Pancreatic CancerPhase 2NCT01472198
A Study to Evaluate the Efficacy and Safety of Simtuzumab Combined With Gemcitabine for Metastatic Pancreatic Adenocarcinoma
A Phase 2 study testing Simtuzumab and Gemcitabine in people with Pancreatic Cancer, run by Gilead Sciences at 57 sites in 2 countries.
Trial summary
This study will compare the efficacy of simtuzumab (GS-6624) versus placebo in combination with gemcitabine in adults with pancreatic cancer. The treatment phase of this study will be comprised of 2 sequential parts: an open label treatment phase and a double-blinded treatment phase. 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?
- Simtuzumab and Gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 250 participants
- Where
- 57 sitesin 2 countries
- Study dates
- Nov 2011to Feb 2015
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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
- Initial diagnosis of metastatic pancreatic cancer must have occurred ≤6 weeks prior to the completion of screening.
- The presence of measurable metastatic pancreatic cancer documented by contrast enhanced CT (or MRI) scan in addition to 1 of the following:
- Histological diagnosis of pancreatic adenocarcinoma confirmed by pathologist OR
- Pathologist confirmed histological/cytological diagnosis of adenocarcinoma consistent with pancreatic origin in conjunction with either:
- The presence of a mass in the pancreas OR
- A history of resected pancreatic carcinoma
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- Measurable disease per RECIST (ver. 1.1)
- ECOG Performance Status of 0 or 1.
- Adequate hepatic, hematologic and renal functions.
Who cannot join
- A history or evidence of clinically significant disorder other than metastatic cancer of the pancreas.
- A diagnosis of pancreatic islet neoplasms.
- Subject has undergone major surgery other than diagnosis surgery within 4 weeks of randomization
- Presence of biliary obstruction requiring external drainage
- Brain metastases.
- Unstable cardiovascular function within the last 6 months of screening
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- Clinically active liver disease, including active viral hepatitis (HBV or HCV) or cirrhosis
- Known HIV infection.
- Uncontrolled hypertension at Screening
- History or presence of any form of cancer, other than pancreatic cancer, within the 3 years prior to enrollment
- Prior or concurrent anti-tumor therapy (chemotherapy, antibody therapy, molecular targeted therapy, retinoid therapy, hormonal therapy) for the treatment of inoperable locally advanced or metastatic pancreatic cancer; prior radiotherapy and chemotherapy given as pre-operative neoadjuvant therapy or radio sensitizers for locally advanced pancreatic cancer are allowed.
- Uncontrolled systemic fungal, bacterial or viral infection
- Participation in an investigational drug or device trial with therapeutic intent within 30 days prior to study
Trial locations and contacts
57 sites in 2 countries.
57 sites in 2 countries
United States44 sites
Central Hematology Oncology Medical Group, Inc.
Alhambra, California
Anne Arundel Medical Center, Annapolis Oncology Center
Annapolis, Maryland
Georgia Cancer Specialists, P.C.
Atlanta, Georgia, 30341
Comprehensive Blood and Cancer Center
Bakersfield, California
Birmingham Hematology and Oncology Associates, LLC
Birmingham, Alabama
Oncology Hematology Care, Inc.
Blue Ash, Ohio, 45242
Charleston Hematology Oncology Associates, PA
Charleston, South Carolina
Northwestern University
Chicago, Illinois
South Carolina Oncology Associates
Columbia, South Carolina
Coastal Bend Cancer Center
Corpus Christi, Texas
Oncology Hematology Care, Inc.
