Advanced Pancreatic CancerPhase 1/2NCT04228601
A Study of Fluzoparib in Combination With mFOLFIRINOX in Patients With Advanced Pancreatic Cancer
A Phase 1/2 study testing Fluzoparib and mFOLFIRINOX in people with Advanced Pancreatic Cancer, run by Jiangsu HengRui Medicine Co., Ltd. at 2 sites in China.
Trial summary
The study is being conducted to: a) evaluate the tolerability and safety of the co-administration of Fluzoparib and mFOLFIRINOX followed by Fluzoparib Maintenance Monotherapy in patients with advanced pancreatic cancer, and establish the maximum tolerated dose and recommended phase II dose of the combination; and b)… 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?
- Fluzoparib and mFOLFIRINOX
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 39 participants
- Where
- 2 sitesChina
- Study dates
- 21 Jan 2020to 15 Jan 2023
- Phase
- Phase 1/2
- 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
- Aged ≥ 18 years.
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1
- Expected survival ≥ 6 months.
- Histologically or cytologically confirmed local advanced/metastatic pancreas adenocarcinoma.
- Documented mutation in germline BRCA1/2 or PALB2 that is predicted to be deleterious or suspected deleterious.
- Adequate organ performance based on laboratory blood tests.
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- Presence of at least of one measurable lesion in agreement to RECIST criteria.
- Women of childbearing potential and men must agree to use adequate contraception prior to study entry and for the duration of study participation.
- Ability to understand and the willingness to sign a written informed consent document.
Who cannot join
- Patients who have received any chemotherapy for the treatment of pancreatic cancer prior to entering the study.
- Previous treatment with any poly ADP-ribose polymerase (PARP) inhibitor.
- Patients who have had radiotherapy or participated in another clinical trial with any investigational agents within 28 days of enrolment (Day 1 visit).
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to oxaliplatin, irinotecan, 5-Fluorouracil or other agents used in the study.
- Previous treatment using CYP3A4 inducers within 3 weeks or inhibitors within 2 weeks of enrolment (Day 1 visit).
- Patients with known or suspected brain metastasis.
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- Significant cardiovascular disease such as New York Heart Associate Class III/IV, cardiac failure, myocardial infarction, unstable arrhythmia, or evidence of ischemia on ECG within 6 months prior to enrolment.
- Patients unable to swallow orally administered medication and patients with gastrointestinal disorders likely to interfere with absorption of the study medication.
- Patients with myelodysplastic syndrome/acute myeloid leukaemia.
- Patients with second primary cancer except curatively treated in-situ cancer or slowly progressing malignancy.
- Known active hepatitis B or C infection.
- History of immunodeficiency (including HIV infection) or organ transplantation.
- Other serious accompanying illnesses, which, in the researcher's opinion, could seriously adversely affect the safety of the treatment.
Trial locations and contacts
2 sites in 1 country.
China2 sites
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality
About this study
Official title: A Phase Ib/II Study to Assess the Tolerability, Safety and Efficacy of Fluzoparib in Combination With mFOLFIRINOX Followed by Fluzoparib Maintenance Monotherapy in Patients With Advanced Pancreatic Cancer
The study is being conducted to: a) evaluate the tolerability and safety of the co-administration of Fluzoparib and mFOLFIRINOX followed by Fluzoparib Maintenance Monotherapy in patients with advanced pancreatic cancer, and establish the maximum tolerated dose and recommended phase II dose of the combination; and b) assess the efficacy of the co-administration of Fluzoparib and mFOLFIRINOX followed by Fluzoparib Maintenance Monotherapy in patients with advanced pancreatic cancer.
