Pancreatic CancerPhase 2NCT01108458
A Phase 2 Study of Pertuzumab and Erlotinib for Refractory Pancreatic Adenocarcinoma
A Phase 2 study testing Pertuzumab and Erlotinib in people with Pancreatic Cancer, run by George Albert Fisher at 1 site in United States.
Trial summary
A phase 2 study combining pertuzumab with erlotinib for patients with gemcitabine refractory pancreatic adenocarcinoma Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreatic Cancer
- What is being tested?
- Pertuzumab and Erlotinib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2010to Mar 2011
- 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
- 3.1 Inclusion Criteria
- 3.1.1 Histologically-confirmed pancreatic adenocarcinoma
- 3.1.2 One or more locally-advanced or metastatic lesions measurable in at least one dimension by modified RECIST criteria (v1.1)^13 within 4 weeks prior to entry of study
- 3.1.3 Prior therapy (1 or more):
- 3.1.3.1 Disease progression following therapy with gemcitabine
- 3.1.3.2 Intolerance to gemcitabine
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- 3.1.3.3 Disease recurrence within 12 months following adjuvant gemcitabine
- 3.1.4 Age >= 18
- 3.1.5 ECOG performance status 0-2
- 3.1.6 Laboratory values <= 2 weeks prior to enrollment:
- Absolute neutrophil count (ANC) >= 1.5 x 10^9/L (>= 1500/mm^3)
- Platelets (Plt) >= 100,000/mm^3
- Hemoglobin (Hgb) >= 9 g/dL
- Serum creatinine <= 1.5 x ULN
- Serum bilirubin <= 1.5 x ULN (<= 3.0 x ULN if liver metastases present)
- Aspartate aminotransferase (AST/SGOT), alanine aminotransferase (ALT/SGPT) <= 3.0 x ULN. (<= 5.0 x ULN if liver metastases present). ERCP or percutaneous stenting may be used to normalize the liver function tests
- 3.1.7 Echocardiogram or MUGA scan demonstrating LVEF >= 50% within 4 weeks of trial entry
- 3.1.8 Ability to understand and the willingness to sign a written informed consent document.
Who cannot join
- 3.2 Disease-Specific Exclusion Criteria
- 3.2.1 Prior therapy with EGFR-targeted agents
- 3.2.2 If history of other primary cancer, subject will be eligible only if she or he has:
- Curatively resected non-melanomatous skin cancer
- Curatively treated cervical carcinoma in situ
- Other primary solid tumor curatively treated with no known active disease present and no treatment administered for the last 3 years
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- 3.3 General Medical Exclusion Criteria
- 3.3.1 Subjects known to have chronic or active hepatitis B or C infection with impaired hepatic function (ineligible if AST and ALT > 3.0 x ULN).
- 3.3.2 History of any medical or psychiatric condition or laboratory abnormality that in the opinion of the investigator may increase the risks associated with study participation or study drug administration or may interfere with the conduct of the study or interpretation of study results
- 3.3.3 Male subject who is not willing to use adequate contraception upon enrollment into this study and for 6 months following the last dose of study agents
- 3.3.4 Female subject (of childbearing potential, post-menopausal for less than 6 months, not surgically sterilized, or not abstinent) who is not willing to use an oral, patch or implanted contraceptive, double-barrier birth control, or an IUD during the course of the study and for 6 months following the last dose of second-line treatment
- 3.3.5 Female subject who is breast-feeding or who has positive serum pregnancy test 72 hours prior to enrollment
- 3.3.6 Any of the following concurrent severe and/or uncontrolled medical conditions within 24 weeks of enrollment which could compromise participation in the study:
- Unstable angina pectoris
- Symptomatic congestive heart failure
- Myocardial infarction <= 6 months prior to registration and/or randomization
- Serious uncontrolled cardiac arrhythmia
- Uncontrolled diabetes
- Active or uncontrolled infection
- Interstitial pneumonia or extensive and symptomatic interstitial fibrosis of the lung
- Chronic renal disease
- 3.3.7 Patients unwilling to or unable to comply with the protocol
- 3.3.8 Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study other than a Genentech/Roche sponsored cancer study
Trial locations and contacts
1 site in 1 country.
United States1 site
Stanford University School of Medicine
Stanford, California, 94305
About this study
A phase 2 study combining pertuzumab with erlotinib for patients with gemcitabine refractory pancreatic adenocarcinoma
Read the detailed description
A single-institution, single-arm phase 2 study investigating pertuzumab and erlotinib as a palliative regimen in the treatment of locally-advanced or metastatic pancreatic adenocarcinoma.
- Conditions
- Pancreatic Cancer
- Being tested
- Pertuzumab, Erlotinib
- Medical subject headings
- Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PertuzumabDrug
Also called 2C4, Omnitarg
iv, 840 mg, 420 mg
ErlotinibDrug
Also called Erlotinib hydrochloride, Tarceva
PO, 150 mg
| Study group | Role | What they receive |
|---|---|---|
| Pertuzumab plus Erlotinib Hydrochloride | Experimental | Pertuzumab 840 mg intravenous (IV) single loading dose followed by 420 mg IV every 3 weeks
Erlotinib hydrochloride 150 mg/day by mouth Receives: Drug: Pertuzumab; Drug: Erlotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response Rate by RECIST Criteria
Measured: CT imaging every 9 weeks while on protocol
Secondary outcomes (5)
Progression-free Survival (PFS)
Disease status evaluated by computed tomography (CT) scan and progression-free survival assessed per RECIST criteria.
