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CompletedNCT01395017LAPCUpdated Apr 8, 2016Results posted

Dasatinib Added to Gemcitabine for Subjects With Locally-advanced Pancreatic Cancer

A Phase 2 interventional study of dasatinib and Placebo in Pancreatic Cancer, sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc.. Completed at 77 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-04-08.

Sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
202
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether patients with locally advanced pancreatic cancer who receive dasatinib added to standard of care (gemcitabine) live longer, compared to patients who receive standard of care (gemcitabine) plus placebo; i.e. gemcitabine alone.

02

Conditions studied

  • Pancreatic Cancer

Keywords

  • Pancreatic cancer
  • Dasatinib
  • chemotherapy
  • Locally advanced
03

In context

Pancreatic Neoplasms

3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.

This study's enrollment of 202 is above the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. is the lead sponsor of 289 studies on the registry; 18 are open to participants now.

Of its 104 completed or terminated interventional studies of FDA-regulated products, 69 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologic or cytologic documentation of unresectable adenocarcinoma of the pancreas.
  • Recovery from toxicity of previous procedures to establish the diagnosis. ECOG PS 0 or 1.
  • Adequate organ function.

Exclusion criteria

Exclusion Criteria:

  • Evidence of metastatic disease.
  • Previous radiotherapy or chemoradiotherapy.
  • History of or current pleural effusion.
  • History of significant cardiovascular disease.
  • Clinically significant bleeding disorder or coagulopathy.
  • Concomitant medication with strong CYP 3A4 inhibitor.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
202 participants (actual)

Study arms

  • Active comparator
    Group 1

    One arm will receive standard of care treatment (ie, GEM 1000 mg/m2 by intravenous \[IV\] infusion weekly for 3 weeks of a 4-week cycle) plus dasatinib 100 mg by mouth once daily (QD).

    Drug: dasatinib

  • Placebo comparator
    Group 2

    The other arm will receive standard of care treatment (ie, GEM 1000 mg/m2 by intravenous \[IV\] infusion weekly for 3 weeks of a 4-week cycle) plus matched placebo by mouth once daily (QD).

    Drug: Placebo

Interventions

  • Drugdasatinib

    GEM 1000 mg/m2 by intravenous \[IV\] infusion weekly for 3 weeks of a 4-week cycle plus dasatinib 100 mg (or matched placebo) by mouth once daily (QD). Subjects will continue to receive study treatment until disease progression, unacceptable toxicity, withdrawal of consent, or study termination.

    Also known as: BMS-354825

  • DrugPlacebo

    Matching Placebo

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Overall survival (OS) is the time from randomization until time of death from any cause by 02 December 2013.

    Time frame: From randomization until date of death from any cause by 02 December 2013

Secondary outcomes

  1. Progression Free Survival (PFS)

    PFS - time from randomization to unequivocal local or distant disease progression, death or discontinuation from trial for any reason by 02 December 2013. Progression events were determined according to Response Evaluation Criteria in Solid Tumor (RECIST) 1.1 every 8 weeks.

    Time frame: Time from randomization to earliest PFS event by 02 December 2013

07

Results

Posted Mar 17, 2015
Limitations and caveats
5 participants (who had not experienced disease progression at the time of event-driven data cut-off) were told the study results and were instructed to indicate "sponsor discontinued study" if they did not want to continue in the study.

Participant flow

202 participants were enrolled at 79 study sites in 15 countries.

Participant flow — Overall Study
MilestoneDasatinib + GEMPlacebo + GEM
Started100102
Treated98101
Completed00
Not completed100102
Withdrew: Lost to follow-up10
Withdrew: Adverse event2612
Withdrew: Physician decision1115
Withdrew: Withdrawal by subject148
Withdrew: Protocol deviation12
Withdrew: Death43
Withdrew: Disease progression4258
Withdrew: Sponsor discontinued study14

Outcome measures

PrimaryOverall Survival

Overall survival (OS) is the time from randomization until time of death from any cause by 02 December 2013.

