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Study of Efficacy and Safety of NIS793 (With and Without Spartalizumab) in Combination With SOC Chemotherapy in First-line Metastatic Pancreatic Ductal Adenocarcinoma (mPDAC)

Status
Closed
Cancer Type
Pancreatic Cancer
Unknown Primary
Trial Phase
Phase II
Eligibility
18 Years and older, Male and Female
Study Type
Treatment
NCT ID
NCT04390763
Protocol IDs
CNIS793B12201 (primary)
NCI-2021-03207
2020-000349-14
Study Sponsor
Novartis Pharmaceuticals Corporation

Summary

The purpose of this Phase II study is to assess the efficacy and safety of NIS793 with
and without spartalizumab in combination with gemcitabine/nab-paclitaxel versus
gemcitabine/nab-paclitaxel in untreated mPDAC.

Objectives

This is a randomized, parallel arms, open-label, multi-center, Phase II study to evaluate
the efficacy and safety of NIS793 with and without spartalizumab in combination with
gemcitabine/nab-paclitaxel in participants with first-line metastatic pancreatic ductal
adenocarcinoma (mPDAC).

The study started with a Safety Run-in to assess the safety and tolerability of NIS793 in
combination with spartalizumab and standard of care (SOC) gemcitabine/nab-paclitaxel.
Doses defined for each study treatment, as part of this quadruplet were administered in
the Randomized part in the quadruplet/triplet/doublet-based treatment arms.

The Randomized part opened after the Safety Run-in had completed. Participants were
randomized in a 1:1:1 ratio to one of the three treatment arms:

- Arm 1: NIS793 with spartalizumab and gemcitabine/nab-paclitaxel

- Arm 2: NIS793 with gemcitabine/nab-paclitaxel

- Arm 3: gemcitabine/nab-paclitaxel

Eligibility

  1. Signed informed consent must be obtained prior to participation in the study.
  2. Male or female = 18 years of age at the time of informed consent.
  3. Participants with histologically or cytologically confirmed treatment-naïve metastatic adenocarcinoma of the pancreas with measurable disease as per RECIST 1.1.
  4. Participants must have a site of disease amenable to biopsy, and be candidate for tumor biopsy according to the treating institution's guidelines. Participants must be willing to undergo a tumor biopsy at screening and during therapy on the study. In the event a new biopsy cannot be safely performed at study entry, an archival sample (collected <6 months prior) may be substituted following documented discussion with Novartis.
  5. ECOG performance status = 1.
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