| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Untreated Metastatic Pancreatic Adenocarcinoma |
| Adenocarcinoma de páncreas metastásico no tratado |
|
| E.1.1.1 | Medical condition in easily understood language |
| Untreated Metastatic Pancreatic Adenocarcinoma |
| Adenocarcinoma de páncreas metastásico no tratado |
|
| E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
Phase 1b: The primary objective for the Phase 1b part of the study is to assess the safety and tolerability of mFFX combined with ABBV-927 and budigalimab in subjects with previously untreated metastatic pancreatic adenocarcinoma Phase 2: The primary objective for the Phase 2 part of the study is to assess the effect on overall survival of mFFX combined with ABBV-927 with or without budigalimab compared to mFFX alone in subjects with treatment-naïve metastatic pancreatic adenocarcinoma. |
Fase 1b: el objetivo principal de la fase 1b del estudio es evaluar la seguridad y tolerabilidad de mFFX combinado con ABBV-927 y budigalimab en pacientes con adenocarcinoma de páncreas metastásico no tratado previamente. Fase 2: El objetivo principal de la parte de fase 2 del estudio es evaluar el efecto sobre la supervivencia global de mFFX combinado con ABBV-927 con o sin budigalimab en comparación con mFFX solo en pacientes con adenocarcinoma de páncreas metastásico no tratado previamente. |
|
| E.2.2 | Secondary objectives of the trial |
•To characterize the pharmacokinetics of ABBV-927 and budigalimab in combination with mFFX (Phase 1b/Phase 2) •To assess the efficacy of mFFX + ABBV-927 ± Budigalimab (Phase 1b/Phase 2) •To evaluate the safety and tolerability of mFFX + ABBV 927 ± budigalimab (Phase 2) |
Caracterizar la farmacocinética de ABBV-927 y budigalimab en combinación con mFFX (Fase 1b / Fase 2) • Evaluar la eficacia de mFFX + ABBV-927 ± Budigalimab (Fase 1b / Fase 2) • Evaluar la seguridad y tolerabilidad de mFFX + ABBV 927 ± budigalimab (Fase 2) |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
1) Histologically or cytologically confirmed diagnosis of pancreatic adenocarcinoma with metastatic disease 2) Measurable disease per RECIST 1.1 3) ECOG 0 or 1 and life expectancy of > 3 months |
1) Diagnóstico histológico o citológico de adenocarcinoma de páncreas con enfermedad metastásica 2) Enfermedad medible según RECIST 1.1 3) ECOG 0 o 1 y esperanza de vida> 3 meses |
|
| E.4 | Principal exclusion criteria |
1) Previous radiotherapy, surgery, or systemic anti-cancer therapy for the treatment of metastatic pancreatic adenocarcinoma 2) Clinically significant third-space fluid accumulation 3) History of inflammatory bowel disease, non-infectious pneumonitis, interstitial lung disease, Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), or drug reaction with eosinophilia and systemic symptoms (DRESS) 4) Positive test results for HIV, or subjects with chronic or active hepatitis B or C 5) Clinically significant uncontrolled medical conditions |
1) Radioterapia, cirugía o terapia anticancerosa sistémica previa para el tratamiento del adenocarcinoma de páncreas metastásico 2) Acumulación de líquido en el tercer espacio clínicamente significativa 3) Historia de enfermedad inflamatoria intestinal, neumonitis no infecciosa, enfermedad pulmonar intersticial, síndrome de Stevens-Johnson (SSJ), necrólisis epidérmica tóxica (NET) o reacción a medicamentos con eosinofilia y síntomas sistémicos (DRESS) 4) Resultados positivos de la prueba del VIH o sujetos con hepatitis B o C crónica o activa 5) Condiciones médicas no controladas, clínicamente significativas |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
Phase 1b: The primary endpoints of Phase 1b are safety and tolerability of mFFX + ABBV-927 + budigalimab including AEs, laboratory data, and vital signs. Phase 2: The primary endpoint for the Phase 2 part of the study is overall survival, defined as the time between the date of randomization and death due to any cause. |
Fase 1b: los criterios de valoración principales de la fase 1b son la seguridad y la tolerabilidad de mFFX + ABBV-927 + budigalimab, incluidos acontecimientos adversos, datos de laboratorio y signos vitales. Fase 2: el criterio principal de valoración de la fase 2 del estudio es la supervivencia global, definida como el tiempo entre la fecha de randomización y la muerte por cualquier causa. |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
