The purpose of this study is to see the effect of PEP02 in the treatment of metastatic pancreatic cancer.
Gemcitabine monotherapy or a gemcitabine-based combination regimen is the standard first line therapy for advanced pancreatic cancer. After disease progression, there is no standard treatment available. In animal studies and a previous phase I trial, PEP02 has shown anti-tumor activity and preliminary efficacy in pancreatic cancer. In addition, a phase II study of free-form irinotecan single agent has already shown encouraging activity as second-line treatment for patients with advanced pancreatic cancer refractory to gemcitabine. The liposome formulation of PEP02 theoretically has therapeutic advantages over free-form irinotecan, such as site-specific delivery and extended release of drug. Hence PEP02 may be able to provide better efficacy than free-form irinotecan. The primary purpose of this phase II study is to evaluate the activity of PEP02 as a second-line therapy in patients with metastatic pancreatic cancer failed to gemcitabine treatment. The primary goal is to measure the 3-month survival rate. An optimal Simon's 2-stage design will be used for this exploratory phase II study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
41
120 mg/m2, IV infusion for 90 minutes on day 1 of each 21 days as a treatment cycle. Number of Cycles: until progression or unacceptable toxicity develops.
Comprehensive Cancer Center, UCSF
San Francisco, California, United States
National Health Research Institutes/National Chen-Kung Uiversity Hospital
Tainan, Taiwan
National Taiwan University Hospital
Taipei, Taiwan
Survival Rate
Survival rate at 3 months
Time frame: 3-month
other efficacy endpoints
objective tumor response, PFS, duration of response, overall survival, tumor marker response of CA19-9, clinical benefit response
Time frame: 6-8 weeks
toxicities
All adverse events
Time frame: 36 months
pharmacogenetics
UGT1A1 polymorphism
Time frame: 24 months
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