The purpose of this research is to determine the benefit of two oral chemotherapy drugs, Vemurafenib and Sorafenib, in individuals with KRAS mutated pancreatic cancer who have progressed on standard chemotherapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Vemurafenib 480 mg PO BID daily given with Sorafenib 200 mg PO BID
Sorafenib 200 mg PO BID and Vemurafenib 480 mg PO BID daily
HonorHealth Research Institute
Scottsdale, Arizona, United States
Disease Control Rate (DCR)
Disease control rate (DCR) is defined as the combination of patients with complete response + partial response + stable disease at 16 weeks, divided by the total number of patients. Response is defined using RECIST v1.1 imaging criteria.
Time frame: Initiation of study treatment until 16 weeks.
Adverse Events Possibly or Definitely Related to Vemurafenib in Combination Wit Sorafenib
The number of patients who experienced an adverse event (AE) determined to be possibly or definitely related to the study treatment of vemurafenib + sorafenib. Adverse events occurring were graded according to the NCI Common Terminology Criteria for Adverse Events v5.0 (CTCAE). Grade refers to the severity of the AE and are given on a 1-5 scale, with each scale having unique clinical descriptions of severity for each AE based on this general guideline: * Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. * Grade 2: Moderate; minimal, local or noninvasive intervention indicated * Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling * Grade 4: Life-threatening consequences; urgent intervention indicated. * Grade 5: Death related to AE. Note: All AEs were grade 3 or lower in this study.
Time frame: Initiation of study treatment up to 30 days post treatment, an average of 90 days
Progression-free Survival (PFS)
Progression-free survival (PFS) is defined as first dose treated until the date of disease progression as measured by imaging using RECIST v1.1 criteria.
Time frame: Initiation of study treatment up to study completion, up to 2 years.
Overall Survival (OS)
Survival was defined as the time from initiation of study treatment (C1/D1) to date of death. In the absence of confirmation of death, survival time was censored at the last date the patient was known to be alive.
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Time frame: Initiation of study treatment up to study completion, up to 2 years.
Percent Change in Plasma Levels of Phospho-ERK From Baseline
Phospho-ERK is a key downstream effector of the RAS/RAF/MEK signaling pathway that is proposed to be targeted by vemurafenib and sorafenib treatment. Plasma levels of phospho-ERK were measured over multiple treatment timepoints to gain molecular insight into targeted pathway suppression of the study regimen. Six patients who had blood samples available for the baseline (screen) and at least one on- or post-treatment time point were included in this analysis. Timepoints include Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), and End of Treatment (EOT).
Time frame: Initiation of study treatment to end of study treatment, up to 90 days.
Percent Change in Plasma Levels of Phospho-AKT From Baseline
Phospho-AKT is a key downstream effector of the RAS/RAF/MEK signaling pathway that is proposed to be targeted by vemurafenib and sorafenib treatment. Plasma levels of phospho-AKT were measured over multiple treatment timepoints to gain molecular insight into targeted pathway suppression of the study regimen. Six patients who had blood samples available for the baseline (screen) and at least one on- or post-treatment time point were included in this analysis. Timepoints include Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), and End of Treatment (EOT).
Time frame: Initiation of study treatment to end of study treatment, up to 90 days.