A Phase 1b Study of Neoadjuvant ASP2138 Monotherapy and Investigator's Choice of Adjuvant Chemotherapy in Participants With Resectable Pancreatic Ductal Adenocarcinoma Whose Tumors Have Claudin (CLDN) 18.2 Expression
Summary
Some people with pancreatic ductal cancer (PDAC) have a protein called Claudin 18.2 (CLDN18.2) in their tumor. ASP2138 is thought to work by binding to CLDN18.2 and a protein on a type of immune cell called a T-cell. The T-cell "tells" the immune system to attack the tumor. This study is for people with resectable PDAC. Resectable means that the tumor can be removed by surgery. In this study, adults with resectable PDAC will receive an ASP2138 injection just below the skin (subcutaneous) 2 weeks before surgery. After surgery, they will be given standard chemotherapy treatments chosen by their study doctor. These include mFOLFIRINOX, gemcitabine with nab-paclitaxel, or gemcitabine with capecitabine. People will receive chemotherapy treatment for up to 6 months, or until their cancer gets worse, they cannot tolerate the chemotherapy, or they or their study doctor thinks they should stop chemotherapy. People will have a final clinic visit about a month after finishing chemotherapy for health checks.
Arms & interventions
- DrugASP2138
Subcutaneously
- DrugOxaliplatin
Injection
- DrugLeucovorin
Injection
- Drug5-FU
Injection
- DrugIrinotecan
Injection
- DrugGemcitabine
Intravenously
- DrugNab-paclitaxel
Intravenously
- DrugCapecitabine
Oral
Outcome measures
Primary
Number of participants with Adverse Events (AEs)
An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. This includes events related to the comparator, if applicable, and events related to the (study) procedures.
Time frame: Up to 11.5 months
Number of participants with Serious Adverse Events (SAEs)
A Serious Adverse Event is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or other situations.
Time frame: Up to 11.5 months
Number of participants with laboratory value abnormalities and/or AEs
Number of participants with potentially clinically significant laboratory values.
Time frame: Up to 11.5 months
Number of participants with vital signs abnormalities and/or AEs
Number of participants with potentially clinically significant vital sign values.
Time frame: Up to 11.5 months
Number of participants with 12-lead electrocardiogram (ECG) abnormalities and/or AEs
Number of participants with potentially clinically significant 12-Lead ECG values.
Time frame: Up to 10.5 months
Number of participants with physical examinations (PEs) abnormalities and/or AEs
Number of participants with potentially clinically significant PEs values.
Time frame: Up to 11.5 months
Number of participants at each grade of Eastern Cooperative Oncology Group (ECOG) performance status score
The ECOG scale will be used to assess performance status. Grades range from 0 (fully active) to 5 (dead). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.
Time frame: Up to 11.5 months
Number of participants with ASP2138-related surgery delays (≥ 7 days)
Surgery delay is defined as the interval (in days) between the pre-specified planned date of surgery and the actual date on which surgery is performed. Delays of ≥ 7 days that are assessed by the investigator as being related to ASP2138 (treatment-related) will be documented.
Time frame: Up to 12 weeks after the end of neoadjuvant treatment
Secondary
Pharmacokinetics (PK) of ASP2138 in serum: concentration immediately prior to dosing at multiple dosing (Ctrough)
Time frame: Up to 0.5 month
Number of participants at each grade of Pathologic Response
Time frame: Up to 10.5 months
Disease-free survival (DFS)
Time frame: Up to 11.5 months
Number of participants with microscopically margin-negative (R0) resection
Time frame: Up to 10.5 months
Eligibility criteria
Study locations (3)
Massachusetts General Hospital
Boston, Massachusetts, 02114
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Duke University Medical Center - Duke Cancer Center
Durham, North Carolina, 27710