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NCT01231347: GAMMA

QUILT-2.014: Gemcitabine and AMG 479 in Metastatic Adenocarcinoma of the Pancreas

Completed Phase 3 Results posted Last updated 16 July 2024
What this trial tests

Phase 3 trial testing AMG 479 in Adenocarcinoma of the Pancreas in 800 participants. Completed in 12 December 2012.

Timeline
7 April 2011
Primary endpoint
12 December 2012
12 December 2012

Quick facts

Lead sponsorNantCell, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment800
Start date7 April 2011
Primary completion12 December 2012
Estimated completion12 December 2012
Sites152 locations across Hong Kong, Italy, Finland, Japan, Taiwan, Poland, South Korea, Denmark

Drugs / interventions tested

Conditions studied

Sponsor

NantCell, Inc. — full company profile →

Who can join

18 and older, any sex, with Adenocarcinoma of the Pancreas or Advanced Solid Tumors. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Determine if the Treatment of AMG 479 at 12 mg/kg and/or 20 mg/kg in Combination With Gemcitabine Improves Overall Survival as Compared With Placebo in Combination With Gemcitabine in Subjects With Metastatic Adenocarcinoma of the Pancreas Primary · From randomization up to 20 months

The primary endpoint of the study was OS, defined as the time from randomization to death.

GroupValue95% CI
AMG 479 12 mg/kg Dose + Gemcitabine7.06.2 – 8.5
AMG 479 20 mg/kg + Gemcitabine7.16.4 – 8.5
Placebo + Gemcitabine7.26.3 – 8.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from screening through 30 days after the last dose of last protocol specified therapy, up to 20 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo + Gemcitabine
Serious: 33/317 (10%)
Deaths: 202/322
AMG 479 12 mg/kg Dose + Gemcitabine
Serious: 30/315 (10%)
Deaths: 210/318
AMG 479 20 mg/kg + Gemcitabine
Serious: 18/160 (11%)
Deaths: 101/160

Serious adverse events (36 terms)

ReactionSystemPlacebo + GemcitabineAMG 479 12 mg/kg Dose + Ge…AMG 479 20 mg/kg + Gemcita…
Pancreatic CarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DeathGeneral disorders
Pancreatic Carcinoma MetastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
CachexiaMetabolism and nutrition disorders
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders
General Physical Health DeteriorationGeneral disorders
Acute Myocardial InfarctionCardiac disorders
Cardiac FailureCardiac disorders
Abdominal PainGastrointestinal disorders
Sudden DeathGeneral disorders
Adenocarcinoma PancreasNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AnaemiaBlood and lymphatic system disorders
Thrombotic Thrombocytopenic PurpuraBlood and lymphatic system disorders
Cardiac ArrestCardiac disorders
Cardiogenic ShockCardiac disorders
AscitesGastrointestinal disorders
Gastric HaemorrhageGastrointestinal disorders
Gastrointestinal HaemorrhageGastrointestinal disorders
Ileus ParalyticGastrointestinal disorders
Intestinal ObstructionGastrointestinal disorders
SubileusGastrointestinal disorders
Performance Status DecreasedGeneral disorders
CholestasisHepatobiliary disorders
HyperbilirubinaemiaHepatobiliary disorders
JaundiceHepatobiliary disorders
Other adverse events (28 terms — click to expand)

ReactionSystemPlacebo + GemcitabineAMG 479 12 mg/kg Dose + Ge…AMG 479 20 mg/kg + Gemcita…
NauseaGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
FatigueGeneral disorders
Decreased AppetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
ConstipationGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Abdominal PainGastrointestinal disorders
HyperglycaemiaMetabolism and nutrition disorders
Alanine Aminotransferase IncreasedInvestigations
Oedema PeripheralNervous system disorders
Aspartate Aminotransferase IncreasedInvestigations
AstheniaGeneral disorders
LeukopeniaBlood and lymphatic system disorders
RashSkin and subcutaneous tissue disorders
Haemoglobin DecreasedInvestigations
Platelet Count DecreasedInvestigations
Abdominal Pain UpperGeneral disorders
Blood Alkaline Phosphatase IncreasedInvestigations
Weight DecreasedInvestigations
Back PainMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
HyperbilirubinaemiaBlood and lymphatic system disorders
DysgeusiaRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Pancreatic Carcinoma, Death, Pancreatic Carcinoma Metastatic, Cachexia, Pulmonary Embolism, General Physical Health Deterioration, Acute Myocardial Infarction, Cardiac Failure.

Data from ClinicalTrials.gov NCT01231347 adverse events section.

Sponsor's own description

AMG 479 is an investigational fully human monoclonal antibody that targets type 1 insulin-like growth factor receptor (IGF-1R). Signaling through IGF-1R plays an important role in the regulation of cell growth and survival. The primary purpose of the study is to determine if AMG 479 and gemcitabine improves overall survival as compared to placebo and gemcitabine.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Receptor Tyrosine Kinase-Targeted Cancer Therapy.
    Yamaoka T, Kusumoto S, Ando K, Ohba M, et al · · 2018 · cited 197× · PMID 30404198 · DOI 10.3390/ijms19113491
  2. Insulin-like growth factor receptor signaling in tumorigenesis and drug resistance: a challenge for cancer therapy.
    Hua H, Kong Q, Yin J, Zhang J, et al · · 2020 · cited 172× · PMID 32493414 · DOI 10.1186/s13045-020-00904-3
  3. Cancer-Associated Fibroblast (CAF) Heterogeneity and Targeting Therapy of CAFs in Pancreatic Cancer.
    Geng X, Chen H, Zhao L, Hu J, et al · · 2021 · cited 146× · PMID 34336821 · DOI 10.3389/fcell.2021.655152
  4. A phase 3 randomized, double-blind, placebo-controlled trial of ganitumab or placebo in combination with gemcitabine as first-line therapy for metastatic adenocarcinoma of the pancreas: the GAMMA trial.
    Fuchs CS, Azevedo S, Okusaka T, Van Laethem JL, et al · · 2015 · cited 136× · PMID 25609246 · DOI 10.1093/annonc/mdv027
  5. Can we unlock the potential of IGF-1R inhibition in cancer therapy?
    King H, Aleksic T, Haluska P, Macaulay VM. · · 2014 · cited 107× · PMID 25123819 · DOI 10.1016/j.ctrv.2014.07.004
  6. Insulin/IGF-driven cancer cell-stroma crosstalk as a novel therapeutic target in pancreatic cancer.
    Mutgan AC, Besikcioglu HE, Wang S, Friess H, et al · · 2018 · cited 87× · PMID 29475434 · DOI 10.1186/s12943-018-0806-0
  7. Trial watch: Monoclonal antibodies in cancer therapy.
    Vacchelli E, Eggermont A, Galon J, Sautès-Fridman C, et al · · 2013 · cited 80× · PMID 23482847 · DOI 10.4161/onci.22789
  8. Trial Watch: Monoclonal antibodies in cancer therapy.
    Galluzzi L, Vacchelli E, Fridman WH, Galon J, et al · · 2012 · cited 77× · PMID 22720209 · DOI 10.4161/onci.1.1.17938

Verify or expand the search:

Other trials of AMG 479

Trials testing the same drug.

Other recruiting trials for Adenocarcinoma of the Pancreas

Currently open trials in the same condition.

Other NantCell, Inc. trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing