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Pancreatic AdenocarcinomaPhase 1NCT04060342

GB1275 Monotherapy and in Combination With an Anti-PD1 Antibody in Patients With Specified Advanced Solid Tumors or in Combination With Standard of Care in Patients With Metastatic Pancreatic Adenocarcinoma

A Phase 1 study testing GB1275, nab-paclitaxel and gemcitabine and pembrolizumab in people with Pancreatic Adenocarcinoma and Esophageal Adenocarcinoma, run by GB006, Inc., a wholly owned subsidiary of Gossamer Bio, Inc. at 8 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This first-in-human (FIH ) study is an open-label, multicenter study that consists of a Phase 1 Dose Escalation/Expansion phase of GB1275 monotherapy or in combination with Anti-PD-1 Antibody or in combination with Standard of Care in Patients with Metastatic Pancreatic Adenocarcinoma followed by a Phase 2 Basket… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
GB1275, nab-paclitaxel and gemcitabine and pembrolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
61 participants
Where
8 sitesin 2 countries
Study dates
13 Aug 2019to 11 Apr 2022
Phase
Phase 1
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

  • Subject has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale.
  • Women of childbearing potential must use an acceptable method of contraception
  • Phase 1
  • Subjects with the the following:
  • Regimen A and B:
  • pancreatic adenocarcinoma,
Show all 16Show fewer
  • esophageal adenocarcinoma, or esophageal squamous cell carcinoma, or
  • gastric/gastroesophageal junction adenocarcinoma, or
  • TNBC, or
  • prostate cancer, or
  • colorectal adenocarcinoma, or subjects with tumor types that have progressed after receiving initial treatment benefit rom the last single agent checkpoint inhibitor that is approved for the indication or in combination with standard of care therapy, for example, non-small cell lung cancer, small cell lung cancer, head and neck squamous cell carcinoma, urothelial carcinoma, renal cell carcinoma, and hepatocellular carcinoma, etc.
  • Regimen C: newly diagnosed stage IV pancreatic cancer
  • Phase 2
  • Cohort 1: pancreatic cancer.
  • Cohort 2: colorectal cancer
  • Cohort 3: gastric/GEJ adenocarcinoma

Who cannot join

  • History of another malignancy within 2 years prior to first study drug(s) administration, unless the malignancy was treated with curative intent and the likelihood of relapse is <5% in 2 years
  • Pregnant or nursing
  • Known history of testing positive for human immunodeficiency virus (HIV)
  • Gastrointestinal (GI) tract disease causing the inability to take oral medication.
  • Positive test for Hepatitis B virus surface antigen (HBsAg) or a and/or positive Hep C antibody result with detectable hepatitis C virus (HCV) ribonucleic acid (RNA) indicating acute or chronic infection.
  • Other protocol-defined inclusion/exclusion criteria will apply

Trial locations and contacts

8 sites in 2 countries.

8 sites in 2 countries

United States7 sites
  • University of Colorado Hospital, Anschutz Cancer Pavilion (ACP)

    Aurora, Colorado, 80045

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • The Sarah Cannon Research Institute/Tennessee Oncology

    Nashville, Tennessee, 37203

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • South Texas Accelerated Research Therapeutics, LLC

    San Antonio, Texas, 78229

  • UCSF Medical Center at Mission Bay

    San Francisco, California, 94158

  • Washington University School of Medicine - Siteman Cancer Center

    St Louis, Missouri, 63110

Other trials in United States

United Kingdom1 site
  • The Royals Marsden NHS Foundation Trust

    Sutton, Surrey, SM2 5PT

Other trials in United Kingdom

About this study

Official title: A Phase 1/2, First-in-Human, Open-label, Dose Escalation Study of GB1275 Monotherapy and in Combination With an Anti-PD-1 Antibody in Patients With Specified Advanced Solid Tumors or in Combination With Standard of Care in Patients With Metastatic Pancreatic Adenocarcinoma, Followed by Basket Expansion of GB1275 With Standard of Care or in Combination With an Anti-PD-1 Antibody in Patients With Specified Metastatic Solid Tumors

This first-in-human (FIH ) study is an open-label, multicenter study that consists of a Phase 1 Dose Escalation/Expansion phase of GB1275 monotherapy or in combination with Anti-PD-1 Antibody or in combination with Standard of Care in Patients with Metastatic Pancreatic Adenocarcinoma followed by a Phase 2 Basket Expansion phase in Patients with Specified Metastatic Solid Tumors

Read the detailed description

Note: The Phase 2 portion of the study was not initiated.

