Clinical Trial Record

Return to Clinical Trials

A Study of Narmafotinib Given in Combination With Modified FOLFIRINOX in Patients With Metastatic Pancreatic Cancer


2025-08-18


2029-07


2029-07


67

Study Overview

A Study of Narmafotinib Given in Combination With Modified FOLFIRINOX in Patients With Metastatic Pancreatic Cancer

This study is testing narmafotinib, a type of drug called a focal adhesion kinase (FAK) inhibitor, when it is given in combination with 4 chemotherapy drugs in a regimen called FOLFIRINOX, to patients who have pancreatic cancer which has metastasised (spread). The study is being run in 2 parts. Part A will test increasing dose levels of narmafotinib in at least 3 people per dose at up to 4 dose levels to assess safety. Part B will test 2 of the dose levels from Part A in 20 people per dose, to select the best dose to take forward into future studies. Participants will take narmafotinib as oral capsules every day. They will also receive mFOLFIRINOX chemotherapy on Day 1 and and Day 15 of 28-day cycles.

N/A

  • Pancreatic Cancer Metastatic
  • DRUG: narmafotinib ascending doses
  • DRUG: narmafotinib dose comparison
  • AMP945-PC-202
  • U1111-1298-5990 (OTHER Identifier) (OTHER: WHO)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2025-04-29  

N/A  

2025-08-26  

2025-06-10  

N/A  

2025-09-02  

2025-06-18  

N/A  

2025-08  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Non Randomized


Interventional Model:
Sequential


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Part A

Part A is a phase 1b dose-escalation design that will enrol at least 3 participants in each of 4 dose-level cohorts, to determine 2 doses of narmafotinib to be explored in Part B.

DRUG: narmafotinib ascending doses

  • once daily capsules
EXPERIMENTAL: Part B

Part B will determine the efficacy of 2 doses of narmafotinib selected from Part A

DRUG: narmafotinib dose comparison

  • once daily capsules
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of Participants with Treatment-Emergent Adverse Events (TEAEs) from Baseline to End of StudyTEAEs during study treatment and follow up periodsFrom first dose of study drug to end of study, an expected average of 6 months
Part B: identification of optimal dose of narmafotinibThe optimal dose will be selected based on a review of safety, pharmacokinetics (PK), pharmacodynamics (PD), efficacy, and any other available relevant dataFrom first dose of study drug to end of study, an expected average of 6 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
narmafotinib levels in plasmaMeasurement of maximum concentration (Cmax) of narmafotinibDays -7, -6, -1, 1 and 15 of Run-In/Cycle 1; and Day 1 of Cycles 2 and 4 (each cycle is 28 days)
narmafotinib levels in plasmaMeasurement of time to Cmax (tmax) of narmafotinibDays -7, -6, -1, 1 and 15 of Run-In/Cycle 1; and Day 1 of Cycles 2 and 4 (each cycle is 28 days)
narmafotinib levels in plasmaMeasurement of clearance of narmafotinibDays -7, -6, -1, 1 and 15 of Run-In/Cycle 1; and Day 1 of Cycles 2 and 4 (each cycle is 28 days)
Overall response rate (ORR)ORR based on RECIST 1.1Imaging every 56 days per participant, with an expected average duration of 6 months
Overall survival (OS)OS of participants, defined as time from first dose until death from any causeImaging every 56 days per participant, with an expected average duration of 6 months
Progression free survival (PFS)PFS of participants, defined as time from first dose to date of first observed progression, based on RECIST, or death from any cause (whichever comes first)Imaging every 56 days per participant, with an expected average duration of 6 months
Clinical benefit rate (CBR)CBR defined as the proportion of patients with complete response (CR) + partial response (PR) + stable disease (SD) with SD for at least 6 monthsImaging every 56 days per participant, with an expected average duration of 6 months
Duration of response (DOR)DOR based on RECIST defined as the time from the date of the first confirmed response to the date of progression or deathImaging every 56 days per participant, with an expected average duration of 6 months
Disease control rate (DCR)DCR based on RECIST defined as the proportion of participants who achieve complete response (CR), partial response (PR) or stable disease (SD)Imaging every 56 days per participant, with an expected average duration of 6 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Director, Clinical Operations

Phone Number: +61 3 9123 1140

Email: info@ampliatx.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Aged at least 18 years at the time of consent.
  • Confirmed diagnosis of metastatic pancreatic adenocarcinoma (PDAC) within the 6 weeks prior to study start and have not received treatment for metastatic PDAC.
  • Have measurable disease by RECIST v1.1.
  • Eligible for treatment with mFOLFIRINOX as standard of care therapy.
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1
  • Have a life expectancy of > 3 months.
  • Adequate organ function
  • Agree to use effective contraception.

  • Exclusion Criteria:

  • Pregnant or breast-feeding
  • Have received any investigational medicinal product (IMP) within 30 days or 5 half-lives (whichever is longer) prior to Day -7.
  • Neuroendocrine or acinar cell pancreas tumors.
  • Known brain metastases.
  • Conditions that could interfere with the swallowing or absorption of study medication.
  • Received previous radiotherapy, surgery, chemotherapy, or investigational therapy for the treatment of metastatic disease.
  • Received cytotoxic doses of any 5-FU based chemotherapy.
  • Any chemotherapy related toxicities greater than grade 1 from prior neoadjuvant or adjuvant therapy for PDAC.
  • Human immunodeficiency virus (HIV) infection and/or history of Hepatitis B infection or known to have active hepatitis B or C.
  • Uncontrolled angina, myocardial infarction, coronary stenting, stroke, or cerebrovascular accident within 1-year prior to the first dose of study drug.
  • History of interstitial lung disease, history of slowly progressive dyspnea and unproductive cough, sarcoidosis, silicosis, idiopathic pulmonary fibrosis, pulmonary hypersensitivity pneumonitis.
  • Clinical signs of active infection at the time of Screening or Baseline.
  • Clinically significant allergies to narmafotinib, mFOLFIRINOX components (or any of their excipients) that are not likely to be well controlled with pre-medication or other supportive measures.
  • Any of the conditions or events outlined in the Contraindications or Special Warnings and Precautions sections of the mFOLFIRINOX component package inserts.
  • Peripheral neuropathy > Grade 1.
  • Prior treatment with narmafotinib or other FAK inhibitor within the 2 years prior to screening.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available