ClinicalTrials.gg
CompletedNCT03941093LAPISUpdated Nov 5, 2024Results posted

Evaluation of Efficacy and Safety of Neoadjuvant Treatment With Pamrevlumab in Combination With Chemotherapy (Either Gemcitabine Plus Nab-paclitaxel or FOLFIRINOX) in Participants With Locally Advanced, Unresectable Pancreatic Cancer

A Phase 3 interventional study of Pamrevlumab + Gemcitabine + Nab-paclitaxel or Pamrevlumab + FOLFIRINOX and Placebo + Gemcitabine + Nab-paclitaxel or Placebo + FOLFIRINOX in Pancreatic Cancer Non-resectable, sponsored by FibroGen. Completed at 90 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-05.

Sponsored by FibroGen · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
284
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 1,852 studies in Pancreatic Neoplasms with a site in United States — 303 open to participants now, 475 under way, 25 of them phase 3. Pancreatic Neoplasms · United States.

Enrollment
129th of 1,575
284 · median 37
Started
2019
with 93 others
Phase 3
80 of 1,852
14 open now
Registered
1,248th of 1,852
by date

Among the 1,852 studies in Pancreatic Neoplasms with a site in United States, this one is the 129th largest by enrollment of the 1,575 interventional ones that give a count, is one of 94 that started in 2019, is one of 80 in phase 3, and was the 1,248th registered.

Pancreatic Neoplasms

3,896 studies on the registry are indexed under Pancreatic Neoplasms; 1,006 are open to participants now.

Browse Pancreatic Neoplasms studies →

Open to participants now

303 of the 1,852 studies in Pancreatic Neoplasms with a site in United States are open now. Recruiting first, the newest first:

298 more — sign in →

All 303 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 745 Pancreatic Neoplasms studies recruiting now, 478 (64%) set no upper age limit and 151 (20%) stop at 75 or younger; 40 take children under 18; 59 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a Phase 3, randomized, double-blind trial to evaluate the efficacy and safety of neoadjuvant treatment with pamrevlumab or placebo in combination with either gemcitabine plus nab-paclitaxel (G/NP) or FOLFIRINOX in the treatment of participants with locally advanced, unresectable pancreatic cancer.

Read the detailed description

Participants will be randomized in a 1:1 ratio to one of the two study treatment arms; pamrevlumab with either G/NP or FOLFIRINOX, placebo with G/NP or FOLFIRINOX.

Each participant may receive up to 6 cycles of treatment (each treatment cycle is 28 days). Tumor tissue will be collected during resection to determine surgical outcome and for biomarker analysis. Tumor response will be evaluated by changes in CT scan, FDG-PET, CA 19-9, and NCCN® guidelines.

All participants randomized will have a safety follow-up visit approximately 28 days after the last dose of study treatment and a final safety follow-up phone call at approximately 60 days after the last dose.

Participants who complete study treatment will be evaluated for surgical exploration for possible R0 or R1 resection. Surgery will occur at least 4 weeks after the last dose (allowing for a wash-out period from treatment) and only after receipt of the recommendation from the central review board with regards to surgical eligibility. Surgery will occur no longer than 8 weeks after the last dose. Participants who undergo surgery will be evaluated for surgical complications for at least an additional 90 days following discharge from surgery.

Participants who are ineligible for surgical exploration (i.e. participants who did not complete study treatment or do not meet any of the protocol defined criteria or had a contraindication to surgery) will continue in the Follow-up period and receive treatment as per standard of care (SOC) for each institution.

All participants will be followed for disease progression (if not previously detected) or recurrence following resection (local progression or metastatic disease). Participants will also be followed for any additional anti-cancer therapy received for their pancreatic cancer. All participants will be followed for survival (until death) or until the last participant to complete treatment reaches 18 months post-treatment.

