Efficacy of GV1001 with gemcitabine/capecitabine in previously untreated patients with advanced pancreatic ductal adenocarcinoma having high serum eotaxin levels (KG4/2015) : an open-label, randomised, Phase 3 trial

© 2023. The Author(s)..

BACKGROUND: The TeloVac study indicated GV1001 did not improve the survival of advanced pancreatic ductal adenocarcinoma (PDAC). However, the cytokine examinations suggested that high serum eotaxin levels may predict responses to GV1001. This Phase III trial assessed the efficacy of GV1001 with gemcitabine/capecitabine for eotaxin-high patients with untreated advanced PDAC.

METHODS: Patients recruited from 16 hospitals received gemcitabine (1000 mg/m2, D 1, 8, and 15)/capecitabine (830 mg/m2 BID for 21 days) per month either with (GV1001 group) or without (control group) GV1001 (0.56 mg; D 1, 3, and 5, once on week 2-4, 6, then monthly thereafter) at random in a 1:1 ratio. The primary endpoint was overall survival (OS) and secondary end points included time to progression (TTP), objective response rate, and safety.

RESULTS: Total 148 patients were randomly assigned to the GV1001 (n = 75) and control groups (n = 73). The GV1001 group showed improved median OS (11.3 vs. 7.5 months, P = 0.021) and TTP (7.3 vs. 4.5 months, P = 0.021) compared to the control group. Grade >3 adverse events were reported in 77.3% and 73.1% in the GV1001 and control groups (P = 0.562), respectively.

CONCLUSIONS: GV1001 plus gemcitabine/capecitabine improved OS and TTP compared to gemcitabine/capecitabine alone in eotaxin-high patients with advanced PDAC.

CLINICAL TRIAL REGISTRATION: NCT02854072.

Errataetall:

ErratumIn: Br J Cancer. 2023 Dec 4;:. - PMID 38049557

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:130

Enthalten in:

British journal of cancer - 130(2024), 1 vom: 04. Jan., Seite 43-52

Sprache:

Englisch

Beteiligte Personen:

Jo, Jung Hyun [VerfasserIn]
Kim, Yong-Tae [VerfasserIn]
Choi, Ho Soon [VerfasserIn]
Kim, Ho Gak [VerfasserIn]
Lee, Hong Sik [VerfasserIn]
Choi, Young Woo [VerfasserIn]
Kim, Dong Uk [VerfasserIn]
Lee, Kwang Hyuck [VerfasserIn]
Kim, Eui Joo [VerfasserIn]
Han, Joung-Ho [VerfasserIn]
Lee, Seung Ok [VerfasserIn]
Park, Chang-Hwan [VerfasserIn]
Choi, Eun Kwang [VerfasserIn]
Kim, Jae Woo [VerfasserIn]
Cho, Jae Yong [VerfasserIn]
Lee, Woo Jin [VerfasserIn]
Moon, Hyungsik Roger [VerfasserIn]
Park, Mi-Suk [VerfasserIn]
Kim, Sangjae [VerfasserIn]
Song, Si Young [VerfasserIn]

Links:

Volltext

Themen:

0W860991D6
6804DJ8Z9U
Capecitabine
Clinical Trial, Phase III
Deoxycytidine
Gemcitabine
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 12.01.2024

Date Revised 05.03.2024

published: Print-Electronic

ClinicalTrials.gov: NCT02854072

ErratumIn: Br J Cancer. 2023 Dec 4;:. - PMID 38049557

Citation Status MEDLINE

doi:

10.1038/s41416-023-02474-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363958886