MRI Effects of Pegvorhyaluronidase Alfa (PEGPH20) in Pancreatic Ductal Adenocarcinoma

NCT04134468 — Phase 2, Withdrawn, Abramson Cancer Center at Penn Medicine

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

UPCC 10219: Phase II Study Of Stromal Changes Detected By DCE- and DW-MRI In Response To PEGPH20 Combined With Chemotherapy In Subjects With Locally-Advanced Pancreatic Cancer

RegistryNCT04134468
StatusWithdrawn - Halozyme halted development of PEGPH20 following Phase 3 failure.
PhasePhase 2
Study typeInterventional; na, single group, masking: none, treatment
SponsorAbramson Cancer Center at Penn Medicine (Other); collaborators: Halozyme Therapeutics
ConditionsPancreatic Ductal Adenocarcinoma
InterventionsPegvorhyaluronidase alfa, Abraxane, Gemcitabine (Drug)
Datesstart 2020-01-01 (estimated), primary completion 2021-02-11 (estimated), completion 2022-11-11 (estimated), first posted 2019-10-22, last updated 2020-01-31
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Pancreatic Ductal Adenocarcinoma All trials of Pegvorhyaluronidase alfa All trials of Abraxane

-Summary

This research study is being conducted to determine the effects of PEGPH20 plus chemotherapy treatment on the MRI characteristics of locally advanced pancreatic cancer patient tumors. Subjects will received Gemcitabine, Abraxane and PEGPH20.

Expand all sections  ·  Collapse all

+Arms and interventions

ArmTypeInterventionsDescription
Pegvorhyaluronidase alfa plus Abraxane and GemcitabineExperimentalDrug: Pegvorhyaluronidase alfa; Drug: Abraxane; Drug: GemcitabinePegvorhyaluronidase alfa 3ug/kg IV twice weekly during Cycle 1 and then weekly on days of chemotherapy during Cycles 2-4. Abraxane 125mg/m2 IV and Gemcitabine 1000mg/m2 IV on Day 1, 8, 15 of Cycles 1-4. All cycles will be 28 days.
  • Pegvorhyaluronidase alfa (Drug), also known as PEGPH20: IV infusion
  • Abraxane (Drug): IV infusion
  • Gemcitabine (Drug): IV infusion

+Outcome measures

Primary outcomes

  • Change in lesion size [baseline and 4 months]: Change in lesion size

Secondary outcomes

  • Proportion of patients achieving a complete R0 surgical resection [at time of surgery]: Proportion of patients achieving a complete R0 surgical resection

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

1. Signed Informed Consent Form
2. Capable of giving informed consent.
3. Ability and willingness to comply with the protocol including all scheduled MRI studies and paired tumor biopsies
4. Aged ≥ 18 years.
5. borderline or unresectable pancreatic adenocarcinoma without distant metastatic disease.
6. ECOG PS of 0 or 1
7. Must have adequate organ and hematopoietic function
8. Female and Males must use an approved contraceptive method

Exclusion Criteria:

1. Received prior therapy for pancreatic adenocarcinoma
2. History of deep vein thrombosis (DVT) or pulmonary embolism (PE)
3. Contraindication to therapeutic anticoagulation or heparin
4. Intolerance to dexamethasone
5. Contraindication to MRI or unwillingness to undergo all scheduled MRI exams
6. Known or suspected brain metastasis
7. Significant cardiovascular disease such as current New York Heart Associate Class III/IV heart failure, myocardial infarction or stroke within 6 months prior to enrollment
8. A second primary malignancy that, in the judgment of the investigator, may affect the interpretation of results
9. Any illness or condition that in the opinion of the investigator may affect the safety of the subject or the evaluation of any study endpoint
10. Active bacterial or fungal infection requiring IV therapy at the start of protocol treatment
11. Subjects may not receive concomitant anticancer agents or radiation.
12. Female subjects who are pregnant or nursing
13. Pre-existing peripheral neuropathy > CTCAE Grade 2.
14. Known allergy to hyaluronidase
15. Current use of megestrol acetate (use within 10 days of Day 1)
16. Inability to comply with study and follow-up procedures as judged by the Investigator

+Locations (1)

FacilityCityCountryStatus
Abramson Cancer Center at University of PennsylvaniaPhiladelphia, PennsylvaniaUnited States

+Investigators