CClinicalTrials.gg
CompletedNCT03086369Updated Jun 28, 2022Results posted

A Study of Nab-Paclitaxel and Gemcitabine With or Without Olaratumab (LY3012207) in Participants With Metastatic Pancreatic Cancer

A Phase 1/2 interventional study of Olaratumab and Nab-paclitaxel in Metastatic Pancreatic Cancer, sponsored by Eli Lilly and Company. Completed at 34 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-06-28.

Sponsored by Eli Lilly and Company · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
184
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the safety and efficacy of nab-paclitaxel and gemcitabine with or without olaratumab in the treatment of first-line metastatic pancreatic cancer.

02

Conditions studied

  • Metastatic Pancreatic Cancer
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 184 is above the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) 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

  • Histological or cytological diagnosis of adenocarcinoma of the exocrine pancreas that is metastatic (Stage IV) and not amenable to resection with curative intent.
  • If present, clinically significant or symptomatic amounts of ascites should be drained prior to Day 1.
  • Have had no prior systemic treatment for metastatic disease. Prior adjuvant or neo-adjuvant chemotherapy or radiochemotherapy (other than nab-paclitaxel) is allowed if completed ≥3 months prior to enrollment and no lingering toxicities are present.
  • Prior radiation therapy for treatment of cancer is allowed to \<25% of the bone marrow.
  • Phase 2: archival tumor tissue or be willing to provide a pre-treatment biopsy.
  • Measurable or nonmeasurable but evaluable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
  • Discontinued all previous treatments for cancer ≥4 weeks prior.
  • Adequate organ function.
  • Life expectancy of at least 3 months.

Exclusion criteria

Exclusion Criteria:

  • Serious concomitant systemic disorder.
  • Have received first line treatment for metastatic pancreatic cancer.
  • Received prior treatment with nab-paclitaxel.
  • Have known central nervous system malignancy or metastasis.
  • Current hematologic malignancies.
  • Participated within the last 30 days in a clinical trial involving an investigational product.
  • Women with a positive pregnancy test or lactating.
  • Have endocrine pancreatic tumors or ampullary cancer.
  • Currently enrolled in another clinical trial.
  • Have a known additional malignancy that is progressing or required active treatment within the past 1 year.
  • Known allergy to nab-paclitaxel or gemcitabine or any ingredient of study drug formulations.
  • Are taking certain anti-coagulant medications such as warfarin and are unable to be switched to other similar medicines.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
184 participants (actual)

Study arms

  • Experimental
    Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine

    Participants received intravenous (IV) infusions of olaratumab 15 milligrams per kilogram (mg/kg), nab-paclitaxel 125 milligrams per meter square (mg/m\^2) and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

    Drug: Olaratumab · Drug: Nab-paclitaxel · Drug: Gemcitabine

  • Experimental
    Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine

    Participants received intravenous infusions of olaratumab 20 mg/kg, nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

    Drug: Olaratumab · Drug: Nab-paclitaxel · Drug: Gemcitabine

  • Experimental
    Phase1b (cohort expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine

    Following a protocol amendment, "cohort expansion" arm was added in phase 1b with new participants enrolled to confirm the safety of the olaratumab 20 mg/kg dose prior to opening the Phase 2. Participants received intravenous infusions of olaratumab 20 mg/kg, nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

    Drug: Olaratumab · Drug: Nab-paclitaxel · Drug: Gemcitabine

  • Experimental
    Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine

    Participants received intravenous infusions of olaratumab 20 mg/kg loading dose on days 1, 8, 15 of cycle 1 followed by 15 mg/kg on days 1, 8, 15 of all subsequent cycles, in combination with nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

    Drug: Olaratumab · Drug: Nab-paclitaxel · Drug: Gemcitabine

  • Placebo comparator
    Phase 2: Placebo + Nab-paclitaxel + Gemcitabine

    Participants received intravenous infusions of placebo, nab-paclitaxel 125 mg/m\^2 and gemcitabine 1000 mg/m\^2 on days 1, 8, 15 of a 28-day cycle until disease progression or a criterion for discontinuation were met.

