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Advanced Pancreatic CancerPhase 2NCT03336216

A Study of Cabiralizumab Given With Nivolumab With and Without Chemotherapy in Patients With Advanced Pancreatic Cancer

A Phase 2 study testing Cabiralizumab, Nab-paclitaxel and Onivyde in people with Advanced Pancreatic Cancer, run by Bristol-Myers Squibb at 41 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether an investigational immuno-therapy, cabiralizumab in combination with nivolumab, with or without chemotherapy, is effective for the treatment of advanced pancreatic cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Pancreatic Cancer
What is being tested?
Cabiralizumab, Nab-paclitaxel and Onivyde
Could I receive a placebo?
No, everyone receives an active treatment
How many people
205 participants
Where
41 sitesin 11 countries
Study dates
18 Dec 2017to 1 Jun 2023
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

  • Must have histological or cytological confirmed diagnosis of locally advanced or metastatic adenocarcinoma of the pancreas, which has progressed on or after one line of chemotherapy
  • ECOG Performance status 0-1
  • Adequate organ functions
  • Measurable disease

Who cannot join

  • Suspected or known CNS metastasis
  • Participants with active, known, or suspected autoimmune disease
  • Uncontrolled or significant cardiovascular disease
  • Prior exposure to selected immune cell-modulating antibody regimens

Trial locations and contacts

41 sites in 11 countries.

41 sites in 11 countries

United States19 sites
  • University Of Colorado

    Aurora, Colorado, 80045

  • Local Institution - 0001

    Baltimore, Maryland, 21287

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02114

  • Dana Farber Cancer Institute.

    Boston, Massachusetts, 02114

  • Local Institution - 0010

    Boston, Massachusetts, 02114

  • Local Institution - 0013

    Dallas, Texas, 75390

  • Florida Cancer Specialists - South

    Fort Myers, Florida, 33901

  • Local Institution - 0011

    Houston, Texas, 77030

  • Local Institution - 0007

    Los Angeles, California, 90095

  • Tennessee Oncology Chattanooga

    Nashville, Tennessee, 37203

  • Local Institution - 0012

    New York, New York, 10016

  • Local Institution - 0005

    New York, New York, 10065

  • Local Institution - 0006

    Philadelphia, Pennsylvania, 19104

  • Mayo Clinic in Rochester, Minnesota

    Phoenix, Arizona, 85054

  • Local Institution - 0009

    Pittsburgh, Pennsylvania, 15232

  • HonorHealth Research Institute

    Scottsdale, Arizona, 85258

  • University Of Washington

    Seattle, Washington, 98109

  • Washington University

    St Louis, Missouri, 63110

  • Florida Cancer Specialists - North

    St. Petersburg, Florida, 33705

Other trials in United States

Germany4 sites
  • Local Institution - 0032

    Heidelberg, 69120

  • Local Institution - 0029

    Mannheim, 68167

  • Universitaetsklinikum Ulm

    Ulm, 89081

  • Local Institution - 0030

    Würzburg, 97080

Other trials in Germany

Canada3 sites
  • Cross Cancer Institute

    Edmonton, Alberta, T6G 1Z2

  • Local Institution - 0037

    Kingston, Ontario, K7L 2V7

  • Local Institution - 0035

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Spain3 sites
  • Local Institution - 0021

    Barcelona, 08035

  • Local Institution - 0019

    Madrid, 28007

  • Local Institution - 0020

    Madrid, 28041

Other trials in Spain

Italy2 sites
  • Local Institution - 0025

    Padova, Padova

  • Local Institution - 0026

    Roma, 00168

Other trials in Italy

Japan2 sites
  • Local Institution - 0022

    Chuo-ku, Tokyo, 1040045

  • Local Institution - 0023

    Kashiwa-shi, Chiba, 2778577

Other trials in Japan

South Korea2 sites
  • Local Institution - 0018

    Seoul, 03080

  • Local Institution - 0017

    Seoul, 06351

Other trials in South Korea

Switzerland2 sites
  • Local Institution - 0033

    Chur, 7000

  • Local Institution - 0034

    Lausanne, 1011

Other trials in Switzerland

Taiwan2 sites
  • Local Institution - 0024

    Taipei, 100

  • Local Institution - 0031

    Taipei, 112

Other trials in Taiwan

Denmark1 site
  • Local Institution - 0041

    Herlev, 2730

Other trials in Denmark

United Kingdom1 site
  • Local Institution - 0016

    Glasgow, Lanarkshire, G12 0YN

Other trials in United Kingdom

About this study

Official title: A Phase 2 Study of Cabiralizumab (BMS-986227, FPA008) Administered in Combination With Nivolumab (BMS-936558) With and Without Chemotherapy in Patients With Advanced Pancreatic Cancer

The purpose of this study is to determine whether an investigational immuno-therapy, cabiralizumab in combination with nivolumab, with or without chemotherapy, is effective for the treatment of advanced pancreatic cancer.

Being tested
Cabiralizumab, Nab-paclitaxel, Onivyde, Nivolumab, Fluorouracil

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CabiralizumabBiological

    Also called BMS-986227, FPA008

    specified dose on specified days

  • Nab-paclitaxelDrug

    Also called Abraxane

    specified does on specified days

  • OnivydeDrug

    Also called irinotecan liposome

    specified dose on specified days

  • NivolumabBiological

    Also called Opdivo, BMS-936558

    specified dose on specified days

  • FluorouracilDrug

    Also called 5-Fluorouracil

    specified dose on specified days

  • GemcitabineDrug

    specified dose on specified days

  • OxaliplatinDrug

    specified dose on specified day

  • LeucovorinDrug

    Specified dose on specified days

  • Irinotecan HydrochlorideDrug

    Specified dose on specified days

Study groups in NCT03336216
Study groupRoleWhat they receive
Arm AActive comparatorInvestigator choice of chemotherapy: Gemcitabine/Nab-Paclitaxel (Abraxane®) or 5-Fluorouracil/Leucovorin/Irinotecan Liposome (ONIVYDE)
Receives: Drug: Nab-paclitaxel; Drug: Onivyde; Drug: Fluorouracil; Drug: Gemcitabine; Drug: Leucovorin; Drug: Irinotecan Hydrochloride
Arm BExperimentalCabiralizumab Q2W + Nivolumab Q4W
Receives: Biological: Cabiralizumab; Biological: Nivolumab
Arm CExperimentalCabiralizumab Q2W + Nivolumab Q4W and Gemcitabine + Nab-Paclitaxel (Abraxane®) D1, 8 and 15 Q4W
Receives: Biological: Cabiralizumab; Drug: Nab-paclitaxel; Biological: Nivolumab; Drug: Gemcitabine
Arm DExperimentalCabiralizumab Q2W + Nivolumab Q4W and Oxaliplatin/5-Flurouracil/Leucovorin (FOLFOX) Q2W
Receives: Biological: Cabiralizumab; Biological: Nivolumab; Drug: Fluorouracil; Drug: Oxaliplatin; Drug: Leucovorin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS) by BICR

    PFS for a participant is defined as the time from randomization date to the date of first objectively documented disease progression by blinded independent central review (BICR) per response evaluation criteria in solid tumors (RECIST) v1.1 or death due to any cause, whichever occurs first. Based on Kaplan-Meier Estimates.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From randomization date to the date of first objectively documented disease progression or death (up to approximately 65 months)

Secondary outcomes (15)
  1. Progression Free Survival (PFS) by Investigator

    PFS for a participant is defined as the time from randomization date to the date of first objectively documented disease progression by investigator per response evaluation criteria in solid tumors (RECIST) v1.1 or death due to any cause, whichever occurs first. Based on Kaplan-Meier Estimates.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From randomization date to the date of first objectively documented disease progression or death (up to approximately 65 months)

  2. Progression Free Survival Rate (PFSR) by BICR

    Progression Free Survival Rates at 6, 9, and 12 months is defined as the percentage of participants who achieve PFS at 6, 9, and 12 months. PFS for a participant is defined as the time from randomization date to the date of first objectively documented disease progression by blinded independent central review (BICR) per response evaluation criteria in solid tumors (RECIST) v1.1 or death due to any cause, whichever occurs first. Based on Kaplan-Meier Estimates.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: At 6, 9, and 12 months

  3. Progression Free Survival Rate (PFSR) by Investigator

    Progression Free Survival Rates at 6, 9, and 12 months is defined as the percentage of participants who achieve PFS at 6, 9, and 12 months. PFS for a participant is defined as the time from randomization date to the date of first objectively documented disease progression by investigator per response evaluation criteria in solid tumors (RECIST) v1.1 or death due to any cause, whichever occurs first. Based on Kaplan-Meier Estimates.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: At 6, 9, and 12 months

  4. Objective Response Rate (ORR) by BICR

    ORR is defined as the percentage of participants whose best overall response (BOR) is either CR or PR by blinded independent central review (BICR) per response evaluation criteria in solid tumors (RECIST) v1.1 based on Clopper-Pearson method.

    Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From randomization to the date of objectively documented progression per RECIST v1.1 or the date of subsequent anti-cancer therapy, whichever occurs first (up to approximately 65 months)

  5. Objective Response Rate (ORR) by Investigator

    ORR is defined as the percentage of participants whose best overall response (BOR) is either CR or PR per response evaluation criteria in solid tumors (RECIST) v1.1 based on Clopper-Pearson method.

    Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From randomization to the date of objectively documented progression per RECIST v1.1 or the date of subsequent anti-cancer therapy, whichever occurs first (up to approximately 65 months)

  6. Duration of Response (DOR) by BICR

    DOR for a participant with a best overall response (BOR) of CR or PR is defined as the time between the date of first response and the date of the first objectively documented tumor progression by blinded independent central review (BICR) per response evaluation criteria in solid tumors (RECIST) v1.1 or death, whichever occurs first. Median computed using Kaplan-Meier method.

    Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From randomization the date of the first objectively documented tumor progression or death, whichever occurs first (up to approximately 65 months)

  7. Duration of Response (DOR) by Investigator

    DOR for a participant with a best overall response (BOR) of CR or PR is defined as the time between the date of first response and the date of the first objectively documented tumor progression by investigator per response evaluation criteria in solid tumors (RECIST) v1.1 or death, whichever occurs first. Median computed using Kaplan-Meier method.

    Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.

    Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum during the study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.

    Measured: From randomization the date of the first objectively documented tumor progression or death, whichever occurs first (up to approximately 65 months)

  8. Overall Survival (OS)

    OS is defined as the time from randomization to the date of death due to any cause. Based on Kaplan-Meier Estimates.

    Measured: From randomization to the date of death to any cause (up to approximately 65 months)

  9. Overall Survival Rates (OSR)

    Overall survival at 6 months, 1 year, and 2 years is defined as the percentage of participants who are alive at 6 months, 1 year, and 2 years. Based on Kaplan-Meier Estimates.

    Measured: At 6 months, 1 year, and 2 years

  10. The Number of Participants With Adverse Events (AEs)

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

    Measured: From first dose to 100 days after last dose of study therapy (up to approximately 51 months)

  11. The Number of Participants With Serious Adverse Events (SAEs)

    A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

    Measured: From first dose to 100 days after last dose of study therapy (up to approximately 51 months)

  12. The Number of Participants With Adverse Events (AEs) Leading to Discontinuation

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.

    Measured: From first dose to 100 days after last dose of study therapy (up to approximately 51 months)

  13. The Number of Participants Who Died

    The number of participants that died during the study.

    Measured: From first dose to 150 days after last dose of study therapy (up to approximately 53 months)

  14. The Number of Participants Who Experienced Abnormal Hepatic Tests

    The number of treated participants who experienced a laboratory abnormality of the liver during the course of the study.

    Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN)

    Measured: From first dose and 100 days after last dose of study therapy (up to approximately 51 months)

  15. The Number of Participants With On-Treatment Laboratory Abnormalities in Specific Thyroid Tests

    The number of treated participants who experienced a laboratory abnormality of the thyroid during the course of the study.

    Free T3 (FT3) Free T4 (FT4) Lower Limit of Normal (LLN) Upper Limit of Normal (ULN)

    Measured: From first dose and 100 days after last dose of study therapy (up to approximately 51 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2017
  2. Study start18 Dec 2017
  3. Primary completion1 Jun 2023
  4. Study completion1 Jun 2023

Resources

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
None (open label)
Enrolment
205 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03336216
Sponsor's protocol ID
CA025-006
Status last verified
Jul 2024
First submitted
6 Nov 2017
Last updated
23 Jul 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cabiralizumab, Nab-paclitaxel and Onivyde in people with Advanced Pancreatic Cancer, run by Bristol-Myers Squibb at 41 sites in 11 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 4 inclusion and 4 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 23 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 41 sites in United States, Germany, Canada, Spain, Italy and 6 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. 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 23 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?

Progression Free Survival (PFS) by BICR (time frame: From randomization date to the date of first objectively documented disease progression or death (up to approximately 65 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 23 Jul 2024.

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