamazoo, Michigan, 49007
Pfizer Investigational Site
Kennewick, Washington, 99336
Pfizer Investigational Site
Knoxville, Tennessee, 37916
Pfizer Investigational Site
Knoxville, Tennessee, 37920
Pfizer Investigational Site
Knoxville, Tennessee, 37934
Pfizer Investigational Site
La Jolla, California, 92037
Pfizer Investigational Site
La Jolla, California, 92093
Pfizer Investigational Site
Lakewood, Washington, 98499
Pfizer Investigational Site
Las Vegas, Nevada, 89135
Pfizer Investigational Site
LaVerne, California, 91750
Pfizer Investigational Site
Lincoln, Nebraska, 68510
Pfizer Investigational Site
Louisville, Kentucky, 40202
Pfizer Investigational Site
Louisville, Kentucky, 40207
Pfizer Investigational Site
Louisville, Kentucky, 40217
Pfizer Investigational Site
Louisville, Kentucky, 40241
Pfizer Investigational Site
Lynchburg, Virginia, 24501
Pfizer Investigational Site
Memphis, Tennessee, 38104
Pfizer Investigational Site
Memphis, Tennessee, 38120
Pfizer Investigational Site
Mineola, New York, 11501
Pfizer Investigational Site
Pasadena, California, 91105
Pfizer Investigational Site
Peabody, Massachusetts, 01960
Pfizer Investigational Site
Pembroke Pines, Florida, 33028
Pfizer Investigational Site
Pleasent Hill, California, 94523
Pfizer Investigational Site
Pomona, California, 91105
Pfizer Investigational Site
Pomona, California, 91767
Pfizer Investigational Site
Portland, Oregon, 97227-1191
Pfizer Investigational Site
Puyallup, Washington, 98372
Pfizer Investigational Site
Rancho Cucamonga, California, 91730
Pfizer Investigational Site
Rancho Mirage, California, 92270
Pfizer Investigational Site
Redlands, California, 92374
Pfizer Investigational Site
Round Rock, Texas, 78664
Pfizer Investigational Site
Salt Lake City, Utah, 84112
Pfizer Investigational Site
San Diego, California, 92103
Pfizer Investigational Site
San Diego, California, 92161
Pfizer Investigational Site
San Leandro, California, 94578
Pfizer Investigational Site
Shelbyville, Kentucky, 40065
Pfizer Investigational Site
Southaven, Mississippi, 38671
Pfizer Investigational Site
St Louis, Missouri, 63136
Pfizer Investigational Site
Stuart, Florida, 34994
Pfizer Investigational Site
Sylvania, Ohio, 43560
Pfizer Investigational Site
Syracuse, New York, 13210
Pfizer Investigational Site
Tacoma, Washington, 98405
Pfizer Investigational Site
Tampa, Florida, 33612
Pfizer Investigational Site
Tupelo, Mississippi, 38801
Pfizer Investigational Site
West Covina, California, 91790
Canada13 sites
Pfizer Investigational Site
Edmonton, Alberta, T6G 1Z2
Pfizer Investigational Site
Kelowna, British Columbia, V1Y 5L3
Pfizer Investigational Site
Kingston, Ontario, K7L 2V7
Pfizer Investigational Site
Kingston, Ontario, K7L 5P9
Pfizer Investigational Site
Moncton, New Brunswick, E1C 6Z8
Pfizer Investigational Site
Montreal, Quebec, H1T 2M4
Pfizer Investigational Site
Montreal, Quebec, H2X 3J4
Pfizer Investigational Site
Montreal, Quebec, H4J 1C5
Pfizer Investigational Site
Oshawa, Ontario, L1G 2B9
Pfizer Investigational Site
Toronto, Ontario, M4N 3M5
Pfizer Investigational Site
Victoria, British Columbia, V8R 6V5
Pfizer Investigational Site
Winnipeg, Manitoba, R2H 2A6
Pfizer Investigational Site
Winnipeg, Manitoba, R3E 0V9
United Kingdom12 sites
Pfizer Investigational Site
Birmingham, B15 2TA
Pfizer Investigational Site