    Drug: Nab-paclitaxel · Drug: Gemcitabine · Drug: Placebo

Interventions

  • DrugOlaratumab

    Administered IV

    Also known as: LY3012207

  • DrugNab-paclitaxel

    Administered IV

  • DrugGemcitabine

    Administered IV

  • DrugPlacebo

    Administered IV

06

What researchers measure

Primary outcomes

  1. Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs)

    A DLT is defined as an adverse event that is likely related to the study medication or combination, and fulfils any one of the following criteria, graded according to the NCI-CTCAE version 4.03: 1. Any febrile neutropenia 2. Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by clinically significant hemorrhage 3. Grade 4 neutropenia lasting 7 days or longer 4. Nonhematologic Grade ≥3 toxicity, except for toxicities such as nausea, vomiting, transient electrolyte abnormalities, diarrhea which can be controlled with optimal medical management within 48 hours; non-clinically significant, treatable, or reversible laboratory abnormalities including liver function tests, uric acid, electrolytes, etc. 5. Any other significant toxicity deemed to be dose-limiting (e.g., any toxicity that is possibly related to the study medication that requires the withdrawal of the participant from the study during Cycle 1).

    Time frame: Cycle 1 (Up to 28 days)

  2. Phase 2: Overall Survival (OS)

    OS is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive or lost to follow-up at the time of data analysis, OS data will be censored on the last date the participant is known to be alive. For any participant who has withdrawn consent for further follow-up of survival data, OS will be censored at the last date for which the participant consented to be followed for the study.

    Time frame: Baseline to Date of Death from Any Cause (Up To 29 Months)

Secondary outcomes

  1. Phase 1b/2: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Olaratumab

    PK: Cmin of olaratumab

    Time frame: Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15

  2. Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies

    Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies

    Time frame: Baseline through Follow-up (Up To 29 Months)

  3. Phase 1b: Overall Survival (OS)

    OS is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive or lost to follow-up at the time of data analysis, OS data will be censored on the last date the participant is known to be alive. For any participant who has withdrawn consent for further follow-up of survival data, OS will be censored at the last date for which the participant consented to be followed for the study.

    Time frame: Baseline to Date of Death from Any Cause (Approximately 9 Months)

  4. Phase 2: Progression-Free Survival (PFS)

    PFS is defined as the time from randomization to the first date of radiologic disease progression (as defined by Response Evaluation Criteria In Solid Tumors, Version 1.1 \[RECIST v.1.1\]) or death due to any cause in the absence of progressive disease (PD). PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. Participants who did not progress or are lost to follow-up were censored at the day of their last radiographic tumor assessment, if available, or date of randomization if no post-baseline radiographic assessment is available. If death or PD occurs after 2 or more consecutive missing radiographic visits, censoring will occur at the date of the last radiographic visit prior to the missed visits.

    Time frame: Baseline to Disease Progression or Death (Up To 26 Months)

  5. Phase 1b/2: Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)

    ORR is the best overall tumor response of CR or PR as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions.

    Time frame: Baseline through Disease Progression or Death (Up To 26 Months)

  6. Phase 1b/2: Duration of Response (DoR)

    DoR is defined as the time from the date measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective progression is observed, per RECIST 1.1 criteria, or the date of death from any cause in the absence of objectively determined disease progression or recurrence.

    Time frame: From Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up To 19 Months)

  7. Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) "Worst Pain Score"

    The mBPI-sf is a 11-item instrument used as a multiple-item measure of cancer pain intensity ranging from 0 (no pain or does not interfere) and ranged through 10 (pain as bad as you can imagine or completely interferes). Time to first worsening of the mBPI-sf "worst pain score" (TWP) was defined as the time from the date of randomization to the first date of either a "worst pain" score increase of greater than or equal to (≥) 2 points from baseline or an analgesic drug class increase of ≥1 level. If the participant has not worsened by either of these criteria, TWP was censored for analysis on the last date the mBPI-sf was administered.

    Time frame: Baseline through Follow-up (Up To 21 Months)

  8. Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales.

    The EORTC QLQ-C30 is a self-reported general cancer instrument consisting of 30 items covered by 1 of 3 dimensions: global health status/quality of life (2 items), functional scales (15 total items addressing either physical, role, emotional, cognitive, or social functioning), symptom scales (13 total items addressing either fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, diarrhoea, or financial impact). Time to first worsening of Symptom Burden was defined as the time from randomization to the first observation of worsening on symptom scales (i.e.,) increase of at least 10 points from baseline. For symptom scales, a linear transformation was used to obtain total score ranging from 0 to 100, a high score represents a high level of symptomatology or problems.

