Pancreatic Cancer MetastaticPhase 2/3ASPIRENCT05254171
Study of Nab-Paclitaxel and Gemcitabine With or Without SBP-101 in Pancreatic Cancer
A Phase 2/3 study testing SBP-101, Nab-paclitaxel and Gemcitabine in people with Pancreatic Cancer Metastatic and Pancreatic Ductal Adenocarcinoma, run by Panbela Therapeutics, Inc. at 93 sites in 10 countries.
Trial summary
The study is a randomized, double-blind, placebo-controlled, multicenter study of standard treatment with nab-paclitaxel and gemcitabine with or without SBP-101 in subjects previously untreated for metastatic pancreatic ductal adenocarcinoma (PDA), including subjects who have received prior neoadjuvant or adjuvant… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreatic Cancer Metastatic, Pancreatic Ductal Adenocarcinoma, Pancreatic Cancer Stage IV
- What is being tested?
- SBP-101, Nab-paclitaxel and Gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 600 participants
- Where
- 93 sitesin 10 countries
- Study dates
- 8 Aug 2022to 1 Jan 2027
- Phase
- Phase 2/3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma.
- Is previously untreated for metastatic pancreatic ductal adenocarcinoma; metastatic disease must have been diagnosed within the past 3 months; and subject is expected to receive standard treatment with gemcitabine and nab-paclitaxel. Subjects who have had planned or prior surgery, such as a Whipple procedure, with or without neo-adjuvant/or adjuvant chemotherapy may be included.
- Life expectancy ≥ 3 months.
- Measurable disease on computed tomography (CT) or magnetic resonance imaging (MRI) scan by RECIST v1.1 criteria.
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.
- Adult, age ≥ 18 years, male or female.
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- Females of child-bearing potential must have a negative serum pregnancy test within 14 days prior to start of study treatment and must use an adequate method of contraception from 2 weeks before the first administration of SBP-101 until 6 months after the last administration of study drug (i.e., last dose of any of the three drugs in the regimen). Female subjects are considered to be of childbearing potential unless they are postmenopausal (at least 12 months of consecutive amenorrhea, without other known or suspected cause) and over 55 years old or have been sterilized surgically (i.e., bilateral tubal ligation, hysterectomy, or bilateral oophorectomy, all with surgery at least one month before dosing).
- Adequate bone marrow, hepatic and renal function as outlined in protocol.
- QTc interval ≤ 470 ms (for women) and ≤ 450 ms (for men) on the ECG at baseline calculated by either the Fridericia or Framingham formula.
- Willing and able to provide written informed consent: voluntary agreement to participate in the study following disclosure of risks and procedures required.
Who cannot join
- When results of germline or somatic testing done prior to screening are known, subjects known to have mutations of the BRCA 1/2 (Breast Cancer gene) are excluded.
- Concomitant metformin administration. Diabetic subjects on treatment with metformin, or any other derivative thereof, must discontinue it at least 5 days prior to C1D1 and not take metformin while on study (other diabetic medications are allowed).
- Any history of retinopathy or at risk for retinal detachment (personal or family history of retinal detachment, extreme myopia [-6.0 diopters or approximately 20/500], eye surgery <6 months prior to C1D1, or history of a severe eye injury. Subjects with findings of retinopathy on baseline ophthalmology exams will be excluded.
- Evidence of severe or uncontrolled systemic disease or any concurrent condition that, in the opinion of the Investigator or Medical Monitor, makes it undesirable for the subject to participate in the study or that would jeopardize compliance with the protocol. Subjects with pre-existing well-controlled diabetes are not excluded.
- Medical or psychiatric conditions that compromise the subject's ability to give informed consent or to complete the protocol or a history of non-compliance.
- Presence of islet-cell or pancreatic neuroendocrine tumor or mixed adenocarcinoma-neuroendocrine carcinoma.
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- Symptomatic central nervous system (CNS) malignancy or metastasis. Screening of asymptomatic subjects without history of CNS metastases is not required.
- Serum albumin < 30 g/L (3.0 g/dL).
- Deep vein thrombosis (DVT) or portal vein occlusion, pulmonary embolism (PE), or other thromboembolic event that occurs during screening.