03

Conditions studied

  • Pancreatic Cancer Non-resectable

Keywords

  • locally advanced pancreatic cancer
  • unresectable pancreatic cancer
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Understand and sign ; be willing to comply with study procedures, including surgery
  2. Age ≥ 18 years
  3. Be a male, or non-pregnant and non-lactating female
  4. Negative serum B-hCG pregnancy test at screening for women of
  5. Male participants with partners of childbearing potential and female participants of childbearing potential are required to use highly effective methods during the conduct of the study and for 6 months after the last dose of study drug
  6. or cytologically proven diagnosis of pancreatic ductal adenocarcinoma (PDAC)
  7. Locally advanced pancreatic cancer considered unresectable according to NCCN Guidelines® Version 2.2018 as determined by central imaging
  8. as defined by 1.1 criteria as determined by central imaging
  9. (ECOG) performance status of 0 or 1
  10. Adequate liver function: (AST) and alanine aminotransferase (ALT) \<2.5 x (ULN), alkaline phosphatase \<2.5 x ULN, and ≤1.5 x ULN or in participants with biliary stenting ≤2.0 x ULN
  11. Adequate bone marrow function: >100,000 cells/mm3, >9.0 g/dl and (ANC) >1,500 cells/mm3
  12. Adequate renal function: creatinine \< 1.5 x ULN, ≥ 30 mL/min
  13. Less than grade 2 pre-existing peripheral neuropathy (per )

Exclusion criteria

Exclusion Criteria:

  1. Prior chemotherapy or radiation for pancreatic cancer
  2. Previous (within the past 3 years) or concurrent diagnosis except non-melanoma skin cancer and in situ carcinomas (excluding in situ breast cancer)
  3. Major surgery within 4 weeks prior to signing form. Biliary stents are permitted.
  4. History of allergy or to human, humanized or chimeric monoclonal antibodies
  5. History of allergy or hypersensitivity to any of the chemotherapy agents being prescribed or their
  6. Any medical or surgical condition that may place the participant at increased risk while on study
  7. Any condition potentially decreasing compliance to study procedures
  8. Exposure to another drug within 28 days of first dosing visit, or 5 half-lives of the investigational drug (whichever is longer)
  9. Uncontrolled intercurrent illness including, but not limited to, ongoing or active systemic infections, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  10. Documented history of drug or alcohol abuse within 6 months of signing informed consent
  11. Any medical condition that, in the opinion of the investigator, may pose a safety risk to a participant in this trial, may confound the assessment of safety and efficacy, or may interfere with study participation
  12. Participants with a history of interstitial pulmonary disease, virus (HCV), virus (HBV) or (HIV) infection
  13. Participants who have been administered a within 4 weeks prior to the first administration of therapy
  14. Participants who cannot stop chronic medications that inhibit or induce cytochrome P (CYP) 2C8 or
  15. Participants with poorly controlled comorbid conditions, including; congestive heart failure (CHF), (COPD), uncontrolled diabetes mellitus (DM) or neurologic disorders (not acutely related to pancreatic cancer) or limited function
Terms in these criteria, in plain language(26)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
284 participants (actual)

Study arms

  • Experimental
    Arm A

    Pamrevlumab + Gemcitabine + Nab-paclitaxel or Pamrevlumab + FOLFIRINOX

    Drug: Pamrevlumab + Gemcitabine + Nab-paclitaxel or Pamrevlumab + FOLFIRINOX

  • Placebo comparator
    Arm B

    Placebo + Gemcitabine + Nab-paclitaxel or Placebo + FOLFIRINOX

    Drug: Placebo + Gemcitabine + Nab-paclitaxel or Placebo + FOLFIRINOX

Interventions

  • DrugPamrevlumab + Gemcitabine + Nab-paclitaxel or Pamrevlumab + FOLFIRINOX

    Drug page: Pamrevlumab

    Drug: Pamrevlumab is administered on Days 1, 8 and 15 of Treatment Cycle 1 and on Day 1 and 15 of each subsequent treatment cycle via IV infusion. Drug: Gemcitabine is administered on Days 1, 8 and 15 of each 28 day treatment cycle via IV infusion. Drug: Nab-paclitaxel is administered on Days 1, 8 and 15 of each 28 day treatment cycle via IV infusion. Drug: FOLFIRINOX is a combination of several agents administered on Days 1 and 15 of each 28 day treatment cycle via IV infusion. The specific agents are Oxaliplatin, Folinic Acid, Irinotecan, and Fluorouracil.