Time frame:
From randomization until date of death from any cause by 02 December 2013
Reported as:
Median · Days
Overall Survival
DaysDasatinib + GEMPlacebo + GEM
Overall Survival375 (310 to 450)393 (356 to 467)
Statistical analysis
  • Dasatinib + GEM vs Placebo + GEM · Cox proportional hazard model · p = 0.3864 (The log-rank test was used to test OS. As a sensitivity analysis, HR and its confidence interval was also provided for OS using the Cox proportional hazard model.) · Hazard ratio (hr): 1.19 · 95% CI 0.85 to 1.65Adjusting for baseline factors - treatment, ECOG PS, region, CA19-9 level (\< 1000 IU/mL or \>/=1000 IU/mL), and RT during trial (yes or no).
SecondaryProgression Free Survival (PFS)

PFS - time from randomization to unequivocal local or distant disease progression, death or discontinuation from trial for any reason by 02 December 2013. Progression events were determined according to Response Evaluation Criteria in Solid Tumor (RECIST) 1.1 every 8 weeks.

Time frame:
Time from randomization to earliest PFS event by 02 December 2013
Reported as:
Median · Days
Progression Free Survival (PFS)
DaysDasatinib + GEMPlacebo + GEM
Progression Free Survival (PFS)167 (114 to 212)166 (160 to 199)
Statistical analysis
  • Dasatinib + GEM vs Placebo + GEM · Cox proportional hazard model · p = 0.6761 (The log-rank test was used to test PFS. As a sensitivity analysis, HR and its confidence interval was also provided for PFS using the Cox proportional hazard model.) · Hazard ratio (hr): 0.99 · 95% CI 0.73 to 1.34Adjusting for baseline factors: treatment, ECOG PS, region, CA19-9 level (\< 1000 IU/mL or \>/=1000 IU/mL), and RT during trial (yes or no).

Adverse events

Collected over Adverse events (AEs) were collected from randomization, throughout each treatment cycle to final study visit. Follow-up visits conducted until all ongoing AEs resolved or clinically stable.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dasatinib + GEM—53/98 (54.1%)93/98 (94.9%)
Placebo + GEM—48/101 (47.5%)98/101 (97%)
Most frequent serious events
Showing 10 of 113
Most frequent serious events
EventDasatinib + GEMPlacebo + GEM
Pleural effusionRespiratory, thoracic and mediastinal disorders6/982/101
Device occlusionGeneral disorders5/985/101
HyperbilirubinaemiaHepatobiliary disorders5/981/101
Cardiac failureCardiac disorders4/982/101
Bile duct obstructionHepatobiliary disorders4/982/101
CholangitisHepatobiliary disorders4/982/101
PyrexiaGeneral disorders1/984/101
AnemiaBlood and lymphatic system disorders3/981/101
Abdominal painGastrointestinal disorders3/981/101
DiarrhoeaGastrointestinal disorders3/980/101
Most frequent other events
Showing 10 of 62
Most frequent other events
EventDasatinib + GEMPlacebo + GEM
NauseaGastrointestinal disorders65/9849/101
NeutropeniaBlood and lymphatic system disorders53/9849/101
AnemiaBlood and lymphatic system disorders50/9828/101
FatigueGeneral disorders50/9846/101
Decreased appetiteMetabolism and nutrition disorders48/9823/101
DiarrhoeaGastrointestinal disorders41/9829/101
VomitingGastrointestinal disorders40/9834/101
ThrombocytopeniaBlood and lymphatic system disorders38/9839/101
Abdominal painGastrointestinal disorders33/9836/101
ConstipationGastrointestinal disorders33/9828/101

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Dasatinib + GEMPlacebo + GEMTotal
Mean64.8 ± 9.164.7 ± 9.664.8 ± 9.4
Sex: Female, Male
Sex: Female, Male(Participants)Dasatinib + GEMPlacebo + GEMTotal
Female435699
Male5746103
08