- Presence of known active bacterial, fungal, or viral infection requiring systemic therapy.
- Known active infection with human immunodeficiency virus (HIV), hepatitis B or C.
- Presence of interstitial lung disease, pulmonary fibrosis, or pulmonary hypersensitivity reaction.
- Myocardial infarction within the last 12 months, severe/unstable angina, symptomatic congestive heart failure New York Heart Association (NYHA) class III or IV.
- Pregnant or lactating.
- Major surgery within 4 weeks prior to the start of study drug treatment, without complete recovery.
- Known hypersensitivity to any component of study treatments.
- Participation in any other clinical investigation within 4 weeks of receiving the first dose of study drug.
- Any history of hydroxychloroquine use (Plaquenil® and other brand names).
Trial locations and contacts
93 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
93 sites in 10 countries
Spain24 sites, 23 recruiting
- Active, not recruiting
Hospital Universitario A Coruña
A Coruña, 15006
- Recruiting
Hospital Universitario de Badajoz
Badajoz, 06011
Veronica Serrano Pecos, MD, +34924218040, veronica.serrano@salud-juntaex.es
- Recruiting
Hospital Universitario Germans Trias i Pujol
Badalona, Barcelona, 08916
Laura Layos, MD, +34934978925, llayos@iconcologia.net
- Recruiting
Hospital Universitario Cruces
Barakaldo, Vizcaya, 48903
Alberto Muñoz Llarena, MD, +34946006399, ALBERTO.MUNOZLLARENA@osakidetza.eus
- Recruiting
Hospital de La Santa Creu i Sant Pau
Barcelona, Madrid, 08041
Paula Cerda Serda, MD, +34935565638, pcerda@santpau.cat
- Recruiting
Hospital Universitario Vall d'Hebron - PPDS
Barcelona, 08035
Teresa Macarulla Mercade, MD, +34934894301, tmacarulla@vhio.net
- Recruiting
ICO l'Hospitalet - Hospital Duran i Reynals
Barcelona, 08908
Berta Laquente Sáez, MD, +34932607744, blaquente@iconcologia.net
- Recruiting
Hospital Universitario Virgen de La Arrixaca
El Palmar, Murcia, 30120
Miguel Marin Vera, MD, +34968369516, miguelmarin75@hotmail.com
- Recruiting
Institut Catala d'Oncologia Girona
Girona, 17007
Adelaida García-Velasco, MD, PhD, +34972225828, agvelasco@iconcologia.net
- Recruiting
Hospital Universitario de Jaen
Jaén, Jaen, 23007
Natalia Luque Caro, MD, +34953220306, nluquecilla@gmail.com
- Recruiting
Hospital Universitario HM Sanchinarro - CIOCC
Madrid, Madrid, Communidad Delaware, 28050
Antonio Cubillo Gracián, MD, +34917567850, acubillo@hmhospitales.com
- Recruiting
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Andres Muñoz Martin, MD, PhD, +34914269394, andresmunmar@hotmail.com
- Recruiting
MD Anderson Cancer Center Madrid - España
Madrid, 28033
Jose Ignacio Martin Valades, +348888888888, jose.martinv@mdanderson.es
- Recruiting
Hospital Universitario Ramon y Cajal
Madrid, 28034
Carmen Guillen Ponce, MD, +34913368835, carmenguillenponce@gmail.com
- Recruiting
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Angela Lamarca, +34915504800 ext. 2299, angela.lamarca@quironsalud.es
- Recruiting
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Angela Lamarca Lete, MD, +34915504800 ext. 2299, angela.lamarca@quironsalud.es
- Recruiting
Hospital Universitario 12 de Octubre
Madrid, 28041
Rocio Garcia Carbonero, PhD, +34913908923, rgcarbonero@gmail.com
- Recruiting
Hospital Universitario La Paz - PPDS
Madrid, 28048
Jaime Feliu, MD, +34917277516, jaime.feliu@salud.madrid.org
- Recruiting