Crestview Hills, Kentucky, 41017
University of Texas Southwestern Medical Center at Dallas
Dallas, Texas
Duke University Medical Center, Comprehensive Cancer Center
Durham, North Carolina
Virginia Cancer Specialists, PC
Fairfax, Virginia
San Antonio Military Medical Center
Fort Sam Houston, Texas, 78234
Center for Cancer and Blood Disorders, PC
Fort Worth, Texas
California Cancer Associates for Research and Excellence (CCARE)
Fresno, California, 93720
Saint Mary's Regional Cancer Center
Grand Junction, Colorado
PinnacleHealth
Harrisburg, Pennsylvania, 17109
Comprehensive Cancer Centers of Nevada
Henderson, Nevada
Emerywood Hematology and Oncology
High Point, North Carolina
West Michigan Cancer Center
Kalamazoo, Michigan
Tennessee Cancer Specialists
Knoxville, Tennessee
Pacific Shores Medical Group
Long Beach, California
UCLA Community Oncology Practice
Los Angeles, California
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas
Montana Cancer Institute Foundation c/o Montana Cancer Specialists
Missoula, Montana
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36604
Tennessee Oncology, PLLC
Nashville, Tennessee, 37206
Saint Luke's-Roosevelt Hospital Center
New York, New York, 10003
Beth Israel Comprehensive Cancer Center
New York, New York
Stanford University Medical Center
Palo Alto, California
Wilshire Oncology Medical Group, Inc.
Rancho Cucamonga, California, 91730
Virginia Cancer Institute
Richmond, Virginia
Saint Joseph Oncology, Inc.
Saint Joseph, Missouri
Utah Cancer Specialists
Salt Lake City, Utah, 84106
Sharp Health Care
San Diego, California, 92123
San Jose Medical Group
San Jose, California, 95116
Providence Cancer Center Oncology and Hematology Care Clinic-Eastside Portland
Southfield, Michigan, 48075
Washington University School of Medicine
St Louis, Missouri, 63108
Hematology Oncology Associates, PC
Stamford, Connecticut
Florida Cancer Specialists
Tampa, Florida, 33607
Hematology and Oncology Associates at BridgePoint
Tupelo, Mississippi
Abington Hematology Oncology Associates, Inc.
Willow Grove, Pennsylvania, 19090
Russia13 sites
State Institution of Healthcare "Arkhangelsk Regional Clinical Oncology Dispensary"
Arkhangelsk, Primorskiy (Maritime) Kray, 163045
Regional Oncology Dispensary
Ivanovo, Ivanovo Oblast, 153040
Republican Clinical Oncologic Dispensary of Ministry of health of Republic Tatarstan
Kazan', Tatarstan Republic, 420029
Kursk Regional Oncologic Dispensary
Kursk, Kursk Oblast, 305035
Blokhin Cancer Research Center of Russia, Dept. of clinical pharmacology
Moscow, Moscow, 115478
State Institution "Blokhin Cancer Research Centre RAMS"
Moscow, Moscow, 115478
Non-State Institution of healthcare "Central Clinical Hospital #1 OAO RZD
Moscow, Moscow, 125367
Non-state Healthcare Institution "N.A. Semashko Central Clinical Hospital #2 of JSC "Russian Railway
Moscow, Moscow, 129128
State Budgetary Healthcare Institution "Nizhny Novgorod Regional Oncological Dispensary"
Nizhny Novgorod, 603081
Medical Radiological Research Center of Russian Academy of Medical Sciences, Obninsk
Obninsk, Kaluga Oblast, 249036
Budgetary Healthcare Institution of Omsk Region "Clinical Oncologic Dispensary"
Omsk, 644013
Petrov Research Oncology Institute
Saint Petersburg, 197758
Republic Clinical Oncology Dispensary of the Ministry of Healthcare of Republic of Bashkortostan
Ufa, Bashkortostan Republic, 450054
About this study
Official title: A Phase 2 Randomized, Double-Blinded, Placebo-Controlled Study to Evaluate the Efficacy and Safety of GS-6624 Combined With Gemcitabine as First Line Treatment for Metastatic Pancreatic Adenocarcinoma
This study will compare the efficacy of simtuzumab (GS-6624) versus placebo in combination with gemcitabine in adults with pancreatic cancer. The treatment phase of this study will be comprised of 2 sequential parts: an open label treatment phase and a double-blinded treatment phase.
