Study on Ponsegromab for Adults with Advanced Pancreatic Cancer and Significant Weight Loss and Fatigue

Sponsor: Pfizer

Sponsor score: 60

ClinicalTrials ID:NCT06989437

This clinical trial is testing a new treatment, ponsegromab, combined with chemotherapy, to see if it can help adults with advanced pancreatic cancer who are experiencing severe weight loss and fatigue. The study compares ponsegromab with a placebo to evaluate its effectiveness and safety.

Patient Parameters

Program Overview

The study aims to find out if adding ponsegromab to standard chemotherapy can improve outcomes for adults with advanced pancreatic cancer that has spread and caused significant weight loss and fatigue. Participants will receive either ponsegromab or a placebo along with their chemotherapy treatment to see if it helps manage their condition better.

Description

This study is divided into two phases: Phase 2b and Phase 3. It involves testing a new drug, ponsegromab, in combination with standard chemotherapy for adults with advanced pancreatic cancer. The chemotherapy options include nab-paclitaxel with gemcitabine or FOLFIRINOX. Participants will be randomly assigned to receive either ponsegromab or a placebo along with their chemotherapy.

In Phase 2b, participants will be divided into groups to receive one of two doses of ponsegromab or a placebo. After completing the initial chemotherapy cycle, they will start the study treatment on the same day as their next chemotherapy cycle. The study treatment is given as an injection every four weeks.

Once Phase 2b is complete, the study will move to Phase 3, where the most effective dose of ponsegromab will be selected. Participants will continue with the selected dose or switch to it if they were on a different dose. Those on placebo will continue with placebo. The study will remain blinded, meaning participants won't know if they are receiving ponsegromab or placebo.

During Phase 3, there is an optional sub-study for caregivers to see if ponsegromab improves their quality of life. Participants will continue the study treatment until they choose to stop, the study ends, or they can no longer participate. Tumor assessments will be done every 6 to 8 weeks.

After the main study ends, participants can join an open-label extension to receive ponsegromab for up to 12 months.

Eligibility Criteria

Inclusion Criteria

  • Signed informed consent to participate in the study.
  • Diagnosed with advanced pancreatic cancer that has spread.
  • Experiencing significant weight loss as defined by specific criteria.
  • Completed initial chemotherapy cycle with nab-paclitaxel and gemcitabine or FOLFIRINOX.
  • Good overall health with a life expectancy of at least 4 months.

Exclusion Criteria

  • Current conditions that can be reversed and are causing decreased food intake.
  • Weight loss due to other reasons.
  • History of heart failure or low heart function.
  • Receiving tube feedings or nutrition through veins at the start of the study.
  • Allergic reactions to similar treatments or chemotherapy.
  • Other types of pancreatic cancer or active brain metastases.
  • Poor liver function or severe kidney disease.

Locations

FACILITYZIPCITYSTATE
Hope and Healing Cancer Services60521HinsdaleIllinois
Hope and Healing Cancer Services New Lenox60451New LenoxIllinois
Renown Health Medical Oncology89502RenoNevada
Renown Office of Clinical Research89502RenoNevada
Renown Regional Medical Center89502RenoNevada
Virginia Mason Medical Center98101SeattleWashington

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