Pancreatic CancerPhase 3NCT02854072
A Phase III Study to Assess the Efficacy and Safety of GV1001-Gem/Cap vs Gem/Cap in Pancreatic Cancer Patients
A Phase 3 study testing GV1001, Gemcitabine and Capecitabine in people with Pancreatic Cancer, run by Samsung Pharmaceutical Co., Ltd. at 16 sites in South Korea.
Trial summary
To assess treatment of GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in locally advanced and metastatic pancreatic cancer patients. Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Pancreatic Cancer
- What is being tested?
- GV1001, Gemcitabine and Capecitabine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 148 participants
- Where
- 16 sitesSouth Korea
- Study dates
- Nov 2015to May 2018
- Phase
- Phase 3
- 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 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 19 years
- Histologically or cytologically proven pancreatic ductal adenocarcinoma carcinoma or undifferentiated carcinoma of the pancreas.
- Locally advanced or metastatic disease precluding curative surgical resection or patients who have relapsed following previously resected pancreatic cancer.
- Contrast enhanced CT scan of the thorax, abdomen and pelvis within 28 days (and up to a maximum of 32 days) prior to commencing treatment.
- Unidimensionally measurable disease (from CT scan) in accordance with the RECIST guidelines.
- ECOG performance status 0, 1 or 2.
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- Adequate organ function as determined by the following laboratory values:
- Platelets ≥100 x 10^9 /L
- WBC ≥ 3 x 10^9 /L
- ANC ≥1.5 x 10^9 /L
- Serum total bilirubin ≤ 2.0 mg/dL
- CCr (Cockcroft \& Gault) > 50 mL/min
- Life expectancy ≥ 90 days
- Fully informed written consent given.
Who cannot join
- Brain metastasis or meningeal carcinomatosis.
- Clinically significant serious disease or organ system disease not currently controlled on present therapy.
- Previous chemotherapy for locally advanced and metastatic disease. Previously adjuvant chemotherapy for resected pancreatic cancer will be permitted providing chemotherapy was completed more than 12 months previously.
- Radiotherapy within the last 8 weeks prior to start of study treatment.
- Concurrent malignancies or invasive cancers diagnosed within the past 5 years except for adequately treated basal cell carcinoma of the skin, in situ carcinoma of the uterine cervix or resected pancreatic cancer.
- Medication which might affect immunocompetence e.g. chronic treatment with long term steroids or other immunosuppressant for an unrelated condition. Patients will be eligible if they have been receiving short term steroids for palliation of cancer related symptoms.
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- Administration of medicines from other clinical trials within 8 weeks from registration.
- Pregnancy or breast feeding.
- Uncontrolled angina pectoris.
- Known malabsorption syndromes.
- Patients with a known hypersensitivity to any of the investigational products or patients with a dihydropyrimidine dehydrogenase (DPD) deficiency.
- All men or women of reproductive potential, unless using at least two contraceptive precautions, one of which must be a condom.
- Investigator's judgment against participation in the study
Trial locations and contacts
16 sites in 1 country.
Hanna Park contact
Yoon Jin Lee contact
16 sites in 1 country
South Korea16 sites, 16 recruiting
- Recruiting
Pusan National University Hospital
Busan
Gwang Ha Kim, M.D.
- Recruiting
Chungbuk National University Hospital
Cheongju-si, North Chungcheong
Joung-Ho Han, M.D.
- Recruiting
Daegu Catholic University Medical Center
Daegu
Ho Gak Kim, M.D.
- Recruiting
Konyang University Hospital
Daejeon
Young Woo Choi, M.D.
- Recruiting
National Cancer Center
Goyang-si, Gyeonggi-do
Woo Jin Lee, M.D.
- Recruiting
Chonnam National University Hospital
Gwangju
Chang-Hwan Park, M.D.
- Recruiting
Gachon University Gil Medical Center
Incheon
Jae Hee Cho, M.D.
- Recruiting
Jeju National University Hospital
Jeju City, Jeju-do
Eun Kwang Choi, M.D.
- Recruiting
Chonbuk National University Hospital
Jeonju, Jeollabuk-do
Seung Ok Lee, M.D.
- Recruiting
Gangnam Severance Hospital
Seoul
Jae Yong Cho, M.D.
- Recruiting
Hanyang University Seoul Hospital
Seoul
Ho Soon Choi, M.D.
- Recruiting
Korea University Anam Hospital
Seoul
Hong Sik Lee, M.D.
- Recruiting
Samsung Medical Center
Seoul
Kwang Hyuck Lee, M.D.
- Recruiting
Seoul National University Hospital
Seoul
Yong-Tae Kim, M.D.
- Recruiting
Severance Hospital
Seoul
Si Young Song, M.D.
- Recruiting
Wonju Severance Christian Hospital
Wŏnju, Gangwon-do
Kyong Joo Lee, M.D.
About this study
Official title: A Prospective, Randomized, Open-label, Multicenter, Parallel Design, Phase III Study to Assess the Efficacy and Safety of GV1001 Concurrent With Gemcitabine/Capecitabine Versus Gemcitabine/Capecitabine Alone in Treating Locally Advanced and Metastatic Pancreatic Cancer Patients
To assess treatment of GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in locally advanced and metastatic pancreatic cancer patients.
