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Et studie til vurdering af intravenøs (IV) telisotuzumab adizutecan i kombination med fluorouracil, folinsyre og oxaliplatin (FOLFOX) sammenlignet med standardbehandling hos voksne deltagere med første-linje metastatisk pancreatisk duktusadenokarcinom

9. oktober 2026 opdateret af: AbbVie

Fase 2/3 åben label randomiseret undersøgelse af Telisotuzumab Adizutecan i kombination med FOLFOX sammenlignet med standardbehandling hos patienter med første-linje metastatisk pankreatisk duktalt adenokarcinom - AndroMETa-PDAC-288

Cancer is a condition where cells in a specific part of the body grow and reproduce uncontrollably. The pancreas is a gland behind the stomach that produces a digestive fluid that is emptied into the intestines through tube shaped ducts. Pancreatic cancer often starts in these ducts. The purpose of this study is to assess adverse events and change in disease activity of telisotuzumab adizutecan when given in combination with fluorouracil, folinic acid, and oxaliplatin (FOLFOX) to treat adult participants with pancreatic ductal cancer.

Telisotuzumab adizutecan is an investigational drug being developed for the treatment of pancreatic ductal adenocarcinoma (PDAC). This study will be divided into two phases, with the first phase (Phase 2) treating participants with increasing doses of telisotuzumab adizutecan with FOLFOX. Participants will then be randomized into 3 groups called treatment arms. Two groups will receive telisotuzumab adizutecan with FOLFOX with different optimized doses. One group will receive standard of care (SOC) - fluorouracil, leucovorin, oxaliplatin, and irinotecan. In the second phase (Phase 3), participants will be randomized into 2 arms to receive either the optimal dose of telisotuzumab adizutecan (from the previous phase) with FOLFOLX, or SOC. Approximately 900 participants with PDAC will be enrolled in this study in approximately 200 sites worldwide.

Phase 2 includes a dose escalation stage and a dose optimization stage. In the dose escalation stage, participants will receive escalating doses of Intravenous (IV) telisotuzumab adizutecan + FOLFOX. In the dose optimization stage, participants will receive 1 of 2 doses of IV telisotuzumab adizutecan with FOLFOX or SOC. At the start of Phase 3, participants will receive the optimal dose of IV telisotuzumab adizutecan with FOLFOX or SOC. The study will run for a duration of approximately 6 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

900

Fase

  • Fase 2
  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Victoria
      • Melbourne, Victoria, Australien, 3084
        • Rekruttering
        • Austin Hospital /ID# 280283
    • Oxfordshire
      • Oxford, Oxfordshire, Det Forenede Kongerige, OX3 7LE
        • Rekruttering
        • Oxford University Hospital NHS Trust /ID# 279764
    • Connecticut
      • New Haven, Connecticut, Forenede Stater, 06511
        • Rekruttering
        • Smilow Cancer Center At Yale-New Haven /ID# 279780
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60637
        • Rekruttering
        • University of Chicago Medical Center /ID# 279460
      • Zion, Illinois, Forenede Stater, 60099
        • Rekruttering
        • City Of Hope - Chicago /ID# 279814
    • Michigan
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Rekruttering
        • Cancer And Hematology Centers Of Western Michigan - Grand Rapids /ID# 279853
    • Missouri
      • St Louis, Missouri, Forenede Stater, 63110
        • Rekruttering
        • Washington University /ID# 279890
    • Ohio
      • Cleveland, Ohio, Forenede Stater, 44106
        • Rekruttering
        • UH Seidman Cancer Center /ID# 279602
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forenede Stater, 19104
        • Rekruttering
        • University of Pennsylvania - Perelman Center for Advanced Medicine /ID# 280038
    • Texas
      • Tyler, Texas, Forenede Stater, 75702
        • Rekruttering
        • Texas Oncology - Northeast Texas /ID# 280417
    • Virginia
      • Fairfax, Virginia, Forenede Stater, 22031
        • Rekruttering
        • Virginia Cancer Specialists - Fairfax /ID# 280415
      • Haifa, Israel, 3109601
        • Rekruttering
        • Rambam Health Care Campus- Haifa /ID# 279409
      • Jerusalem, Israel, 91120
        • Rekruttering
        • Hadassah Medical Center-Hebrew University /ID# 279411
    • Tel Aviv
      • Ramat Gan, Tel Aviv, Israel, 5265601
        • Rekruttering
        • The Chaim Sheba Medical Center /ID# 279408
      • Tel Aviv, Tel Aviv, Israel, 6423906
        • Rekruttering
        • Tel Aviv Sourasky Medical Center /ID# 279414
    • Tokyo
      • Koto-ku, Tokyo, Japan, 135-8550
        • Rekruttering
        • The Cancer Institute Hospital Of Japanese Foundation for Cancer Research /ID# 280140
      • Lisbon, Portugal, 1649-035
        • Rekruttering
        • Unidade Local de Saude de Santa Maria /ID# 279884
    • Lisbon District
      • Lisbon, Lisbon District, Portugal, 1400-038
        • Rekruttering
        • Fundacao Champalimaud /ID# 279881
    • Seoul Teugbyeolsi
      • Seoul, Seoul Teugbyeolsi, Sydkorea, 03080
        • Rekruttering
        • Seoul National University Hospital /ID# 280191
      • Kaohsiung City, Taiwan, 807
        • Rekruttering
        • Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 279735
      • Taichung, Taiwan, 40447
        • Rekruttering
        • China Medical University Hospital /ID# 279725
      • Taipei, Taiwan, 112
        • Rekruttering
        • Taipei Veterans General Hospital /ID# 279726

