Status:
COMPLETED
Phase I - Escalating Dose Study of siG12D LODER (Local Drug EluteR) in Patients With Locally Advanced Adenocarcinoma of the Pancreas, and a Single Dose Study of siG12D LODER (Local Drug EluteR) in Patients With Non-operable Adenocarcinoma of the Pancreas
Lead Sponsor:
Silenseed Ltd
Conditions:
Pancreatic Ductal Adenocarcinoma
Pancreatic Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE1
Brief Summary
Phase 0 - Open label, Single dose study of siG12D LODER in Patients with operable adenocarcinoma of the pancreas. The primary endpoint: To assess efficacy and local distribution of siRNA out of eigh...
Detailed Description
The investigational agent siG12D LODER (Local Drug EluteR) is a miniature biodegradable polymeric matrix that encompasses anti KRASG12D siRNA (siG12D) drug, designed to release the drug regionally wit...
Eligibility Criteria
Inclusion
- Phase 0:
- Provide written informed consent and be between the ages of 18 and up, inclusive.
- Patient that is diagnosed as respectable locally pancreatic tumor
- Have a target tumor accessible for intratumoral administration by EUS (Endoscopic Ultrasound) guidance as determined by the physician performing the EUS guided LODER insertion.
- Have a Karnofsky performance status of ≥ 70%.
- Have a life expectancy of \>= 3 months.
- If female and of child-bearing potential, have a negative serum pregnancy test during screening.
- Agree to use of a barrier method of contraception if sexually active (both men and women) from the time of administration of the first treatment and for at least 8 weeks after treatment.
- Have serum creatinine \< 2.0 mg/dL, , PT, - INR \< 1.5 absolute neutrophil count (ANC) \> 1,000 x 103 cells/mL, platelets ≥ 75,000/mL, and hemoglobin \>= 10 mg/dL.
- Have screening procedures completed within 2 weeks of starting treatment.
- No other malignancy present that would interfere with the current intervention.
- Have measurable disease.
- Phase I
- Provide written informed consent and be between the ages of 18 and up.
- Have an unresectable, locally advanced diagnosed or highly suspected adenocarcinoma of the pancreas. Or patients with a tumor and are not planed to undergo surgery due to a high surgical risk (e.g. coagulopathy or severe congestive heart failure).
- Allocated to receive standard of care chemo as first line treatment.
- Have a target tumor that is accessible for intratumoral administration by PTA or EUS guidance as determined by the radiologist/gastroenterologist performing the PTA/EUS injection.
- Have a Karnofsky performance status of ≥ 70%.
- Have a life expectancy of \>= 3 months.
- If female and of child-bearing potential, have a negative serum pregnancy test during screening.
- Agree to use of a barrier method of contraception if sexually active (both men and women) from the time of administration of the first treatment and for at least 8 weeks after treatment.
- Have serum creatinine \< 2.0 mg/dL, PT - INR \< 1.5, absolute neutrophil count (ANC) \> 1,000 x 103 cells/mL, platelets ≥ 75,000/mL, and hemoglobin \>= 10 mg/dL.
- Have screening procedures completed within 4 weeks of starting treatment.
- No other malignancy present that would interfere with the current intervention.
- Have measurable disease.
Exclusion
- Phase 0:
- Have distant metastasis spread (such as liver or lung, or lymph nodes metastases), peritoneal spread or malignant sites.
- Have clinically significant pancreatitis within 12 weeks of treatment.
- If female, be breast feeding.
- Have a medical condition contraindicated for both percutaneous- and endoscopic- guided delivery or any intercurrent medical illness or other medical condition that would in the judgment of the investigator compromise patient safety or the objectives of the study.
- Have a history of bleeding coagulopathy.
- Have participated in any therapeutic research study within the last 4 weeks.
- Phase I:
- Have distant metastatic spread (such as liver, lung, or lymph nodes metastases), peritoneal spread or malignant sites.
- Have clinically significant pancreatitis within 12 weeks of treatment.
- If female, be breast feeding.
- Have a medical condition contraindicated for both percutaneous- and endoscopic- guided delivery or any intercurrent medical illness or other medical condition that would in the judgment of the investigator compromise patient safety or the objectives of the study.
- Have a history of bleeding coagulopathy.
- Have participated in any therapeutic research study within the last 4 weeks.
Key Trial Info
Start Date :
January 1 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 1 2013
Estimated Enrollment :
15 Patients enrolled
Trial Details
Trial ID
NCT01188785
Start Date
January 1 2011
End Date
December 1 2013
Last Update
April 9 2019
Active Locations (3)
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1
Shaare Zedek Medical Center
Jerusalem, Israel, 91031
2
Hadassah Medical Organization
Jerusalem, Israel, 91120
3
Sheba Medical Center
Ramat Gan, Israel, 52621