    Also known as: FG-3019, Gemzar, Abraxane, Eloxitan, Leucovorin, Camptosar, 5-Fluracil, Efudex

  • DrugPlacebo + Gemcitabine + Nab-paclitaxel or Placebo + FOLFIRINOX

    Drug: Placebo is administered on Days 1, 8 and 15 of Treatment Cycle 1 and on Day 1 and 15 of each subsequent treatment cycle via IV infusion. Drug: Gemcitabine is administered on Days 1, 8 and 15 of each 28 day treatment cycle via IV infusion. Drug: Nab-paclitaxel is administered on Days 1, 8 and 15 of each 28 day treatment cycle via IV infusion. Drug: FOLFIRINOX is a combination of several agents administered on Days 1 and 15 of each 28 day treatment cycle via IV infusion. The specific agents are Oxaliplatin, Folinic Acid, Irinotecan, and Fluorouracil.

    Also known as: Gemzar, Abraxane, Eloxitan, Leucovorin, Camptosar, 5-Fluracil, Efudex

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Overall survival was defined as the time from date of randomization to date of death due to any cause. Overall survival was calculated using the Kaplan-Meier method.

    Time frame: Up to approximately 5 years

Secondary outcomes

  1. Event-free Survival (EFS)

    The EFS endpoint was a composite time-to-event endpoint. The event being analyzed ('treatment failure') was defined as the earliest occurrence of: a) failure to achieve disease-free status locally after completion of neoadjuvant treatment and/or after surgery (that is, resection failure or progression that precludes surgery); b) local or distant recurrence, or c) death. The EFS was calculated using the Kaplan-Meier method.

    Time frame: Up to approximately 5 years

  2. Progression-free Survival (PFS) as Assessed Using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    The PFS was defined as time from date of randomization until disease progression or death due to any cause, whichever occurred first. PFS was calculated using the Kaplan-Meier method. Progression was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 millimeters (mm). Unequivocal progression of existing non-target lesions and the appearance of one or more new lesions was also considered progression.

    Time frame: Up to approximately 5 years

  3. Number of Participants With Best Overall Objective Response as Assessed Using RECIST v1.1

    Best overall objective response was defined as a complete response (CR) or partial response (PR). CR was defined as disappearance of all target or non-target lesions and normalization of tumor marker level (for non-target lesions), any pathological lymph nodes (whether target or non-target) must have reduced in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Time frame: Up to approximately 5 years

07

Results

Posted Nov 5, 2024

Participant flow

Participant flow — Overall Study
MilestonePamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
Started143141
Received at least 1 dose of study drug142141
Completed134134
Not completed97
Withdrew: Protocol violation01
Withdrew: Withdrawal by subject96

Outcome measures

PrimaryOverall Survival

Overall survival was defined as the time from date of randomization to date of death due to any cause. Overall survival was calculated using the Kaplan-Meier method.

Time frame:
Up to approximately 5 years
Reported as:
Median · months
Overall Survival
monthsPamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
Overall Survival17.25 (15.47 to 18.89)17.94 (14.59 to 20.34)
Statistical analysis
  • Pamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOX vs Placebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX · Stratified Log Rank Test · p = 0.5487 · Hazard ratio (hr): 1.08 · 95% CI 0.83 to 1.41
SecondaryEvent-free Survival (EFS)

The EFS endpoint was a composite time-to-event endpoint. The event being analyzed ('treatment failure') was defined as the earliest occurrence of: a) failure to achieve disease-free status locally after completion of neoadjuvant treatment and/or after surgery (that is, resection failure or progression that precludes surgery); b) local or distant recurrence, or c) death. The EFS was calculated using the Kaplan-Meier method.

