A Phase 1/2 Study of M3814 (Peposertib) in Combination With Hypofractionated Radiotherapy for the Treatment of Locally Advanced Pancreatic Adenocarcinoma

Who is this study for? Adult patients with advanced pancreatic cancer
What treatments are being studied? Peposertib
Status: Recruiting
Location: See all (42) locations...
Intervention Type: Drug, Procedure, Other, Radiation
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This phase I/II trial studies the safety, side effects and best dose of M3814 and to see how well it works when given together with radiation therapy in treating patients with pancreatic cancer that has spread to nearby tissue or lymph nodes (locally advanced). M3814 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Hypofractionated radiation therapy delivers higher doses of radiation therapy over a shorter period of time and may kill more tumor cells and have fewer side effects. Giving M3814 and hypofractionated radiation therapy together may be safe, tolerable and/or more effective than radiation therapy alone in treating patients with locally advanced pancreatic cancer.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patients must have pathologically confirmed pancreatic adenocarcinoma. Patients with alternative or mixed histologies (i.e., squamous, neuroendocrine, acinar, colloid) are not eligible

• Received 4-6 months of induction chemotherapy with fluorouracil, irinotecan, leucovorin and oxaliplatin (FOLFIRINOX), fluorouracil, liposomal irinotecan, luecovorin, oxaliplatin (NALIRIFOX), or gemcitabine/Abraxane, as per standard of care

• Patients must have locally advanced pancreatic cancer according to National Comprehensive Cancer Network (NCCN) Guidelines (version 1.2020) on pancreas protocol CT scan performed within 21 days of registration. Locally advanced disease is defined as any of the following:

‣ For head or uncinate process tumors:

• Solid tumor contact with superior mesenteric artery \> 180 degrees

∙ Solid tumor contact with the celiac axis \> 180 degrees

∙ Solid tumor contact with the common or proper hepatic arteries \> 180 degrees or

⁃ For pancreatic body or tail tumors:

• Solid tumor contact of \> 180 degrees with the superior mesenteric artery or celiac axis

∙ Solid tumor contact with the celiac axis and aortic involvement or

⁃ Unreconstructible superior mesenteric vein or portal vein due to tumor involvement or occlusion (can be due to tumor or bland thrombus)

• The determination of locally advanced pancreatic cancer and plan for non-operative treatment on this clinical trial must be confirmed through local multi-disciplinary review

• Measurable disease per response evaluation criteria in solid tumors (RECIST) version (v)1.1

• Age \>= 18 years. Because no dosing or adverse event data are currently available on the use of M3814 (peposertib) in combination with hypofractionated radiation in patients \< 18 years of age, children are excluded from this study, but will be eligible for future pediatric trials

• Eastern Cooperative Oncology Group (ECOG) performance status =\< 2 (Karnofsky \>= 60%)

• Leukocytes \>= 4,000/mcL

• Absolute neutrophil count \>= 1.5 x 10\^9/L.

• Hemoglobin \>= 9 g/dL

• Platelets \>= 100 x 10\^9/L

• Total bilirubin =\< 2.0 x institutional upper limit of normal (ULN)

• Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase \[SGOT\])/alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase \[SGPT\]) =\< 3 x institutional ULN

• Creatinine =\< 1.5 x institutional ULN

• Glomerular filtration rate (GFR) \>= 51 mL/min/1.73 m\^2

• Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial

• For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated

• Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load

• Female patients of childbearing potential must have a negative urine or serum pregnancy test within 72 hours prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required. Female patients of childbearing potential and male patients must be willing to use an adequate method of contraception for the course of the study through 12 weeks after the last dose of study medication.

‣ Note: Abstinence is acceptable if this is the usual lifestyle and preferred contraception for the patient.

• Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function. To be eligible for this trial, patients should be American Heart Association Stage B (people without current or previous symptoms of heart failure but with either structural heart disease, increased filling pressures in the heart or other risk factors) or better and New York Heart Association Functional Classification II (slight limitation of physical activity, comfortable at rest, ordinary physical activity results in fatigue, palpitation, shortness of breath or chest pain), or better

• Ability to understand and the willingness to sign a written informed consent document. Participants with impaired decision-making capacity (IDMC) who have a legally authorized representative (LAR) and/or family member available will also be eligible

