Adenocarcinoma of the PancreasPhase 3GAMMANCT01231347
QUILT-2.014: Gemcitabine and AMG 479 in Metastatic Adenocarcinoma of the Pancreas
A Phase 3 study testing AMG 479 and gemcitabine in people with Adenocarcinoma of the Pancreas and Advanced Solid Tumors, run by NantCell, Inc. at 152 sites in 32 countries.
Trial summary
AMG 479 is an investigational fully human monoclonal antibody that targets type 1 insulin-like growth factor receptor (IGF-1R). Signaling through IGF-1R plays an important role in the regulation of cell growth and survival. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Adenocarcinoma of the Pancreas, Advanced Solid Tumors, Cancer
- What is being tested?
- AMG 479 and gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 800 participants
- Where
- 152 sitesin 32 countries
- Study dates
- 7 Apr 2011to 12 Dec 2012
- 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
- Untreated metastatic adenocarcinoma of the pancreas
- Adequate hematologic, renal and liver function
- Eastern Cooperative Oncology Group (ECOG) 0 or 1
Who cannot join
- Prior chemotherapy or radiotherapy for pancreatic cancer
- Central nervous system metastases
- External biliary drain
Trial locations and contacts
152 sites in 32 countries.
152 sites in 32 countries
United States24 sites
Research Site
Abingdon, Virginia, 24211
Research Site
Bend, Oregon, 97701
Research Site
Boston, Massachusetts, 02114
Research Site
Boston, Massachusetts, 02215
Research Site
Charleston, South Carolina, 29425
Research Site
Chicago, Illinois, 60637
Research Site
Detroit, Michigan, 48201
Research Site
Durham, North Carolina, 27710
Research Site
Fort Worth, Texas, 76177
Research Site
Fullerton, California, 92835
Research Site
Grand Rapids, Michigan, 49503
Research Site
Harvey, Illinois, 60426
Research Site
Knoxville, Tennessee, 37909
Research Site
La Jolla, California, 92093-0957
Research Site
Los Angeles, California, 90095-1772
Research Site
Los Angeles, California, 90095
Research Site
Paris, Texas, 75460-5004
Research Site
Providence, Rhode Island, 02903
Research Site
Providence, Rhode Island, 02906
Research Site
Quincy, Illinois, 62301
Research Site
Rancho Mirage, California, 92270
Research Site
Redondo Beach, California, 90277
Research Site
Santa Maria, California, 93454
Research Site
Spokane Valley, Washington, 99216
Spain8 sites
Research Site
Badalona, Cataluña, 08916
Research Site
Barcelona, Cataluña, 08035
Research Site
Barcelona, Cataluña, 08036
Research Site
Elche, Valencia, 03203
Research Site
Madrid, 28034
Research Site
Madrid, 28050
Research Site
Santander, Cantabria, 39008
Research Site
Valencia, Valencia, 46010
Germany7 sites
Research Site
Berlin, 13353
Research Site
Dresden, 01307
Research Site
Halle, 06120
Research Site
Mainz, 55131
Research Site
Mannheim, 68167
Research Site
Marburg, 35043
Research Site
Villingen-Schwenningen, 78050
Poland7 sites
Research Site
Gdansk, 80-952
Research Site
Konin, 62-500
Research Site
Lodz, 93-509
Research Site
Poznan, 61-485
Research Site
Warsaw, 02-097
Research Site
Warsaw, 04-125
Research Site
Warsaw, 04-141
Australia6 sites
Research Site
Bentleigh East, Victoria, 3165
Research Site
Kogarah, New South Wales, 2217
Research Site
Kurralta Park, South Australia, 5037
Research Site
Parkville, Victoria, 3050
Research Site
South Brisbane, Queensland, 4101
Research Site
Woodville South, South Australia, 5011
Belgium6 sites
Research Site
Brussels, 1070
Research Site
Charleroi, 6000
Research Site
Edegem, 2650
Research Site
Ghent, 9000
Research Site
Leuven, 3000
Research Site
Libramont, 6800
Czechia6 sites
Research Site
Brno, 656 53
Research Site