Being tested
GB1275, nab-paclitaxel and gemcitabine, pembrolizumab
Keywords
GEJ adenocarcinoma, TNBC, MSS mCRC, PD-L1 + gastric cancer, PD-L1 positive gastric cancer, NSCLC, SCLC, newly diagnosed stage IV pancreatic adenocarcinoma, HCC, RCC, HNSCC, Transitional Cell Carcinoma
Medical subject headings
Adenocarcinoma Of Esophagus, Esophageal Squamous Cell Carcinoma, Triple Negative Breast Neoplasms, Carcinoma, Non-Small-Cell Lung, Small Cell Lung Carcinoma, Squamous Cell Carcinoma of Head and Neck, Carcinoma, Transitional Cell, Carcinoma, Renal Cell

What participants receive

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

  • GB1275Drug

    Also called Investigational

    Oral

  • nab-paclitaxel and gemcitabineDrug

    Also called Abraxane and Gemzar

    IV infusion

  • pembrolizumabDrug

    Also called Anti-PD-1

    IV infusion

Study groups in NCT04060342
Study groupRoleWhat they receive
Phase 1: Regimen A - GB1275 monotherapyExperimentalGB1275 Monotherapy dose escalation: Oral administration. Twice per day (BID).
Receives: Drug: GB1275
Phase 1: Regimen B - GB1275 with an Anti-PD-1ExperimentalGB1275 with pembrolizumab dose escalation and expansion: GB1275 oral administration; twice per day (BID), and pembrolizumab IV administration once every 3 weeks (Q3W).
Receives: Drug: GB1275; Drug: pembrolizumab
Phase 1: Regimen C - GB1275 with Standard of Care (SOC)ExperimentalGB1275 with SOC dose escalation: GB1275 oral administration; twice per day (BID), and nab-paclitaxel and gemcitabine per United States Prescribing Information (USPI)
Receives: Drug: GB1275; Drug: nab-paclitaxel and gemcitabine
Phase 2: Cohort 1 - GB1275 with SOCExperimentalGB1275 with SOC Basket Cohort in patients with newly diagnosed metastatic pancreatic cancer: GB1275 oral administration; twice per day (BID) and nab-paclitaxel and gemcitabine per USPI.
Receives: Drug: GB1275; Drug: nab-paclitaxel and gemcitabine
Phase 2: Cohort 2 - GB1275 with an Anti-PD-1ExperimentalGB1275 with pembrolizumab Basket Cohort in patients with MSS colorectal cancer: GB1275 oral administration; twice per day (BID), and pembrolizumab IV administration once every 3 weeks (Q3W).
Receives: Drug: GB1275; Drug: pembrolizumab
Phase 2: Cohort 3 - GB1275 with an Anti-PD-1ExperimentalGB1275 with pembrolizumab Basket Cohort in patients with gastric/GEJ cancer, PD-L1 positive: GB1275 oral administration; twice per day (BID), and pembrolizumab IV administration once every 3 weeks (Q3W).
Receives: Drug: GB1275; Drug: pembrolizumab

What is being measured

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

  1. Phase 1 Dose Escalation - Regimens A, B,and C: Incidence of dose limiting toxicities (DLTs)

    Measured: Regimen A and B dose escalation Days 1-21, Regimen C dose escalation Days 8-36 days

  2. Phase 1 Dose Escalation - Regimens A, B, and C and Phase 1 Expansion - Regimen B: Incidence of adverse events (AEs)

    Measured: Regimen A and C from first dose through 30 days post last dose, Regimen B from first dose through 90 days post last dose

  3. Phase 1 Dose Escalation - Regimens A and B: Cmax of GB1275

    Maximum observed plasma concentration

    Measured: From first dose through 30 days post last dose

  4. Phase 1 Dose Escalation - Regimens A and B: Ctrough of GB1275

    Trough observed plasma concentration

    Measured: From first dose through 30 days post last dose

  5. Phase 1 Dose Escalation - Regimens A and B: Tmax of GB1275

    Time of maximum observed plasma concentration

    Measured: From first dose through 30 days post last dose

  6. Phase 1 Dose Escalation - Regimens A and B: t1/2 of GB1275

    Terminal phase elimination half-life

    Measured: From first dose through 30 days post last dose

  7. Phase 1 Dose Escalation - Regimens A and B: AUC of GB1275

    Area under the plasma concentration-time curve

    Measured: From first dose through 30 days post last dose

  8. Phase 1 Dose Escalation - Regimens A and B: CL/F of GB1275

    Oral clearance

    Measured: From first dose through 30 days post last dose

  9. Phase 2 - Basket Cohorts 1, 2 and 3: Objective Response Rate (ORR)

    ORR defined as the proportion of subjects with best overall confirmed response (BOCR) of either a complete response (CR) or partial response (PR) as assessed by the Investigator based on RECIST v1.1