    Time frame: Baseline through Follow-up (Up To 21 Months)

  9. Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L)

    The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status. Five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) of health status are each assessed with 5 response options (1=no problem, 2=slight, 3=moderate, 4=severe, and 5=extreme problem) and scored as a composite index which were anchored on a scale of 0 to 1 with a higher score representing better health status. Additionally, current health status was assessed on a visual analogue scale (VAS) ranging from 0 to 100 with a higher score representing better health status.

    Time frame: Cycle 1 Day 1, Cycle 7 Day 1

07

Results

Posted Jan 11, 2022

Participant flow

Participant flow — Overall Study
MilestonePhase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Started37128280
Received at least 1 dose of study drug37128178
Completed27127373
Not completed10097
Withdrew: Lost to follow-up10021
Withdrew: Physician decision00012
Withdrew: Withdrawal by subject00053
Withdrew: Progressive disease00011

Outcome measures

PrimaryPhase 1b: Number of Participants With Dose Limiting Toxicities (DLTs)

A DLT is defined as an adverse event that is likely related to the study medication or combination, and fulfils any one of the following criteria, graded according to the NCI-CTCAE version 4.03: 1. Any febrile neutropenia 2. Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by clinically significant hemorrhage 3. Grade 4 neutropenia lasting 7 days or longer 4. Nonhematologic Grade ≥3 toxicity, except for toxicities such as nausea, vomiting, transient electrolyte abnormalities, diarrhea which can be controlled with optimal medical management within 48 hours; non-clinically significant, treatable, or reversible laboratory abnormalities including liver function tests, uric acid, electrolytes, etc. 5. Any other significant toxicity deemed to be dose-limiting (e.g., any toxicity that is possibly related to the study medication that requires the withdrawal of the participant from the study during Cycle 1).

Time frame:
Cycle 1 (Up to 28 days)
Reported as:
Count of participants · Participants
Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs)
ParticipantsPhase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine
Phase 1b: Number of Participants With Dose Limiting Toxicities (DLTs)000
PrimaryPhase 2: Overall Survival (OS)

OS is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive or lost to follow-up at the time of data analysis, OS data will be censored on the last date the participant is known to be alive. For any participant who has withdrawn consent for further follow-up of survival data, OS will be censored at the last date for which the participant consented to be followed for the study.

Time frame:
Baseline to Date of Death from Any Cause (Up To 29 Months)
Reported as:
Median · Months
Phase 2: Overall Survival (OS)
MonthsPhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Phase 2: Overall Survival (OS)9.10 (7.49 to 14.09)10.81 (8.51 to 14.75)
Statistical analysis
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.7902 · Hazard ratio (hr): 1.054 · 95% CI 0.728 to 1.527Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
SecondaryPhase 1b/2: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Olaratumab

PK: Cmin of olaratumab

Time frame:
Pre-dose, 5 min, 1, 4, 4.5, 24, 96, 168, 336 h post-dose on Cycle 1 Day 1, Cycle 1 Day 15, Cycle 3 Day 1, Cycle 3 Day 15
Reported as:
Geometric mean · micrograms per milliliter (μg/mL)
Phase 1b/2: Pharmacokinetics (PK): Minimum Concentration (Cmin) of Olaratumab
micrograms per milliliter (μg/mL)Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + Gemcitabine
Cycle 1 (Day 1)128 ± 3686.3 ± 9087.8 ± 91112 ± 40
Cycle 1 (Day 15)78.7 ± 42172 ± 76101 ± 3694.7 ± 62
Cycle 3 (Day 1)204 ± 13NA ± NA173 ± 33147 ± 38
Cycle 3 (Day 15)159 ± 17NA ± NA101 ± 37106 ± 68
SecondaryPhase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies

Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies

Time frame:
Baseline through Follow-up (Up To 29 Months)
Reported as:
Count of participants · Participants
Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies
ParticipantsPhase 2: Olaratumab + Nab-paclitaxel + Gemcitabine
Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies0
SecondaryPhase 1b: Overall Survival (OS)

OS is defined as the time from the date of randomization to the date of death from any cause. If the participant is alive or lost to follow-up at the time of data analysis, OS data will be censored on the last date the participant is known to be alive. For any participant who has withdrawn consent for further follow-up of survival data, OS will be censored at the last date for which the participant consented to be followed for the study.

Time frame:
Baseline to Date of Death from Any Cause (Approximately 9 Months)

No measurements were reported for this outcome.

SecondaryPhase 2: Progression-Free Survival (PFS)

PFS is defined as the time from randomization to the first date of radiologic disease progression (as defined by Response Evaluation Criteria In Solid Tumors, Version 1.1 \[RECIST v.1.1\]) or death due to any cause in the absence of progressive disease (PD). PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. Participants who did not progress or are lost to follow-up were censored at the day of their last radiographic tumor assessment, if available, or date of randomization if no post-baseline radiographic assessment is available. If death or PD occurs after 2 or more consecutive missing radiographic visits, censoring will occur at the date of the last radiographic visit prior to the missed visits.

Time frame:
Baseline to Disease Progression or Death (Up To 26 Months)
Reported as:
Median · Months
Phase 2: Progression-Free Survival (PFS)
MonthsPhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Phase 2: Progression-Free Survival (PFS)5.55 (4.14 to 7.0)6.41 (5.42 to 7.98)
Statistical analysis
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.3771 · Hazard ratio (hr): 1.192 · 95% CI 0.806 to 1.764Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
SecondaryPhase 1b/2: Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)

ORR is the best overall tumor response of CR or PR as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions.

Time frame:
Baseline through Disease Progression or Death (Up To 26 Months)
Reported as:
Number · Percentage of participants
Phase 1b/2: Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)
Percentage of participantsPhase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Phase 1b/2: Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)33.314.3030.533.8
SecondaryPhase 1b/2: Duration of Response (DoR)

DoR is defined as the time from the date measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective progression is observed, per RECIST 1.1 criteria, or the date of death from any cause in the absence of objectively determined disease progression or recurrence.

Time frame:
From Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up To 19 Months)
Reported as:
Median · Months
Phase 1b/2: Duration of Response (DoR)
MonthsPhase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Phase 1b/2: Duration of Response (DoR)NA (NA to NA)NA (NA to NA)—5.55 (2.63 to 9.23)5.55 (3.84 to 7.26)
SecondaryPhase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) "Worst Pain Score"

The mBPI-sf is a 11-item instrument used as a multiple-item measure of cancer pain intensity ranging from 0 (no pain or does not interfere) and ranged through 10 (pain as bad as you can imagine or completely interferes). Time to first worsening of the mBPI-sf "worst pain score" (TWP) was defined as the time from the date of randomization to the first date of either a "worst pain" score increase of greater than or equal to (≥) 2 points from baseline or an analgesic drug class increase of ≥1 level. If the participant has not worsened by either of these criteria, TWP was censored for analysis on the last date the mBPI-sf was administered.

Time frame:
Baseline through Follow-up (Up To 21 Months)
Reported as:
Median · Months
Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) "Worst Pain Score"
MonthsPhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) "Worst Pain Score"14.13 (5.19 to NA)6.11 (2.04 to 9.95)
Statistical analysis
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.017 · Hazard ratio (hr): 0.390 · 95% CI 0.175 to 0.872Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
SecondaryPhase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales.

The EORTC QLQ-C30 is a self-reported general cancer instrument consisting of 30 items covered by 1 of 3 dimensions: global health status/quality of life (2 items), functional scales (15 total items addressing either physical, role, emotional, cognitive, or social functioning), symptom scales (13 total items addressing either fatigue, nausea/vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, diarrhoea, or financial impact). Time to first worsening of Symptom Burden was defined as the time from randomization to the first observation of worsening on symptom scales (i.e.,) increase of at least 10 points from baseline. For symptom scales, a linear transformation was used to obtain total score ranging from 0 to 100, a high score represents a high level of symptomatology or problems.

Time frame:
Baseline through Follow-up (Up To 21 Months)
Reported as:
Median · Months
Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales.
MonthsPhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Appetite lossNA (2.79 to NA)2.86 (1.94 to NA)
ConstipationNA (2.76 to NA)NA (1.94 to NA)
Diarrhoea2.79 (1.87 to NA)1.97 (1.91 to NA)
Dyspnoea2.79 (2.10 to NA)3.12 (2.07 to NA)
Fatigue1.87 (1.05 to 2.33)1.87 (1.12 to 2.07)
Financial difficultiesNA (2.37 to NA)NA (2.79 to NA)
Insomnia3.19 (2.10 to NA)NA (2.83 to NA)
Nausea and vomiting3.19 (2.10 to NA)2.86 (1.97 to NA)
PainNA (2.76 to NA)3.25 (2.04 to NA)
Statistical analysis
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.288 · Hazard ratio (hr): 0.718 · 95% CI 0.392 to 1.317Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.442 · Hazard ratio (hr): 0.788 · 95% CI 0.423 to 1.468Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.883 · Hazard ratio (hr): 1.037 · 95% CI 0.612 to 1.755Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.803 · Hazard ratio (hr): 0.933 · 95% CI 0.532 to 1.636Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.805 · Hazard ratio (hr): 1.053 · 95% CI 0.675 to 1.645Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.465 · Hazard ratio (hr): 0.784 · 95% CI 0.420 to 1.464Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.231 · Hazard ratio (hr): 1.457 · 95% CI 0.787 to 2.698Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.748 · Hazard ratio (hr): 0.914 · 95% CI 0.532 to 1.570Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
  • Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine vs Phase 2: Placebo + Nab-paclitaxel + Gemcitabine · Log Rank · p = 0.875 · Hazard ratio (hr): 0.947 · 95% CI 0.491 to 1.827Stratified by age group (\<70 years versus ≥70 years) and prior adjuvant/neo-adjuvant gemcitabine use (yes vs no).
SecondaryPhase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L)

The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status. Five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) of health status are each assessed with 5 response options (1=no problem, 2=slight, 3=moderate, 4=severe, and 5=extreme problem) and scored as a composite index which were anchored on a scale of 0 to 1 with a higher score representing better health status. Additionally, current health status was assessed on a visual analogue scale (VAS) ranging from 0 to 100 with a higher score representing better health status.

Time frame:
Cycle 1 Day 1, Cycle 7 Day 1
Reported as:
Mean · score on a scale
Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L)
score on a scalePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Index Value [Cycle 1 (Day1)]0.8 ± 0.20.8 ± 0.2
Index Value [Cycle 7 (Day1)]0.8 ± 0.10.8 ± 0.2
VAS Score [Cycle 1 (Day1)]70.1 ± 21.769.7 ± 20.4
VAS Score [Cycle 7 (Day1)]71.7 ± 20.273.2 ± 22.5

Adverse events

Collected over Baseline to Follow-up (Up To 29 Months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + Gemcitabine2/3 (66.7%)3/3 (100%)3/3 (100%)
Phase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine7/7 (100%)3/7 (42.9%)7/7 (100%)
Phase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + Gemcitabine12/12 (100%)8/12 (66.7%)12/12 (100%)
Phase 2: Olaratumab + Nab-paclitaxel + Gemcitabine60/81 (74.1%)50/81 (61.7%)79/81 (97.5%)
Phase 2: Placebo + Nab-paclitaxel + Gemcitabine63/78 (80.8%)41/78 (52.6%)78/78 (100%)
Most frequent serious events
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Most frequent serious events
EventPhase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
Pancreatic cystGastrointestinal disorders1/30/70/120/810/78
PyrexiaGeneral disorders1/30/71/125/814/78
Device related bacteraemiaInfections and infestations1/30/70/120/810/78
Device related infectionInfections and infestations1/30/70/120/812/78
Postoperative wound infectionInfections and infestations1/30/70/120/810/78
Septic shockInfections and infestations1/30/70/122/812/78
Wound infectionInfections and infestations1/30/70/120/810/78
FallInjury, poisoning and procedural complications1/30/70/120/810/78
Hip fractureInjury, poisoning and procedural complications1/30/70/120/810/78
Confusional statePsychiatric disorders1/30/71/121/810/78
Most frequent other events
Showing 10 of 146
Most frequent other events
EventPhase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + Gemcitabine
FatigueGeneral disorders2/33/79/1253/8144/78
AnaemiaBlood and lymphatic system disorders2/32/75/1246/8145/78
ThrombocytopeniaBlood and lymphatic system disorders2/31/75/127/8112/78
ConstipationGastrointestinal disorders2/34/74/1222/8130/78
DiarrhoeaGastrointestinal disorders2/31/77/1240/8130/78
Oedema peripheralGeneral disorders2/30/75/1225/8128/78
Neutrophil count decreasedInvestigations2/33/74/1231/8125/78
Abdominal painGastrointestinal disorders0/31/76/1215/8116/78
NauseaGastrointestinal disorders1/33/76/1233/8139/78
Vulvovaginal pruritusReproductive system and breast disorders1/20/30/30/290/35

Baseline characteristics

All participants in phase 1b/2.

Age, Categorical
Age, Categorical(Participants)Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + GemcitabineTotal
<=18 years000000
Between 18 and 65 years034323776
>=65 years3485043108
Sex: Female, Male
Sex: Female, Male(Participants)Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + GemcitabineTotal
Female233293572
Male1495345112
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + GemcitabineTotal
Hispanic or Latino0017816
Not Hispanic or Latino37117470165
Unknown or Not Reported000123
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + GemcitabineTotal
American Indian or Alaska Native000011
Asian000415
Native Hawaiian or Other Pacific Islander000000
Black or African American000437
White37127273167
More than one race000000
Unknown or Not Reported000224
Region of Enrollment
Region of Enrollment(Participants)Phase1b: Olaratumab 15 mg/kg + Nab-paclitaxel + GemcitabinePhase1b: Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase1b (Cohort Expansion): Olaratumab 20 mg/kg + Nab-paclitaxel + GemcitabinePhase 2: Olaratumab + Nab-paclitaxel + GemcitabinePhase 2: Placebo + Nab-paclitaxel + GemcitabineTotal
United States1577673162
Germany1153313
Spain110349
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Study locations

34 sites
  • TGen Clinical Research Services at Scottsdale Healthcare
    Scottsdale, Arizona 85258, United States
  • University of Arizona Cancer Center
    Tucson, Arizona 85724, United States
  • Highlands Oncology Group
    Fayetteville, Arkansas 72703, United States
  • Comprehensive Blood and Cancer Center
    Bakersfield, California 93309, United States
  • St Jude Medical Center
    Fullerton, California 92835, United States
  • TRIO - Translational Research in Oncology-US, Inc.
    Los Angeles, California 90024, United States
  • UCLA Medical Center
    Los Angeles, California 90095, United States
  • Cancer Center of Santa Barbara with Sansum Clinic
    Santa Barbara, California 93105, United States
  • Central Coast Medical Oncology Corporation
    Santa Maria, California 93454, United States
  • Smilow Cancer Hospital at Yale-New Haven
    New Haven, Connecticut 06510, United States
  • Florida Cancer Specialists
    Fort Myers, Florida 33901, United States
  • Florida Cancer Specialists and Research Institute
    Saint Petersburg, Florida 33705, United States
  • H Lee Moffitt Cancer Center
    Tampa, Florida 33612-9497, United States
  • Fort Wayne Oncology & Hematology
    Fort Wayne, Indiana 46845, United States
  • Cancer Center of Kansas
    Wichita, Kansas 67214, United States
  • Nebraska Methodist Hospital
    Omaha, Nebraska 68114, United States
  • Comprehensive Cancer Centers of Nevada
    Las Vegas, Nevada 89169, United States
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire 03756-0001, United States
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey 08901, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263-0002, United States
  • Monter Cancer Center
    Lake Success, New York 11042, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • UPMC Hillman Cancer Center
    Pittsburgh, Pennsylvania 15232-1305, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Sanford Research/USD
    Sioux Falls, South Dakota 57104, United States
  • Chattanooga Oncology Hematology Associates
    Chattanooga, Tennessee 37404, United States
  • Sarah Cannon Research Institute SCRI
    Nashville, Tennessee 37203, United States
  • Tennessee Oncology PLLC
    Nashville, Tennessee 37203, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232-6307, United States
  • Univ of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
  • University of Utah School of Medicine
    Salt Lake City, Utah 84112, United States
  • University of Wisconsin-Madison Hospital and Health Clinic
    Madison, Wisconsin 53792-4108, United States
  • Charité Campus Virchow-Klinikum
    Berlin, 13353, Germany
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
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References and documents

Study documents

  • Study protocol · Mar 20, 2019
  • Statistical analysis plan · Apr 3, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Sap, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03086369
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Mar 22, 2017
Start date
Jun 22, 2017
Primary completion
Jan 5, 2021
Completion
Jun 17, 2021
Results posted
Jan 11, 2022
Last update
Jun 28, 2022

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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