Read the detailed description
This study is designed as a phase III, prospective, randomized, open-label, multicenter clinical trial comparing GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in treating locally advanced and metastatic pancreatic cancer patients. Patients will be treated until disease progression and will be subject to follow-up until death.
Patients will be randomized equally between the two arms:
- Gemcitabine and Capecitabine
- GV1001+ Gemcitabine and Capecitabine
- Conditions
- Pancreatic Cancer
- Being tested
- GV1001, Gemcitabine, Capecitabine
- Keywords
- GV1001
- Medical subject headings
- Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GV1001Drug
Also called Tertomotide
At week 1, GV1001 will be administered intradermally on day 1, day 3 and day 5. This will be followed by a once weekly schedule for weeks 2, 3, 4 and 6. After that, GV1001 will be administered once monthly until withdrawal from trial treatment due to patient choice, intolerable toxicity or disease progression. GM-CSF will be used as an adjuvant, given 10-15 minutes prior to each administration of GV1001.
GemcitabineDrug
Gemcitabine 1000 mg/m^2 will be intravenously administered on day 1,8 and 15 followed by 7 days' rest.
CapecitabineDrug
Capecitabine 830 mg/m^2 will be orally given in the morning and evening (total dose of 1660 mg/m^2) for 21 days followed by 7 days' rest.
| Study group | Role | What they receive |
|---|---|---|
| GV1001 + gemcitabine/capecitabine | Experimental | Not described Receives: Drug: GV1001; Drug: Gemcitabine; Drug: Capecitabine |
| gemcitabine/capecitabine | Active comparator | Not described Receives: Drug: Gemcitabine; Drug: Capecitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Measured: one year
Secondary outcomes (8)
Time to tumor progression (TTP)
Measured: one year
Objective response rate (ORR)
Objective response rate assesses by CT scan (RECIST and irRC criteria).
Measured: one year
Clinical benefit response (CBR)
Measured: one year
Clinical response with eotaxin level (baseline of serum eotaxin level, pg/mL)
Measured: one year
Quality of Life using EORTC QLQ-C30
Measured: up to one year
Quality of Life using EQ-5D-3L
Measured: up to one year
Change in CA19-9 (Serum cancer antigen) over time
Cancer antigen 19-9 (CA 19-9) is used to help differentiate between cancer of the pancreas and other conditions, as well as to monitor treatment response and recurrence.
Measured: one year
Toxicity according to the NCI CTCAE v4.03
Measured: one year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Aug 2016 (estimated)
- Study startNov 2015
- Primary completionMay 2018 (estimated)
- Study completionMay 2018 (estimated)
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.
- 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
- None (open label)
- Enrolment
- 148 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Samsung Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Si Young Song, M.D., Study chair, Severance HospitalYong-Tae Kim, M.D., Principal investigator, Seoul National University HospitalHo Soon Choi, M.D., Principal investigator, Hanyang University Seoul HospitalHo Gak Kim, M.D., Principal investigator, Daegu Catholic University Medical CenterHong Sik Lee, M.D., Principal investigator, Korea University Anam HospitalYoung Woo Choi, M.D., Principal investigator, Konyang University HospitalGwang Ha Kim, M.D., Principal investigator, Pusan National University HospitalKwang Hyuck Lee, M.D., Principal investigator, Samsung Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02854072
- Sponsor's protocol ID
- KG 4/2015
- Status last verified
- Jul 2016
- First submitted
- 31 Aug 2015
- Last updated
- 22 Nov 2016
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided
Publications
Jo JH, Kim YT, Choi HS, Kim HG, Lee HS, Choi YW, Kim DU, Lee KH, Kim EJ, Han JH, Lee SO, Park CH, Choi EK, Kim JW, Cho JY, Lee WJ, Moon HR, Park MS, Kim S, Song SY. Efficacy of GV1001 with gemcitabine/capecitabine in previously untreated patients with advanced pancreatic ductal adenocarcinoma having high serum eotaxin levels (KG4/2015): an open-label, randomised, Phase 3 trial. Br J Cancer. 2024 Jan;130(1):43-52. doi: 10.1038/s41416-023-02474-w. Epub 2023 Oct 30.
PubMed 37903909
Study at a glance
From the registry record, last updated by the sponsor on 22 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Randomized, Open-label, Multicenter, Parallel Design, Phase III Study to Assess the Efficacy and Safety of GV1001 Concurrent With Gemcitabine/Capecitabine Versus Gemcitabine/Capecitabine Alone in Treating Locally Advanced and Metastatic Pancreatic Cancer Patients
- ClinicalTrials.gov ID
- NCT02854072
- Acronym / sponsor ID
- KG 4/2015
- Conditions
- Pancreatic Cancer
- Keywords
- GV1001
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 148 participants (estimated)
- Lead sponsor
- Samsung Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Nov 2015
- Primary completion
- May 2018 (estimated)
- Study completion
- May 2018 (estimated)
- First posted
- 3 Aug 2016 (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.
