About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial design
Parallel
Treatments tested in this trial
SBP-101
Drugsmall molecule polyamine metabolic inhibitor for subcutaneous injection
Nab-paclitaxel
Drugpaclitaxel protein-bound particles for injectable suspension
Gemcitabine
Druggemcitabine for injection
Placebo
Other interventionNormal Saline
Treatment groups
Trial outcomes
Primary outcomes
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
Secondary outcomes
Progression Free Survival (PFS)
Compare PFS between SBP-101 and placebo
Other outcomes
Overall Objective Response (ORR)
Compare ORR between SBP-101 and placebo
Disease Control Rate (DCR)
Compare DCR between SBP-101 and placebo
Duration of Response (DoR)
Compare DoR between SBP-101 and placebo
Quality of Life (QOL) Questionnaires: EORTC QLC-C30
Compare QOL changes in scores between SBP-101 and placebo
Sponsors and contacts
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