Maintenance With OSE2101 Plus FOLFIRI, or FOLFIRI After FOLFIRINOX-based Induction Therapy in Locally Advanced or Metastatic Pancreatic Ductal Adenocarcinoma

Last updated: February 24, 2023
Sponsor: GERCOR - Multidisciplinary Oncology Cooperative Group
Overall Status: Active - Recruiting

Phase

2

Condition

Metastatic Cancer

Pancreatic Cancer

Adenocarcinoma

Treatment

N/A

Clinical Study ID

NCT03806309
TEDOPAM D17-01 PRODIGE 63
  • Ages > 18
  • All Genders

Study Summary

TEDOPAM is a randomized (1.1.1) non-comparative phase II study. This study will assess the efficacy and safety of OSE2101 alone or in combination with nivolumab followed by FOLFIRI reintroduction, versus FOLFIRI as maintenance therapy in patients with advanced PDAC after induction therapy with FOLFIRINOX.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Signed and dated informed consent document, willing and able to comply with protocolrequirements,
  2. Histologically or cytologically proven pancreatic ductal adenocarcinoma,
  3. Age ≥ 18 years,
  4. Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0-1,
  5. Human Leukocyte Antigen (HLA-A2) genotype,
  6. Recurrent or advanced disease not amenable to surgery with curative intent (previousresection of primary tumor allowed),
  7. Measurable or evaluable (radiologically detectable disease which does not fulfillRECIST criteria for measurable disease) lesions according to RECIST v1.1 criteria (CT-scan < 4 weeks),
  8. Stable disease or tumor response according to RECIST v1.1 after a 4-month (8 cycles)course of first-line FOLFIRINOX or modified FOLFIRINOX induction chemotherapy,
  9. Have archival tissue sample that has been identified and confirmed as available forstudy, or newly obtained core or excisional biopsy of a tumor lesion,
  10. Adequate organ function, as defined by the following:
  • Serum aspartate aminotransferase (AST) and serum alanine aminotransferase (ALT) < 3 x upper limit of normal (ULN),
  • Total serum bilirubin < 1.5 ULN,
  • Prothrombin ratio > 70%,
  • Serum albumin ≥ 2.8 g/dL,
  • Hemoglobin ≥ 10,0 g/dl,
  • White blood cell count (WBC) ≥ 3,000/μL,
  • Absolute neutrophil count (ANC) ≥ 1,500/μL,
  • Platelets ≥ 100,000/μL,
  • Serum creatinine ≤ 1.5 ULN or creatinine clearance > 50 mL/min (Modification ofdiet in renal disease [MDRD]),
  1. Life expectancy ≥ 3 months,
  2. Women participants of childbearing potential must have a negative serum pregnancy testwithin the 3 days prior to the first treatment administration. Both women participantsof childbearing potential and men participants who are sexually active with women ofchildbearing potential must agree to use a reliable method of birth control (i.e.pregnancy rate < 1% per year) until 6 months after the last dose of FOLFIRI, and 90days after the last dose of OSE2101,
  3. Registration in a national health care system (PUMA included).

Exclusion

Exclusion Criteria:

  1. Obstructive jaundice (bilirubin > 1.5 ULN) without adequate biliary drainage,
  2. Allograft recipient,
  3. Active HBV (hepatitis B virus), HCV (hepatitis C virus ), or HIV infection, Note:Patients with past HBV infection or resolved HBV infection (defined as having anegative HBsAg test and a positive HBc (hepatitis B core antigen) antibody test areeligible. Note: Patients positive for HCV antibody are eligible only if polymerase chainreaction testing is negative for HCV ribonucleic acid (RNA).
  4. Diagnosis of any second malignancy within the last 5 years, except for adequatelytreated basal cell or squamous cell skin cancer, or in situ carcinoma of the cervixuteri,
  5. Any unresolved toxicity NCI CTCAE Grade ≥ 2 from previous anticancer therapy with theexception of neuropathy, alopecia, and the laboratory values defined in the inclusioncriteria,
  6. Known active central nervous system metastases and/or carcinomatous meningitis;patients with previously treated brain metastases may participate provided they arestable (without evidence of progression by imaging for at least 4 weeks prior to thefirst dose of trial treatment and any neurological symptoms have returned tobaseline), have no evidence of new or enlarging brain metastases, and are not usingsteroids at a dose > 10 mg/day of prednisone or equivalent for at least 14 days priorto trial treatment,
  7. Uncontrolled massive pleural effusion or massive ascites,
  8. Evidence of interstitial lung disease, any active, non-infectious pneumonitis, orknown active tuberculosis,
  9. Active uncontrolled infection, or current unstable or uncompensated respiratory orcardiac conditions, or bleeding,
  10. Known psychiatric or substance abuse disorders that would interfere with cooperationwith the requirements of the study,
  11. History or current evidence of any condition, therapy, or laboratory abnormality thatmight confound the results of the trial, interfere with participation for the fullduration of the trial, or is not in the best interest of the participant, in theopinion of the treating investigator,
  12. Known or suspected drug hypersensitivity to OSE2101 vaccine,
  13. Radiotherapy treatment to more than 30% of the bone marrow or with a wide field ofradiation within 4 weeks of the first dose of study drug,
  14. Major surgical procedure (as defined by the Investigator) within 28 days prior to thefirst dose of investigational product, Note: Local surgery of isolated lesions forpalliative intent is acceptable.
  15. Treatment with any investigational medicinal product within 28 days prior to studyentry,
  16. Prior intolerance/severe toxicity with 5-fluorouracil (5-FU) or irinotecan (includingdihydropyrimidinedehydrogenase [DPD] and UGT1A1 deficiency),
  17. Pregnancy/lactation,
  18. Tutelage or guardianship.