- Conditions
- Pancreatic Cancer
- Being tested
- Simtuzumab, Gemcitabine, Placebo to match simtuzumab
- Keywords
- GSI, Gilead, Gilead Sciences, Pancreatic Cancer, PC, Gemcitabine, Phase 2, Phase II, GS-6624, Oncology, Monoclonal Antibody
- Medical subject headings
- Pancreatic Neoplasms, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SimtuzumabDrug
Also called GS-6624
Simtuzumab administered intravenously every 2 weeks for a total of 2 infusions (Days 1 and 15)
GemcitabineDrug
Also called Gemzar®
Gemcitabine 1000 mg/m^2 administered intravenously on Days 1, 8, and 15 of each 28-day cycle
Placebo to match simtuzumabDrug
Placebo to match simtuzumab administered intravenously every 2 weeks for a total of 2 infusions (Days 1 and 15)
| Study group | Role | What they receive |
|---|---|---|
| Simtuzumab (open-label) | Experimental | Participants will receive simtuzumab 700 mg plus gemcitabine in cycles of 28 days for up to 3 years. Receives: Drug: Simtuzumab; Drug: Gemcitabine |
| Simtuzumab 200 mg (randomized) | Experimental | Participants will receive simtuzumab 200 mg plus gemcitabine in cycles of 28 days for up to 3 years. Receives: Drug: Simtuzumab; Drug: Gemcitabine |
| Simtuzumab 700 mg (randomized) | Experimental | Participants will receive simtuzumab 700 mg plus gemcitabine in cycles of 28 days for up to 3 years. Receives: Drug: Simtuzumab; Drug: Gemcitabine |
| Placebo (randomized) | Placebo comparator | Participants will receive placebo to match simtuzumab plus gemcitabine in cycles of 28 days for up to 3 years. Receives: Drug: Gemcitabine; Drug: Placebo to match simtuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression free survival
Progression free survival is measured as time from date of randomization to the earliest event time of death regardless of cause or first indication of disease progression.
Measured: Up to 3 years
Secondary outcomes (2)
Overall survival
Overall survival is measured as time from date of randomization to death regardless of cause.
Measured: Up to 3 years
Objective response
Objective response is assessed by the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.1 as complete response, partial response, stable disease, or progressive disease.
Measured: Up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Nov 2011 (estimated)
- Study startNov 2011
- Primary completionOct 2013
- Study completionFeb 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pancreatic CancerStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 250 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Zung Thai, MD, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01472198
- Sponsor's protocol ID
- GS-US-324-0101
- Status last verified
- Feb 2015
- First submitted
- 10 Nov 2011
- Last updated
- 10 Mar 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Benson AB 3rd, Wainberg ZA, Hecht JR, Vyushkov D, Dong H, Bendell J, Kudrik F. A Phase II Randomized, Double-Blind, Placebo-Controlled Study of Simtuzumab or Placebo in Combination with Gemcitabine for the First-Line Treatment of Pancreatic Adenocarcinoma. Oncologist. 2017 Mar;22(3):241-e15. doi: 10.1634/theoncologist.2017-0024. Epub 2017 Feb 28.
