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Metastatic Pancreatic AdenocarcinomaPhase 1SIRACUSANCT05383352

A Study to Compare Onivyde Manufactured at Two Different Production Sites in Adult Participants With Advanced Cancer in the Pancreas

A Phase 1 study testing Irinotecan liposome injection, Folinic Acid and 5-Fluorouracil in people with Metastatic Pancreatic Adenocarcinoma, run by Ipsen at 36 sites in 7 countries.

Completed

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

Official record
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Trial summary

The aim of this study is to compare Onivyde manufactured at two different production sites in adult participants with advanced cancer in the pancreas. Adult participants with metastatic pancreatic adenocarcinoma will receive Test Product (TP) and Reference Product (RP) Onivyde in line with its approved indication. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastatic Pancreatic Adenocarcinoma
What is being tested?
Irinotecan liposome injection, Folinic Acid and 5-Fluorouracil
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
177 participants
Where
36 sitesin 7 countries
Study dates
30 May 2022to 15 Apr 2025
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

  • Participant must be ≥18 years of age at the time of signing the informed consent.
  • Participants who have histological or cytologically confirmed adenocarcinoma of the pancreas.
  • Participants with an initial diagnosis of progressive metastatic disease
  • Participants with a confirmed diagnosis of metastatic adenocarcinoma of the pancreas with disease progression following gemcitabine-based therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≤1
  • Adequate haematological parameters
Show all 14Show fewer
  • Adequate hepatic function
  • Adequate renal function
  • Adequate coagulation
  • No clinically significant abnormalities in urinalysis results
  • Electrocardiogram (ECG) without any clinically significant findings
  • Participants known to be infected with controlled human immunodeficiency virus (HIV)
  • Male and female participants: Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
  • Capable of giving signed informed consent

Who cannot join

  • Have only localised advanced disease.
  • History of any second malignancy in the last 2 years.
  • Known history of central nervous system metastases
  • Clinically significant gastrointestinal disorder including hepatic disorders, bleeding, inflammation, occlusion, diarrhoea >Grade 1, malabsorption syndrome, ulcerative colitis, inflammatory bowel disease or partial bowel obstruction.
  • Concurrent illnesses that would be a relative contraindication to trial participation such as active cardiac or liver disease
  • Active infection or an unexplained fever >38.5°C on the first scheduled day of dosing
Show all 19Show fewer
  • Neuroendocrine tumour (carcinoid, islet cell) or acinar pancreatic carcinoma
  • History of interstitial lung disease, history of slowly progressive dyspnoea and unproductive cough, sarcoidosis, silicosis, idiopathic pulmonary fibrosis, pulmonary hypersensitivity pneumonitis or multiple allergies.
  • Exposure to a non-liposomal irinotecan or SN-38 based regimen within 4 weeks prior to randomisation, or exposure to Onivyde or other irinotecan based liposomal products within 6 weeks prior to randomisation
  • Major surgery, other than diagnostic surgery, within 4 weeks prior to randomisation
  • Participants who have received a live vaccine within 4 weeks prior to randomisation.
  • Use of strong CYP3A inhibitors or inducers, or strong inhibitors of UGT1A1.
  • Investigational therapy administered within 4 weeks, or within a time interval less than at least 5 half-lives of the investigational agent, whichever is longer, prior to study intervention on Cycle 1 Day 1
  • Known low or absent dihydropyrimidine dehydrogenase (DPD) activity.
  • Homozygous for the UGT1A1*28 allele.
  • Known hypersensitivity to any of the components of Onivyde injection, other liposomal products, or any components of 5-FU, or LV
  • Presence of any contraindications outlined in the Contraindications or Warnings and Precautions sections of the IB for Onivyde, or in the prescribing information for 5-FU or LV.
  • Participants who, in the opinion of the investigator, have symptoms or signs suggestive of clinically unacceptable deterioration of the primary disease at the time of screening
  • Any other medical or social condition deemed by the investigator to be likely to interfere with a participant's ability to sign informed consent, cooperate and participate in the study, or interfere with the interpretation of the results

Trial locations and contacts

36 sites in 7 countries.