Study Design

Total Participants: 106
Study Start date:
July 31, 2019
Estimated Completion Date:
December 30, 2024

Study Description

Current standard of care for patients with advanced pancreatic ductal adenocarcinoma (PDAC) is chemotherapy, preferential regimen being FOLFIRINOX (5FU, leucovorin, irinotecan, and oxaliplatin) in fit patients (PS 0-1, bilirubin < 1.5 ULN). The question of how and when the FOLFIRINOX regimen and doses can be deescalated after a period of disease control (i.e. maintenance therapy) remains unanswered. In routine practice, oxaliplatin is usually stopped after 6-8 cycles due to limiting neuropathy, and the fluoropyrimidine is continued, either alone or, more frequently, in combination with irinotecan (FOLFIRI regimen), until disease progression.

Immune therapies have opened new opportunities in cancer therapy. However, results of immunotherapy in PDAC have been disappointing so far, with failure of checkpoint inhibitor monotherapies (anti-CTLA4 and anti-PD-L1 monoclonal antibodies [mAb]) in progressive advanced PDAC, while monovalent vaccines were demonstrated to be safe but with limited activity.

Connect with a study center

  • Clinique de l'Europe

    Amiens,
    France

    Site Not Available

  • Hôpital Sud CHU Amiens

    Amiens,
    France

    Site Not Available

  • CH Beauvais

    Beauvais,
    France

    Site Not Available

  • CHRU Jean Minjoz

    Besançon,
    France

    Site Not Available

  • Clinique Tivoli Ducos

    Bordeaux,
    France

    Site Not Available

  • CHU Morvan

    Brest,
    France

    Site Not Available

  • GHPSO Site de Creil

    Creil,
    France

    Site Not Available

  • Hôpital Henri Mondor

    Créteil,
    France

    Site Not Available

  • CHU Dijon

    Dijon,
    France

    Site Not Available

  • Centre Georges François Leclerc

    Dijon,
    France

    Site Not Available

  • CHRU Lille

    Lille,
    France

    Site Not Available

  • Hôpital Edouard Herriot

    Lyon,
    France

    Site Not Available

  • Hôpital Lyon Sud Hospices Civils de Lyon

    Lyon,
    France

    Site Not Available

  • Hôpital Privé Jean Mermoz

    Lyon,
    France

    Site Not Available

  • Hôpital la Croix Rousse

    Lyon,
    France

    Site Not Available

  • centre Léon Bérard

    Lyon,
    France

    Site Not Available

  • Hôpital Européen

    Marseille,
    France

    Site Not Available

  • Institut Paoli Calmette

    Marseille,
    France

    Site Not Available

  • Hôpital Pitié Salpêtrière

    Paris,
    France

    Site Not Available

  • Hôpital Saint Antoine

    Paris,
    France

    Site Not Available

  • Institut Mutualiste Montsouris

    Paris,
    France

    Site Not Available

  • CHU Poitiers

    Poitiers,
    France

    Site Not Available

  • CHU Robert Debré

    Reims,
    France

    Site Not Available

  • Institut Curie

    Saint-Cloud,
    France

    Active - Recruiting

  • Centre Paul Strauss

    Strasbourg,
    France

    Site Not Available

  • Clinique Pasteur

    Toulouse,
    France

    Site Not Available

  • Hôpital TROUSSEAU

    Tours,
    France

    Site Not Available

  • Insitut de Cancérologie de Lorraine

    Vandœuvre-lès-Nancy,
    France

    Site Not Available

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