Brno, 656 91
Research Site
Hradec Králové, 500 05
Research Site
Olomouc, 775 20
Research Site
Prague, 128 08
Research Site
Prague, 150 06
United Kingdom6 sites
Research Site
Belfast, BT9 7AB
Research Site
Birmingham, B9 5SS
Research Site
Cottingham, HU16 5JQ
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Leicester, LE1 5WW
Research Site
Manchester, M20 4BX
Research Site
Northampton, NN1 5BD
Canada5 sites
Research Site
Oshawa, Ontario, L1G 2B9
Research Site
Ottawa, Ontario, K1H 8L6
Research Site
Québec, Quebec, G1R 2J6
Research Site
Toronto, Ontario, M5G 2M9
Research Site
Vancouver, British Columbia, V5Z 4E6
Hungary5 sites
Research Site
Budapest, 1062
Research Site
Budapest, 1097
Research Site
Debrecen, 4012
Research Site
Győr, 9023
Research Site
Miskolc, 3526
Japan5 sites
Research Site
Kashiwa, Chiba, 277-8577
Research Site
Mitaka, Tokyo, 181-8611
Research Site
Nagoya, Aichi-ken, 464-8681
Research Site
Tokyo, 104-0045
Research Site
Yokohama, Kanagawa, 241-0815
Portugal5 sites
Research Site
Barreiro, 2830-094
Research Site
Lisbon, 1099-023
Research Site
Lisbon, 1649-035
Research Site
Porto, 4200-072
Research Site
Porto, 4200-319
Slovakia5 sites
Research Site
Bardejov, 085 01
Research Site
Bratislava, 833 10
Research Site
Košice, 041 91
Research Site
Nitra, 950 01
Research Site
Poprad, 058 01
South Korea5 sites
Research Site
Seoul, 110-744
Research Site
Seoul, 120-752
Research Site
Seoul, 135-710
Research Site
Seoul, 138-736
Research Site
Seoul, 152-703
Austria4 sites
Research Site
Innsbruck, 6020
Research Site
Salzburg, 5020
Research Site
Steyr, 4400
Research Site
Vienna, 1090
Bulgaria4 sites
Research Site
Sofia, 1527
Research Site
Sofia, 1606
Research Site
Sofia, 1756
Research Site
Varna, 9010
Greece4 sites
Research Site
Athens, 11527
Research Site
Heraklion, 71110
Research Site
Pátrai, 26500
Research Site
Thessaloniki, 56429
Netherlands4 sites
Research Site
Amsterdam, 1081 HV
Research Site
Eindhoven, 5623 EJ
Research Site
Groningen, 9713 GZ
Research Site
Leiden, 2333 ZA
Denmark3 sites
Research Site
Aalborg, 9000
Research Site
Herlev, 2730
Research Site
Odense, 5000
Finland3 sites
Research Site
Lahti, 15850
Research Site
Tampere, 33521
Research Site
Turku, 20521
France3 sites
Research Site
Brest, 29609
Research Site
Clermont-Ferrand, 63003
Research Site
Pessac, 33604
Hong Kong3 sites
Research Site
Kowloon
Research Site
Shatin
Research Site
Tuenmen
Italy3 sites
Research Site
Genova, 16132
Research Site
Messina, 98125
Research Site
Naples, 80131
Romania3 sites
Research Site
Bucharest, 022328
Research Site
Cluj-Napoca, 400015
Research Site
Sibiu, 550245
Russia3 sites
Research Site
Moscow, 115478
Research Site
Moscow, 119992
Research Site
Saint Petersburg, 191104
Serbia3 sites
Research Site
Belgrade, 11000
Research Site
Belgrade, 11080
Research Site
Kamenitz, 21204
Switzerland3 sites
Research Site
Basel, 4031
Research Site
Geneva, 1211
Research Site
Winterthur, 8401
Brazil2 sites
Research Site
Porto Alegre, Rio Grande do Sul, 90035-003
Research Site
Salvador, Estado de Bahia, 40050-410
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-Blind, Placebo Controlled, Trial of AMG 479 or Placebo in Combination With Gemcitabine as First Line Therapy for Metastatic Adenocarcinoma of the Pancreas
AMG 479 is an investigational fully human monoclonal antibody that targets type 1 insulin-like growth factor receptor (IGF-1R). Signaling through IGF-1R plays an important role in the regulation of cell growth and survival. The primary purpose of the study is to determine if AMG 479 and gemcitabine improves overall survival as compared to placebo and gemcitabine.