Birmingham, B15 2TT
Pfizer Investigational Site
Edinburgh, EH4 2XU
Pfizer Investigational Site
Leicester, Leicestershire, LE1 5WW
Pfizer Investigational Site
London, EC1A 7BE
Pfizer Investigational Site
London, W12 OHS
Pfizer Investigational Site
Maidstone, Kent, ME16 9QQ
Pfizer Investigational Site
Manchester, M20 4BX
Pfizer Investigational Site
Northwood, Middlesex, HA6 2RN
Pfizer Investigational Site
Southhampton, S016 6YD
Pfizer Investigational Site
Whitchurch, Cardiff, CF14 2TL
Pfizer Investigational Site
Withington, Manchester, M20 4BX
Spain10 sites
Pfizer Investigational Site
Barcelona, Barcelona, 08035
Pfizer Investigational Site
Barcelona, Barcelona, 08036
Pfizer Investigational Site
Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35020
Pfizer Investigational Site
Madrid, Madrid, 28046
Pfizer Investigational Site
Málaga, Malaga, 29010
Pfizer Investigational Site
Móstoles, Madrid, 28935
Pfizer Investigational Site
Palma de Mallorca, Balearic Islands, 07198
Pfizer Investigational Site
Pamplona, Navarre, 31008
Pfizer Investigational Site
Santa Cruz de Tenerife, Santa Cruz de Tenerife, 38320
Pfizer Investigational Site
Toledo, Toledo, 45004
France9 sites
Pfizer Investigational Site
Clichy, 92118
Pfizer Investigational Site
La Chaussée-Saint-Victor, 41260
Pfizer Investigational Site
Marseille, 13385 CEDEX 5
Pfizer Investigational Site
Montpellier, 34298
Pfizer Investigational Site
Paris, 75015
Pfizer Investigational Site
Paris, 75651
Pfizer Investigational Site
Pessac, 33600
Pfizer Investigational Site
Rouen, 76041
Pfizer Investigational Site
Saint-Herblain, 44805
Germany9 sites
Pfizer Investigational Site
Berlin, 13353
Pfizer Investigational Site
Dresden, 01307
Pfizer Investigational Site
Essen, 45136
Pfizer Investigational Site
Greifswald, 17475
Pfizer Investigational Site
Magdeburg, 39130
Pfizer Investigational Site
Mannheim, 68167
Pfizer Investigational Site
München, 81377
Pfizer Investigational Site
Oldenburg, 26133
Pfizer Investigational Site
Ulm, 89081
Japan8 sites
Pfizer Investigational Site
Chiba, Chiba
Pfizer Investigational Site
Chuo-ku, Tokyo
Pfizer Investigational Site
Fukuoka, Fukuoka
Pfizer Investigational Site
Kashiwa-shi, Chiba
Pfizer Investigational Site
Nagoya, Aichi-ken
Pfizer Investigational Site
Osaka, Osaka
Pfizer Investigational Site
Suntougun, Shizuoka
Pfizer Investigational Site
Yokohama, Kanagawa
Russia7 sites
Pfizer Investigational Site
Moscow, Moscow, 129128
Pfizer Investigational Site
Moscow, 115478
Pfizer Investigational Site
Moscow, 125376
Pfizer Investigational Site
Omsk, 644013
Pfizer Investigational Site
Saint Petersburg, 191104
Pfizer Investigational Site
Saint Petersburg, 198255
Pfizer Investigational Site
Sochi, 354057
Belgium6 sites
Pfizer Investigational Site
Brussels, 1000
Pfizer Investigational Site
Brussels, 1090
Pfizer Investigational Site
Brussels, 1200
Pfizer Investigational Site
Ghent, 9000
Pfizer Investigational Site
Leuven, 3000
Pfizer Investigational Site
Wilrijk, 2610
Hungary6 sites
Pfizer Investigational Site
Budapest, 1097
Pfizer Investigational Site
Budapest, 1106
Pfizer Investigational Site
Budapest, 1122
Pfizer Investigational Site
Kaposvár, 7400
Pfizer Investigational Site
Szentes, 6600
Pfizer Investigational Site
Zalaegerszeg, 8900
Italy6 sites
Pfizer Investigational Site
Bologna, 40138
