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NCT04698915

Phase 2b Study of GC4711 in Combination With SBRT for Nonmetastatic Pancreatic Cancer

Terminated Phase 2 Results posted Last updated 21 May 2024
What this trial tests

Phase 2 trial testing Drug GC4711 in SBRT in 177 participants. Terminated before completion.

Timeline
7 May 2021
Primary endpoint
30 November 2023
30 November 2023

Quick facts

Lead sponsorGalera Therapeutics, Inc.
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment177
Start date7 May 2021
Primary completion30 November 2023
Estimated completion30 November 2023
Sites35 locations across France, Canada, United States, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Galera Therapeutics, Inc. — full company profile →

Who can join

18 and older, any sex, with SBRT or Borderline Resectable Pancreatic Cancer. 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.

Overall Survival Primary · From randomization of the first subject until 30 days post last dose of GC4711/ and SBRT for the last subject randomized to the study (total duration 2years and 6.5 months)

Overall survival is defined as the time from randomization to the date of death from any cause. The number of subjects that have died during this time period is the reported outcome measure.

GroupValue95% CI
Arm A Active GC471124
Arm B Placebo20

Adverse events — posted to ClinicalTrials.gov

Time frame: All AEs/SAES were monitored/assessed from time of randomization until up to 30 days post the last dose of GC4711/Placebo (2 months). Since the primary endpoint of the trial was overall survival, deaths were assessed for a longer duration than AEs/SAEs. Due to the study being terminated early, all subject death information was collected for a minimum of 30 days post the last dose of GC4711/Placebo (2months). Reporting threshold: 5.0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A Active GC4711
Serious: 17/84 (20%)
Deaths: 24/84
Arm B Placebo
Serious: 14/84 (17%)
Deaths: 20/84

Serious adverse events (38 terms)

ReactionSystemArm A Active GC4711Arm B Placebo
SepsisInfections and infestations
PyrexiaGeneral disorders
Blood Bilirubin IncreasedInvestigations
Pancreatic Carcinoma MetastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
SyncopeNervous system disorders
AnaemiaBlood and lymphatic system disorders
Febrile NeutropeniaBlood and lymphatic system disorders
Cardiac failureCardiac disorders
DiarrhoeaGastrointestinal disorders
Duodenal StenosisGastrointestinal disorders
Fistula of Small IntestineGastrointestinal disorders
GastritisGastrointestinal disorders
HaematocheziaGastrointestinal disorders
Mesenteric Vein ThrombosisGastrointestinal disorders
NauseaGastrointestinal disorders
Upper Gastrointestinal HaemorrhageGastrointestinal disorders
Generalised OedemaGeneral disorders
Systemic Inflammatory Response SyndromeGeneral disorders
Bile Duct ObstructionHepatobiliary disorders
Bile Duct StenosisHepatobiliary disorders
CholangitisHepatobiliary disorders
CholecystitisHepatobiliary disorders
JaundiceHepatobiliary disorders
BacteraemiaInfections and infestations
Cholecystitis InfectiveInfections and infestations
Other adverse events (25 terms — click to expand)

ReactionSystemArm A Active GC4711Arm B Placebo
NauseaGastrointestinal disorders
FatigueGeneral disorders
VomitingGastrointestinal disorders
HypotensionVascular disorders
Abdominal PainGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
Blood alkaline phosphatase increasedInvestigations
HypertensionVascular disorders
Back PainMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
Abdominal DistensionGastrointestinal disorders
ConstipationGastrointestinal disorders
Lymphocyte count decreasedInvestigations
HeadacheNervous system disorders
ParaesthesiaNervous system disorders
Aspartate aminotransferase increasedInvestigations
Platelet Count DecreasedInvestigations
Abdominal Pain UpperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Blood Bilirubin IncreasedInvestigations
White Blood Cell Count DecreasedInvestigations
InsomniaPsychiatric disorders

Most-reported serious reactions: Sepsis, Pyrexia, Blood Bilirubin Increased, Pancreatic Carcinoma Metastatic, Syncope, Anaemia, Febrile Neutropenia, Cardiac failure.

Data from ClinicalTrials.gov NCT04698915 adverse events section.

Sponsor's own description

GTI-4711-201 is designed as a Phase 2b, multicenter, randomized, double-blind, placebo-controlled study to determine the effect to OS by adding GC4711 to SBRT following chemotherapy in patients with unresectable or borderline resectable nonmetastatic

Publications & conference data

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

  1. Radiation Therapy Quality Assurance Analysis of Alliance A021501: Preoperative mFOLFIRINOX or mFOLFIRINOX Plus Hypofractionated Radiation Therapy for Borderline Resectable Adenocarcinoma of the Pancreas.
    Tchelebi LT, Segovia D, Smith K, Shi Q, et al · · 2024 · cited 44× · PMID 38492812 · DOI 10.1016/j.ijrobp.2024.03.013
  2. Pancreatic Cancer: Challenges and Opportunities in Locoregional Therapies.
    Bazeed AY, Day CM, Garg S. · · 2022 · cited 42× · PMID 36077794 · DOI 10.3390/cancers14174257
  3. Stereotactic body radiotherapy with or without selective dismutase mimetic in pancreatic adenocarcinoma: an adaptive, randomised, double-blind, placebo-controlled, phase 1b/2 trial.
    Taniguchi CM, Frakes JM, Aguilera TA, Palta M, et al · · 2023 · cited 26× · PMID 38039992 · DOI 10.1016/s1470-2045(23)00478-3
  4. Stereotactic Body Radiotherapy (SBRT) of Pancreatic Cancer-A Critical Review and Practical Consideration.
    Burkoň P, Trna J, Slávik M, Němeček R, et al · · 2022 · cited 24× · PMID 36289742 · DOI 10.3390/biomedicines10102480
  5. Stereotactic body radiotherapy plus rucosopasem in locally advanced or borderline resectable pancreatic cancer: GRECO-2 phase II study design.
    Hoffe SE, Aguilera TA, Parikh PJ, Ghaly MM, et al · · 2024 · cited 4× · PMID 38264869 · DOI 10.2217/fon-2022-1219
  6. Clinical experience with adaptive MRI-guided pancreatic SBRT and the use of abdominal compression to reduce treatment volume.
    Ferris WS, George B, Plichta KA, Caster JM, et al · · 2024 · cited 2× · PMID 39184046 · DOI 10.3389/fonc.2024.1441227
  7. Combination of modified FOLFIRINOX with stereotactic body radiotherapy as an induction therapy for locally advanced pancreatic adenocarcinoma - a prospective single-arm study.
    Piątek M, Bieńkowski M, Kuśnierz K, Pilch-Kowalczyk J, et al · · 2024 · cited 2× · PMID 38800534 · DOI 10.5114/wo.2024.137760
  8. Updates and new directions in the use of radiation therapy for the treatment of pancreatic adenocarcinoma: dose, sensitization, and novel technology.
    Hall WA, Kamgar M, Erickson BA, Ponce SB, et al · · 2021 · cited 2× · PMID 34611794 · DOI 10.1007/s10555-021-09993-z

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