Metastatic Pancreatic AdenocarcinomaPhase 2ZIPANGNCT02117258
Z-360 Plus GEM in Subjects With Metastatic Pancreatic Adenocarcinoma
A Phase 2 study testing Z-360 in people with Metastatic Pancreatic Adenocarcinoma, run by Zeria Pharmaceutical at 3 sites in 3 countries.
Trial summary
The primary objective of this study is to compare the efficacy of GEM plus Z-360 versus GEM plus placebo on the overall survival (OS) in subjects with metastatic Pancreatic Adenocarcinoma. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Metastatic Pancreatic Adenocarcinoma
- What is being tested?
- Z-360
- 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
- 167 participants
- Where
- 3 sitesin 3 countries
- Study dates
- Apr 2014to Mar 2017
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 1. Subjects with histological or cytological evidence of metastatic Pancreatic Adenocarcinoma, Measurable disease or non-measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) version criteria
- 2. Subjects with a life expectancy of at least 12 weeks,
- 3. Subjects with an Eastern cooperative oncology group performance status (ECOG PS) of 0, 1 or 2,
- 4. Subjects with the following adequate organ functions:
- White blood cell count ≥3,000/μL (or absolute neutrophil count ≥1,500/μL) and ≤ 12,000/μL ,
- Platelet count ≥100.0 × 10^9/L,
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- Hemoglobin ≥9.0 g/dL,
- Serum creatinine ≤1.5 × the upper limit normal (ULN),
- Total bilirubin ≤2.0 × ULN,
- Serum aspartate transaminase levels ≤3.0 × ULN (≤5.0 × ULN in presence of liver metastases), and
- Serum alanine aminotransferase levels ≤3.0 × ULN (≤5.0 × ULN in presence of liver metastases).
Who cannot join
- Subjects received the following previous therapies for Pancreatic Adenocarcinoma:
- Surgery within the 4 weeks prior to randomization,
- Radiation and chemoradiation within the 12 weeks prior to randomization,
- Radiation for pain relief within the 4 weeks prior to randomization,
- Gemcitabine used as a neoadjuvant or an adjuvant on surgery within the 24 weeks prior to randomization,
- Chemotherapy except GEM used as an adjuvant on surgery within the 4 weeks prior to randomization,
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- Gemcitabine ≥600 mg/m^2 as sensitizer for chemoradiation,
- Gemcitabine <600 mg/m^2 as sensitizer for chemoradiation within the 12 weeks prior to randomization,
- Gemcitabine used for systemic chemotherapy, or
- Systemic chemotherapies except GEM within the 4 weeks prior to randomization.
Trial locations and contacts
3 sites in 3 countries.
3 sites in 3 countries
About this study
Official title: Randomized Phase II Study of Gemcitabine Plus Z-360 in Metastatic Pancreatic Adenocarcinoma Compared With Gemcitabine Plus Placebo ( ZIPANG Study )
The primary objective of this study is to compare the efficacy of GEM plus Z-360 versus GEM plus placebo on the overall survival (OS) in subjects with metastatic Pancreatic Adenocarcinoma.
- Conditions
- Metastatic Pancreatic Adenocarcinoma
- Being tested
- Z-360, Placebo
- Keywords
- Z-360, Pancreatic cancer, Pancreatic Adenocarcinoma
- Medical subject headings
- Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Z-360Drug
Gemcitabine (1,000 mg/m^2) will be given by 30-minute intravenous infusion on Day 1, 8, and 15 followed by a one week rest in all 28-day Cycles, while Z-360 (60, 120 or 240 mg) will be taken orally, twice daily (BID) after a meal. Dosing will continue until the patient fulfills the withdrawal criteria.
PlaceboDrug
Gemcitabine (1,000 mg/m^2) will be given by 30-minute intravenous infusion on Day 1, 8, and 15 followed by a one week rest in all 28-day Cycles, while placebo will be taken orally, twice daily (BID) after a meal. Dosing will continue until the patient fulfills the withdrawal criteria.