Pfizer Investigational Site
Catania, 95122
Pfizer Investigational Site
Milan, 20132
Pfizer Investigational Site
Milan, 20133
Pfizer Investigational Site
Padova, 35128
Pfizer Investigational Site
Verona, 37134
South Africa6 sites
Pfizer Investigational Site
Cape Town, 7500
Pfizer Investigational Site
Observatory, 7925
Pfizer Investigational Site
Parktown, 2193
Pfizer Investigational Site
Port Elizabeth, 6001
Pfizer Investigational Site
Pretoria, 0181
Pfizer Investigational Site
Sandton, 2199
Austria5 sites
Pfizer Investigational Site
Salzburg, A-5020
Pfizer Investigational Site
Vienna, 1030
Pfizer Investigational Site
Vienna, 1090
Pfizer Investigational Site
Vienna, A-1090
Pfizer Investigational Site
Wels, A-4600
India5 sites
Pfizer Investigational Site
Ahmedabad, Gujarat, 380 009
Pfizer Investigational Site
Andhra, Pradesh, 500 034
Pfizer Investigational Site
Bangalore, Karnataka, 560 078
Pfizer Investigational Site
Chennai, Tamil Nadu, 600035
Pfizer Investigational Site
Kochi, Kerala, 682 304
Argentina4 sites
Pfizer Investigational Site
Bahía Blanca, Buenos Aires, B8000FJI
Pfizer Investigational Site
Buenos Aires, C1426ANZ
Pfizer Investigational Site
La Plata, Buenos Aires, B1900AVG
Pfizer Investigational Site
Santa Fe, Santa Fe Province, 3000
Australia4 sites
Pfizer Investigational Site
Clayton, Victoria, 3168
Pfizer Investigational Site
East Bentleigh, Victoria, 3165
Pfizer Investigational Site
St Leonards, New South Wales, 2065
Pfizer Investigational Site
Wollongong, New South Wales, 2500
South Korea4 sites
Pfizer Investigational Site
Seoul, 110-744
Pfizer Investigational Site
Seoul, 135-710
Pfizer Investigational Site
Seoul, 136-705
Pfizer Investigational Site
Seoul, 138-736
Taiwan3 sites
Pfizer Investigational Site
Kuei-Shan Jsoamg, Taoyuan County, 333
Pfizer Investigational Site
Taichung, 404
Pfizer Investigational Site
Taipei, 112
Ireland2 sites
Pfizer Investigational Site
Dublin, 4
Pfizer Investigational Site
Dublin
Netherlands2 sites
Pfizer Investigational Site
Amsterdam, North Holland, 1105 AZ
Pfizer Investigational Site
Amsterdam, 1081 HV
Singapore2 sites
Pfizer Investigational Site
Singapore, Singapore, 119074
Pfizer Investigational Site
Singapore, 16910
Sweden2 sites
Pfizer Investigational Site
Lund, 221 85
Pfizer Investigational Site
Uppsala, 751 85
About this study
Official title: A Randomized, Double-Blind Phase 3 Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine Plus Placebo For The First-Line Treatment Of Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer.
The purpose of this study is to determine whether investigational study drug, AG-013736, and gemcitabine are effective in the first-line treatment of advanced pancreatic cancer.
Read the detailed description
This study was prematurely discontinued for futility on 23 January 2009, based on a planned interim analysis by an independent Data Safety Monitoring Board (DSMB) that found no evidence of improvement in the primary endpoint (survival) in patients treated with axitinib and gemcitabine compared to gemcitabine alone. Enrollment on this study has been discontinued.
- Conditions
- Carcinoma, Pancreatic Ductal
- Being tested
- AG-013736, Gemcitabine, placebo
- Keywords
- Randomized Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine Plus Placebo For Advanced Pancreatic Cancer.
- Medical subject headings
- Carcinoma, Pancreatic Ductal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AG-013736Drug
oral administration, starting dose 5 mg twice daily [BID] every day until unacceptable toxicity or tumor progression.
GemcitabineDrug
intravenous administration at 1,000 mg/m^2 day 1, day 8 and day 15 every 4 weeks (conventional dose) until unacceptable toxicity or tumor progression.
GemcitabineDrug
intravenous administration at 1,000 mg/m^2 day 1, day 8 and day 15 every 4 weeks (conventional dose) until unacceptable toxicity or tumor progression.
placeboDrug
placebo
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Not described Receives: Drug: AG-013736; Drug: Gemcitabine |
| B | Active comparator | Not described Receives: Drug: Gemcitabine; Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Time in weeks from randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 7. 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 until death or at least 1 year after the randomization of last participant
Secondary outcomes (9)
Progression Free Survival (PFS)
Time in weeks from randomization to the first documentation of objective tumor progression or death due to any cause. PFS was calculated as = (first event date minus randomization date plus 1) divided by 7. 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: Baseline until disease progression or at least 1 year after the randomization of last participant
Percentage of Participants With Objective 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 response were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as disappearance of all lesions (target and/or non target). PR were those with at least 30 percent decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, with non target lesions not increased or absent.
Measured: Baseline, every 8 weeks until tumor progression or death
Duration of Response (DR)
Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cause. 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) divided by 7.
Measured: Baseline until death or at least 1 year after the randomization of last participant
Change From Baseline in European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ- C30) Score
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status (GHS), 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: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) Score
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= greater degree of symptoms or treatment side effects and emotional issues.
Measured: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline Brief Pain Inventory-short Form (BPI-sf) Score
BPI-sf is an 11-item self-report questionnaire that is designed to assess the severity and impact of pain on daily functions. BPI-sf are 4 questions that assess pain intensity (worst, least, average, right now) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life). Each question is answered on a scale ranging from 0 to 10; '0=No pain and 10=Pain as bad as you can imagine'. Measure can be scored by item, with lower scores being indicative of less pain or pain interference.
Measured: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) Health State Profile
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, "confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.
Measured: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) VAS Score
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state.
Measured: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Population Pharmacokinetic (PK) Analysis for Axitinib (AG-013736)
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: Day 1 (pre-dose), Day 29, Day 57 and then every 8 weeks up to 23 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 May 2007 (estimated)
- Study startJul 2007
- Primary completionJan 2009
- Study completionNov 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Pancreatic DuctalStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 630 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00471146
- Sponsor's protocol ID
- A4061028
- Status last verified
- Jun 2012
- First submitted
- 7 May 2007
- Last updated
- 16 Jul 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Kindler HL, Ioka T, Richel DJ, Bennouna J, Letourneau R, Okusaka T, Funakoshi A, Furuse J, Park YS, Ohkawa S, Springett GM, Wasan HS, Trask PC, Bycott P, Ricart AD, Kim S, Van Cutsem E. Axitinib plus gemcitabine versus placebo plus gemcitabine in patients with advanced pancreatic adenocarcinoma: a double-blind randomised phase 3 study. Lancet Oncol. 2011 Mar;12(3):256-62. doi: 10.1016/S1470-2045(11)70004-3.
PubMed 21306953
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind Phase 3 Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine Plus Placebo For The First-Line Treatment Of Patients With Locally Advanced, Unresectable Or Metastatic Pancreatic Cancer.
- ClinicalTrials.gov ID
- NCT00471146
- Acronym / sponsor ID
- A4061028
- Conditions
- Carcinoma, Pancreatic Ductal
- Keywords
- Randomized Study Of Gemcitabine Plus AG-013736 Versus Gemcitabine Plus Placebo For Advanced Pancreatic Cancer.
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 630 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Jul 2007
- Primary completion
- Jan 2009 (actual)
- Study completion
- Nov 2010 (actual)
- First posted
- 9 May 2007 (estimated)
- Results
- Posted 16 Jul 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether investigational study drug, AG-013736, and gemcitabine are effective in the first-line treatment of advanced pancreatic cancer.