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Have unresectable, metastatic histologically- or cytologically-confirmed adenocarcinoma of the pancreas
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
  • Must consent to provide archived or recently obtained tumor tissue during Screening
  • Have measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Exclusion Criteria:

  • Have prior systemic therapy, surgery, or radiation (except palliative radiation) in the unresectable, locally advanced or metastatic setting
  • Prior c-MET targeting therapy
  • History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan, including a history of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
  • Prior bone marrow transplant, solid organ transplant, or previous clinical diagnosis of tuberculosis.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Sekventiel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Ph 2: Dose Escalation Telisotuzumab Adizutecan + FOLFOX

Participants will receive Telisotuzumab Adizutecan + fluorouracil, folinic acid, and oxaliplatin (FOLFOX) until doses for optimization are determined, as part of an approximately 2 year study period.

IV Infusion

Intravenous (IV) Infusion

IV Infusion

IV Infusion

Eksperimentel: Ph 2: Dose Optimization Telisotuzumab Adizutecan+FOLFOX Dose A

Participants will receive Telisotuzumab Adizutecan+FOLFOX Dose A as part of the approximately 2 year study duration.

IV Infusion

Intravenous (IV) Infusion

IV Infusion

IV Infusion

Eksperimentel: Ph 2: Dose Optimization Telisotuzumab Adizutecan+FOLFOX Dose B

Participants will receive Telisotuzumab Adizutecan+FOLFOX Dose B as part of the approximately 2 year study duration.

IV Infusion

Intravenous (IV) Infusion

IV Infusion

IV Infusion

Aktiv komparator: Ph 2: Dose Optimization Standard of Care (SOC) mFOLFIRINOX

Participants will receive SOC (fluorouracil, leucovorin, oxaliplatin, and irinotecan) as part of the approximately 2 year study duration.

IV Infusion

IV Infusion

IV Infusion

IV Infusion

Eksperimentel: Ph 3: Telisotuzumab Adizutecan RP3D + FOLFOX

Participants will receive Telisotuzumab Adizutecan recommended Phase 3 dose (RP3D) + FOLFOX as part of an approximately 2 year study period.

IV Infusion

Intravenous (IV) Infusion

IV Infusion

IV Infusion

Aktiv komparator: Ph 3: SOC mFOLFIRINOX

Participants will receive SOC (fluorouracil, leucovorin, oxaliplatin, and irinotecan) as part of the approximately 2 year study duration.

IV Infusion

IV Infusion

IV Infusion

IV Infusion

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Phase 2 and Phase 3: Overall Response (OR) Assessed by Blinded Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Tidsramme: through study completion, approximately 6 years

OR is defined as participants achieving a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) assessed by BICR per RECIST v1.1.

through study completion, approximately 6 years
Phase 3: Overall Survival (OS)
Tidsramme: through study completion, approximately 6 years

OS is defined as the time from date of randomization to the death from any cause.

through study completion, approximately 6 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Phase 2 and Phase 3: Progression-Free Survival (PFS) assessed by BICR per RECIST v1.1
Tidsramme: through study completion, approximately 6 years

PFS is defined as the time from the date of randomization or date of first dose of study treatment to the first occurrence of radiographic progression assessed by BICR per RECIST v1.1 or death from any cause, whichever occurs first.

through study completion, approximately 6 years
Phase 2 and Phase 3: Duration Of Response (DoR) assessed by BICR per RECIST v1.1
Tidsramme: through study completion, approximately 6 years