- Conditions
- Adenocarcinoma of the Pancreas, Advanced Solid Tumors, Cancer, Cancer of Pancreas, Cancer of the Pancreas, Metastases
- Being tested
- AMG 479, Placebo, gemcitabine
- Keywords
- pancreas, gemcitabine, metastatic, jaundice
- Medical subject headings
- Neoplasms, Pancreatic Neoplasms, Neoplasm Metastasis, Endocrine Gland Neoplasms, Jaundice
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AMG 479Drug
AMG 479 12 mg/kg administered intravenously on days 1 and 15 of a 28 day cycle
PlaceboDrug
Placebo administered intravenously on days 1 and 15 of a 28 day cycle
AMG 479Drug
AMG 479 20mg/kg administered intravenously on days 1 and 15 of a 28 day cycle
gemcitabineDrug
Also called Gemzar
gemcitabine 1000mg/m2 administered intravenously on days 1, 8 and 15 of a 28 day cycle
| Study group | Role | What they receive |
|---|---|---|
| Placebo + gemcitabine | Placebo comparator | Arm 1: AMG 479-placebo IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle Receives: Drug: Placebo; Drug: gemcitabine |
| AMG 479 12 mg/kg dose + gemcitabine | Experimental | Arm 2: AMG 479 12 mg/kg IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle Receives: Drug: AMG 479; Drug: gemcitabine |
| AMG 479 20 mg/kg + gemcitabine | Experimental | Arm 3: AMG 479 20 mg/kg IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle Receives: Drug: AMG 479; Drug: gemcitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Determine if the Treatment of AMG 479 at 12 mg/kg and/or 20 mg/kg in Combination With Gemcitabine Improves Overall Survival as Compared With Placebo in Combination With Gemcitabine in Subjects With Metastatic Adenocarcinoma of the Pancreas
The primary endpoint of the study was OS, defined as the time from randomization to death.
Measured: From randomization up to 20 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Nov 2010 (estimated)
- Study start7 Apr 2011
- Primary completion12 Dec 2012
- Study completion12 Dec 2012
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 Adenocarcinoma of the PancreasStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 800 participants (actual)
Sponsor and investigators
- Lead sponsor
- NantCell, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Takeda
- Responsible party
- Sponsor
- Investigators
- NantKWest Clinical Review Team, Principal investigator, ImmunityBio, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01231347
- Sponsor's protocol ID
- 20060540
- Other IDs
- 20060540, GAMMA, QUILT-2.014
- Acronym
- GAMMA
- Status last verified
- Jun 2024
- First submitted
- 14 Oct 2010
- Last updated
- 16 Jul 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Fuchs CS, Azevedo S, Okusaka T, Van Laethem JL, Lipton LR, Riess H, Szczylik C, Moore MJ, Peeters M, Bodoky G, Ikeda M, Melichar B, Nemecek R, Ohkawa S, Swieboda-Sadlej A, Tjulandin SA, Van Cutsem E, Loberg R, Haddad V, Gansert JL, Bach BA, Carrato A. A phase 3 randomized, double-blind, placebo-controlled trial of ganitumab or placebo in combination with gemcitabine as first-line therapy for metastatic adenocarcinoma of the pancreas: the GAMMA trial. Ann Oncol. 2015 May;26(5):921-927. doi: 10.1093/annonc/mdv027. Epub 2015 Jan 21.