Detailed description
This study was prematurely discontinued for futility on 23 January 2009, based on a planned interim analysis by an independent Data Safety Monitoring Board (DSMB) that found no evidence of improvement in the primary endpoint (survival) in patients treated with axitinib and gemcitabine compared to gemcitabine alone. Enrollment on this study has been discontinued.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: AG-013736, Drug: Gemcitabine |
| B | Active comparator | Drug: Gemcitabine, Drug: placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Histologically or cytologically confirmed, metastatic or locally-, advanced pancreatic adenocarcinoma not amenable to curative resection.
- Adequate renal, hepatic and bone marrow function.
- Performance status 0 or 1.
Key exclusion criteria (4 listed)
- Prior treatment with any systemic chemotherapy for metastatic disease.
- Prior treatment with gemcitabine, AG-013736, or other vascular endothelial growth factor inhibitors.
- Current or recent bleeding, thromboembolic event and or use of a thrombolytic agent.
- Inability to take oral medication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AG-013736oral administration, starting dose 5 mg twice daily [BID] every day until unacceptable toxicity or tumor progression. | Drug | A |
| Gemcitabineintravenous administration at 1,000 mg/m^2 day 1, day 8 and day 15 every 4 weeks (conventional dose) until unacceptable toxicity or tumor progression. | Drug | A |
| Gemcitabineintravenous administration at 1,000 mg/m^2 day 1, day 8 and day 15 every 4 weeks (conventional dose) until unacceptable toxicity or tumor progression. | Drug | B |
| placeboplacebo | Drug | B |
Primary outcome
Overall Survival (OS)
Time frame: Baseline until death or at least 1 year after the randomization of last participant
Time in weeks from randomization to date of death due to any cause. OS was calculated as (the death date minus the date of randomization plus 1) divided by 7. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).
9 secondary outcomes
Progression Free Survival (PFS)
Time frame: Baseline until disease progression or at least 1 year after the randomization of last participant
Percentage of Participants With Objective Response (OR)
Time frame: Baseline, every 8 weeks until tumor progression or death
Duration of Response (DR)
Time frame: Baseline until death or at least 1 year after the randomization of last participant
Change From Baseline in European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ- C30) Score
Time frame: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Pancreatic 26 (EORTC QLQ- PAN26) Score
Time frame: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline Brief Pain Inventory-short Form (BPI-sf) Score
Time frame: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) Health State Profile
Time frame: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Change From Baseline in Euro QoL Questionnaire- 5 Dimension (EQ-5D) VAS Score
Time frame: Baseline, Day 1 (D1) of each cycle (C2-C13) up to 28 days after the last dose (follow-up) or early withdrawal
Population Pharmacokinetic (PK) Analysis for Axitinib (AG-013736)
Time frame: Day 1 (pre-dose), Day 29, Day 57 and then every 8 weeks up to 23 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 21306953Kindler HL, Ioka T, Richel DJ, Bennouna J, Letourneau R, Okusaka T, Funakoshi A, Furuse J, Park YS, Ohkawa S, Springett GM, Wasan HS, Trask PC, Bycott P, Ricart AD, Kim S, Van Cutsem E. Axitinib plus gemcitabine versus placebo plus gemcitabine in patients with advanced pancreatic adenocarcinoma: a double-blind randomised phase 3 study. Lancet Oncol. 2011 Mar;12(3):256-62. doi: 10.1016/S1470-2045(11)70004-3.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
204 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing AG-013736 and Gemcitabine in people with Carcinoma, Pancreatic Ductal, run by Pfizer at 204 sites in 24 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 3 inclusion and 4 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 16 Jul 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 204 sites in United States, Canada, United Kingdom, Spain, France and 19 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 16 Jul 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 until death or at least 1 year after the randomization of 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 NCT00471146, 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 16 Jul 2012; AzTrials last refreshed its copy on 7 Nov 2026.