    Measured: 24 months

Secondary outcomes (17)
  1. Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: Cmax of GB1275

    Maximum observed plasma concentration

    Measured: From first dose through 30 days post last dose

  2. Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: Ctrough of GB1275

    Trough observed plasma concentration

    Measured: From first dose through 30 days post last dose

  3. Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: Tmax of GB1275

    Time of maximum observed plasma concentration

    Measured: From first dose through 30 days post last dose

  4. Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: t1/2 of GB1275

    Terminal phase elimination half-life

    Measured: From first dose through 30 days post last dose

  5. Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: AUC of GB1275

    Area under the plasma concentration-time curve

    Measured: From first dose through 30 days post last dose

  6. Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: CL/F of GB1275

    Oral clearance

    Measured: From first dose through 30 days post last dose

  7. Phase 1 - Regimen C: Cmax of nab-paclitaxel and gemcitabine

    Maximum observed plasma concentration

    Measured: From first dose through 30 days post last dose

  8. Phase 1 - Regimen C: Tmax of nab-paclitaxel and gemcitabine)

    Time of maximum observed plasma concentration

    Measured: From first dose through 30 days post last dose

  9. Phase 1 - Regimen C: AUC of nab-paclitaxel and gemcitabine

    Area under the plasma concentration-time curve

    Measured: From first dose through 30 days post last dose

  10. Phase 2 - Basket Cohorts 1, 2, and 3: Duration of Response (DOR)

    DOR defined as time from date of objective response to first documented date of disease progression or death

    Measured: 24 months

  11. Phase 2 - Basket Cohorts 1, 2, and 3: Time to Response (TTR)

    TTR defined as time from first dose to first date of objective response

    Measured: 24 months

  12. Phase 2 - Basket Cohorts 1, 2, and 3: Clinical Benefit Rate (CBR)

    CBR defined as proportion of subjects with confirmed CR, PR, or stable disease (SD) at six months.

    Measured: 6 months

  13. Phase 2 - Basket Cohorts 1, 2, and 3: Progression Free Survival (PFS)

    PFS defined as time from first dose to first documented date of disease progression or death.

    Measured: 24 months

  14. Phase 2 - Basket Cohorts 1, 2, and 3: Time to Progression (TTP)

    TTP defined as time from first dose to first documented date of disease progression.

    Measured: 24 months

  15. Phase 2 - Basket Cohorts 1, 2, and 3: Overall Survival (OS)

    OS defined as time from first dose to date of death.

    Measured: 24 months

  16. Phase 2 - Basket Cohorts 1, 2, and 3: Incidence of AEs

    Measured: Basket Cohorts 1 from first dose through 30 days post last dose, Basket Cohorts 2 and 3 from first dose through 90 days post last dose.

  17. Phase 2 - Basket Cohort 1, 2 and 3: PK profile of GB1275

    Measured: Basket Cohorts 1, 2, and 3 from first dose through 30 days post last dose.

Timeline

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

  1. First posted19 Aug 2019
  2. Study start13 Aug 2019
  3. Primary completion11 Apr 2022
  4. Study completion11 Apr 2022

Why it stopped: No clear benefit of GB1275 was observed either as monotherapy or in combination with pembrolizumab.

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Phase 1 - Dose Escalation of 3 different Regimens and Expansion, Phase 2 - Basket Expansion of 3 Cohorts
Masking
None (open label)
Enrolment
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04060342
Sponsor's protocol ID
GB1275-1101 (KEYNOTE-A36)
Status last verified
Aug 2022
First submitted
9 Aug 2019
Last updated
18 Aug 2022
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing GB1275, nab-paclitaxel and gemcitabine and pembrolizumab in people with Pancreatic Adenocarcinoma and Esophageal Adenocarcinoma, run by GB006, Inc., a wholly owned subsidiary of Gossamer Bio, Inc. at 8 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 16 inclusion and 6 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: stopped early, as of the sponsor's last update on 18 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, United Kingdom. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 was stopped early (reason given: No clear benefit of GB1275 was observed either as monotherapy or in combination with pembrolizumab.). Results are not available in the source record.

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?

Phase 1 Dose Escalation - Regimens A, B,and C: Incidence of dose limiting toxicities (DLTs) (time frame: Regimen A and B dose escalation Days 1-21, Regimen C dose escalation Days 8-36 days). The study lists 9 primary outcomes in all. 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 18 Aug 2022.

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