Study locations

77 sites
  • Birmingham, Alabama 35249, United States
  • Los Angeles, California 90095, United States
  • Orange, California 92868, United States
  • San Francisco, California 94115, United States
  • Aurora, Colorado 80045, United States
  • Boynton Beach, Florida 33426, United States
  • Tampa, Florida 33606, United States
  • Wichita, Kansas 67214, United States
  • Minneapolis, Minnesota 55455, United States
  • Albuquerque, New Mexico 87131, United States
  • Bethlehem, Pennsylvania 18015, United States
  • Blacktown, New South Wales 2148, Australia
  • Liverpool, New South Wales 2170, Australia
  • Tweed Heads, New South Wales 2485, Australia
  • Footscray, Victoria 3011, Australia
  • Frankston, Victoria 3199, Australia
  • Parkville, Victoria 3050, Australia
  • Wien, 1090, Austria
  • Brussels, 1200, Belgium
  • Gent, 9000, Belgium
  • Leuven, 3000, Belgium
  • Toronto, Ontario M4N 3M5, Canada
  • Toronto, Ontario M5G 2M9, Canada
  • Montreal, Quebec H2X 3J4, Canada
  • Olomouc, 77520, Czech Republic
  • Pardubice, 532 03, Czech Republic
  • Prague 8, 180 81, Czech Republic
  • Zlin, 76275, Czech Republic
  • Clermont Ferrand cedex 1, Auvergne 63003, France
  • Paris, Cedex 14 75674, France
  • Saint-Priest-en-Jarez, Loire 42271, France
  • Angers, Maine-et-Loire 49933, France
  • Besançon cedex, 25030, France
  • Clichy, 92110, France
  • Lille, 59037, France
  • Lyon cedex 03, 69437, France
  • Saint-Priest-en-Jarez cedex 2, 42277, France
  • Tübingen, Baden-Württemberg 72076, Germany
  • Hamburg, 20249, Germany
  • Köln, 50937, Germany
  • München, 81925, Germany
  • Pecs, Baranya 7624, Hungary
  • Budapest, 1097, Hungary
  • Budapest, 1122, Hungary
  • Gyor, 9024, Hungary
  • Dublin 24, Ireland
  • Dublin 4, Ireland
  • Dublin 7, Ireland
  • Dublin 9, Ireland
  • Milan, MI 20133, Italy
  • Udine, UD 33100, Italy
  • Ancona, 60020, Italy
  • Reggio Emilia, 42100, Italy
  • Jelenia Gora, 58-506, Poland
  • Lublin, 20-090, Poland
  • Olsztyn, 10-228, Poland
  • Craiova, Dolj 200385, Romania
  • Bucharest, 022328, Romania
  • Cluj-Napoca, 400015, Romania
  • Kazan, Tatarstan Republic 420029, Russian Federation
  • Chelyabinsk, 454087, Russian Federation
  • Krasnodar, 350040, Russian Federation
  • Moscow, 115478, Russian Federation
  • Voronezh, 394000, Russian Federation
  • Hull, East Yorks HU16 5JQ, United Kingdom
  • Chelmsford, Essex CM1 7ET, United Kingdom
  • Maidstone, Kent ME16 9QQ, United Kingdom
  • Northwood, Middlesex HA6 2RN, United Kingdom
  • Sutton, Surrey SM2 5PT, United Kingdom
  • Leeds, West Yorkshire LS9 7TF, United Kingdom
  • Edinburgh, EH4 2XU, United Kingdom
  • Glasgow, G12 OYN, United Kingdom
  • Liverpool, L69 3GA, United Kingdom
  • London, SW3 6JJ, United Kingdom
  • London, W12 0HS, United Kingdom
  • Salisbury, SP2 8BJ, United Kingdom
  • Wirral, CH63 4JY, United Kingdom
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01395017
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Responsible party
Sponsor
First posted
Jul 15, 2011
Start date
Jun 2011
Primary completion
Oct 2013
Completion
Mar 2015
Results posted
Mar 17, 2015
Last update
Apr 8, 2016

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

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