A Study of Glipizide to Treat High Blood Sugar in People With Pancreatic Cancer
Sulfonylurea Safety and Effectiveness (SUSS) for Patients With Hyperglycemia and Pancreatic Ductal Adenocarcinoma: A Pragmatic Clinical Trial and Accompanying Retrospective Revie
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Eileen O'Reilly, MD
- Phone Number: 646-888-4182
- Email: oreillye@MSKCC.ORG
Study Contact Backup
- Name: James Flory, MD
- Phone Number: 646-608-2684
- Email: floryj@mskcc.org
Study Locations
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New Jersey
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Basking Ridge, New Jersey, United States, 07920
- Memorial Sloan Kettering at Basking Ridge (Limited Protocol Activities)
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Middletown, New Jersey, United States, 07748
- Memorial Sloan Kettering Monmouth (Limited protocol activities)
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Montvale, New Jersey, United States, 07645
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)
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New York
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Commack, New York, United States, 11725
- Memorial Sloan Kettering Cancer Center @ Suffolk-Commack (Limited protocol activities)
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Harrison, New York, United States, 10604
- Memorial Sloan Kettering Westchester (Limited protocol activities)
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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Uniondale, New York, United States, 11553
- Memorial Sloan Kettering Nassau (Limited protocol activities)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Cohort 1
- Age ≥18 years
- Biopsy-proven PDAC
- Radiological evidence and clinical assessment that patient has active disease (local, locally advanced, or metastatic)
- Willing and able to comply with the requirements of the protocol
- Willing to use their bluetooth-enabled wifi or cellular mobile device
- Hemoglobin A1c (HbA1c) > 7%, or fructosamine > 287 mg/dL, or random glucose > 180 mg/dL, or strong clinical suspicion that patient has hyperglycemia, making it reasonable to expect their mean daily glucose is ≥154 mg/dL
- Eastern Cooperative Oncology Group performance status ≤2
- BMI <30 kg/m2
Cohort 2a
- Age ≥18 years
- Biopsy-proven PDAC
- Radiological evidence and clinical assessment that patient has active disease (local, locally advanced, or metastatic pancreatic cancer)
- Clinical diagnosis of diabetes mellitus
- Active care at MSK (defined as at least 1 physician or APP encounter every 3 months) for PDAC during the period from which data were recorded in the electronic medical record (in this retrospective study patients need not be under active care at the time the research is conducted)
- At least 1 electronic prescription for a sulfonylurea (glipizide, glimepiride, or glyburide) or metformin
- Three-month baseline period before metformin or sulfonylurea initiation in which the participant does not receive either drug class or insulin
- Body weight recorded within 3 months before start of metformin or a sulfonylurea
Cohort 2b
- Age ≥18 years
- Biopsy-proven PDAC
- Radiological evidence and clinical assessment that patient has active disease (local, locally advanced, or metastatic)
- Active care at MSK (defined as at least 1 physician or APP encounter every 3 months) for PDAC during the period of data collection
- Apparent current use based on chart review of metformin (but not sulfonylurea); sulfonylurea (but not metformin); or neither drug
Exclusion Criteria:
Cohort 1
- Use during the past month of any antidiabetic medication other than metformin at home (sporadic use [fewer than 1 of 7 days during the past month] is permitted)
- Changes in metformin dose in the past month
- History of sulfonylurea intolerance or allergy
- History of severe hypoglycemia (hypoglycemia requiring emergency medical assistance, emergency room or urgent care visit, or hospital admission)
- AST or ALT >3 x upper limit of normal
- Glomerular filtration rate <30 mL/min/1.73m2
- Daily chronic use of any dose of corticosteroids (as distinct from intermittent exposure to steroids as part of cyclic chemotherapy)
- Inability to wear CGM
Cohort 2a
- Greater than trace ascites documented on imaging or physical exam
Cohort 2b
- Greater than trace ascites documented on imaging or physical exam
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1
Participants in this cohort will receive glipizide for up to 4 months and participate in continuous glucose monitoring for as long as they are receiving the drug.
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The therapeutic intervention in this study involves the sulfonylurea glipizide in ER formulation.
Other Names:
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No Intervention: Cohort 2a
Participants in this cohort will include people who have received various types of treatment for their hyperglycemia and pancreatic cancer.
People's medical records will be reviewed to compare the effects of glipizide with the effects of other standard medications used to treat hyperglycemia.
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No Intervention: Cohort 2b
Participants in this cohort will complete a questionnaire about their use of hyperglycemia medications.
Participants from Cohort 2a will take part in this group.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in mean interstitial glucose level for Cohort 1 participants before and after initiation of glipizide
Time Frame: 48 hours after glipizide initiation
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The mean value measured over a 48-h period before initiation of glipizide will be compared with the mean value measured over a 48-h period after glipizide initiation for participants in Cohort 1
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48 hours after glipizide initiation
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Azeez Farooki, MD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 23-318
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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