36 sites in 7 countries

Spain14 sites
  • Chuac Hospital Teresa Herrera

    A Coruña

  • Hospital Universitario de Badajoz

    Badajoz

  • Hospital Universitario Vall D Hebron

    Barcelona

  • Instituto Oncologico Dr Rosell Lor

    Barcelona

  • Hospital Universitari de Lleida Arnaud de Villanova

    Lleida

  • Hospital Universitario Ramon Y Cajal

    Madrid, 28034

  • Hospital Universitario Quiron Salud

    Madrid, 28223

  • Hospital General Universitario Gregorio Marañon

    Madrid

  • Hospital Universitario 12 de Octubre

    Madrid

  • Hospital Universitario La Paz

    Madrid

  • Md Anserson Cancer Center

    Madrid

  • Clinica Universidad de Navarra

    Pamplona

  • Hospital Universitario Marques de Valdecilla

    Santander

  • Complejo Hospitalario Universitario de Santiago de Compostela -Chus

    Santiago de Compostela

Other trials in Spain

Italy6 sites
  • AOU-S.Orsola-Malpighi - Universita degli Studi di Bologna

    Bologna

  • Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS

    Meldola

  • Instituto Europeo di Oncologia

    Milan

  • Azienda Ospedaliero Universitaria Modena

    Modena

  • Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I

    Torrette

  • Ospedale Borgo Roma

    Verona

Other trials in Italy

France5 sites
  • Institut BERGONIE Centre de Lutte Contre le Cancer

    Bordeaux

  • Centre GEORGES FRANÇOIS LECLERC

    Dijon

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495

  • Chu La Miletrie

    Poitiers

  • Centre PAUL STRAUSS

    Strasbourg

Other trials in France

Germany3 sites
  • University Hospital Dresden

    Dresden

  • Asklepios Klinik Altona

    Hamburg, 22763

  • Caritasklinikum Saarbruecken St Theresia

    Saarbrücken, 66113

Other trials in Germany

Hungary3 sites
  • Mav Korhaz Es Kozponti Rendelointezet

    Budapest

  • Semmelweis Egyetem

    Budapest

  • Clinexpert Kft Fázis I. Vizsgálóhely

    Gyöngyös

Other trials in Hungary

Portugal3 sites
  • Hospital Senhora Da Oliveira - Hso-Epe

    Guimarães

  • Centro Hospitalar Lisboa Norte - Hospital de Santa Maria

    Lisbon

  • Fundacao Champalimaud

    Lisbon

Other trials in Portugal

Australia2 sites
  • Flinders Medical Centre

    Bedford Park

  • Peninsula and Southeast Oncology - Frankston Private Hospital

    Frankston

Other trials in Australia

About this study

Official title: A Phase I, Randomised, Open-Label, Single-Dose, Two-Treatment, Two-Way Crossover, Two-Stage Study to Evaluate the Bioequivalence of Onivyde (Irinotecan Liposome Injection) Manufactured at Two Different Sites Administered in Combination With Anti-Cancer Agents in Adult Participants With Metastatic Pancreatic Adenocarcinoma

The aim of this study is to compare Onivyde manufactured at two different production sites in adult participants with advanced cancer in the pancreas.

Adult participants with metastatic pancreatic adenocarcinoma will receive Test Product (TP) and Reference Product (RP) Onivyde in line with its approved indication. The order in which they receive them depends on the group to which they are randomly assigned, this will be referred to as the crossover phase.

Read more

The average study duration for each participant until end of crossover phase is estimated to be approximately 3 months. After completion of the crossover phase, participants who in the opinion of the investigator will benefit from the treatment will be offered to enter the extension phase where they will receive the commercial Onivyde (RP) until disease progression, withdrawal, unacceptable toxicity or death. Metastatic pancreatic adenocarcinoma is a cancer that has spread (metastasized) beyond the area of the pancreas to other organs of the body.

Onivyde is approved for the treatment of metastatic adenocarcinoma of the pancreas after disease progression following gemcitabine-based therapy, in combination with 5-fluorouracil (5-FU) and leucovorin (LV).

Being tested
Irinotecan liposome injection, Folinic Acid, 5-Fluorouracil

What participants receive

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

  • Irinotecan liposome injectionDrug

    Also called Onivyde® Reference product

    Onivyde 70 mg/m2 intravenously over 90 minutes on Cycle 1 Day 1 (Crossover Phase) and from cycle 2 onwards on Day 1 and Day 15 of every 28-day cycle (Extension Phase)

  • Irinotecan liposome injectionDrug

    Also called Onivyde Test product

    Onivyde 70 mg/m2 intravenously over 90 minutes on Cycle 1 Day 15 (Crossover Phase)

  • Irinotecan liposome injectionDrug

    Also called Onivyde Test product

    Onivyde 70 mg/m2 intravenously over 90 minutes on Cycle 1 Day 1 (Crossover Phase)

  • Irinotecan liposome injectionDrug

    Also called Onivyde® Reference product

    Onivyde 70 mg/m2 intravenously over 90 minutes on Cycle 1 Day 15 (Crossover Phase) and from cycle 2 onwards on Day 1 and Day 15 of every 28-day cycle (Extension Phase)

  • Folinic AcidDrug

    Also called Leucovorin (LV)

    LV 400 mg/m2 intravenously over 30 minutes, on Day 1 and Day 15 of every 28-day cycle

  • 5-FluorouracilDrug

    Also called 5-FU

    5-FU 2,400 mg/m2 intravenously over 46 hours, on Day 1 and Day 15 every 28-day cycle

Study groups in NCT05383352
Study groupRoleWhat they receive
Sequence RT: Reference Product followed by Test ProductExperimentalCycle 1 (Crossover Phase) Day 1: One dose Onivyde® Reference product + 5-FU/LV. Cycle 1 (Crossover Phase) Day 15: One dose Onivyde Test product + 5-FU/LV Cycle 2 Onwards (Extension Phase): Participants who choose to continue treatment after Cycle 1 will receive Onivyde® Reference product on Day 1 and Day 15 of every 28-day cycle in combination with 5-FU/LV
Receives: Drug: Irinotecan liposome injection; Drug: Folinic Acid; Drug: 5-Fluorouracil
Sequence TR: Test Product followed by Reference ProductExperimentalCycle 1 (Crossover Phase) Day 1: One dose Onivyde Test product + 5-FU/LV. Cycle 1 (Crossover Phase) Day 15: One dose Onivyde® Reference product + 5-FU/LV. Cycle 2 Onwards (Extension Phase): Participants who choose to continue treatment after Cycle 1 will receive Onivyde® Reference product on Day 1 and Day 15 of every 28-day cycle in combination with 5-FU/LV.
Receives: Drug: Irinotecan liposome injection; Drug: Folinic Acid; Drug: 5-Fluorouracil

What is being measured

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

  1. Maximum (peak) plasma drug concentration (Cmax) of encapsulated irinotecan for Test relative to and Reference product

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  2. Area under the plasma concentration-time curve from time 0 to time t (AUC(0-t) of encapsulated irinotecan for Test relative to Reference product

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  3. Area under the plasma concentration-time curve from time 0 to infinity (AUC(0-∞) of encapsulated irinotecan for Test relative to Reference product

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

Secondary outcomes (10)
  1. Maximum (peak) plasma drug concentration (Cmax) of total irinotecan for Test relative to Reference product

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  2. Area under the plasma concentration-time curve from time 0 to time t (AUC(0-t)) of total irinotecan for Test relative to Reference product

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  3. Area under the plasma concentration-time curve from time 0 to infinity (AUC(0-∞)) of total irinotecan for Test relative to Reference product

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  4. Time to maximum plasma concentration (Tmax) of encapsulated and total irinotecan over 15-days for each Test and Reference products

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  5. Apparent clearance of drug from plasma (CL) of encapsulated and total irinotecan for Test and Reference products

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  6. Apparent volume of distribution (VZ) of encapsulated and total irinotecan for Test and Reference products

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  7. Terminal half-life (t1/2) of encapsulated and total irinotecan for Test and Reference products

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  8. Apparent terminal elimination rate constant (λZ) of encapsulated and total irinotecan for Test and Reference products

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  9. Percentage of participants with treatment-emergent adverse events (TEAEs) treatment-related leading to discontinuations, or to death

    Including treatment-emergent serious adverse events

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

  10. Percentage of participants with clinically significant abnormal values

    It includes clinically significant abnormal laboratory results, physical examination findings, Electrocardiogram (ECG) and vital signs

    Measured: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))

Timeline

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

  1. First posted20 May 2022
  2. Study start30 May 2022
  3. Primary completion27 May 2024
  4. Study completion15 Apr 2025

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
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
177 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05383352
Sponsor's protocol ID
D-FR-60010-015
Other IDs
2021-003264-26
Acronym
SIRACUSA
Status last verified
Apr 2025
First submitted
3 May 2022
Last updated
30 Apr 2025
Results posted
No
Data monitoring committee
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 Irinotecan liposome injection, Folinic Acid and 5-Fluorouracil in people with Metastatic Pancreatic Adenocarcinoma, run by Ipsen at 36 sites in 7 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 14 inclusion and 19 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 30 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in Spain, Italy, France, Germany, Hungary and 2 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 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 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?

Maximum (peak) plasma drug concentration (Cmax) of encapsulated irinotecan for Test relative to and Reference product (time frame: Crossover Phase (From Cycle 1 Day 1 to Day 28 and Cycle 1 Day 29 (pre-dose))). The study lists 3 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 30 Apr 2025.

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