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Un estudio para evaluar Telisotuzumab Adizutecan intravenoso (IV) en combinación con fluorouracilo, ácido folínico y oxaliplatino (FOLFOX) en comparación con el tratamiento estándar en participantes adultos con adenocarcinoma ductal pancreático metastásico en primera línea

9 de octubre de 2026 actualizado por: AbbVie

Estudio aleatorizado de etiqueta abierta de fase 2/3 de Telisotuzumab Adizutecan en combinación con FOLFOX comparado con el estándar de atención en sujetos con adenocarcinoma ductal pancreático metastásico de primera línea - 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.

Descripción general del estudio

Estado

Reclutamiento

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Estimado)

900

Fase

  • Fase 2
  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

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

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

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.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación Secuencial
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: 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

Experimental: 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

Experimental: 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

Comparador activo: 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

Experimental: 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

Comparador activo: 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

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
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
Periodo de tiempo: 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)
Periodo de tiempo: 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

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Phase 2 and Phase 3: Progression-Free Survival (PFS) assessed by BICR per RECIST v1.1
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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)
Periodo de tiempo: 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)
Periodo de tiempo: 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)
Periodo de tiempo: 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)
Periodo de tiempo: 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)
Periodo de tiempo: 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)
Periodo de tiempo: 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)
Periodo de tiempo: 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

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Director de estudio: ABBVIE INC., AbbVie

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

30 de abril de 2026

Finalización primaria (Estimado)

1 de junio de 2031

Finalización del estudio (Estimado)

1 de junio de 2031

Fechas de registro del estudio

Enviado por primera vez

13 de marzo de 2026

Primero enviado que cumplió con los criterios de control de calidad

18 de marzo de 2026

Publicado por primera vez (Actual)

24 de marzo de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

13 de octubre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

9 de octubre de 2026

Última verificación

1 de octubre de 2026

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • M25-288
  • 2025-522563-15-00 (Otro identificador: EU CT)
  • 2025 (Subvención/contrato del NIH de EE. UU.)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

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.

Marco de tiempo para compartir IPD

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

Criterios de acceso compartido de IPD

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

Tipo de información de apoyo para compartir IPD

  • PROTOCOLO DE ESTUDIO
  • SAVIA

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

Sí

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

producto fabricado y exportado desde los EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .