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Adenocarcinoma of the PancreasPhase 1/2NCT00630552

QUILT-2.019: A Study of AMG 655 or AMG 479 in Combination With Gemcitabine for Treatment of Metastatic Pancreatic Cancer

A Phase 1/2 study testing AMG 479 and AMG 655 in people with Adenocarcinoma of the Pancreas and Metastatic Pancreatic Cancer, run by NantCell, Inc. at 44 sites in United States.

Completed

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

Official record
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Trial summary

This is a multi-center, 2-part study of AMG 655, AMG 479 or AMG 655-placebo plus gemcitabine as first-line treatment of subjects with metastatic pancreatic cancer. Part 1 is an open-label, dose-escalation phase 1b segment to determine the safety, tolerability and maximum tolerated dose of AMG 655 in combination with… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
AMG 479 and AMG 655
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
138 participants
Where
44 sitesUnited States
Study dates
Jun 2007to Apr 2012
Phase
Phase 1/2
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

  • Untreated metastatic adenocarcinoma of the pancreas (AJCC Stage IV)
  • Subjects with unresectable pancreatic cancer who have had surgery are eligible if fully recovered and greater than 30 days have elapsed since the surgery.
  • Subjects with a history of pancreatoduodenectomy are eligible provided that there is radiographically documented disease recurrence.
  • Men or women ≥ 18 years of age
  • Eastern Cooperative Oncology Group (ECOG) score of 0 or 1
  • Adequate hematologic, hepatic, renal and coagulation function
  • Amylase and lipase ≤ 2.0 x ULN
  • Adequately controlled type 1 or 2 diabetic subjects

Who cannot join

  • Islet cell, acinar cell carcinoma, non-adenocarcinoma (eg, lymphoma, sarcoma, etc), adenocarcinoma originated from biliary tree or cystadenocarcinoma
  • Known central nervous system metastases
  • Uncontrolled cardiac disease or any other co-morbid disease that would increase the risk of toxicity
  • Adjuvant chemotherapy or chemoradiotherapy

Trial locations and contacts

44 sites in 1 country.

44 sites in 1 country

United States44 sites
  • Research Site

    Albany, New York, 12206

  • Research Site

    Alhambra, California, 91801

  • Research Site

    Atlanta, Georgia, 30309

  • Research Site

    Atlanta, Georgia, 30341

  • Research Site

    Austin, Texas, 78705

  • Research Site

    Austin, Texas, 78731

  • Research Site

    Austin, Texas, 78745

  • Research Site

    Bakersfield, California, 93309

  • Research Site

    Baltimore, Maryland, 21204

  • Research Site

    Boston, Massachusetts, 02114

  • Research Site

    Boston, Massachusetts, 02115

  • Research Site

    Chicago, Illinois, 60637

  • Research Site

    Columbus, Ohio, 43210

  • Research Site

    Dallas, Texas, 75246

  • Research Site

    Durham, North Carolina, 27710

  • Research Site

    Eugene, Oregon, 97401

  • Research Site

    Fullerton, California, 92835

  • Research Site

    Greenville, South Carolina, 29615

  • Research Site

    Harvey, Illinois, 60426

  • Research Site

    Henderson, Nevada, 89052

  • Research Site

    Hickory, North Carolina, 28602

  • Research Site

    La Jolla, California, 92093

  • Research Site

    Long Beach, California, 90813

  • Research Site

    Los Angeles, California, 90095

  • Research Site

    Marietta, Georgia, 30060

  • Research Site

    Miami, Florida, 33136

  • Research Site

    New York, New York, 10016

  • Research Site

    Northridge, California, 91328

  • Research Site

    Orlando, Florida, 32804

  • Research Site

    Oxnard, California, 93030

  • Research Site

    Philadelphia, Pennsylvania, 19106

  • Research Site

    Pittsburgh, Pennsylvania, 15261

  • Research Site

    Providence, Rhode Island, 02903

  • Research Site

    Rancho Mirage, California, 92270

  • Research Site

    Redondo Beach, California, 90277

  • Research Site

    Round Rock, Texas, 78681

  • Research Site

    San Francisco, California, 94115

  • Research Site

    Santa Maria, California, 93454

  • Research Site

    Santa Monica, California, 90403

  • Research Site

    St Louis, Missouri, 63141

  • Research Site

    Tacoma, Washington, 98405

  • Research Site

    Tyler, Texas, 75702

  • Research Site

    Westminster, Maryland, 21157

  • Research Site

    Yakima, Washington, 98902

Other trials in United States

About this study

Official title: A Phase 1b/2 Study to Evaluate the Safety and Efficacy of AMG 655 or AMG 479 in Combination With Gemcitabine as First-Line Therapy for Metastatic Pancreatic Cancer

This is a multi-center, 2-part study of AMG 655, AMG 479 or AMG 655-placebo plus gemcitabine as first-line treatment of subjects with metastatic pancreatic cancer. Part 1 is an open-label, dose-escalation phase 1b segment to determine the safety, tolerability and maximum tolerated dose of AMG 655 in combination with gemcitabine. Enrollment into part 1 of the study has been completed. Part 2 is a randomized, placebo-controlled phase 2 segment to estimate the efficacy as assessed by 6 month survival of AMG 655, AMG 479, or AMG 655-placebo in combination with gemcitabine. The phase 2 segment that will commence after dose selection in part 1. In part 2, subjects will be randomized 1:1:1 to AMG 655, AMG 479, or placebo in combination with gemcitabine.

Being tested
Placebo, AMG 479, AMG 655
Keywords
AMG 479, Gemcitabine, TR-2, IGF-1R, AMG 655, Pancreatic cancer, Adenocarcinoma of the Pancreas, Metastatic Pancreatic Cancer
Medical subject headings
Pancreatic Neoplasms, Insulin-Like Growth Factor I, Resistance To

What participants receive

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

  • PlaceboOther

    Inactive dummy of AMG 655.

  • AMG 479Drug

    AMG 479 is fully human monoclonal antagonist antibody targeted against insulin-like growth factor receptor type 1 (IGF-1R).

  • AMG 655Drug

    AMG 655 is a fully human monoclonal agonist antibody directed against TRAIL Receptor 2 (TR-2).

Study groups in NCT00630552
Study groupRoleWhat they receive
Phase 1b AMG 655 3mg/kgExperimentalSubjects were treated with one of 2 dose levels of AMG 655 (3 mg/kg) with gemcitabine.
Receives: Drug: AMG 655
Phase 1b AMG 655 10mg/kgExperimentalSubjects were treated with one of 2 dose levels of AMG 655 (10 mg/kg) with gemcitabine.
Receives: Drug: AMG 655
Phase 2 AMG 655ExperimentalSubjects were treated with the dose of AMG 655 (10mg/kg) in combination with gemcitabine. Gemcitabine (1000 mg/m2) was administered by intravenous infusion on days 1, 8 and 15 of each 28 day cycle followed by the AMG 655 infusion on days 1 and 15 after completion of the gemcitabine infusion.
Receives: Drug: AMG 655
Phase 2 AMG 479ExperimentalSubjects were treated with the dose of AMG 479 (12 mg/kg) in combination with gemcitabine. Gemcitabine (1000 mg/m2) was administered by intravenous infusion on days 1, 8 and 15 of each 28 day cycle followed by the AMG 479 infusion on days 1 and 15 after completion of the gemcitabine infusion.
Receives: Drug: AMG 479
Phase 2 AMG 655-placeboPlacebo comparatorSubjects were treated with the dose of AMG 655-placebo in combination with gemcitabine. Gemcitabine (1000 mg/m2) was administered by intravenous infusion on days 1, 8 and 15 of each 28 day cycle followed by the AMG 655-placebo infusion on days 1 and 15 after completion of the gemcitabine infusion.
Receives: Other: Placebo

What is being measured

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

  1. Number of Participants With Dose Limiting Toxicities (DLTs; Phase 1b Portion Only)

    The incidence of adverse events and clinical laboratory abnormalities defined as DLTs. A DLT was defined as any grade 3 or higher hematologic or non-hematologic toxicity related to any study treatment.

    Measured: 28 days

  2. Six Month Overall Survival Rate (Phase 2 Portion Only)

    The proportion of subjects alive at 6 months

    Measured: 6 months

Secondary outcomes (8)
  1. Objective Response Rate

    Objective response was defined as a tumor response assessment of either complete response or partial response per modified Response Evaluation Criteria in Solid Tumors [RECIST] and was determined only for subjects with measurable disease at baseline. Per RECIST: a complete response is the disappearance of all target lesions; a partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From start of study treatment through up to 36 months

  2. Progression-free Survival (PFS)

    PFS was defined as the time from study day 1 (phase 1b portion) or randomization (phase 2 portion) to the first observation of disease progression per investigator review (as classified by modified RECIST or clinical progression, whichever occurred first) or death due to any cause, or censoring. Disease progression per RECIST is defined as at least a 20% increase in the sum of diameters of target lesions in reference to the smallest sum on study and an absolute increase of at least 5 mm; the appearance of any new lesions is also considered progression.