Phase 1 b: Up to 2 years after first dose Phase 2: Patients will be followed up until deceased |
Fase 1 b: hasta 2 años después de la primera dosis Fase 2: Se hará un seguimiento de los pacientes hasta que fallezcan. |
|
| E.5.2 | Secondary end point(s) |
Safety evaluations include adverse event monitoring, vital sign measurements, and clinical laboratory testing (hematology, chemistry) as measures of safety and tolerability for up to two years after the first dose. The following PK parameters will be determined using noncompartmental methods: Cmax, Tmax, AUC. Other PK parameters may be calculated based on availability. PK parameters will be assessed through 1 year after the first dose. Efficacy endpoints include achievement of confirmed CR or PR per RECIST 1.1, achievement of CR, PR or SD per RECIST 1.1, duration of response, and progression free survival. Secondary efficacy endpoints will be assessed every 8 weeks through 1 year after first dose, and thereafter every 12 weeks through 2 years after the first dose. |
Las evaluaciones de seguridad incluyen la monitorización de eventos adversos, mediciones de signos vitales y pruebas de laboratorio clínico (hematología, química) como medidas de seguridad y tolerabilidad hasta dos años después de la primera dosis. Los siguientes parámetros farmacocinéticos se determinarán mediante métodos no compartimentales: Cmax, Tmax, AUC. Se pueden calcular otros parámetros farmacocinéticos en función de la disponibilidad. Los parámetros farmacocinéticos se evaluarán durante un año después de la primera dosis. Los criterios de valoración de eficacia incluyen el logro de RC (respuesta completa) o RP (respuesta parcial) confirmado según RECIST 1.1, logro de RC, RP o EE (enfermedad estable) según RECIST 1.1, duración de la respuesta y supervivencia libre de progresión. Los criterios de valoración secundarios de eficacia se evaluarán cada 8 semanas hasta 1 año después de la primera dosis, y posteriormente cada 12 semanas hasta 2 años después de la primera dosis |
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| E.5.2.1 | Timepoint(s) of evaluation of this end point |
| Safety and efficacy evaluations will continue throughout the duration of the study |
| Las evaluaciones de seguridad y eficacia continuarán durante la duración del estudio. |
|
| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | Yes |
| E.6.7 | Pharmacodynamic | Yes |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | Yes |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | Yes |
| E.7.1.3.1 | Other trial type description |
| safety, tolerability and PK |
|
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | Yes |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | Yes |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 5 |
| E.8.3 |
The trial involves single site in the Member State concerned
| No |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
| E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
| E.8.5 | The trial involves multiple Member States | Yes |
| E.8.5.1 | Number of sites anticipated in the EEA | 11 |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
| E.8.6.2 | Trial being conducted completely outside of the EEA | No |
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
| Australia |
| Israel |
| Japan |
| Korea, Republic of |
| United States |
| Germany |
| Italy |
| Spain |
|
| E.8.7 | Trial has a data monitoring committee | Yes |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
| Follow-up will continue until death, withdrawal of consent, subject is lost to follow-up or study termination by Sponsor- LSLV. |
| El seguimiento continuará hasta la muerte, el retiro del consentimiento, la pérdida de seguimiento del paciente o la terminación del estudio por parte del Sponsor – Ultima visita último paciente |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 5 |
| E.8.9.1 | In the Member State concerned months | |
| E.8.9.1 | In the Member State concerned days | |
| E.8.9.2 | In all countries concerned by the trial years | 5 |