Hospital Regional Universitario de Malaga - Hospital General
Málaga, 29010
Sabrina López, +34951308129, sabrina.lopez.eecc@gmail.com
- Recruiting
Clinica Universidad Navarra
Pamplona, Navarre, 31008
Mariano Ponz-Sarvisé, MD, PhD, +34948255400, mponz@unav.es
- Recruiting
Hospital Universitario de Navarra
Pamplona, Navarre, 31008
Ruth Vera Garcia, MD, +34848422576, ruth.vera.garcia@cfnavarra.es
- Recruiting
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Fernando Rivera Herrero Sr., MD, PhD, +34942202525, fernando.rivera@scsalud.es
- Recruiting
Hospital Universitario Virgen del Rocio - PPDS
Seville, 41013
Esperanza Muñoz, espe.m.garcia@gmail.com
- Recruiting
Hospital Universitario Virgen Macarena
Seville, 41071
Rosario Carrillo, MD, +34955926578, roscarr81@gmail.com
United States14 sites, 9 recruiting
- Terminated
Mark H Zangmeister Center - SCRI - PPDS
Columbus, Ohio, 43219
- Recruiting
Henry Ford Health System
Detroit, Michigan, 48202-2643
Philip Philip, MD, 313-576-8728, pphilip1@hfhs.org
- Recruiting
Providence Medical Foundation
Fullerton, California, 92835
Jagruti Khandhadia, 714-446-5900 ext. 2277, jagruti.khandhadia@providence.org
- Withdrawn
Genesis Cancer and Blood Institute (SCRI)
Hot Springs, Arkansas, 71913
- Recruiting
Froedtert Hospital & the Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Medical College of Wisconsin Cancer Center Clinical Trials Office, 414-805-8900, cccto@mcw.edu
Mandana Kamgar, Study Principle Investigator
- Active, not recruiting
Tennessee Oncology NASH - SCRI - PPDS
Nashville, Tennessee, 37203
- Recruiting
Yale Cancer Center
New Haven, Connecticut, 06519
Jill Lacy, MD, 203-737-1600, jill.lacy@yale.edu
- Recruiting
Columbia University Medical Center
New York, New York, 10032
Navigator Office Nurse, 212-342-5162, cancerclinicaltrials@cumc.columbia.edu
- Recruiting
University of Rochester
Rochester, New York, 14642
Chris LeFeber, 585-275-0407, chris_lefeber@urmc.rochester.edu
- Withdrawn
CentraCare Health
Saint Cloud, Minnesota, 56303
- Recruiting
Medical Oncology Associates - Spokane
Spokane, Washington, 99208
Monika Chaudhry, PhD, 509-462-2273 ext. 418, monika.chaudhry@aoncology.com
- Recruiting
MultiCare Regional Cancer Center - Tacoma
Tacoma, Washington, 98405
Samantha Blake, 253-572-7320, Samantha.Blake@multicare.org
- Recruiting
HOPE Cancer Center of East Texas
Tyler, Texas, 75701
Grace Loredo, 903-592-6152 ext. 286, grace.loredo@uthct.edu
- Active, not recruiting
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Belgium11 sites, 11 recruiting
- Recruiting
Onze-Lieve-Vrouwziekenhuis
Aalst, Oost-Vlaanderen, 9300
Esther Dujardin, +3253728716, esther.dujardin@olvz-aalst.be
- Recruiting
Imelda VZW
Bonheiden, Antwerpen, 2820
Doreen Iwens, +3215504710, doreen.iwens@imelda.be
- Not yet recruiting
Cliniques Universitaires Saint-Luc
Brussels, Belgique
Tuon Le, +3227644213, trong.le@saintluc.uclouvain.be
- Recruiting
Grand Hopital de Charleroi asbl
Charleroi, 6000
Matthias Papier, +3271104767, matthias.papier@ghdc.be
- Recruiting
UZ Gent
Ghent, Oost-Vlaanderen, 9000
Tine Derre, +3293325125, tine.derre@uzgent.be
- Recruiting
AZ Groeninge
Kortrijk, West-Vlaanderen, 8500
Fien Verplancke, +3256633338, fien.verplancke@azgroeninge.be
- Recruiting
Hôpital de Jolimont
La Louvière, Hainaut, 7100
Alexandre Dermine, +3264231804, alexandre.dermine@jolimont.be
- Recruiting
UZ Leuven
Leuven, 3000
Ramy Slimane, +3216338670, ramy.slimane@uzleuven.be
- Recruiting
Centre Hospitalier de l'Ardenne
Libramont, Luxembourg, 6800
Celine Lewis, +3263552197, celine.louis@vivalia.be
- Recruiting
CHU de Liège
Liège, 4000
Joelle Collignon, MD, +3243667801, joelle.collignon@chuliege.be
- Recruiting
CHU UCL Namur asbl - Site Godinne
Yvoir, Namur, 5530
Géraldine Mineur, +3281423853, geraldine.mineur@chuuclnamur.uclouvain.be
Austria10 sites, 8 recruiting
- Recruiting
Klinikum Klagenfurt Am Woerthersee
Klagenfurt, Carinthia, 9020
Wolfgang Eisterer, MD, +4346353834603, wolfgang.eisterer@kabeg.at
- Not yet recruiting
Ordensklinikum Linz, Krankenhaus der Barmherzigen Schwestern Linz Betriebsgesellschaft m.b.H
Linz, Upper Austria, 4020
Angela Plasser, +4373276774319, angela.plasser@ordensklinikum.at
- Recruiting
Kepler Universitätsklinikum Linz
Linz, 4021
Isabella Rauscher, +4357680836204, isabella.rauscher@kepleruniklinikum.at
- Recruiting
Landeskrankenhaus Feldkirch
Rankweil, Vorarlberg, 6830
Thomas Winder, PhD, +4355223032300, thomas.winder@lkhf.at
- Active, not recruiting
Salzburg Cancer Research Institute
Salzburg, 5020
- Recruiting
Universitätsklinikum St. Pölten
Sankt Pölten, Lower Austria, 3100
Petra Pichler, MD, +43274290042142, petra.pichler@stpoelten.lknoe.at
- Withdrawn
Pyhrn-Eisenwurzen Klinikum Steyr
Steyr, Upper Austria, 4400
- Recruiting
A.ö. Krankenhaus der Barmherzigen Brüder
Wein, 1020
Johannes Meran, MD, +431211212105, johannes.meran@bbwien.at
- Recruiting
Klinikum Wels-Grieskirchen GmbH
Wels, Upper Austria, 4600
Birgit Reisinger-Eisenrauch, +4372424153452, birgit.reisinger-eisenrauch@klinikum-wegr.at
- Recruiting
Landesklinikum Wiener Neustadt
Wiener Neustadt, 2700
Klaus Loidolt, +432622900423511, klaus.loidolt@wienerneustadt.lknoe.at
Italy10 sites, 9 recruiting
- Completed
Ospedale degli Infermi
Candiolo, Piedmont, 10060
- Recruiting
Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l - PPDS
Meldola, Emilia-Romagna, 47014
Giovanni Luca Frassineti, MD, +390543739100, luca.frassineti@irst.emr.it
- Recruiting
Ospedale San Raffaele S.r.l. - PPDS
Milan, Lombardy, 20132
Michele Reni, MD, +390226437644, reni.michele@hsr.it
- Recruiting
Instituto Europeo Di Oncologia
Milan, Lombardy, 20141
Chiara Alessandra Cella, MD, +390257489258, chiaraalessandra.cella@ieo.it
- Recruiting
Fondazione IRCCS Policlinico San Matteo di Pavia-Vialle Camillo Golgi 19
Pavia, 27100
Anna Pagani, +390382501671, a.pagani@smatteo.pv.it
- Recruiting
Azienda Ospedaliero Universitaria Pisana
Pisa, Tuscany, 56126
Caterina Vivaldi, MD, +39050992455, caterinavivaldi@gmail.com
- Recruiting
Azienda Unita Sanita Locale di Reggio Emilia IRCCS
Reggio Emilia, Emilia-Romagna, 42100
Michele Panebianco, MD, +390522296858, michele.panebianco@ausl.re.it
- Recruiting
Ospedale Casa Sollievo Della Sofferenza IRCCS
San Giovanni Rotondo, Apulia, 71013
Evaristo Maiello, MD, +390882410640, e.maiello@operapadrepio.it
- Recruiting
Ospedale Santa Maria Della Misericordia Di Perugia
Terni, Umbria, 05100
Fausto Riola, MD, +390755784211, fausto.roila@unipg.it
- Recruiting
Azienda Ospedaliera Universitaria Integrata Di Verona
Verona, Venito, 37134
Davide Melisi, MD, PhD, +390458128120, davide.melisi@univr.it
South Korea6 sites, 6 recruiting
- Recruiting
Chonnam National University Hwasun Hospital
Hwasun, 58128
Jun Eul Hwang, MD, +82613797622, hjunyl@naver.com
- Recruiting
National Cancer Center
Seoul, Gyeonggido, 10408
Woo Jin Lee, MD, +82319201612, lwj@ncc.re.kr
- Recruiting
CHA Bundang Medical Center, CHA University
Seoul, Gyeonggido, 13496
Hong Jae Chon, MD, +82317803453, minidoctor@cha.ac.kr
- Recruiting
Seoul National University Hospital
Seoul, Seoul Teugbyeolsi, 03080
Do-Youn Oh, MD, +82220720701, ohdoyoun@snu.ac.kr
- Recruiting
Severance Hospital Yonsei University Health System - PPDS
Seoul, Seoul Teugbyeolsi, 03722
Hye Jin Choi, MD, PhD, +82222288133, choihj@yuhs.ac
- Recruiting
Asan Medical Center - PPDS
Seoul, 05505
Baek-yeol Ryoo, MD, PhD, +82230103211, ryooby@amc.seoul.kr
Australia5 sites, 4 recruiting
- Recruiting
Canberra Region Cancer Centre
Garran, Australia Capital Territory, 2605
Ankit Jain, MBBS, +61266565733, Ankit.Jain@act.gov.au
- Recruiting
Austin Hospital
Heidelberg, Victoria, 3084
Niall Tebbutt, +61394965763, niall.tebbutt@austin.org.au
- Recruiting
Ashford Cancer Centre Research
Kurralta Park, South Australia, 5307
Sue Yeend, +61882922204, sue.yeend@icon.team
- Recruiting
St John of God Murdoch Hospital
Murdoch, Western Australia, 6150
Rebecca Weselman, +61894389599, rebecca.weselman2@sjog.org.au
- Withdrawn
The Tweed Hospital
Tweed Heads, New South Wales, 2485
France5 sites, 5 recruiting
- Recruiting
Hopital Jean Minjoz
Besançon, Doubs, 25030
Angélique Vienot, MD, +33381479999, a3vienot@chu-besancon.fr
- Recruiting
Centre François Baclesse
Caen, Calvados, 14076
Natacha Duval, +33231455050, natacha.duval@baclesse.unicancer.fr
- Recruiting
Hopitaux de La Timone
Marseille, Bouches-du-Rhône, 13005
Laetitia Dahan, MD, +33491386023, laetitia.dahan@ap-hm.fr
- Recruiting
EDOG - Centre Eugene Marquis Centre Regional de Lutte Contre Le Cancer - PPDS
Rennes, Ille-et-Vilaine, 35000
Samuel Le Sourd, MD, +33299253089, s.lesourd@rennes.unicancer.fr
- Recruiting
Hôpital de Rangueil
Toulouse, Haute-Garonne, 69437
Rosine Guimbaud, MD, PhD, +33561322142, guimbaud.r@chu-toulouse.fr
Germany5 sites, 3 recruiting
- Recruiting
Charité - Universitätsmedizin Berlin
Berlin, 13353
Uwe Pelzer, MD, PhD, +4930450553844, uwe.pelzer@charite.de
- Not yet recruiting
Universitätsklinikum Carl Gustav Carus an der TU Dresden
Dresden, Saxony, 01307
Gunnar Folprecht, MD, +493514584794, gunnar.folprecht@uniklinikum-dresden.de
- Active, not recruiting
Asklepios Klinik Altona
Hamburg, 22763
- Recruiting
Universitätsklinikum Tübingen
Tübingen, 72076
Pavlos Missios, MD, +4970712984457, pavlos.missios@med.uni-tuebingen.de
- Active, not recruiting
Klinikum Weiden
Weiden, 92637
United Kingdom3 sites, 2 recruiting
- Active, not recruiting
Aberdeen Royal Infirmary - PPDS
Aberdeen, Aberdeen City, AB25 2ZN
- Recruiting
Hammersmith Hospital
London, City of London, W12 0HS
Rowan Dulson, rowan.dulson@nhs.net
- Recruiting
Derriford Hospital
Plympton, Devon, PL6 8DH
Derriford Hospital University Hospitals Plymouth, plh-tr.oncologyresearch@nhs.net
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Study of Nab-Paclitaxel and Gemcitabine With or Without SBP-101 in Subjects Previously Untreated for Metastatic Pancreatic Ductal Adenocarcinoma
The study is a randomized, double-blind, placebo-controlled, multicenter study of standard treatment with nab-paclitaxel and gemcitabine with or without SBP-101 in subjects previously untreated for metastatic pancreatic ductal adenocarcinoma (PDA), including subjects who have received prior neoadjuvant or adjuvant treatment.
