This is a Phase Ib/II, open-label, multi-center, competitive enrollment and dose escalation study of ALT-803 in combination with gemcitabine and nab-paclitaxel in patients with advanced pancreatic cancer in conjunction with gemcitabine and nab-paclitaxel.
The purpose of this study is to evaluate the safety and tolerability of escalating doses, to identify the Maximum Tolerated Dose (MTD) and designate a dose level for Phase II study (RP2D) of ALT-803 administered in combination with gemcitabine and nab-paclitaxel in patients with advanced pancreatic cancer. To access the anti-tumor activity of ALT-803 administered in combination with gemcitabine and nab-paclitaxel as measured by objective response rate, overall survival, progression-free survival, time to progression, and duration of response in patients with advanced pancreatic cancer. To Characterize the pharmacokinetic, immunogenicity, and serum cytokine profile of ALT-803 in combination with gemcitabine and nab-paclitaxel in treated patients. To correlate circulating cell free DNA and circulating tumor DNA with clinical outcomes of the study in treated patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Intravenous Infusion; Patients will receive two 4-week treatment cycles consisting of gemcitabine given on Day 1, 8, 15, 29, 36, and 43. Eligible patients may receive up to 10 additional treatment cycles.
Intravenous Infusion; Patients will receive two 4-week treatment cycles consisting of nab-paclitaxel given on Day 1, 8, 15, 29, 36, and 43. Eligible patients may receive up to 10 additional treatment cycles.
Subcutaneous Injection; Patients will receive two 4-week cycles consisting of ALT-803 given on Day 2, 9, 16, 30, 37, and 44. Eligible patients may receive up to 10 additional treatment cycles.
University of Hawaii Cancer Center
Honolulu, Hawaii, United States
Determination of MTD; Phase Ib
Determine the maximum tolerated dose (MTD) level and designate the recommended dose level for phase II.
Time frame: 9 Months
Safety Profile (Number and severity of treatment related AEs); Phase Ib and II
Number and severity of treatment related adverse events (AEs) that occur or worsen after the first dose of study treatment
Time frame: 48 Months
Overall Survival; Phase II
Determine the 8.5 month overall survival of treated patients
Time frame: 8.5 Months
Objective response rate
Evaluate objective response rate in treated patients.
Time frame: 72 Months
Duration of response
Evaluate duration of response in treated patients.
Time frame: 72 Months
Time to progression
Evaluate time to progression in treated patients.
Time frame: 72 Months
Progression-free survival
Evaluate progression-free survival in treated patients.
Time frame: 72 Months
Biomarkers; Phase Ib
Measure the serum levels of the following including but not limited to Interleukin-2 (IL-2), Interleukin-4 (IL-4), Interleukin-6 (IL-6), Interleukin-10 (IL-10), Interferon-gamma (IFN-ɣ), Tumor necrosis factor-alpha (TNF-α) and Monocyte chemoattractant protein-1 (MCP-1)
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Time frame: 36 Months
Determine the level of anti-ALT-803 antibodies in patient serum
Determine the level of anti-ALT-803 antibodies in patient serum
Time frame: 36 Months
Area under the plasma concentration-time curve from time zero to infinity (AUC); Phase Ib
Area under the plasma concentration-time curve from time zero to infinity (AUC)
Time frame: 36 Months
Correlation between the level of circulating cell free DNA in patient plasma and response to study treatment
Correlation between the level of circulating cell free DNA in patient plasma and response to study treatment
Time frame: 36 Months
Correlation between the level of tumor DNA in patient plasma and response to study treatment
Correlation between the level of tumor DNA in patient plasma and response to study treatment
Time frame: 36 Months