Masitinib Plus Gemcitabine in Pancreatic Cancer

• ClinicalTrials.gov Identifier: NCT03766295
• Recruitment Status: Completed
• First Posted: December 6, 2018
• Last Update Posted: December 8, 2020
• Sponsor: AB Science
• Information provided by (Responsible Party): AB Science

Study Description

Brief Summary:

The objective is to compare efficacy and safety of masitinib in combination with gemcitabine to placebo in combination with gemcitabine, in treatment of patients with locally advanced or metastatic pancreatic cancer and who have pain related to the disease.

Condition or disease	Intervention/treatment	Phase
Locally Advanced or Metastatic Pancreatic Cancer	Drug: Masitinib; Drug: Gemcitabine; Drug: Placebo	Phase 3

Detailed Description:

Masitinib is a selective tyrosine kinase inhibitor that is thought to promote survival via modulation of immunostimulation-mediated anticancer effects and modulation of the tumor microenvironment. The objective of this study is to evaluate the efficacy and safety of masitinib in combination with gemcitabine with respect to placebo in combination with gemcitabine for the treatment of non resectable locally advanced or metastatic pancreatic cancer patients with pain related to the disease. Approximately 330 patients with pain Visual Analogue Scale (VAS) > 20 and/or treated with 'opioid analgesics' dose ≥ 1 mg/kg/day at baseline will be randomized in a 2:1 ratio to the masitinib and placebo arms, respectively. The primary outcome measure is overall survival (OS).

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 377 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Double (Participant, Investigator)
• Primary Purpose: Treatment
• Official Title: A Prospective, Multicenter, Double-randomized, Double-blind, 2-parallel Groups, Phase 3 Study to Compare as First Line Therapy Efficacy and Safety of Masitinib in Combination With Gemcitabine, to Gemcitabine in Combination With Placebo, in the Treatment of Patients With Non Resectable Locally Advanced or Metastatic Pancreatic Cancer
• Actual Study Start Date: July 2014
• Actual Primary Completion Date: December 2020
• Actual Study Completion Date: December 2020

Arms and Interventions

Arm	Intervention/treatment
Experimental: Masitinib & gemcitabine; Participants receive masitinib (6 mg/kg/day), given orally twice daily, plus gemcitabine at 1000mg/m2 by intravenous infusion during 30 minutes, once every 7 days, for up to 7 weeks, followed by a week of rest. Subsequent cycles should consist of an IV infusion, once every 7 days, for 3 consecutive weeks out of every 4 weeks, until disease progression, death, limiting toxicity or patient consent withdrawal.	Drug: Masitinib; Other Name: AB1010; Drug: Gemcitabine; Other Name: Gemzar
Active Comparator: Placebo & gemcitabine; Participants receive matching placebo, given orally twice daily, plus gemcitabine at 1000mg/m2 by intravenous infusion during 30 minutes, once every 7 days, for up to 7 weeks, followed by a week of rest. Subsequent cycles should consist of an IV infusion, once every 7 days, for 3 consecutive weeks out of every 4 weeks, until disease progression, death, limiting toxicity or patient consent withdrawal.	Drug: Gemcitabine; Other Name: Gemzar; Drug: Placebo; Other Name: Placebo Oral Tablet

Outcome Measures

Primary Outcome Measures :

1. Overall Survival (median) [ Time Frame: From day of randomization to death, assessed for a maximum of 60 months ]
   Overall survival is defined as time in months from the randomization date to the date of death due to any cause. If a patient is not known to have died, then OS will be censored at the date of last known date patient alive.

Secondary Outcome Measures :

1. Survival rates [ Time Frame: every 24 weeks ]
   The proportion of patients alive at each time point, estimated with Kaplan-Meier distribution
2. Progression Free Survival [ Time Frame: From day of randomization to disease progression or death, assessed for a maximum of 60 months ]
   Progression Free Survival (PFS) is defined as the time from the randomization date until the date of earliest evidence of disease progression or death, for participants who progressed or died before subsequent cancer therapy. Disease progression will be assessed by the investigator on CT scan according to RECIST 1.1 criteria

Eligibility Criteria

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

Criteria

Main inclusion criteria:

1. Histologically or cytologically confirmed adenocarcinoma of the pancreas, non resectable locally advanced or metastatic stage

2. Patient with pain related to the disease, as assessed by the investigator and the patient:

   • Pain related to the disease as assessed by the investigator is defined as clinical and documented evaluation by the investigator during physical examinations at screening and/or baseline.
   • Pain, as assessed by the patient is defined as at least one value out of two values > 20mm on Visual Analogue Scale at screening or baseline. Visual Analogic scale consists in the visual representation of pain amplitude as perceived by the patient. The amplitude is represented by a 100 mm long line having no reference marks. One extremity indicates an absence of pain (0 value) and the other the worst imaginable pain (100 value).

OR

- Patient treated with opioid analgesics at a dose ≥ 1 mg/kg/day (morphinic equivalent).

3. Chemotherapy naïve patient for the advanced/metastatic disease

Main exclusion criteria:

1. Patient with no pain related to the disease (as defined in the inclusion criterion number 2)
2. Pregnant or nursing female patient

Contacts and Locations

Locations

Belgium

Hospital AZ Sint-Jan

Brugge, Belgium, 8000

France

Polyclinique de Limoges site CHENIEUX

Limoges, France, 87000

Centre Hospitalier de Longjumeau

Longjumeau, France, 91160

Greece

General University Hospital of Patras

Patras, Greece, 26504

India

Sanjeevani CBCC USA Cancer Hospital

Raipur, India, 492001

Russian Federation

Omsk Clinical oncology dispensary Omsk

Omsk, Russian Federation, 644013

Slovakia

National Oncology Institute

Bratislava, Slovakia, 833 10

Tunisia

Institut Salah Azaiez de Cancerologie

Bab Saadoun, Tunisia

Ukraine

Center of Surgical Innovations

Kiev, Ukraine

Sponsors and Collaborators

AB Science

Investigators

• Principal Investigator: Joël Ezenfis, MD; Centre Hospitalier de Longjumeau, France

More Information

• Responsible Party: AB Science
• ClinicalTrials.gov Identifier: NCT03766295
• Other Study ID Numbers: AB12005
• First Posted: December 6, 2018
• Last Update Posted: December 8, 2020
• Last Verified: December 2020

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Undecided

• Studies a U.S. FDA-regulated Drug Product: Yes

Keywords provided by AB Science:

Pancreatic cancer; tyrosine kinase inhibitor

Additional relevant MeSH terms:

Pancreatic Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Endocrine Gland Neoplasms; Digestive System Diseases; Pancreatic Diseases; Endocrine System Diseases; Gemcitabine; Antimetabolites, Antineoplastic; Antimetabolites; Molecular Mechanisms of Pharmacological Action; Antineoplastic Agents