Read the detailed description
This trial will enroll approximately 600 patients to evaluate the effect of SBP-101 on Overall Survival when administered with gemcitabine and nab-paclitaxel compared to gemcitabine and nab-paclitaxel and a placebo. Secondary endpoints include Progression-free survival, radiologic responses to treatment, and Quality of Life measures. An independent, external Data Safety Monitoring Board (DSMB) will monitor safety and efficacy and a planned futility analysis.
- Conditions
- Pancreatic Cancer Metastatic, Pancreatic Ductal Adenocarcinoma, Pancreatic Cancer Stage IV
- Being tested
- SBP-101, Nab-paclitaxel, Gemcitabine, Placebo
- Keywords
- SBP-101
- Medical subject headings
- Pancreatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SBP-101Drug
Also called ivospemin
small molecule polyamine metabolic inhibitor for subcutaneous injection
Nab-paclitaxelDrug
Also called Abraxane
paclitaxel protein-bound particles for injectable suspension
GemcitabineDrug
Also called Gemzar
gemcitabine for injection
PlaceboOther
Normal Saline
| Study group | Role | What they receive |
|---|---|---|
| Experimental Arm | Experimental | SBP-101 + Nab-paclitaxel and Gemcitabine Receives: Drug: SBP-101; Drug: Nab-paclitaxel; Drug: Gemcitabine |
| Control Arm | Placebo comparator | Placebo + Nab-Paclitaxel and Gemcitabine Receives: Drug: Nab-paclitaxel; Drug: Gemcitabine; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Compare OS between subjects who receive SBP-101 and those who do not receive SBP-101 (i.e., placebo) in combination with nab-paclitaxel and gemcitabine
Measured: From date of first dose up to 100 weeks or until death
Secondary outcomes (1)
Progression Free Survival (PFS)
Compare PFS between SBP-101 and placebo
Measured: From date of first dose up to 100 weeks or until death
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2022
- Study start8 Aug 2022
- Primary completion29 Aug 2026 (estimated)
- Study completion1 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pancreatic Cancer MetastaticStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 1:1 randomization to Experimental Arm vs. Control Arm
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Panbela Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Michael J Walker, MD, Study director, Panbela Therapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05254171
- Sponsor's protocol ID
- CL-SBP-101-04
- Acronym
- ASPIRE
- Status last verified
- Jul 2024
- First submitted
- 13 Jan 2022
- Last updated
- 6 Nov 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Study of Nab-Paclitaxel and Gemcitabine With or Without SBP-101 in Subjects Previously Untreated for Metastatic Pancreatic Ductal Adenocarcinoma
- ClinicalTrials.gov ID
- NCT05254171
- Acronym / sponsor ID
- ASPIRE / CL-SBP-101-04
- Conditions
- Pancreatic Cancer Metastatic, Pancreatic Ductal Adenocarcinoma, Pancreatic Cancer Stage IV
- Keywords
- SBP-101
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 600 participants (estimated)
- Lead sponsor
- Panbela Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 8 Aug 2022 (actual)
- Primary completion
- 29 Aug 2026 (estimated)
- Study completion
- 1 Jan 2027 (estimated)
- First posted
- 24 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is a randomized, double-blind, placebo-controlled, multicenter study of standard treatment with nab-paclitaxel and gemcitabine with or without SBP-101 in subjects previously untreated for metastatic pancreatic ductal adenocarcinoma (PDA), including subjects who have received prior neoadjuvant or adjuvant treatment.
Detailed description
This trial will enroll approximately 600 patients to evaluate the effect of SBP-101 on Overall Survival when administered with gemcitabine and nab-paclitaxel compared to gemcitabine and nab-paclitaxel and a placebo. Secondary endpoints include Progression-free survival, radiologic responses to treatment, and Quality of Life measures. An independent, external Data Safety Monitoring Board (DSMB) will monitor safety and efficacy and a planned futility analysis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- 1:1 randomization to Experimental Arm vs. Control Arm
| Arm | Type | Receives |
|---|---|---|
| Experimental Arm | Experimental | Drug: SBP-101, Drug: Nab-paclitaxel, Drug: GemcitabineSBP-101 + Nab-paclitaxel and Gemcitabine |
| Control Arm | Placebo comparator | Drug: Nab-paclitaxel, Drug: Gemcitabine, Other: PlaceboPlacebo + Nab-Paclitaxel and Gemcitabine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma.
- Is previously untreated for metastatic pancreatic ductal adenocarcinoma; metastatic disease must have been diagnosed within the past 3 months; and subject is expected to receive standard treatment with gemcitabine and nab-paclitaxel. Subjects who have had planned or prior surgery, such as a Whipple procedure, with or without neo-adjuvant/or adjuvant chemotherapy may be included.
- Life expectancy ≥ 3 months.
- Measurable disease on computed tomography (CT) or magnetic resonance imaging (MRI) scan by RECIST v1.1 criteria.
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.
Key exclusion criteria (18 listed)
- When results of germline or somatic testing done prior to screening are known, subjects known to have mutations of the BRCA 1/2 (Breast Cancer gene) are excluded.
- Concomitant metformin administration. Diabetic subjects on treatment with metformin, or any other derivative thereof, must discontinue it at least 5 days prior to C1D1 and not take metformin while on study (other diabetic medications are allowed).
- Any history of retinopathy or at risk for retinal detachment (personal or family history of retinal detachment, extreme myopia [-6.0 diopters or approximately 20/500], eye surgery <6 months prior to C1D1, or history of a severe eye injury. Subjects with findings of retinopathy on baseline ophthalmology exams will be excluded.
- Evidence of severe or uncontrolled systemic disease or any concurrent condition that, in the opinion of the Investigator or Medical Monitor, makes it undesirable for the subject to participate in the study or that would jeopardize compliance with the protocol. Subjects with pre-existing well-controlled diabetes are not excluded.
- Medical or psychiatric conditions that compromise the subject's ability to give informed consent or to complete the protocol or a history of non-compliance.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SBP-101Also: ivospeminsmall molecule polyamine metabolic inhibitor for subcutaneous injection | Drug | Experimental Arm |
| Nab-paclitaxelAlso: Abraxanepaclitaxel protein-bound particles for injectable suspension | Drug | Control Arm, Experimental Arm |
| GemcitabineAlso: Gemzargemcitabine for injection | Drug | Control Arm, Experimental Arm |
| PlaceboNormal Saline | Other | Control Arm |
Primary outcome
Overall Survival (OS)
Time frame: From date of first dose up to 100 weeks or until death
Compare OS between subjects who receive SBP-101 and those who do not receive SBP-101 (i.e., placebo) in combination with nab-paclitaxel and gemcitabine
1 secondary outcome
Progression Free Survival (PFS)
Time frame: From date of first dose up to 100 weeks or until death
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Michael J Walker, MD study director
Panbela Therapeutics, Inc.
93 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing SBP-101, Nab-paclitaxel and Gemcitabine in people with Pancreatic Cancer Metastatic and Pancreatic Ductal Adenocarcinoma, run by Panbela Therapeutics, Inc. at 93 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 6 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 93 sites in Spain, United States, Belgium, Austria, Italy and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Rachel Bragg, MPH (952-479-1196, rbragg@panbela.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: From date of first dose up to 100 weeks or until death). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2024.