A trial looking at ginisortamab for pancreatic cancer that has spread
Cancer type:
Status:
Phase:
This trial is looking at adding a new drug called ginisortamab to chemotherapy for pancreatic cancer that has spread to other parts of the body. Cancer that has spread is advanced or metastatic cancer.
It is for people who haven’t yet had treatment for advanced pancreatic cancer.
You pronounce ginisortamab as gin-ee-saw-ta-mab.
Cancer Research UK supports this trial.
More about this trial
You usually have chemotherapy for pancreatic cancer that has spread to other parts of the body. The chemotherapy drugs you might have include nab-paclitaxel and gemcitabine. Doctors are looking for ways to improve treatment for advanced pancreatic cancer. In this trial they are looking at adding a drug called ginisortamab to nab-paclitaxel and gemcitabine.
Ginisortamab (UCB6114) is a new drug. It is a
Gremlin-1 is mainly found outside cancer cells. It stops a specific group of proteins from working properly. These proteins usually help stop the growth and spread of cancer. Researchers think that blocking gremlin-1 will allow these proteins work again. They hope this will change the way cancer cells grow and spread. And make them more sensitive to chemotherapy.
Early research shows that adding ginisortamab to chemotherapy might help people with cancer. Researchers now want to find out more about how well it works for people whose pancreatic cancer has spread.
The main aims of the trial are to find out:
- the best dose of ginisortamab to have with nab-paclitaxel and gemcitabine
- how safe it is to have ginisortamab in combination with nab-paclitaxel and gemcitabine
- if adding ginisortamab to chemotherapy improves treatment
- more about the side effects
- what happens to ginisortamab in the body
Who can enter
The following bullet points are a summary of the entry conditions for this trial. Talk to your doctor or the trial team if you are unsure about any of these. They will be able to advise you.
Who can take part
You may be able to join this trial if all of the following apply. You:
- have the most common type of pancreatic cancer called ductal adenocarcinoma of the pancreas that has spread to other parts of the body
- have a sample of cancer tissue (
biopsy ) that the trial team can access or you are willing to have a new sample taken before you join the trial. You must also be willing to have a sample of tissue taken while you are having treatment. - have cancer that your doctor can measure on a scan
- are well enough to carry out your normal activities but you might not be able to do heavy physical work (performance status 0 or 1)
- have satisfactory blood test results
- are willing to use reliable contraception during the trial and for a period after if there is any chance you or your partner could become pregnant
- are willing not to donate sperm during the trial and for a period after
- are at least 18 years old
Who can’t take part
Cancer related
You cannot join this trial if any of these apply. You:
- have cancer that has spread to the brain or membranes that surround the brain
- have had chemotherapy for cancer that can’t be removed with surgery
- have already had radiotherapy to the only area of cancer that the doctors can measure on a scan. You may be able to take part if the area of cancer has got worse since you completed radiotherapy.
- have had radiotherapy for
metastatic pancreatic cancer and this was within 6 months of joining the trial. You may be able to take part if you had radiotherapy to treat symptoms (palliative radiotherapy ) and this was completed within 7 days of the first dose of ginisortamab. - have had chemotherapy for pancreatic cancer that can’t be removed with surgery, you have had chemotherapy for pancreatic cancer that hasn’t spread with the aim to cure in the last 6 months or you have had any other cancer treatment in the last 28 days before starting trial treatment. You can take part if the cancer has now come back and spread and it was more than 6 months since you had chemotherapy. You may also be able to take part if you had certain types of chemotherapy before radiotherapy. Your doctor will check this.
- have had an experimental treatment for pancreatic cancer that has spread within 28 days of starting trial treatment
- have had another cancer treatment within a month of having treatment in this trial or it hasn’t cleared your body yet. Your doctor will know this.
- have neuroendocrine cancer of the pancreas or acinar pancreatic cancer. Your doctor will know this.
- have had mitomycin C chemotherapy or you have had a type of drug called a
nitrosourea within 6 weeks of starting ginisortamab - have side effects from past treatments that aren’t getting better that your doctor thinks could affect you taking part in the trial
- are taking part in another trial that involves a treatment
- have or had another cancer. You can take part if you had
non melanoma skin cancer , non muscle invasive bladder cancer orcarcinoma in situ (CIS) that has been successfully treated. You may also be able to take part if you have prostate cancer that hasn’t spread.
Medical conditions
You cannot join this trial if any of these apply. You:
- have had a heart attack in the last 6 months or another significant
heart problem that needs treatment. The trial team check if you have a heart condition before you join the trial. - have a collection of fluid on the lungs or tummy (abdomen)
- have interstitial lung disease, scarring of the lung or any other severe lung condition
- have had a clot on the lung or in your leg. You can take part if you are still having treatment for this.
- have had major surgery to the chest or tummy and you aren’t better yet
- have HIV, an active hepatitis B or hepatitis C infection or another infection that isn’t well controlled with medication
- have a problem with how your
immune system works or you are taking medication to damp down the immune system unless it is a low dose - have any other medical condition or mental health problem that could affect you taking part
Other
You cannot join this trial if any of these apply. You:
- have had a
live vaccine within 28 days of starting treatment. Please note that the COVID-19 vaccine is allowed as it isn’t a live vaccine. - are having a herbal treatment that could affect how ginisortamab works. Your doctor will know this.
- are pregnant or breastfeeding
Trial design
This phase 2 trial is taking place in the UK and Europe. The team need between 6 and 36 people to join the first part of the trial and 60 people to join the second part.
Everyone has ginisortamab with nab-paclitaxel and gemcitabine chemotherapy.
There are 2 parts to this trial.
Part one (safety run in)
This is the only part open at the moment.
This is the first time people are having ginisortamab alongside gemcitabine and nab-paclitaxel. Researchers want to make sure it is safe to use ginisortamab alongside these chemotherapy drugs.
In this part, the first few people have the recommended dose of ginisortamab. This is the best dose found in the phase 1 trial. The team can reduce this dose if people have severe side effects. The safety run in helps the researchers to find the best dose of ginisortamab alongside gemcitabine and nab-paclitaxel.
Part 2 (dose expansion)
Part 2 will test the best dose found in part 1 in more people. This part isn’t open yet.
How you have treatment
You have all your treatment as a drip into a vein. You have
You have ginisortamab once every 2 weeks and then you have 2 weeks when you don’t have it. It takes about 30 minutes each time. You have this for up to 12 cycles as long as it is working and the side effects aren’t too bad.
You have nab-paclitaxel and gemcitabine chemotherapy once a week for 3 weeks and then you have 1 week with no chemotherapy. Your team will tell you how long you have chemotherapy for.
You have nab-paclitaxel and gemcitabine as two separate drips. Each drug takes about 30 minutes each time.
You continue on the trial even if you stop having either ginisortamab or chemotherapy. You stay on the trial until you stop having both ginisortamab and chemotherapy. Your doctor will then talk to you about other treatment options.
Quality of life
The trial team ask you to fill out a questionnaire:
- before you start treatment
- at set times during treatment
- at set times after treatment
The questionnaire asks about side effects and how you’ve been feeling. This is called a quality of life study.
Samples for research
The researchers might ask to take extra tissue samples (
They plan to use the samples to:
- look for substances called
biomarkers to help work out why treatment might work for some people and not for others - see what happens to ginisortamab in the body
- see how well the treatment is working
You need to agree to have the extra tissue samples taken if the trial team ask for these. Not everyone in the trial will need to have these samples taken.
Hospital visits
You see the doctor to have some tests before taking part. These include:
You have all your treatment at the hospital in the outpatient department. You shouldn’t need to stay overnight. Some hospital visits will take a few hours but some visits will be longer. The trial team can tell you more about this.
You see the doctor regularly while you are having treatment. This is for blood tests and to see how you are.
You have a CT scan or MRI scan one month after you start treatment. After that, you have them once every 8 weeks. You stop having the trial scans if your cancer gets worse.
You see the trial doctor for a check up 14 days after you finish treatment.
Follow up
The team follow you up every 3 months when you finish treatment. You might see them at a routine hospital appointment or they may call you to see how you are getting on.
Side effects
The trial team monitor you during treatment and afterwards. Contact your advice line or tell your doctor or nurse if any side effects are bad or not getting better.
A few people have had ginisortamab as part of another clinical trial. This trial is still ongoing so we don’t know about all the side effects yet. The possible side effects of ginisortamab we know about so far include:
- blood clots
- a reaction to the drug. These reactions include fevers, chills, swelling, stiff muscles or difficulty breathing
- feeling or being sick
- diarrhoea, tummy pain or both
- developing another cancer
This is the first time people are having ginisortamab with gemcitabine and nab-paclitaxel. The side effects may be worse when you have this chemotherapy with ginisortamab. We have information about the side effects of nab-paclitaxel and gemcitabine.
Your doctor will talk to you about all the possible side effects of treatment before you agree to join the trial.
Location
Recruitment start:
Recruitment end:
How to join a clinical trial
Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.
Chief Investigator
Professor Jeff Evans
Supported by
Cancer Research UK (Centre for Drug Development)
UCB Biopharma SRL
Other information
This is Cancer Research UK trial number CRUKD/24/002.
If you have questions about the trial please contact our cancer information nurses
Freephone 0808 800 4040