Locations
United States
California
City of Hope Comprehensive Cancer Center
RECRUITING
Duarte
City of Hope at Irvine Lennar
RECRUITING
Irvine
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
RECRUITING
Irvine
UC Irvine Health/Chao Family Comprehensive Cancer Center
RECRUITING
Orange
University of California Davis Comprehensive Cancer Center
RECRUITING
Sacramento
Colorado
UCHealth University of Colorado Hospital
RECRUITING
Aurora
Washington, D.c.
Sibley Memorial Hospital
RECRUITING
Washington D.c.
Illinois
Northwestern University
ACTIVE_NOT_RECRUITING
Chicago
Kansas
University of Kansas Clinical Research Center
RECRUITING
Fairway
HaysMed
RECRUITING
Hays
University of Kansas Cancer Center
RECRUITING
Kansas City
Lawrence Memorial Hospital
RECRUITING
Lawrence
The University of Kansas Cancer Center - Olathe
RECRUITING
Olathe
University of Kansas Cancer Center-Overland Park
RECRUITING
Overland Park
Mercy Hospital Pittsburg
SUSPENDED
Pittsburg
Salina Regional Health Center
RECRUITING
Salina
University of Kansas Health System Saint Francis Campus
RECRUITING
Topeka
University of Kansas Hospital-Westwood Cancer Center
RECRUITING
Westwood
Kentucky
University of Kentucky/Markey Cancer Center
WITHDRAWN
Lexington
Michigan
Wayne State University/Karmanos Cancer Institute
SUSPENDED
Detroit
Weisberg Cancer Treatment Center
SUSPENDED
Farmington Hills
Missouri
University Health Truman Medical Center
RECRUITING
Kansas City
University of Kansas Cancer Center - North
RECRUITING
Kansas City
University of Kansas Cancer Center - Lee's Summit
RECRUITING
Lee's Summit
University of Kansas Cancer Center at North Kansas City Hospital
SUSPENDED
North Kansas City
North Carolina
Wake Forest University at Clemmons
ACTIVE_NOT_RECRUITING
Clemmons
Wake Forest Baptist Health - Wilkes Medical Center
ACTIVE_NOT_RECRUITING
Wilkesboro
Wake Forest University Health Sciences
ACTIVE_NOT_RECRUITING
Winston-salem
New Hampshire
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
ACTIVE_NOT_RECRUITING
Lebanon
New Jersey
Saint Barnabas Medical Center
RECRUITING
Livingston
Monmouth Medical Center
RECRUITING
Long Branch
Rutgers Cancer Institute of New Jersey
RECRUITING
New Brunswick
New York
Roswell Park Cancer Institute
ACTIVE_NOT_RECRUITING
Buffalo
Laura and Isaac Perlmutter Cancer Center at NYU Langone
RECRUITING
New York
Mount Sinai Hospital
RECRUITING
New York
NYP/Weill Cornell Medical Center
RECRUITING
New York
Montefiore Medical Center - Moses Campus
RECRUITING
The Bronx
Montefiore Medical Center-Einstein Campus
RECRUITING
The Bronx
Pennsylvania
University of Pittsburgh Cancer Institute (UPCI)
RECRUITING
Pittsburgh
Tennessee
Vanderbilt University/Ingram Cancer Center
RECRUITING
Nashville
Utah
Huntsman Cancer Institute/University of Utah
RECRUITING
Salt Lake City
Virginia
VCU Massey Comprehensive Cancer Center
RECRUITING
Richmond
Time Frame
Start Date: 2021-01-11
Estimated Completion Date: 2026-08-01
Participants
Target number of participants: 92
Treatments
Experimental: Phase I (hypofractionated radiation therapy, M3814)
Patients in Phase I undergo hypofractionated radiation therapy for 5 fractions QOD over 2 weeks and receive M3814 PO QD for 14 days in the absence of disease progression or unacceptable toxicity.Patients undergo blood sample collection and tissue biopsy on study. Patients also undergo CT and MRI during screening and on study.
Experimental: Phase II Group I (hypofractionated radiation therapy M3814)
Patients in Phase II undergo hypofractionated radiation therapy for 5 fractions QOD over 2 weeks and receive M3814 PO QD for 14 days in the absence of disease progression or unacceptable toxicity.Patients undergo blood sample collection and tissue biopsy on study. Patients also undergo CT and MRI during screening and on study.
Placebo_comparator: Phase II Group II(hypofractionated radiation therapy, placebo)
Patients in Phase II undergo hypofractionated radiation therapy for 5 fractions QOD over 2 weeks and receive placebo PO QD for 14 days in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection and tissue biopsy on study. Patients also undergo CT and MRI during screening and on study.
Related Therapeutic Areas
Sponsors
Leads: National Cancer Institute (NCI)

This content was sourced from clinicaltrials.gov