PubMed 25609246
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-Blind, Placebo Controlled, Trial of AMG 479 or Placebo in Combination With Gemcitabine as First Line Therapy for Metastatic Adenocarcinoma of the Pancreas
- ClinicalTrials.gov ID
- NCT01231347
- Acronym / sponsor ID
- GAMMA / 20060540
- Conditions
- Adenocarcinoma of the Pancreas, Advanced Solid Tumors, Cancer, Cancer of Pancreas, Cancer of the Pancreas, Metastases
- Keywords
- pancreas, gemcitabine, metastatic, jaundice
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 800 participants (actual)
- Lead sponsor
- NantCell, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Takeda
- Study start
- 7 Apr 2011 (actual)
- Primary completion
- 12 Dec 2012 (actual)
- Study completion
- 12 Dec 2012 (actual)
- First posted
- 1 Nov 2010 (estimated)
- Results
- Posted 16 Jul 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
AMG 479 is an investigational fully human monoclonal antibody that targets type 1 insulin-like growth factor receptor (IGF-1R). Signaling through IGF-1R plays an important role in the regulation of cell growth and survival. The primary purpose of the study is to determine if AMG 479 and gemcitabine improves overall survival as compared to placebo and gemcitabine.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo + gemcitabine | Placebo comparator | Drug: Placebo, Drug: gemcitabineArm 1: AMG 479-placebo IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle |
| AMG 479 12 mg/kg dose + gemcitabine | Experimental | Drug: AMG 479, Drug: gemcitabineArm 2: AMG 479 12 mg/kg IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle |
| AMG 479 20 mg/kg + gemcitabine | Experimental | Drug: AMG 479, Drug: gemcitabineArm 3: AMG 479 20 mg/kg IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Untreated metastatic adenocarcinoma of the pancreas
- Adequate hematologic, renal and liver function
- Eastern Cooperative Oncology Group (ECOG) 0 or 1
Key exclusion criteria (3 listed)
- Prior chemotherapy or radiotherapy for pancreatic cancer
- Central nervous system metastases
- External biliary drain
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 |
|---|---|---|
| AMG 479AMG 479 12 mg/kg administered intravenously on days 1 and 15 of a 28 day cycle | Drug | AMG 479 12 mg/kg dose + gemcitabine |
| PlaceboPlacebo administered intravenously on days 1 and 15 of a 28 day cycle | Drug | Placebo + gemcitabine |
| AMG 479AMG 479 20mg/kg administered intravenously on days 1 and 15 of a 28 day cycle | Drug | AMG 479 20 mg/kg + gemcitabine |
| gemcitabineAlso: Gemzargemcitabine 1000mg/m2 administered intravenously on days 1, 8 and 15 of a 28 day cycle | Drug | AMG 479 12 mg/kg dose + gemcitabine, AMG 479 20 mg/kg + gemcitabine, Placebo + gemcitabine |
Primary outcome
Determine if the Treatment of AMG 479 at 12 mg/kg and/or 20 mg/kg in Combination With Gemcitabine Improves Overall Survival as Compared With Placebo in Combination With Gemcitabine in Subjects With Metastatic Adenocarcinoma of the Pancreas
Time frame: From randomization up to 20 months
The primary endpoint of the study was OS, defined as the time from randomization to death.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 25609246Fuchs CS, Azevedo S, Okusaka T, Van Laethem JL, Lipton LR, Riess H, Szczylik C, Moore MJ, Peeters M, Bodoky G, Ikeda M, Melichar B, Nemecek R, Ohkawa S, Swieboda-Sadlej A, Tjulandin SA, Van Cutsem E, Loberg R, Haddad V, Gansert JL, Bach BA, Carrato A. A phase 3 randomized, double-blind, placebo-controlled trial of ganitumab or placebo in combination with gemcitabine as first-line therapy for metastatic adenocarcinoma of the pancreas: the GAMMA trial. Ann Oncol. 2015 May;26(5):921-927. doi: 10.1093/annonc/mdv027. Epub 2015 Jan 21.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Related InfoLink 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.
NantKWest Clinical Review Team principal investigator
ImmunityBio, Inc.
152 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing AMG 479 and gemcitabine in people with Adenocarcinoma of the Pancreas and Advanced Solid Tumors, run by NantCell, Inc. at 152 sites in 32 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 3 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 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 152 sites in United States, Spain, Germany, Poland, Australia and 27 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. 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 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 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?
Determine if the Treatment of AMG 479 at 12 mg/kg and/or 20 mg/kg in Combination With Gemcitabine Improves Overall Survival as Compared With Placebo in Combination With Gemcitabine in Subjects With Metastatic Adenocarcinoma of the Pancreas (time frame: From randomization up to 20 months). 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 NCT01231347, 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 2024.