PubMed 28246206
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Randomized, Double-Blinded, Placebo-Controlled Study to Evaluate the Efficacy and Safety of GS-6624 Combined With Gemcitabine as First Line Treatment for Metastatic Pancreatic Adenocarcinoma
- ClinicalTrials.gov ID
- NCT01472198
- Acronym / sponsor ID
- GS-US-324-0101
- Conditions
- Pancreatic Cancer
- Keywords
- GSI, Gilead, Gilead Sciences, Pancreatic Cancer, PC, Gemcitabine, Phase 2, Phase II
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 250 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Nov 2011
- Primary completion
- Oct 2013 (actual)
- Study completion
- Feb 2015 (actual)
- First posted
- 16 Nov 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will compare the efficacy of simtuzumab (GS-6624) versus placebo in combination with gemcitabine in adults with pancreatic cancer. The treatment phase of this study will be comprised of 2 sequential parts: an open label treatment phase and a double-blinded treatment phase.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Simtuzumab (open-label) | Experimental | Drug: Simtuzumab, Drug: GemcitabineParticipants will receive simtuzumab 700 mg plus gemcitabine in cycles of 28 days for up to 3 years. |
| Simtuzumab 200 mg (randomized) | Experimental | Drug: Simtuzumab, Drug: GemcitabineParticipants will receive simtuzumab 200 mg plus gemcitabine in cycles of 28 days for up to 3 years. |
| Simtuzumab 700 mg (randomized) | Experimental | Drug: Simtuzumab, Drug: GemcitabineParticipants will receive simtuzumab 700 mg plus gemcitabine in cycles of 28 days for up to 3 years. |
| Placebo (randomized) | Placebo comparator | Drug: Gemcitabine, Drug: Placebo to match simtuzumabParticipants will receive placebo to match simtuzumab plus gemcitabine in cycles of 28 days for up to 3 years. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Initial diagnosis of metastatic pancreatic cancer must have occurred ≤6 weeks prior to the completion of screening.
- The presence of measurable metastatic pancreatic cancer documented by contrast enhanced CT (or MRI) scan in addition to 1 of the following:
- Measurable disease per RECIST (ver. 1.1)
- ECOG Performance Status of 0 or 1.
- Adequate hepatic, hematologic and renal functions.
Key exclusion criteria (13 listed)
- A history or evidence of clinically significant disorder other than metastatic cancer of the pancreas.
- A diagnosis of pancreatic islet neoplasms.
- Subject has undergone major surgery other than diagnosis surgery within 4 weeks of randomization
- Presence of biliary obstruction requiring external drainage
- Brain metastases.
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 |
|---|---|---|
| SimtuzumabAlso: GS-6624Simtuzumab administered intravenously every 2 weeks for a total of 2 infusions (Days 1 and 15) | Drug | Simtuzumab (open-label), Simtuzumab 200 mg (randomized), Simtuzumab 700 mg (randomized) |
| GemcitabineAlso: Gemzar®Gemcitabine 1000 mg/m^2 administered intravenously on Days 1, 8, and 15 of each 28-day cycle | Drug | Placebo (randomized), Simtuzumab (open-label), Simtuzumab 200 mg (randomized), Simtuzumab 700 mg (randomized) |
| Placebo to match simtuzumabPlacebo to match simtuzumab administered intravenously every 2 weeks for a total of 2 infusions (Days 1 and 15) | Drug | Placebo (randomized) |
Primary outcome
Progression free survival
Time frame: Up to 3 years
Progression free survival is measured as time from date of randomization to the earliest event time of death regardless of cause or first indication of disease progression.
2 secondary outcomes
Overall survival
Time frame: Up to 3 years
Objective response
Time frame: Up to 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2015.
- Derived from this study: PubMed 28246206Benson AB 3rd, Wainberg ZA, Hecht JR, Vyushkov D, Dong H, Bendell J, Kudrik F. A Phase II Randomized, Double-Blind, Placebo-Controlled Study of Simtuzumab or Placebo in Combination with Gemcitabine for the First-Line Treatment of Pancreatic Adenocarcinoma. Oncologist. 2017 Mar;22(3):241-e15. doi: 10.1634/theoncologist.2017-0024. Epub 2017 Feb 28.
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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.
Zung Thai, MD study director
Gilead Sciences
57 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Simtuzumab and Gemcitabine in people with Pancreatic Cancer, run by Gilead Sciences at 57 sites in 2 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 9 inclusion and 13 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 10 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 57 sites in United States, Russia. 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 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Progression free survival (time frame: Up to 3 years). 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 NCT01472198, 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 10 Mar 2015.