The purpose of this study is to evaluate the pharmacodynamics, safety and efficacy of PEGPH20 in combination with Avelumab in adult patients with chemotherapy resistant advanced or locally advanced pancreatic ductal adenocarcinoma (PDAC). This is a multi-center, open-label, non-randomized trial.
The reported response rate with check-point inhibitors in PDAC is 0 %. This study tests the hypothesis that elimination of HA in pancreas tumor microenvironment mediated by PEG PH20 will result in increased tumor vascularization and vessel patency as well as stromal remodeling with increase immune infiltrate. These effects may facilitate the activity of check-point inhibitors like avelumab by at least two mechanisms including increase in drug delivery and increasing immune infiltrate. The purpose of this study is to evaluate the pharmacodynamics, safety and efficacy of PEGPH20 in combination with Avelumab in adult patients with chemotherapy resistant advanced or locally advanced pancreatic ductal adenocarcinoma (PDAC). This is a multi-center, open-label, non-randomized trial.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
7
PEGPH20 will be administered at a dose of 3.0 micrograms per kilogram (μg/kg) as an intravenous (IV) infusion.
Avelumab will be administered as at a dose of 10 milligrams per kilogram (mg/kg) as an intravenous (IV) infusion once every 2 weeks.
Hospital Universitario Fuenlabrada
Fuenlabrada, Madrid, Spain
Hospital Universitario La Paz
Madrid, Spain
Hospital Ramon y Cajal
Madrid, Spain
Determine ORR as per RECIST v1.1 criteria
Determine ORR as per RECIST v1.1 criteria
Time frame: 6 months from trial treatment initiation cycle 1/day 1. Each treatment cycle is 14 days
To assess the safety of this combination in patients with PDAC.
graded by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03
Time frame: Initiation of trial treatment cycle 1/day 1 through 30 days after last dose of trial treatment
Determine OS (OVERALL SURVIVAL)
The length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that patients diagnosed with the disease are still alive
Time frame: From date of treatment initiation cycle 1/day 1 until death from any cause, assessed up to 36 months
Determine PFS (PROGRESSION FREE SURVIVAL)
The length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse.
Time frame: From date of treatment initiation cycle 1/day 1 until progression, assessed up to 24 months
Changes in CA 19,9 leves
Measured in UI/ML
Time frame: Up to 4 weeks
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