Tumor response was assessed by the IRF according to RECIST v1.1. CR was defined as disappearance of all target and non-target lesions and (if applicable) normalization of tumor marker levels. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeters (mm). PR was defined as greater than or equal to (≥) 30 percent (%) decrease in sum of longest diameter (LD) of target lesions in reference to Baseline sum LD. Response was to be confirmed ≥4 weeks after the initial assessment of CR or PR. The percentage of participants with a confirmed objective response of CR or PR was reported.
Measured: 9 weeks
Overall Survival (OS)
Measured: 1 year
Quality of Life (QoL)
Quality of life as assessed by EORTC QLQ-C30 questionnaire
Measured: 3 weeks
No. of Events of Drug-related Toxicity
Number of incidences of serious and non-serious drug-related adverse events
Measured: 3 weeks
Proportion of Participants With 50% Decrease in Tumor Marker
Change in tumor marker CA19-9, assessed as a 50% decrease from baseline
Measured: 3 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Apr 2010 (estimated)
- Study startJul 2010
- Primary completionNov 2010
- Study completionMar 2011
Why it stopped: Extreme toxicity of Pertuzumab and Erlotinib combination
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.
- Other trials for Pancreatic CancerStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1 participants (actual)
Sponsor and investigators
- Lead sponsor
- George Albert Fisher
- Sponsor type
- University, hospital or other
- Collaborators
- Genentech, Inc.
- Responsible party
- Sponsor-investigator, George Albert Fisher, Stanford University
- Investigators
- George Albert Fisher M.D. Ph.D., Principal investigator, Stanford University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01108458
- Sponsor's protocol ID
- IRB-18227
- Other IDs
- SU-03082010-5163, PANC0010
- Status last verified
- Jan 2017
- First submitted
- 20 Apr 2010
- Last updated
- 3 Mar 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Study of Pertuzumab and Erlotinib for Refractory Pancreatic Adenocarcinoma
- ClinicalTrials.gov ID
- NCT01108458
- Acronym / sponsor ID
- IRB-18227
- Conditions
- Pancreatic Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Extreme toxicity of Pertuzumab and Erlotinib combination
- Enrolment
- 1 participants (actual)
- Lead sponsor
- George Albert FisherUniversity, hospital or other
- Collaborators
- Genentech, Inc.
- Study start
- Jul 2010
- Primary completion
- Nov 2010 (actual)
- Study completion
- Mar 2011 (actual)
- First posted
- 22 Apr 2010 (estimated)
- Results
- Posted 3 Mar 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A phase 2 study combining pertuzumab with erlotinib for patients with gemcitabine refractory pancreatic adenocarcinoma
Detailed description
A single-institution, single-arm phase 2 study investigating pertuzumab and erlotinib as a palliative regimen in the treatment of locally-advanced or metastatic pancreatic adenocarcinoma.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pertuzumab plus Erlotinib Hydrochloride | Experimental | Drug: Pertuzumab, Drug: ErlotinibPertuzumab 840 mg intravenous (IV) single loading dose followed by 420 mg IV every 3 weeks Erlotinib hydrochloride 150 mg/day by mouth |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- 3.1 Inclusion Criteria
- 3.1.1 Histologically-confirmed pancreatic adenocarcinoma
- 3.1.2 One or more locally-advanced or metastatic lesions measurable in at least one dimension by modified RECIST criteria (v1.1)^13 within 4 weeks prior to entry of study
- 3.1.3.1 Disease progression following therapy with gemcitabine
- 3.1.3.2 Intolerance to gemcitabine
Key exclusion criteria (23 listed)
- 3.2 Disease-Specific Exclusion Criteria
- 3.2.1 Prior therapy with EGFR-targeted agents
- Curatively resected non-melanomatous skin cancer
- Curatively treated cervical carcinoma in situ
- Other primary solid tumor curatively treated with no known active disease present and no treatment administered for the last 3 years
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 |
|---|---|---|
| PertuzumabAlso: 2C4, Omnitargiv, 840 mg, 420 mg | Drug | Pertuzumab plus Erlotinib Hydrochloride |
| ErlotinibAlso: Erlotinib hydrochloride, TarcevaPO, 150 mg | Drug | Pertuzumab plus Erlotinib Hydrochloride |
Primary outcome
Overall Response Rate by RECIST Criteria
Time frame: CT imaging every 9 weeks while on protocol
5 secondary outcomes
Progression-free Survival (PFS)
Time frame: 9 weeks
Overall Survival (OS)
Time frame: 1 year
Quality of Life (QoL)
Time frame: 3 weeks
No. of Events of Drug-related Toxicity
Time frame: 3 weeks
Proportion of Participants With 50% Decrease in Tumor Marker
Time frame: 3 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
George Albert Fisher M.D. Ph.D. principal investigator
Stanford University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Pertuzumab and Erlotinib in people with Pancreatic Cancer, run by George Albert Fisher at 1 site 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 18 inclusion and 23 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: stopped early, as of the sponsor's last update on 3 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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. 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 3 Mar 2017). 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 Response Rate by RECIST Criteria (time frame: CT imaging every 9 weeks while on protocol). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Mar 2017.