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TAS-102 in Patients With Advanced, Refractory Pancreatic Adenocarcinoma


2021-03-01


2024-03-25


2024-12-31


28

Study Overview

TAS-102 in Patients With Advanced, Refractory Pancreatic Adenocarcinoma

This study is a prospective phase II, single arm mono-institutional study conducted in Queen Mary Hospital (Hong Kong) assessing the efficacy and safety of TAS 102 in advanced or metastatic pancreatic cancer patients.

All the patients must be registered with the Investigator(s) prior to initiation of treatment. The registration desk will confirm all eligibility criteria and obtain essential information (including patient number).

  • Pancreas Cancer
  • DRUG: TAS 102
  • UW 20-711

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

2021-06-06  

N/A  

2024-07-14  

2021-06-06  

N/A  

2024-07-16  

2021-06-11  

N/A  

2024-07  

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:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: TAS-102

Single group assignment of TAS-102 in Patients with Advanced, Refractory Pancreatic Adenocarcinoma

DRUG: TAS 102

  • Days 1 through 5: TAS-102 (35 mg/m2/dose) orally 2 times daily with the first dose administered in the morning of Day 1 of each cycle and the last dose administered in the evening of Day 5. Days 6 through 7: Recovery Days 8 through 12: TAS-102 (35 mg/m2
Primary Outcome MeasuresMeasure DescriptionTime Frame
16-week progression-free survival (PFS) rateThe percentage of study population alive and without progression (according to RECIST 1.1) at 16 weeks from the date of informed consentFrom the date of informed consent to radiographically documented progression according to RECIST 1.1, assessed up to 16 weeks
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Progression-free Survival (PFS)PFS is measured from the date of informed consent to radiographically documented progression according to RECIST 1.1 or death from any cause (whichever occurs first). Participants alive and without disease progression or lost to follow up will be censored at the date of their last radiographic assessment.from the date of informed consent to radiographically documented progression according to RECIST 1.1 or death from any cause, whichever occurs first, assessed up to 3 years
Time to progression (TTP)TTP is measured from the date of informed consent to radiographically documented progression according to RECIST 1.1. Participants death and without disease progression, alive without disease progression, or lost to follow-up will be censored at the date of their last radiographic assessmentfrom the date of informed consent to radiographically documented progression according to RECIST 1.1, assessed up to 3 years
Overall survival (OS)OS is measured from date of informed consent to the date of death from any cause. Participants alive or lost to follow-up will be censored at the date of their last radiographic assessmentfrom the date of informed consent to the date of death from any cause, assessed up to 5 years
Objective response rate (ORR)The percentage of patients with radiologically complete or partial response as determined by the Investigator according to RECIST version 1.1.From the date of first study treatment to radiographically documented complete response or partial response according to RECIST 1.1, assessed up to 3 years
Disease control rate (DCR)The percentage of patients with radiologically complete response, partial response, or stable disease as determined by the Investigators according to RECIST version 1.1from the date of first study treatment to radiographically documented complete response, partial response, or stable disease according to RECIST 1.1, assessed up to 3 years
Duration of response (DoR)DoR is the time from documentation of tumor response to radiographically documented disease progressionfrom the date of documentation of tumor response to radiographically documented progression according to RECIST 1.1, assessed up to 3 years
Time to deterioration of ECOG performance statusTime from date of informed consent until the first date on which ECOG performance status score of 2 or higher was recordedfrom the date of informed consent to the first date on which ECOG performance status scores 2 or higher, assessed up to 3 years
Time to deterioration of quality of lifeDecrease from baseline of 10 points or more on the EORTC QLQ-C30 maintained for two consecutive assessments or a decrease of 10 points or more in one assessment followed by death from any cause within 3 weeksfrom the date of informed consent to recorded decrease of 10 points or more in EORTC QLQ-C30 assessment, assessed up to 3 years
Incidence of Study-Related Adverse Events [Safety and Tolerability]Incidence, nature, and severity of adverse events graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE 5)from the date of first study treatment to occurrence of study-related adverse events based on NCI-CTCAE 5, assessed up to 3 years

Contacts and Locations

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

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:
    1. Histological or cytological confirmed advanced or metastatic pancreatic cancer 2. Measurable disease according to the RECIST criteria (version 1.1) for the evaluation of measurable disease 3. Documented progression after one or more lines of systemic chemotherapy
    1. For the treatment of advanced or metastatic disease 2. Within 6 months after completion of neo-adjuvant therapy or adjuvant therapy 4. Age ≥ 18 years 5. Eastern Cooperative Oncology Group (ECOG) performance 0-1 6. Written informed consent obtained for clinical trial participation and providing archival tumor tissue, if available 7. Females of childbearing potential or non-sterilized male who are sexually active must use a highly effective method of contraception 8. Females of childbearing potential must have negative serum or urine pregnancy test 9. Have life expectancy ≥ 3 months 10. Adequate organ function as defined as:
    1. Hemoglobin value of ≥9.0 g/dL. 2. Absolute neutrophil count of ≥1,500/mm3 (IU: ≥1.5 × 10^9/L). 3. Platelet count ≥100,000/mm3 (IU: ≥100 × 10^9/L). 4. Total serum bilirubin of ≤1.5 mg/dL (except for Grade 1 hyperbilirubinemia due solely to a medical diagnosis of Gilbert's syndrome). 5. Aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤3.0 × upper limit of normal (ULN); if liver function abnormalities are due to underlying liver metastasis, AST and ALT ≤5 × ULN. 6. Serum creatinine of ≤1.5 mg/dL
    Exclusion Criteria:
    1. Has disease that is suitable for local therapy administrated with curative intent 2. Has a serious illness or medical condition(s) including, but not limited to the following:
    1. Other concurrently active malignancies excluding malignancies that are disease free for more than 5 years or carcinoma-in-situ deemed cured by adequate treatment. 2. Known brain metastasis or leptomeningeal metastasis. 3. Active infection (i.e. body temperature ≥38°C due to infection). 4. Ascites, pleural effusion or pericardial fluid requiring drainage in last 4 weeks. 5. Intestinal obstruction, pulmonary fibrosis, renal failure, liver failure, or cerebrovascular disorder. 6. Uncontrolled diabetes. 7. Myocardial infarction within the last 12 months, severe/unstable angina, symptomatic congestive heart failure New York Heart Association (NYHA) class III or IV 8. Gastrointestinal hemorrhage. 9. Known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness, or hepatitis B or C. 10. Patients with autoimmune disorders or history of organ transplantation who require immunosuppressive therapy. 11. Psychiatric disease that may increase the risk associated with study participation or study drug administration, or may interfere with the interpretation of study results. 3. Has had treatment with any of the following within the specified time frame prior to study drug administration:
    1. Major surgery within prior 4 weeks. 2. Any systemic therapy within prior 2 weeks. 3. Any radiation within prior 2 weeks. 4. Any investigational agent received within prior 4 weeks. 4. Untreated active hepatitis B or hepatitis C infections. 5. Has received TAS-102. 6. Has unresolved toxicity of greater than or equal to CTCAE Grade 2 attributed to any prior therapies (excluding anemia, alopecia, skin pigmentation and platinum-induced neurotoxicity). 7. Is a pregnant or lactating female. 8. Is inappropriate for entry into this study in the judgment of the Investigator.

Collaborators and Investigators

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

  • Taiho Pharmaceutical Co., Ltd.

  • PRINCIPAL_INVESTIGATOR: Chi Leung Chiang, FRCR, The University of Hong Kong

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

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