Open-label Study of CS1008 for Subjects With Untreated and Unresectable Pancreatic Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00521404
Recruitment Status : Completed
First Posted : August 27, 2007
Last Update Posted : November 1, 2010
Information provided by:
Daiichi Sankyo, Inc.

Brief Summary:
Phase 2 study to determine the efficacy and safety of CS-1008 when given with gemcitabine to subjects with previously untreated and unresectable (unable to be surgically removed) or metastatic (spread to other areas beyond the pancreas) pancreatic cancer.

Condition or disease Intervention/treatment Phase
Pancreatic Cancer Drug: CS-1008 (humanized anti-DR5 antibody) Drug: gemcitabine Phase 2

Detailed Description:

Primary Objective:

- To evaluate the efficacy of CS-1008 administered in combination with gemcitabine to chemotherapy naive subjects with unresectable or metastatic pancreatic cancer, based on the progression-free survival rate at 16 weeks.

Secondary Objectives:

  • To evaluate the efficacy of CS-1008 administered in combination with gemcitabine on overall progression-free survival rate, objective response rate, duration of response and overall survival.
  • To determine the pharmacokinetics of C-1008 and gemcitabine
  • To study potential biomarkers of CS-1008 activity
  • To evaluate the safety profile of CS-1008 when administered in combination with gemcitabine to chemotherapy naive subjects with unresectable or metastatic pancreatic cancer.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 65 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase 2 Multicenter, Open-Label Study of CS-1008, A Humanized Monoclonal Antibody Targeting Death Receptor 5 (DR5), In Combination With Gemcitabine in Chemotherapy Naive Subjects With Unresectable or Metastatic Pancreatic Cancer
Study Start Date : August 2007
Actual Primary Completion Date : December 2008
Actual Study Completion Date : December 2008

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: CS-1008 + gemcitabine
CS-1008 + gemcitabine
Drug: CS-1008 (humanized anti-DR5 antibody)
CS-1008: 8mg/kg loading dose followed by 3mg/kg weekly.
Other Name: CS1008

Drug: gemcitabine
Gemcitabine - 1000mg/meter sq
Other Name: Gemzar

Primary Outcome Measures :
  1. Progression-free survival rate at 16 weeks [ Time Frame: 16 weeks ]

Secondary Outcome Measures :
  1. Progression-free survival rate; overall survival rate; Duration of progression-free survival; overall survival; best overall response using RECIST criteria; Analysis of pharmacokinetics; analysis of safety as measured by NCE CTCAE v3.0 [ Time Frame: 16 weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically or cytologically confirmed resectable or metastatic pancreatic cancer; not previously treated with chemotherapy; measurable disease; 18 years of age or older

Exclusion Criteria:

  • No anticipated need for major surgery or radiation therapy during the study
  • Heart Disease exclusions:myocardial infarction or unstable angina within the past 6 months; severe or unstable angina pectoris within the past 6 months; coronary or peripheral artery bypass graft within the past 6 mo., etc.
  • No clinically significant active infection or history of HIV
  • No partial or complete bowel obstruction
  • Cannot have poorly controlled psychiatric illness

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00521404

United States, Alabama
Birmingham, Alabama, United States
United States, District of Columbia
Washington, District of Columbia, United States
United States, Florida
Fort Myers, Florida, United States
United States, Georgia
Atlanta, Georgia, United States
Georgia Cancer Specialists
Tucker, Georgia, United States, 30084
United States, Illinois
Decatur, Illinois, United States
United States, Minnesota
Minneapolis, Minnesota, United States
United States, Ohio
Cincinnati, Ohio, United States
United States, Tennessee
Chattanooga, Tennessee, United States
Nashville, Tennessee, United States
United States, Texas
Temple, Texas, United States
United States, Virginia
Richmond, Virginia, United States
Sponsors and Collaborators
Daiichi Sankyo, Inc.
Principal Investigator: Mansoor Saleh, MD Georgia Cancer Specialists

Responsible Party: Wojtowicz-Praga, Slawomir, Daiichi Sankyo Identifier: NCT00521404     History of Changes
Other Study ID Numbers: CS1008-A-U201
First Posted: August 27, 2007    Key Record Dates
Last Update Posted: November 1, 2010
Last Verified: October 2010

Keywords provided by Daiichi Sankyo, Inc.:
Pancreatic cancer
chemotherapy naive
unresectable or metastatic pancreatic cancer

Additional relevant MeSH terms:
Pancreatic Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Endocrine Gland Neoplasms
Digestive System Diseases
Pancreatic Diseases
Endocrine System Diseases
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs