Study on the Effectiveness and Safety of Setidegrasib with Chemotherapy for Pancreatic Cancer

Sponsor: Astellas Pharma Global Development, Inc.

Sponsor score: 60

ClinicalTrials ID:NCT07409272

This clinical trial is testing a new treatment, setidegrasib, combined with standard chemotherapy options, to see if it can help people with pancreatic cancer live longer and delay the return of cancer symptoms.

Patient Parameters

Program Overview

Pancreatic cancer is often diagnosed late, making it hard to treat. By the time it's found, it usually has spread to other parts of the body. Chemotherapy is the standard treatment, but new treatments are needed to improve outcomes. This study is testing setidegrasib, a new drug given with chemotherapy, in people with pancreatic cancer who have a specific gene mutation called KRAS G12D. The study aims to find out if this combination helps people live longer and delays cancer symptoms. Participants will receive either setidegrasib or a placebo, along with chemotherapy, and will be monitored for safety and effectiveness.

Eligibility Criteria

Inclusion Criteria

  • Have confirmed metastatic pancreatic cancer with a KRAS G12D mutation.
  • Surgery or radiotherapy is not an option to cure the cancer.
  • Agree to provide a tumor sample for the study.
  • Have a performance status score of 0 or 1, indicating full activity or some restriction in strenuous activities.
  • Have adequate organ function based on recent lab tests.
  • Agree not to participate in another interventional study while in this study.

Exclusion Criteria

  • Have a different type of pancreatic cancer or cancer with specific features.
  • Have had another active cancer within the past 2 years, except for certain skin or localized cancers.
  • Have chronic bowel disease, bowel obstruction, or severe diarrhea.
  • Have nerve damage affecting daily activities.
  • Have fluid buildup in the abdomen or chest requiring treatment.
  • Have untreated or symptomatic blood clots in the lungs.
  • Have lung disease or fibrosis.
  • Have uncontrolled seizures.
  • Have a specific genetic condition affecting drug metabolism.
  • Have had recent heart problems or surgery.
  • Have received prior treatment for metastatic pancreatic cancer, except for limited doses during screening.
  • Have been treated with a KRAS G12D-targeted drug before.
  • Have a prolonged QT interval on an ECG.

Locations

FACILITYZIPCITYSTATE
Crosson Cancer Institute at Providence St. Jude Medical Center in Fullerton92835FullertonCalifornia
Hoag Mem Hosp Presbyterian92663Newport BeachCalifornia
Baptist MD Anderson Cancer Institute32207JacksonvilleFlorida
Saint Elizabeth Medical Center, Inc. DBA St. Elizabeth Health Care41017EdgewoodKentucky
HealthPartners Frauenshuh Cancer Center55426Saint Louis ParkMinnesota
HealthPartners Cancer Center at Regions Hospital55101Saint PaulMinnesota
NYU Long Island Mineola11501MineolaNew York
Laura and Isaac Perlmutter Cancer Center at NYU Langone10016New YorkNew York
White Plains Hospital Center for Cancer Care - Oncology10601White PlainsNew York
UT Southwestern Medical Center at Dallas75390DallasTexas

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