Time frame:
Up to approximately 5 years
Reported as:
Median · months
Event-free Survival (EFS)
monthsPamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
Event-free Survival (EFS)5.72 (5.59 to 6.01)5.78 (5.62 to 6.37)
SecondaryProgression-free Survival (PFS) as Assessed Using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

The PFS was defined as time from date of randomization until disease progression or death due to any cause, whichever occurred first. PFS was calculated using the Kaplan-Meier method. Progression was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 millimeters (mm). Unequivocal progression of existing non-target lesions and the appearance of one or more new lesions was also considered progression.

Time frame:
Up to approximately 5 years
Reported as:
Median · months
Progression-free Survival (PFS) as Assessed Using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
monthsPamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
Progression-free Survival (PFS) as Assessed Using Response Evaluation Criteria in Solid Tumors (RECIST) v1.19.36 (7.75 to 11.79)9.40 (7.69 to 10.84)
SecondaryNumber of Participants With Best Overall Objective Response as Assessed Using RECIST v1.1

Best overall objective response was defined as a complete response (CR) or partial response (PR). CR was defined as disappearance of all target or non-target lesions and normalization of tumor marker level (for non-target lesions), any pathological lymph nodes (whether target or non-target) must have reduced in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame:
Up to approximately 5 years
Reported as:
Count of participants · Participants
Number of Participants With Best Overall Objective Response as Assessed Using RECIST v1.1
ParticipantsPamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
Number of Participants With Best Overall Objective Response as Assessed Using RECIST v1.14364

Adverse events

Collected over Up to approximately 5 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOX118/143 (82.5%)75/142 (52.8%)139/142 (97.9%)
Placebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX112/141 (79.4%)62/141 (44%)140/141 (99.3%)
Most frequent serious events
Showing 10 of 134
Most frequent serious events
EventPamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
CholangitisHepatobiliary disorders7/1428/141
SepsisInfections and infestations7/1421/141
VomitingGastrointestinal disorders3/1426/141
PyrexiaGeneral disorders5/1426/141
Biliary obstructionHepatobiliary disorders3/1425/141
PneumoniaInfections and infestations5/1424/141
NauseaGastrointestinal disorders2/1424/141
Febrile neutropeniaBlood and lymphatic system disorders4/1422/141
Abdominal painGastrointestinal disorders4/1423/141
ColitisGastrointestinal disorders4/1420/141
Most frequent other events
Showing 10 of 63
Most frequent other events
EventPamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOX
DiarrhoeaGastrointestinal disorders81/14290/141
FatigueGeneral disorders84/14276/141
NauseaGastrointestinal disorders68/14273/141
AnaemiaBlood and lymphatic system disorders54/14267/141
AlopeciaSkin and subcutaneous tissue disorders53/14257/141
Neutrophil count decreasedInvestigations51/14256/141
Oedema peripheralGeneral disorders44/14252/141
Decreased appetiteMetabolism and nutrition disorders50/14248/141
Platelet count decreasedInvestigations36/14243/141
VomitingGastrointestinal disorders38/14240/141

Baseline characteristics

The intent-to-treat (ITT) population included all randomized participants regardless of whether or not study treatment was received.

Age, Continuous
Age, Continuous(years)Pamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOXTotal
Mean64.5 ± 9.5464.5 ± 9.6064.5 ± 9.56
Sex: Female, Male
Sex: Female, Male(Participants)Pamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOXTotal
Female6172133
Male8269151
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Pamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOXTotal
Hispanic or Latino10212
Not Hispanic or Latino122124246
Unknown or Not Reported111526
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Pamrevlumab + Gemcitabine/Nab-paclitaxel or FOLFIRINOXPlacebo + Gemcitabine/Nab-paclitaxel or FOLFIRINOXTotal
American Indian or Alaska Native022
Asian253560
Native Hawaiian or Other Pacific Islander000
Black or African American5510
White9679175
More than one race000
Unknown or Not Reported172037
08

Study locations

90 sites
  • St. Joseph's Hospital and Medical Cancer Center
    Phoenix, Arizona 85004, United States
  • UC San Diego Moores Cancer Center
    La Jolla, California 92037, United States
  • UCLA
    Los Angeles, California 90095, United States
  • UC Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
  • Yale New Haven Hospital
    New Haven, Connecticut 06510, United States
  • Elmhurst Memorial Hospital - Nancy W. Knowles Cancer Center
    Elmhurst, Illinois 60126, United States
  • Edward Cancer Center
    Naperville, Illinois 60540, United States
  • Indiana University Melvin and Bren Simon Comprehensive Cancer Center
    Indianapolis, Indiana 48202, United States
  • University of Kansas Hospital
    Westwood, Kansas 66205, United States
  • Norton Cancer Institute, Audubon Hospital Campus
    Louisville, Kentucky 40217, United States
  • Maine Health Cancer Care
    South Portland, Maine 04106, United States
  • University of Massachusetts
    Worcester, Massachusetts 01655, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Saint Luke's Hospital
    Kansas City, Missouri 64111, United States
  • University of Nebraska Medical Center
    Omaha, Nebraska 68105, United States
  • New Mexico Cancer Care Alliance
    Albuquerque, New Mexico 87131, United States
  • NYU Langone Health
    New York, New York 11735, United States
  • Stony Brook University
    Stony Brook, New York 11794, United States
  • SUNY Upstate Medical University
    Syracuse, New York 13210, United States
  • University of Cincinnati Medical Center
    Cincinnati, Ohio 45219, United States
  • Ohio State University
    Columbus, Ohio 43210, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Allegheny General Hospital
    Pittsburgh, Pennsylvania 15212, United States
  • Reading Hospital McGlinn Cancer Institute
    West Reading, Pennsylvania 19611, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • Baylor Scott & White Medical Center
    Temple, Texas 76508, United States
  • Renovatio Clinic
    The Woodlands, Texas 77380, United States
  • Inova Schar Cancer Institute
    Fairfax, Virginia 22031, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
  • West Virginia University
    Morgantown, West Virginia 26506, United States
  • Klinikum Wels-Grieskirchen GmbH
    Wels, 4600, Austria
  • Medizinische Universität Wien
    Wien, 1090, Austria
  • CUB Hôpital Erasme
    Brussels, 1070, Belgium
  • The Ottawa Hospital
    Ottawa, Ontario K1H 8L6, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Cancer Centre/University Health Network
    Toronto, Ontario M5G 2M9, Canada
  • McGill University Health Center
    Montreal, Quebec H4A 3J1, Canada
  • Peking Union Medical College Hospital
    Dongcheng, Beijing 100010, China
  • Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology
    Wuhan, Hubei, China
  • The First Affiliated Hospital Of Xi'an Jiaotong University
    Xi'an, Shaanxi, China
  • Huashan Hospital affiliated with Fudan University
    Jing'an, Shanghai 200040, China
  • West China Hospital of Sichuan University
    Chengdu, China
  • Jiangsu Province Hospital
    Nanjing, China
  • Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
    Shanghai, China
  • Xinhua Hospital Affiliated to Shanghai Jiaotong University School Of Medicine
    Shanghai, China
  • CHRU Jean Minjoz
    Besançon Cedex, 25030, France
  • CHU Estaing
    Clermont Ferrand, 63003, France
  • Hopital BEAUJON
    Clichy, 92118, France
  • Centre Georges-François Leclerc
    Dijon, 21079, France
  • CHU Grenoble Alpes
    La Tronche, 38700, France
  • Centre Léon Bérard
    Lyon, 69373, France
  • Hôpital Edouard Herriot
    Lyon, 69437, France