To assess treatment of GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in locally advanced and metastatic pancreatic cancer patients.
Detailed description
This study is designed as a phase III, prospective, randomized, open-label, multicenter clinical trial comparing GV1001 concurrent with Gemcitabine/Capecitabine versus Gemcitabine/Capecitabine alone in treating locally advanced and metastatic pancreatic cancer patients. Patients will be treated until disease progression and will be subject to follow-up until death.
Patients will be randomized equally between the two arms:
- Gemcitabine and Capecitabine
- GV1001+ Gemcitabine and Capecitabine
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GV1001 + gemcitabine/capecitabine | Experimental | Drug: GV1001, Drug: Gemcitabine, Drug: Capecitabine |
| gemcitabine/capecitabine | Active comparator | Drug: Gemcitabine, Drug: Capecitabine |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Age ≥ 19 years
- Histologically or cytologically proven pancreatic ductal adenocarcinoma carcinoma or undifferentiated carcinoma of the pancreas.
- Locally advanced or metastatic disease precluding curative surgical resection or patients who have relapsed following previously resected pancreatic cancer.
- Contrast enhanced CT scan of the thorax, abdomen and pelvis within 28 days (and up to a maximum of 32 days) prior to commencing treatment.
- Unidimensionally measurable disease (from CT scan) in accordance with the RECIST guidelines.
Key exclusion criteria (13 listed)
- Brain metastasis or meningeal carcinomatosis.
- Clinically significant serious disease or organ system disease not currently controlled on present therapy.
- Previous chemotherapy for locally advanced and metastatic disease. Previously adjuvant chemotherapy for resected pancreatic cancer will be permitted providing chemotherapy was completed more than 12 months previously.
- Radiotherapy within the last 8 weeks prior to start of study treatment.
- Concurrent malignancies or invasive cancers diagnosed within the past 5 years except for adequately treated basal cell carcinoma of the skin, in situ carcinoma of the uterine cervix or resected pancreatic cancer.
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 |
|---|---|---|
| GV1001Also: TertomotideAt week 1, GV1001 will be administered intradermally on day 1, day 3 and day 5. This will be followed by a once weekly schedule for weeks 2, 3, 4 and 6. After that, GV1001 will be administered once monthly until withdrawal from trial treatment due to patient choice, intolerable toxicity or disease progression. GM-CSF will be used as an adjuvant, given 10-15 minutes prior to each administration of GV1001. | Drug | GV1001 + gemcitabine/capecitabine |
| GemcitabineGemcitabine 1000 mg/m^2 will be intravenously administered on day 1,8 and 15 followed by 7 days' rest. | Drug | GV1001 + gemcitabine/capecitabine, gemcitabine/capecitabine |
| CapecitabineCapecitabine 830 mg/m^2 will be orally given in the morning and evening (total dose of 1660 mg/m^2) for 21 days followed by 7 days' rest. | Drug | GV1001 + gemcitabine/capecitabine, gemcitabine/capecitabine |
Primary outcome
Overall Survival
Time frame: one year
8 secondary outcomes
Time to tumor progression (TTP)
Time frame: one year
Objective response rate (ORR)
Time frame: one year
Clinical benefit response (CBR)
Time frame: one year
Clinical response with eotaxin level (baseline of serum eotaxin level, pg/mL)
Time frame: one year
Quality of Life using EORTC QLQ-C30
Time frame: up to one year
Quality of Life using EQ-5D-3L
Time frame: up to one year
Change in CA19-9 (Serum cancer antigen) over time
Time frame: one year
Toxicity according to the NCI CTCAE v4.03
Time frame: one year
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Nov 2016.
- Derived from this study: PubMed 37903909Jo JH, Kim YT, Choi HS, Kim HG, Lee HS, Choi YW, Kim DU, Lee KH, Kim EJ, Han JH, Lee SO, Park CH, Choi EK, Kim JW, Cho JY, Lee WJ, Moon HR, Park MS, Kim S, Song SY. Efficacy of GV1001 with gemcitabine/capecitabine in previously untreated patients with advanced pancreatic ductal adenocarcinoma having high serum eotaxin levels (KG4/2015): an open-label, randomised, Phase 3 trial. Br J Cancer. 2024 Jan;130(1):43-52. doi: 10.1038/s41416-023-02474-w. Epub 2023 Oct 30.
- Individual participant dataSharing planned: Undecided
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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.
Hanna Park contact
Yoon Jin Lee contact
Si Young Song, M.D. study chair
Severance Hospital
Yong-Tae Kim, M.D. principal investigator
Seoul National University Hospital
Ho Soon Choi, M.D. principal investigator
Hanyang University Seoul Hospital
16 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GV1001, Gemcitabine and Capecitabine in people with Pancreatic Cancer, run by Samsung Pharmaceutical Co., Ltd. at 16 sites in South Korea.
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 14 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: status not confirmed, as of the sponsor's last update on 22 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 16 sites in South Korea. 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 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Hanna Park (hpark@kaelgemvax.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: one year). 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 NCT02854072, 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 22 Nov 2016.