    Measured: From start of study treatment through up to 36 months

  3. Overall Survival

    Overall survival was defined as the time from study day 1 (phase 1b portion) or randomization (phase 2 portion) to death for any cause.

    Measured: From start of study treatment through up to 36 months

  4. Number of Subjects With an Adverse Event

    Graded Using the National Cancer Institute(NCI) Common Terminology Criteria for Adverse Events(CTCAE) Version 3.0

    Measured: From start of study treatment through up to 44 weeks

  5. Pharmacokinetics of AMG 655, Ganitumab, and Gemcitabine

    PK parameter of Cmax for AMG 655 (phase 1b and phase 2 portions) - pg 266, ganitumab (phase 2 portion only) - pg 270 , and gemcitabine (phase 1b portion only - pg 272) PK parameters

    Measured: From start of study treatment through up to 48 weeks

  6. Dose Intensity of Gemcitabine (Phase 2 Portion Only)

    Average Dose intensity of gemcitabine when combined with AMG 655, placebo or AMG 479

    Measured: From start of study treatment through up to 40 weeks

  7. Duration of Response

    Duration of response was the time from the first observation of an objective response to the subsequent time of disease progression (per modified RECIST or clinical progression, whichever came first) or death due to any cause. Objective response = a tumor response assessment of either complete response or partial response per modified Response Evaluation Criteria in Solid Tumors [RECIST]. Per RECIST: a complete response is the disappearance of all target lesions; a partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From objective response through up to 36 months

  8. Incidence of Antibody Formation

    The incidence of antibody formation of anti-AMG 655 (phase 1b and phase 2 portions) or anti- ganitumab (phase 2 portion only)

    Measured: From start of treatment up to 40 weeks

Timeline

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

  1. First posted7 Mar 2008 (estimated)
  2. Study startJun 2007
  3. Primary completionJan 2010
  4. Study completionApr 2012

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
138 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00630552
Sponsor's protocol ID
20060323
Other IDs
QUILT-2.019
Status last verified
Oct 2024
First submitted
28 Feb 2008
Last updated
17 Oct 2024

Publications

  • Cella D, Butt Z, Kindler HL, Fuchs CS, Bray S, Barlev A, Oglesby A. Validity of the FACT Hepatobiliary (FACT-Hep) questionnaire for assessing disease-related symptoms and health-related quality of life in patients with metastatic pancreatic cancer. Qual Life Res. 2013 Jun;22(5):1105-12. doi: 10.1007/s11136-012-0217-4. Epub 2012 Jun 8.

    PubMed 22678353
  • Kindler HL, Richards DA, Garbo LE, Garon EB, Stephenson JJ Jr, Rocha-Lima CM, Safran H, Chan D, Kocs DM, Galimi F, McGreivy J, Bray SL, Hei Y, Feigal EG, Loh E, Fuchs CS. A randomized, placebo-controlled phase 2 study of ganitumab (AMG 479) or conatumumab (AMG 655) in combination with gemcitabine in patients with metastatic pancreatic cancer. Ann Oncol. 2012 Nov;23(11):2834-2842. doi: 10.1093/annonc/mds142. Epub 2012 Jun 13.

    PubMed 22700995
  • Lu, JF.Exposure-response analysis to facilitate phase 3 dose selection for Ganitumumab (AMG 479) in combination with Gemcitabine to treat metastatic pancreatic cancer.Journal-000728;

  • McCaffery I, Tudor Y, Deng H, Tang R, Suzuki S, Badola S, Kindler HL, Fuchs CS, Loh E, Patterson SD, Chen L, Gansert JL. Putative predictive biomarkers of survival in patients with metastatic pancreatic adenocarcinoma treated with gemcitabine and ganitumab, an IGF1R inhibitor. Clin Cancer Res. 2013 Aug 1;19(15):4282-9. doi: 10.1158/1078-0432.CCR-12-1840. Epub 2013 Jun 5.

    PubMed 23741071
  • TBD.Validation of the FACT-hepatobiliary questionnaire in metastatic pancreatic cancer population.Journal-004521;

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AMG 479 and AMG 655 in people with Adenocarcinoma of the Pancreas and Metastatic Pancreatic Cancer, run by NantCell, Inc. at 44 sites in United States.

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 8 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 17 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 17 Oct 2024). 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?

Number of Participants With Dose Limiting Toxicities (DLTs; Phase 1b Portion Only) (time frame: 28 days). The study lists 2 primary outcomes in all. 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 NCT00630552, which also lists 5 linked publications.

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 17 Oct 2024.

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