- Conditions
- Advanced Pancreatic Cancer
- Being tested
- Fluzoparib, Fluzoparib placebo, mFOLFIRINOX
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FluzoparibDrug
Also called SHR3162
PARP
Fluzoparib placeboDrug
Placebo
mFOLFIRINOXDrug
mFOLFIRINOX
| Study group | Role | What they receive |
|---|---|---|
| Fluzoparib+mFOLFIRINOX | Experimental | Fluzoparib+mFOLFIRINOX followed by Fluzoparib maintenance monotherapy Receives: Drug: Fluzoparib; Drug: mFOLFIRINOX |
| Placebo+mFOLFIRINOX | Placebo comparator | Placebo+mFOLFIRINOX followed by placebo maintenance monotherapy Receives: Drug: Fluzoparib placebo; Drug: mFOLFIRINOX |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase Ib:Number of Participants With a Dose Limited Toxicity
Number of Participants With a Dose Limited Toxicity
Measured: Within 28 Days after The First Dose
Phase Ib:Maximum Tolerated Dose
Maximum Tolerated Dose
Measured: Up to 8 months
Phase Ib:Recommended Phase 2 Dose
Recommended Phase 2 Dose
Measured: Up to 2 years
Phase II:Objective Response Rate
Objective response rate according to RECIST 1.1
Measured: From Week 9 until documented disease progression or study discontinuation (approximately up to 24 months)
Secondary outcomes (8)
Adverse events evaluated by NCI CTCAE v5.0
Incidence of adverse events and associated dose of Fluzoparib
Measured: From the first drug administration to within 30 days for the last drug dose
Disease Control Rate
Disease control rate according to RECIST 1.1
Measured: From Week 9 until documented disease progression or study discontinuation (approximately up to 24 months)
Duration of Response
Duration of Response
Measured: Up to 2 years
Progression-Free-Survival
Time from randomisation until the date of objective radiological disease progression according to RECIST v1.1 or death
Measured: Up to 2 years
Overall-Survival
Time from the date of randomization until death due to any cause
Measured: Up to 2 years
Area under the curve (AUC)
Area under the plasma concentration time curve from 0 to 24 hours for Fluroparib
Measured: 1 year
Maximum concentration (Cmax)
Maximum observed plasma concentration for Fluzoparib
Measured: 1 year
Time to maximum concentration (Tmax)
Time to maximum plasma concentration for Fluzoparib
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jan 2020
- Study start21 Jan 2020
- Primary completion10 Aug 2022
- Study completion15 Jan 2023
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 Advanced Pancreatic CancerStudies of the same condition, open and under way.
- More trials run by Jiangsu HengRui Medicine Co., Ltd.The 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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 39 participants (actual)
Sponsor and investigators
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Xianjun Yu, M.D., Principal investigator, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04228601
- Sponsor's protocol ID
- SHR3162-Ib/II-112
- Status last verified
- Aug 2024
- First submitted
- 9 Jan 2020
- Last updated
- 16 Aug 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Wei M, Liu R, Xu Y, Chen X, Liu C, Bai X, Zhang X, Gao S, Li J, Sheng Z, Lian J, Wang W, Zhang J, Shi S, Xu J, Yu X. Phase 1b study of first-line fuzuloparib combined with modified FOLFIRINOX followed by fuzuloparib maintenance monotherapy in pancreatic adenocarcinoma. BMC Med. 2024 Sep 4;22(1):365. doi: 10.1186/s12916-024-03581-y.
PubMed 39232761
Study at a glance
From the registry record, last updated by the sponsor on 16 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase Ib/II Study to Assess the Tolerability, Safety and Efficacy of Fluzoparib in Combination With mFOLFIRINOX Followed by Fluzoparib Maintenance Monotherapy in Patients With Advanced Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT04228601
- Acronym / sponsor ID
- SHR3162-Ib/II-112
- Conditions
- Advanced Pancreatic Cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 39 participants (actual)
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 21 Jan 2020 (actual)
- Primary completion
- 10 Aug 2022 (actual)
- Study completion
- 15 Jan 2023 (actual)
- First posted
- 14 Jan 2020 (actual)
- 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 study is being conducted to: a) evaluate the tolerability and safety of the co-administration of Fluzoparib and mFOLFIRINOX followed by Fluzoparib Maintenance Monotherapy in patients with advanced pancreatic cancer, and establish the maximum tolerated dose and recommended phase II dose of the combination; and b) assess the efficacy of the co-administration of Fluzoparib and mFOLFIRINOX followed by Fluzoparib Maintenance Monotherapy in patients with advanced pancreatic cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fluzoparib+mFOLFIRINOX | Experimental | Drug: Fluzoparib, Drug: mFOLFIRINOXFluzoparib+mFOLFIRINOX followed by Fluzoparib maintenance monotherapy |
| Placebo+mFOLFIRINOX | Placebo comparator | Drug: Fluzoparib placebo, Drug: mFOLFIRINOXPlacebo+mFOLFIRINOX followed by placebo maintenance monotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Aged ≥ 18 years.