  • Groupe Hospitalier Pitié Salpêtrière
    Paris, 750013, France
  • Haut-Lévêque
    Pessac, 33604, France
  • Institut de Cancérologie de l'Ouest Pays de Loire
    Saint Herblain Cedex, 44805, France
  • Medizinische Klinik mit Schwerpunkt Hämatologie, Onkologie und Tumorimmunologie
    Berlin, 10117, Germany
  • Technische Universität Dresden, Medizinische Klinik und Poliklinik I
    Dresden, 01307, Germany
  • Klinikum der Universität München, Medizinische Klinik und Poliklinik III
    München, 81377, Germany
  • Klinikum rechts der Isar der Technischen Universität München
    München, 81675, Germany
  • Shamir Medical center Asaf Harofeh
    Be'er Ya'aqov, 7030000, Israel
  • Hadassah University Hospital Ein Kerem
    Jerusalem, 9112001, Israel
  • Meir Medical center
    Kfar Saba, 4428164, Israel
  • Rabin Medical Center
    Petach Tikva, 4941492, Israel
  • Instituto Scientifico Romagnolog per lo Studio e la Cura dei Tumori
    Meldola, 47014, Italy
  • IRCCS Ospedale San Raffaele
    Milano, 20132, Italy
  • Istituto Europeo di Oncologia
    Milano, 20141, Italy
  • Grande Ospedale Metropolitano Niguarda, Oncologia Medica Falck
    Milano, 20162, Italy
  • AOU Federico II
    Napoli, 80131, Italy
  • Istituto Clinico Humanitas
    Rozzano, 20089, Italy
  • CRC di Verona
    Verona, 37134, Italy
  • Seoul National University Budang Hospital
    Seongnam-si, Geyonggi-do 13620, Korea, Republic of
  • National Cancer Center
    Goyang-si, Gyeonggi-do 10408, Korea, Republic of
  • Chonnam National University Hwasun Hospital
    Hwasun, Jeollanam-do 58128, Korea, Republic of
  • Seoul National University Hospital
    Seoul, 03080, Korea, Republic of
  • Severance Hospital, Yonsei University Health System
    Seoul, 03722, Korea, Republic of
  • Samsung Medical Center
    Seoul, 06351, Korea, Republic of
  • The Catholic University of Korea, Seoul St. Mary's Hospital
    Seoul, 06591, Korea, Republic of
  • Alvaro Cunqueiro Hospital
    Vigo, Pontevedra 36312, Spain
  • Hospital Universitaro Vall D'Hebron
    Barcelona, 08035, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 8041, Spain
  • Institut Catalá d'Oncologia (ICO Girona). Hospital Dr. Josep Trueta
    Girona, 17007, Spain
  • Hospital General Universitario Gregorio Marañon
    Madrid, 28007, Spain
  • MD Anderson Cancer Center
    Madrid, 28033, Spain
  • Hospital Clinico San Carlos
    Madrid, 28040, Spain
  • Hospital Clinico Universitario de Valencia
    Valencia, 46010, Spain
  • Hospital Universitario Miguel Servet
    Zaragoza, 50009, Spain
  • University College London Hospitals NHS Foundation Trust
    London, NW1 2PG, United Kingdom
  • Imperial College Healthcare NHS Trust
    London, W2 1NY, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2019 to primary completion in Jun 2024, 61 months.

Results were first posted in Nov 2024, 4 months after primary completion.

Of 84 phase 3 interventional studies under Pancreatic Neoplasms, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 36 and three quarters within 77. This study's 61 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
May 2, 2019
First posted
May 7, 2019
StartActual
May 10, 2019
Primary completionActual
Jun 11, 2024
CompletionActual
Jun 11, 2024
Results first posted
Nov 5, 2024
Last update
Nov 5, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03941093
Lead sponsor
FibroGen
Responsible party
Sponsor
First posted
May 7, 2019
Start date
May 10, 2019
Primary completion
Jun 11, 2024
Completion
Jun 11, 2024
Results posted
Nov 5, 2024
Last update
Nov 5, 2024

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Pamrevlumab

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