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NCT02902484

Study of Nintedanib and Chemotherapy for Advanced Pancreatic Cancer

Terminated Phase 1, PHASE2 Results posted Last updated 3 June 2024
What this trial tests

Phase 1, PHASE2 trial testing Nintedanib in Cancer of Pancreas in 14 participants. Terminated before completion.

Timeline
7 September 2017
Primary endpoint
26 October 2021
26 October 2021

Quick facts

Lead sponsorUniversity of Texas Southwestern Medical Center
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment14
Start date7 September 2017
Primary completion26 October 2021
Estimated completion26 October 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Texas Southwestern Medical Center

Who can join

18 and older, any sex, with Cancer of Pancreas. 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.

Maximum Tolerated Dose (MTD) Primary · Each 28 day cycle for up to 2 years

A standard 3+3 phase 1 trial design will be used for Nintedanib monotherapy for a two week period (Days 1-14) followed by combination therapy of nintedanib plus chemotherapy. Two dose levels of nintedanib will be explored 150 mg BID and 200 mg BID. The combination phase will include gemcitabine + nab-paclitaxel, and nintedanib. Treatment will be administered intravenously on days 1, 8, 15 every 28 days. One cycle of Nintedanib monotherapy followed by a total of eight cycles of both Nintedanib and the chemotherapeutic agents, or until disease progression, whichever comes first. 1. Nintedanib

GroupValue95% CI
All Participants200

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data were collected for 3 years, 1 month.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nintedanib 150 mg
Serious: 2/3 (67%)
Deaths: 2/3
Nintedanib 200 mg
Serious: 0/10 (0%)
Deaths: 0/10

Serious adverse events (2 terms)

ReactionSystemNintedanib 150 mgNintedanib 200 mg
LeukopeniaInvestigations
NeutropeniaInvestigations
Other adverse events (73 terms — click to expand)

ReactionSystemNintedanib 150 mgNintedanib 200 mg
neuropathyNervous system disorders
NauseaGastrointestinal disorders
DiarrheaGastrointestinal disorders
Body PainGeneral disorders
Abdominal PainGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
WeightlossInvestigations
HypokalemiaMetabolism and nutrition disorders
neutropeniaBlood and lymphatic system disorders
AnemiaBlood and lymphatic system disorders
chillsGeneral disorders
ConsipationGastrointestinal disorders
Dry MouthGastrointestinal disorders
Elevated (Transamineses, AST/ALT, bilirubn)Investigations
FeverGeneral disorders
HairlossSkin and subcutaneous tissue disorders
HypertensionVascular disorders
vomitingGastrointestinal disorders
LeukopeniaMetabolism and nutrition disorders
Frequent UrinationRenal and urinary disorders
Nasal congestion / drainageRespiratory, thoracic and mediastinal disorders
LymphocytopeniaVascular disorders
ThrombocytopeniaBlood and lymphatic system disorders
ProteinuriaRenal and urinary disorders
Abdominal distensionGastrointestinal disorders
Rash acneiformSkin and subcutaneous tissue disorders
Alkaline phosphatase increasedInvestigations
AnxietyPsychiatric disorders
AnorexiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DizzinessNervous system disorders
Edema limbsGastrointestinal disorders
General weaknessMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HypoalbuminemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
Itchy Dry SkinSkin and subcutaneous tissue disorders
Leg swellingMusculoskeletal and connective tissue disorders
CongestionRespiratory, thoracic and mediastinal disorders
lower extremity crampsMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Leukopenia, Neutropenia.

Data from ClinicalTrials.gov NCT02902484 adverse events section.

Sponsor's own description

The study will perform a clinical study evaluating the safety and tolerability of nintedanib when combined with standard chemotherapy (Gemcitabine + nab-Paclitaxel) for metastatic pancreatic cancer. It will utilize advanced imaging correlates including dynamic contrast enhanced Magnetic Resonance Imaging (DCE-MRI) which correlates with tumor grade and microvessel density.

Publications & conference data

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

  1. Towards extracellular matrix normalization for improved treatment of solid tumors.
    Abyaneh HS, Regenold M, McKee TD, Allen C, et al · · 2020 · cited 83× · PMID 32042347 · DOI 10.7150/thno.39995
  2. Resistance to Gemcitabine in Pancreatic Ductal Adenocarcinoma: A Physiopathologic and Pharmacologic Review.
    Koltai T, Reshkin SJ, Carvalho TMA, Di Molfetta D, et al · · 2022 · cited 77× · PMID 35626089 · DOI 10.3390/cancers14102486
  3. Combination Therapies and Drug Delivery Platforms in Combating Pancreatic Cancer.
    Lei F, Xi X, Batra SK, Bronich TK. · · 2019 · cited 33× · PMID 30796131 · DOI 10.1124/jpet.118.255786
  4. The State-of-the-Art of Phase II/III Clinical Trials for Targeted Pancreatic Cancer Therapies.
    Garcia-Sampedro A, Gaggia G, Ney A, Mahamed I, et al · · 2021 · cited 31× · PMID 33546207 · DOI 10.3390/jcm10040566
  5. Promising new treatments for pancreatic cancer in the era of targeted and immune therapies.
    Elaileh A, Saharia A, Potter L, Baio F, et al · · 2019 · cited 17× · PMID 31598392
  6. Repurposing Nintedanib for pathological cardiac remodeling and dysfunction.
    Umbarkar P, Singh AP, Tousif S, Zhang Q, et al · · 2021 · cited 16× · PMID 33965510 · DOI 10.1016/j.phrs.2021.105605
  7. Targeting Growth Factor Signaling Pathways in Pancreatic Cancer: Towards Inhibiting Chemoresistance.
    Xelwa N, Candy GP, Devar J, Omoshoro-Jones J, et al · · 2021 · cited 15× · PMID 34195085 · DOI 10.3389/fonc.2021.683788
  8. Clinical Applications of Classical and Novel Biological Markers of Pancreatic Cancer.
    Pekarek L, Fraile-Martinez O, Garcia-Montero C, Saez MA, et al · · 2022 · cited 14× · PMID 35454771 · DOI 10.3390/cancers14081866

Verify or expand the search:

Other trials of Nintedanib

Trials testing the same drug.

Other recruiting trials for Cancer of Pancreas

Currently open trials in the same condition.

Other University of Texas Southwestern Medical Center trials

Trials by the same sponsor.

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