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New treatment option for Pancreatic Ductal Adenocarcinoma
Official title A Study of OT-101 With mFOLFIRINOX in Patients With Advanced and Unresectable or Metastatic Pancreatic Cancer
ClinicalTrials.gov ID: NCT06079346
What this study is testing
What is OT-101?
OT-101 is an investigational medicine, being studied as a potential treatment for pancreatic ductal adenocarcinoma.
Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- The goal of this clinical study is to compare the efficacy and safety of OT-101 in combination with mFOLFIRINOX (folinic acid, 5-FU, irinotecan, oxaliplatin) to mFOLFIRINOX alone in patients with advanced and unresectable or metastatic pancreatic cancer.
- Phase 3: a large, late-stage study
- Which group you join is decided by chance.
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 and older
You may be able to join if
- A diagnosis of advanced and unresectable or metastatic pancreatic adenocarcinoma confirmed by:
- Histopathology from primary tumor in pancreas, OR
- Histopathology from a non-pancreatic lesion in the presence of a mass in the pancreas consistent with pancreatic adenocarcinoma or a medically...
- Measurable disease per RECIST v.1.1
- Male or non-pregnant, non-lactating female, ≥18 years or age
You likely can't join if
- Diagnosis of pancreatic islet neoplasm, acinar cell carcinoma, non-adenocarcinoma (ie,lymphoma, sarcoma), adenocarcinoma originating from the biliary...
- Patient has experienced a decrease in ECOG PS between Screening visit and within 72 hours prior to Randomization
- Patient on Coumadin and not willing to change to LMWH or oral Factor II or Xa inhibitor with t½ of less than 24 hours
- History of prior malignancy, except for adequately treated in situ cancer, basal cell, squamous cell skin cancer, or other cancers (eg, breast and...
- Any serious medical condition, laboratory abnormality, psychiatric illness, or comorbidity that, in the judgment of the Investigator, would make the...
- Patients with abnormal electrocardiogram (ECG) at baseline (QT or QTc interval \>470 ms) will be excluded from this study. The eligibility of...
See the full eligibility criteria
Who can join
- A diagnosis of advanced and unresectable or metastatic pancreatic adenocarcinoma confirmed by:
- Histopathology from primary tumor in pancreas, OR
- Histopathology from a non-pancreatic lesion in the presence of a mass in the pancreas consistent with pancreatic adenocarcinoma or a medically documented history of pancreatic adenocarcinoma.
- Measurable disease per RECIST v.1.1
- Male or non-pregnant, non-lactating female, ≥18 years or age
- If a female patient is of child-bearing potential, as evidenced by menstrual periods, she must have a negative serum pregnancy test (beta-human chorionic gonadotropin [β- hCG]) documented prior to the first...
- Female patients of childbearing age and women \< 12 months since the onset of menopause must agree to use acceptable contraceptive methods for the duration of the study and 9 months following the last injection of...
- Male patients must use effective contraception for a duration of 6 months after the final dose, as per the prescribing information for oxaliplatin.
- Provide signed written informed consent
- Eastern Cooperative Group (ECOG) Performance Status (PS) score of 0-1
- Willingness and ability to comply with study requirements
- Patient has adequate organ function by the following laboratory assessments at baseline(obtained ≤28 days prior to Randomization): Hematologic
- Platelets ≥100×109/L
- Hemoglobin ≥9.0 g/dL
- Absolute Neutrophil Count (ANC) ≥1.5×109/L
- Patient has acceptable coagulation values obtained ≤28 days prior to Randomization as demonstrated by prothrombin time (PT) or international normalized ratio (INR) and partial thromboplastin time (PTT) ≤1.5× upper limit...
- Aspartate transaminase (AST)/alanine transaminase (ALT) ≤3×ULN (if liver metastases are present, ≤5×ULN)
- Alkaline phosphatase ≤2.0×ULN (if liver metastases are present, ≤5×ULN)
- Total bilirubin ≤2.0×ULN (in patients with Gilbert's Syndrome total bilirubin \< or = 2.5xULN) Renal
- Calculated creatinine clearance ≥50 mL/min. Actual body weight should be used for calculating creatinine clearance (e.g., using the Modification of Diet in Renal Disease [MDRD] formula. For patients with a body mass...
- Patient must have a life expectancy of ≥3 months in the opinion of the Investigator
What rules you out
- Diagnosis of pancreatic islet neoplasm, acinar cell carcinoma, non-adenocarcinoma (ie,lymphoma, sarcoma), adenocarcinoma originating from the biliary tree, or cystadenocarcinoma
- Patient has experienced a decrease in ECOG PS between Screening visit and within 72 hours prior to Randomization
- Patient on Coumadin and not willing to change to LMWH or oral Factor II or Xa inhibitor with t½ of less than 24 hours
- History of prior malignancy, except for adequately treated in situ cancer, basal cell, squamous cell skin cancer, or other cancers (eg, breast and prostate) for which the patient has been disease-free for at least 3...
- Any serious medical condition, laboratory abnormality, psychiatric illness, or comorbidity that, in the judgment of the Investigator, would make the patient inappropriate for the study
- Patients with abnormal electrocardiogram (ECG) at baseline (QT or QTc interval \>470 ms) will be excluded from this study. The eligibility of patients with ventricular pacemakers for whom the QT interval may not be...
- Serious systemic fungal, bacterial, viral, or other infection that is not controlled or requires intravenous antibiotics
- Known history of positivity (regardless of immune status) for human immunodeficiency virus(HIV)
- Known history of chronic active or active viral hepatitis A, B, or C infection
- Clinically significant bleeding within 2 weeks prior to Randomization (eg, gastrointestinal[GI] bleeding or intracranial hemorrhage)
- Pregnant or lactating women
- Myocardial infarction, coronary bypass surgery, or arterial thromboembolic events within the last 6 months prior to Randomization, symptomatic congestive heart failure (New York Heart Association Classification \>Class...
- Clinically significant ascites defined as requiring ≥1 paracentesis every 2 weeks
- Major surgery, defined as any surgical procedure that involves general anesthesia and a significant incision (ie, larger than what is required for placement of central venous access, percutaneous feeding tube, or...
- Prior history of receiving immune checkpoint inhibitors (anti-CTLA4, anti-PD1, anti-PD-L1)
- Peripheral neuropathy (\>Grade 1)
- Known history of dihydropyrimidine dehydrogenase deficiency (DPD) - Dihydropyrimidine dehydrogenase (DPD) is the initial and rate-limiting enzyme in the catabolism of 5-fluorouracil (5-FU). Thus, patients with a DPD...
- History or risk of autoimmune disease, including but not limited to systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegner´s...
- Patients receiving any of the following medications are not eligible for study:
- Investigational agents other than the protocol drugs
- Anti-coagulants (except for heparin to maintain the patency of central venous catheters)
- Non-steroidal anti-inflammatory drugs
- Clopidogrel (Plavix), dipyridamole (Persantine), or any other drug that inhibits platelet functions
- Patients on greater than 2 mg dexamethasone, 10 mg Prednisone or or equivalent dose in alternate corticosteroid daily or actively undergoing corticosteroid dose escalation are NOT eligible
- History of allergic reactions or known hypersensitivity to compounds of similar chemical or biologic composition to OT-101 such as anti-sense oligonucleotides or siRNA
- Patients who are unable to return for follow-up visits or obtain follow-up studies required to assess toxicity to therapy. Telemedicine visits are acceptable
- Not willing and able to comply with study requirements including protocol mandated procedures and visits
- Other contraindications as defined in the product label of the components of the mFOLFIRINOX treatment regimen
- Participation in another investigational clinical trial within 30 days of receiving the last dose of investigational study drug
- Clinically significant psychiatric disorders, legal incapacity or limited legal capacity
- Patients with a primary immunodeficiency
- Patients with active central nervous system (CNS) metastases. (Patients with adequately treated CNS metastases who are clinically stable for at least 6 weeks after discontinuation of corticosteroids may be eligible for...
The study team makes the final eligibility decision.
Where it's taking place
- Detroit, Michigan, United States
- Houston, Texas, United States
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Detroit, Michigan, United States; Houston, Texas, United States. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.