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Trial Title: Study of Effect of Azeliragon in Patients Refractory to Prior Treatment of Metastatic Pancreatic Cancer

NCT ID: NCT05766748

Condition: Metastatic Pancreatic Cancer

Conditions: Official terms:
Pancreatic Neoplasms

Conditions: Keywords:
azeliragon

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Azeliragon
Description: Azeliragon is an orally administered inhibitor of Receptor for Advanced Glycation Endproducts (RAGE) which is formulated as a 5mg hard gelatin capsule.
Arm group label: Treatment Group

Other name: TTP488

Summary: This is an open label study to determine the safety and preliminary evidence of a therapeutic effect of azeliragon in patients refractory to prior treatment of metastatic pancreatic cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patient must have histologically confirmed locally advanced or metastatic adenocarcinoma of the pancreas for which potential curative measures, such as resection of an isolated metastasis, are not available. 2. Patient should have previously been treated with a Gemcitabine/Abraxane or FOLFIRINOX- based regimen. 3. Toxicity from prior chemotherapy other than alopecia has recovered to Grade ≤ 1 (CTCAE 1.0) or are at baseline (such as stable G2 neuropathy). 4. Male or non-pregnant and non-lactating female and ≥ 18 to ≤ 80 years of age. 5. Patient has adequate biological parameters as demonstrated by the following blood counts at Screening (obtained ≤ 14 days prior to enrollment) and at Baseline-Day 0: Absolute neutrophil count (ANC) ≥ 1.0 × 109/L; Platelet count ≥ 75,000/mm3 (75 × 109/L); Hemoglobin (Hgb) ≥ 9 g/dL without transfusion or growth factor support 6. Patient has the following blood chemistry levels at Screening (obtained ≤ 14 days prior to enrollment) and at Baseline-Day 0: - AST (SGOT), ALT (SGPT) ≤ 2.5 × upper limit of normal range (ULN), unless liver metastases are present, then ≤ 5 x ULN is acceptable. Total bilirubin ≤ 1.5 × ULN. - Estimated creatinine clearance of > 60 mL/min (per Cockroft-Gault formula) 7. Patient has ECOG performance status of ≤ 2 8. Patient has been informed about the nature of the study, and has agreed to participate in the study, and signed the Informed Consent Form prior to participation in any study-related activities. Exclusion Criteria: 1. Patient has a life expectancy, per investigator assessment, of less than 3 months. 2. Patient has experienced an increase of ECOG to > 2 between Screening and the time of first dose with study drug. 3. Patient has active, uncontrolled bacterial, or fungal infection(s) requiring systemic therapy. 4. Patients receiving CYP 2C8 inhibitors noted in Section 5.3 of the protocol. 5. Patient has a concomitant serious medical or psychiatric illness that, in the opinion of the investigator, could compromise the patient's safety or the study data integrity. 6. Patient is unwilling or unable to comply with study procedures, including, but not limited to self-administration of oral medication. 7. Patients with a gastrointestinal condition that could interfere with swallowing or absorption. 8. Females of childbearing potential who are sexually active or males with female partners of childbearing potential, where either the female or the male is unwilling to use a highly effective method of contraception during the trial and for 6 months after the last administration of study drug. 9. Patients with concurrent participation in another interventional clinical trial or use of another investigational agent within 14 days of starting study drug. Patients who are participating in non-interventional clinical trials (e.g., quality of life, imaging, observational, follow-up studies, etc.) are eligible, regardless of the timing of participation.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute

Address:
City: Los Angeles
Zip: 90048
Country: United States

Status: Recruiting

Contact:
Last name: Andrew Hendifar, MD

Phone: 310-423-2217
Email: andrew.hendifar@cshs.org

Facility:
Name: Boca Raton Regional Hospital, Lynn Cancer Institute

Address:
City: Boca Raton
Zip: 33486
Country: United States

Status: Recruiting

Contact:
Last name: Warren Brenner, MD

Phone: 561-955-6400
Email: wbrenner@baptisthealth.net

Facility:
Name: Williamette Valley Cancer Institute and Research Center

Address:
City: Eugene
Zip: 97401
Country: United States

Status: Recruiting

Contact:
Last name: Marc Uemura, MD

Phone: 541-683-5001
Email: marc.uemura@usoncology.com

Facility:
Name: AHN Cancer Institute - Allegheny General Hospital

Address:
City: Pittsburgh
Zip: 15212
Country: United States

Status: Recruiting

Contact:
Last name: Nathan Bahary, MD

Phone: 412-359-6391
Email: nathan.bahary@ahn.org

Facility:
Name: Prisma Health - Upstate

Address:
City: Greenville
Zip: 29605
Country: United States

Status: Recruiting

Contact:
Last name: Ki Chung, MD

Phone: 864-455-3600
Email: ki.chung@prismahealth.org

Facility:
Name: Texas Oncology - Northeast Texas

Address:
City: Tyler
Zip: 75702
Country: United States

Status: Recruiting

Contact:
Last name: Donald Richards, MD

Phone: 903-579-9800
Email: donald.richards@usoncology.com

Start date: June 1, 2023

Completion date: May 2025

Lead sponsor:
Agency: Cantex Pharmaceuticals
Agency class: Industry

Source: Cantex Pharmaceuticals

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05766748

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