DoR is defined as time from the initial response of Complete Response or Partial Response assessed by BICR per RECIST v1.1 to the first occurrence of radiographic progression assessed by BICR per RECIST v1.1 or death from any cause, whichever occurs first.

through study completion, approximately 6 years
Phase 2 and Phase 3: Clinical Benefit (CB) assessed by BICR per RECIST v1.1
Tidsramme: through study completion, approximately 6 years

CB is defined as a participant achieving best overall response of confirmed CR or confirmed PR, or SD (with a minimum duration of 24 weeks) assessed by BICR per RECIST v1.1.

through study completion, approximately 6 years
Phase 2 : Overall Survival
Tidsramme: through study completion, approximately 6 years

OS is defined as the time from the date of randomization or date of first dose of study treatment to the event of death from any cause

through study completion, approximately 6 years
Phase 3: Change from baseline and time to deterioration in scale of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire - Core 30-item (EORTC QLQ-C30)
Tidsramme: through study completion, approximately 6 years

The EORTC QLQ-C30 is a 30-item patient-reported questionnaire composed of both multi-item and single scales including 5 functional scales, 3 symptom scales, a global health status/QoL scale, and 6 single items. Participants rate items on a 4-point scale ranging from 1 (not at all) to 4 (very much).

through study completion, approximately 6 years
Phase 3: Change from baseline and time to deterioration in scale of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire - Pancreatic Cancer Module (EORTC QLQ-PAN26)
Tidsramme: through study completion, approximately 6 years

The EORTC QLQ-PAN is a PDAC-specific module and consists of 26 questions assessing pancreatic cancer- and treatment-related symptoms and impact, including 7 scales, and 10 single items, All questions employ a one week recall period, and each item is assessed on a Likert scale from 1 (not at all) to 4 (very much).

through study completion, approximately 6 years
Phase 3: Change in Selected items of the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE)
Tidsramme: through study completion, approximately 6 years

The PRO-CTCAE is a patient-reported outcome measurement system developed to assess symptomatic toxicity in patients participating in cancer clinical trials. PRO-CTCAE includes 124 items representing 78 symptomatic toxicities drawn from the Common Terminology Criteria for Adverse Events (CTCAE). PRO-CTCAE items evaluate the symptom attributes of frequency, severity, interference, amount, presence/absence. All questions employ a 7-day recall period and are scored from 0 to 4 (or 0/1 for absent/present).

through study completion, approximately 6 years
Phase 3: Change in GP5 item of the Functional Assessment of Cancer Therapy-General (FACT-G)
Tidsramme: through study completion, approximately 6 years

The FACT GP5 item ("I am bothered by side effects of treatment") is used to assess overall treatment tolerability in patients by assessing the overall side effect impact on patients. This item is rated on a 5- point Likert scale from 0="not at all" to 4="very much."

through study completion, approximately 6 years
Phase 3: Change in Selected items of Patient Global Impression of Severity (PGIS)
Tidsramme: through study completion, approximately 6 years

The PGIS scale asks the participant to assess the severity of their PDAC symptoms over the past 7 days and employs a 5-point response scale ranging from "None" to "Very Severe".

through study completion, approximately 6 years
Phase 3: Change in Selected items of Patient Global Impression of Change (PGIC)
Tidsramme: through study completion, approximately 6 years

The PGIC scale assesses patients' perceptions of change in their PDAC symptoms since the start of treatment in the study and employs a 7-point response scale ranging from "Much Better" to "Much worse".

through study completion, approximately 6 years
Phase 3: Change from baseline in European Quality of Life 5 Dimensions (EQ-5D-5L)
Tidsramme: through study completion, approximately 6 years

The EQ-5D-5L is a generic preference instrument that has been validated in numerous cancer populations. The EQ-5D-5L consists of 2 components: the EQ-5D descriptive system and the EQ VAS. The EQ-5D descriptive system comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems). The EQ VAS records the participant's self-rated health on a vertical VAS where 100 represents "The best health you can imagine" and 0 represents "The worst health you can imagine."

through study completion, approximately 6 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: ABBVIE INC., AbbVie

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

30. april 2026

Primær færdiggørelse (Anslået)

1. juni 2031

Studieafslutning (Anslået)

1. juni 2031

Datoer for studieregistrering

Først indsendt

13. marts 2026

Først indsendt, der opfyldte QC-kriterier

18. marts 2026

Først opslået (Faktiske)

24. marts 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • M25-288
  • 2025-522563-15-00 (Anden identifikator: EU CT)
  • 2025 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

IPD-delingstidsramme

For details on when studies are available for sharing, visit https://vivli.org/ourmember/abbvie/

IPD-delingsadgangskriterier

To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .