A Phase I open label followed by a Phase II randomized, controlled study to assess the efficacy and safety of ABTL0812 in combination with FOLFIRINOX for first-line treatment of metastatic pancreatic. Funded by: FDA OOPD (Grant #FD-R-006817-01), H2020 EIC Accelerator (Grant #954825) and Ability Pharmaceuticals SL.
Phase I: This is an open label Phase I to determine the RP2D of ABTL0812 in combination with FOLFIRINOX. All patients will receive ABTL0812 in combination with FOLFIRINOX. A dose de-escalation phase will be performed in which up to 3 different ABTL0812 dose levels will be tested in combination with FOLFIRINOX. ABTL0812 doses are: 1300 mg tid (starting dose), followed (if necessary) by 975 mg tid and 650 mg tid. Patient intra-escalation is not allowed. Phase II: This is a double blind, randomized, placebo-controlled Phase II multicenter study to evaluate ABTL0812 in combination with FOLFIRINOX for first-line treatment of metastatic pancreatic cancer. Patients will be randomized to one of two groups: arm A) receiving ABTL0812 in addition to FOLFIRINOX and arm B) receiving FOLFIRINOX plus placebo. Arm A) ABTL0812 + FOLFIRINOX Arm B) PLACEBO + FOLFIRINOX
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
150
ABTL0812 will be administered daily at its RP2D. ABTL0812 will be administered as single agent during a run-in period of one week before starting the first cycle of FOLFIRINOX, then daily during chemotherapy cycles. Also, ABTL0812 will be maintained once chemotherapy is discontinued, if ABTL0812 is tolerated and if the patient is in response or stable disease.
FOLFIRINOX will be dosed according to the standard following regimen: * oxaliplatin 85 mg/m2, administered as 2-hour iv infusion * leucovorin 400 mg/m2, administered as 2-hour iv infusion * irinotecan 180 mg/m2, administered as 1.5-hour iv infusion * fluorouracil 2400 mg/m2, administered as 46-hour iv infusionevery 2 weeks (=1 cycle) until disease progression or unacceptable toxicities.
Cedars Sinai
Los Angeles, California, United States
Phase I - RP2D
Recommended Phase II Dose (RP2D) of ABTL0812 in combination with FOLFIRINOX
Time frame: 5 weeks
Phase II - PFS
PFS using RECIST v1.1 by central review
Time frame: 1 year
PFS
PFS using RECIST v1.1 by investigator analysis
Time frame: 1 year
ORR
Objective response rate
Time frame: 1 year
PFS 6 m
PFS
Time frame: 6 months
TTR
Time to response
Time frame: 1 year
DOR
Duration of response
Time frame: 1 year
OS
Overall survival
Time frame: 5 years
OS 1y
Overall survival
Time frame: 1 year
Adverse events
Number of participants with Adverse Events (AE). AEs classified according to CTCAE v5.0
Time frame: 1 year
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Placebo will be administered daily at the same regim as ABTL0812. Placebo will be administered as single agent during a run-in period of one week before starting the first cycle of FOLFIRINOX, then daily during chemotherapy cycles. Also, placebo will be maintained once chemotherapy is discontinued, if the patient is in response or stable disease.
University of Kansas Cancer Center
Westwood, Kansas, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
University of Cincinnati
Cincinnati, Ohio, United States
CGFL Dijon
Dijon, France
Institute Paoli-Calmettes
Marseille, France
Institut Gustave Roussy
Villejuif, France
Rabam MC
Haifa, Israel
Shaare Zedek MC
Jerusalem, Israel
Sheba MC
Ramat Gan, Israel
...and 14 more locations