| Study group | Role | What they receive |
|---|---|---|
| Z-360 60mg+Gemcitabine | Experimental | Z-360 60 mg will be taken orally, twice daily (BID) after a meal. Receives: Drug: Z-360 |
| Z-360 120mg+Gemcitabine | Experimental | Z-360 120 mg will be taken orally, twice daily (BID) after a meal. Receives: Drug: Z-360 |
| Z-360 240mg+Gemcitabine | Experimental | Z-360 240 mg will be taken orally, twice daily (BID) after a meal. Receives: Drug: Z-360 |
| Placebo+Gemcitabine | Placebo comparator | Placebo will be taken orally, twice daily (BID) after a meal. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Measured: Approximately 24 months
Secondary outcomes (7)
Progression Free Survival (PFS)
Measured: Approximately 24 months
Time to Treatment Failure
Measured: Approximately 24 months
Quality of Life
Measured: Approximately 24 months
Safety parameters
Incidence of SAEs and AEs, laboratory test results, vital signs, ECG results and physical examination findings
Measured: Approximately 24 months
Pharmacokinetics
To characterize the plasma pK of Z-360 when given in combination with GEM
Measured: Day1
Response Rate
Measured: Approximately 24 months
Benefit Rate
Measured: Approximately 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2014 (estimated)
- Study startApr 2014
- Primary completionJul 2016
- Study completionMar 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Pancreatic AdenocarcinomaStudies 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 167 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zeria Pharmaceutical
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02117258
- Sponsor's protocol ID
- Z-360-01
- Acronym
- ZIPANG
- Status last verified
- Jun 2017
- First submitted
- 7 Apr 2014
- Last updated
- 2 Jul 2017
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Phase II Study of Gemcitabine Plus Z-360 in Metastatic Pancreatic Adenocarcinoma Compared With Gemcitabine Plus Placebo ( ZIPANG Study )
- ClinicalTrials.gov ID
- NCT02117258
- Acronym / sponsor ID
- ZIPANG / Z-360-01
- Conditions
- Metastatic Pancreatic Adenocarcinoma
- Keywords
- Z-360, Pancreatic cancer, Pancreatic Adenocarcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 167 participants (actual)
- Lead sponsor
- Zeria PharmaceuticalIndustry (pharma, biotech, devices)
- Study start
- Apr 2014
- Primary completion
- Jul 2016 (actual)
- Study completion
- Mar 2017 (actual)
- First posted
- 17 Apr 2014 (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.
The primary objective of this study is to compare the efficacy of GEM plus Z-360 versus GEM plus placebo on the overall survival (OS) in subjects with metastatic Pancreatic Adenocarcinoma.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Z-360 60mg+Gemcitabine | Experimental | Drug: Z-360Z-360 60 mg will be taken orally, twice daily (BID) after a meal. |
| Z-360 120mg+Gemcitabine | Experimental | Drug: Z-360Z-360 120 mg will be taken orally, twice daily (BID) after a meal. |
| Z-360 240mg+Gemcitabine | Experimental | Drug: Z-360Z-360 240 mg will be taken orally, twice daily (BID) after a meal. |
| Placebo+Gemcitabine | Placebo comparator | Drug: PlaceboPlacebo will be taken orally, twice daily (BID) after a meal. |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- 1. Subjects with histological or cytological evidence of metastatic Pancreatic Adenocarcinoma, Measurable disease or non-measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) version criteria
- 2. Subjects with a life expectancy of at least 12 weeks,
- 3. Subjects with an Eastern cooperative oncology group performance status (ECOG PS) of 0, 1 or 2,
- 4. Subjects with the following adequate organ functions:
Key exclusion criteria (10 listed)
- Subjects received the following previous therapies for Pancreatic Adenocarcinoma:
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 |
|---|---|---|
| Z-360Gemcitabine (1,000 mg/m^2) will be given by 30-minute intravenous infusion on Day 1, 8, and 15 followed by a one week rest in all 28-day Cycles, while Z-360 (60, 120 or 240 mg) will be taken orally, twice daily (BID) after a meal. Dosing will continue until the patient fulfills the withdrawal criteria. | Drug | Z-360 120mg+Gemcitabine, Z-360 240mg+Gemcitabine, Z-360 60mg+Gemcitabine |
| PlaceboGemcitabine (1,000 mg/m^2) will be given by 30-minute intravenous infusion on Day 1, 8, and 15 followed by a one week rest in all 28-day Cycles, while placebo will be taken orally, twice daily (BID) after a meal. Dosing will continue until the patient fulfills the withdrawal criteria. | Drug | Placebo+Gemcitabine |
Primary outcome
Overall Survival
Time frame: Approximately 24 months
7 secondary outcomes
Progression Free Survival (PFS)
Time frame: Approximately 24 months
Time to Treatment Failure
Time frame: Approximately 24 months
Quality of Life
Time frame: Approximately 24 months
Safety parameters
Time frame: Approximately 24 months
Pharmacokinetics
Time frame: Day1
Response Rate
Time frame: Approximately 24 months
Benefit Rate
Time frame: Approximately 24 months
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 2 Jul 2017.
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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.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Z-360 in people with Metastatic Pancreatic Adenocarcinoma, run by Zeria Pharmaceutical at 3 sites in 3 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 11 inclusion and 10 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 2 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Japan, South Korea, Taiwan. 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?
Overall Survival (time frame: Approximately 24 months). 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 2 Jul 2017.