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1
- Expected survival ≥ 6 months.
- Histologically or cytologically confirmed local advanced/metastatic pancreas adenocarcinoma.
- Documented mutation in germline BRCA1/2 or PALB2 that is predicted to be deleterious or suspected deleterious.
Key exclusion criteria (13 listed)
- Patients who have received any chemotherapy for the treatment of pancreatic cancer prior to entering the study.
- Previous treatment with any poly ADP-ribose polymerase (PARP) inhibitor.
- Patients who have had radiotherapy or participated in another clinical trial with any investigational agents within 28 days of enrolment (Day 1 visit).
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to oxaliplatin, irinotecan, 5-Fluorouracil or other agents used in the study.
- Previous treatment using CYP3A4 inducers within 3 weeks or inhibitors within 2 weeks of enrolment (Day 1 visit).
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 |
|---|---|---|
| FluzoparibAlso: SHR3162PARP | Drug | Fluzoparib+mFOLFIRINOX |
| Fluzoparib placeboPlacebo | Drug | Placebo+mFOLFIRINOX |
| mFOLFIRINOXmFOLFIRINOX | Drug | Fluzoparib+mFOLFIRINOX, Placebo+mFOLFIRINOX |
Primary outcome
Phase Ib:Number of Participants With a Dose Limited Toxicity
Time frame: Within 28 Days after The First Dose
Number of Participants With a Dose Limited Toxicity
Phase Ib:Maximum Tolerated Dose
Time frame: Up to 8 months
Maximum Tolerated Dose
Phase Ib:Recommended Phase 2 Dose
Time frame: Up to 2 years
Recommended Phase 2 Dose
Phase II:Objective Response Rate
Time frame: From Week 9 until documented disease progression or study discontinuation (approximately up to 24 months)
Objective response rate according to RECIST 1.1
8 secondary outcomes
Adverse events evaluated by NCI CTCAE v5.0
Time frame: From the first drug administration to within 30 days for the last drug dose
Disease Control Rate
Time frame: From Week 9 until documented disease progression or study discontinuation (approximately up to 24 months)
Duration of Response
Time frame: Up to 2 years
Progression-Free-Survival
Time frame: Up to 2 years
Overall-Survival
Time frame: Up to 2 years
Area under the curve (AUC)
Time frame: 1 year
Maximum concentration (Cmax)
Time frame: 1 year
Time to maximum concentration (Tmax)
Time frame: 1 year
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 16 Aug 2024.
- Derived from this study: PubMed 39232761Wei M, Liu R, Xu Y, Chen X, Liu C, Bai X, Zhang X, Gao S, Li J, Sheng Z, Lian J, Wang W, Zhang J, Shi S, Xu J, Yu X. Phase 1b study of first-line fuzuloparib combined with modified FOLFIRINOX followed by fuzuloparib maintenance monotherapy in pancreatic adenocarcinoma. BMC Med. 2024 Sep 4;22(1):365. doi: 10.1186/s12916-024-03581-y.
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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.
Xianjun Yu, M.D. principal investigator
Fudan University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Fluzoparib and mFOLFIRINOX in people with Advanced Pancreatic Cancer, run by Jiangsu HengRui Medicine Co., Ltd. at 2 sites in China.
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 16 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in China. 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 combined 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.
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?
Phase Ib:Number of Participants With a Dose Limited Toxicity (time frame: Within 28 Days after The First Dose). The study lists 4 primary outcomes in all. 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 NCT04228601, 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 16 Aug 2024.