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NCT02210559

A Study of Gemcitabine Plus Nab-paclitaxel With or Without FG-3019 in Participants With Locally Advanced, Unresectable Pancreatic Cancer

Completed Phase 1, PHASE2 Results posted Last updated 2 March 2023
What this trial tests

Phase 1, PHASE2 trial testing FG-3019 in Pancreatic Cancer (Unresectable) in 37 participants. Completed in 15 December 2021.

Timeline
31 July 2014
Primary endpoint
15 December 2021
15 December 2021

Quick facts

Lead sponsorKyntra Bio
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment37
Start date31 July 2014
Primary completion15 December 2021
Estimated completion15 December 2021
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Kyntra Bio — full company profile →

Who can join

18 and older, any sex, with Pancreatic Cancer (Unresectable). 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.

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Primary · From first infusion of any study drug (Day 1) up to 28 days after last infusion of study drug or the day before surgery (up to Day 196)

An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A TEAE was defined as a new or

TEAEs
GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)24
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)12
SAEs
GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)9
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)6
Number of Participants Who Had Surgical Complications Post-Resection Primary · 30 days following discharge after surgery (up to Day 198)

Number of participants who had surgical complications (for example; surgical site infection, intra-abdominal abscess, or perioperative leak during surgery) has been reported

GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)0
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)0
Number of Participants Who Became Eligible for Surgery Secondary · After completion of 24 weeks of treatment with study drug
GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)17
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)2
Number of Participants in Whom R0 Resection Was Achieved Secondary · After completion of 24 weeks of treatment with study drug

R0 resection was determined by pathological examination of the surgical specimen after resection.

GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)4
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)1
Number of Participants in Whom R0 or R1 Resection Was Achieved Secondary · After completion of 24 weeks of treatment with study drug

R0 or R1 resection was determined by pathological examination of the surgical specimen after resection.

GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)8
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)1
Number of Participants With Complete Response (CR) or Partial Response (PR) Per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) Secondary · From randomization up to Week 52

CR was defined as disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduced in short axis to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)5
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)3
Median Overall Survival Secondary · From randomization until death from any cause, assessed up to 4 years

Overall survival was defined as the time from randomization until death from any cause.

GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)19.3813.34 – 27.73
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)23.4713.27 – 46.46
Median Progression-Free Survival Secondary · From randomization until objective tumor progression or death, assessed up to 4 years

Progression-free survival was defined as the time from randomization until objective tumor progression or death. Progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression.

GroupValue95% CI
Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)14.118.25 – 18.40
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)11.633.88 – 20.40

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were assessed from first infusion of any study drug (Day 1) up to 28 days after last infusion of study drug or the day before surgery (up to Day 196). All-Cause Mortality was assessed from first infusion of any study drug until death, assessed up to 4 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A: Gemcitabine Plus Nab-paclitaxel + Pamrevlumab (G/NP+P)
Serious: 9/24 (38%)
Deaths: 17/24
Arm B: Gemcitabine Plus Nab-paclitaxel (G/NP)
Serious: 6/13 (46%)
Deaths: 7/13

Serious adverse events (20 terms)

ReactionSystemArm A: Gemcitabine Plus Na…Arm B: Gemcitabine Plus Na…
CholangitisHepatobiliary disorders
SepsisInfections and infestations
Haemolytic uraemic syndromeBlood and lymphatic system disorders
LymphadenopthyBlood and lymphatic system disorders
Cardiac failureCardiac disorders
Supraventricular tachycardiaCardiac disorders
AscitesGastrointestinal disorders
NauseaGastrointestinal disorders
PancreatitisGastrointestinal disorders
VomitingGastrointestinal disorders
Device occlusionsGeneral disorders
Drug withdrawal syndromeGeneral disorders
PyrexiaGeneral disorders
HyperbilirubinaemiaHepatobiliary disorders
CellulitisInfections and infestations
Urinary tract infectionInfections and infestations
Craniocerebral injuryInjury, poisoning and procedural complications
PneumonitisRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Other adverse events (96 terms — click to expand)

ReactionSystemArm A: Gemcitabine Plus Na…Arm B: Gemcitabine Plus Na…
FatigueGeneral disorders
NauseaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Oedema peripheralGeneral disorders
DiarrhoeaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Neuropathy peripheralNervous system disorders
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
Platelet count decreasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
PyrexiaGeneral disorders
Neutrophil count decreasedInvestigations
Peripheral sensory neuropathyNervous system disorders
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
ChillsGeneral disorders
Upper respiratory tract infectionInfections and infestations
CellulitisInfections and infestations
Aspartate aminotransferase increasedInvestigations
DizzinessNervous system disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Blood alkaline phosphatase increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
Night sweatsSkin and subcutaneous tissue disorders
Vision blurredEye disorders
StomatitisGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Pancreatic insufficiencyGastrointestinal disorders
Gait disturbanceGeneral disorders
Urinary tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders

Most-reported serious reactions: Cholangitis, Sepsis, Haemolytic uraemic syndrome, Lymphadenopthy, Cardiac failure, Supraventricular tachycardia, Ascites, Nausea.

Data from ClinicalTrials.gov NCT02210559 adverse events section.

Sponsor's own description

This is a Phase 1/2 trial to evaluate the safety, tolerability, and efficacy of FG-3019 administered with gemcitabine and nab-paclitaxel in the treatment of locally advanced, unresectable pancreatic cancer.

Publications & conference data

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

  1. Pancreatic Ductal Adenocarcinoma: Current and Evolving Therapies.
    Adamska A, Domenichini A, Falasca M. · · 2017 · cited 429× · PMID 28640192 · DOI 10.3390/ijms18071338
  2. The molecular biology of pancreatic adenocarcinoma: translational challenges and clinical perspectives.
    Wang S, Zheng Y, Yang F, Zhu L, et al · · 2021 · cited 252× · PMID 34219130 · DOI 10.1038/s41392-021-00659-4
  3. The Interplay between Extracellular Matrix Remodeling and Cancer Therapeutics.
    Prakash J, Shaked Y. · · 2024 · cited 201× · PMID 39091205 · DOI 10.1158/2159-8290.cd-24-0002
  4. Pancreatic cancer: optimizing treatment options, new, and emerging targeted therapies.
    Chiorean EG, Coveler AL. · · 2015 · cited 133× · PMID 26185420 · DOI 10.2147/dddt.s60328
  5. Complex roles of the stroma in the intrinsic resistance to gemcitabine in pancreatic cancer: where we are and where we are going.
    Liang C, Shi S, Meng Q, Liang D, et al · · 2017 · cited 120× · PMID 29611542 · DOI 10.1038/emm.2017.255
  6. Cancer associated fibroblasts in cancer development and therapy.
    Jia H, Chen X, Zhang L, Chen M. · · 2025 · cited 119× · PMID 40156055 · DOI 10.1186/s13045-025-01688-0
  7. Cancer-Associated Fibroblasts: Versatile Players in the Tumor Microenvironment.
    Ganguly D, Chandra R, Karalis J, Teke M, et al · · 2020 · cited 99× · PMID 32957515 · DOI 10.3390/cancers12092652
  8. A COL11A1-correlated pan-cancer gene signature of activated fibroblasts for the prioritization of therapeutic targets.
    Jia D, Liu Z, Deng N, Tan TZ, et al · · 2016 · cited 95× · PMID 27609069 · DOI 10.1016/j.canlet.2016.09.001

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