CClinicalTrials.gg
CompletedNCT04431258PanC-ASAPUpdated Mar 18, 2024

ABTL0812 in Combination With FOLFIRINOX for First-line Treatment of Metastatic Pancreatic Study

A Phase 1/2 interventional study of ABTL0812 and Folfirinox in Pancreatic Cancer, sponsored by Ability Pharmaceuticals SL. Completed at 24 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-18.

Sponsored by Ability Pharmaceuticals SL · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2024, 2 years 8 months ago, and no results have been posted to the registry.
Phase
Phase 1/2
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A Phase I open label followed by a Phase II randomized, controlled study to assess the efficacy and safety of ABTL0812 in combination with FOLFIRINOX for first-line treatment of metastatic pancreatic. Funded by: FDA OOPD (Grant #FD-R-006817-01), H2020 EIC Accelerator (Grant #954825) and Ability Pharmaceuticals SL.

Read the detailed description

Phase I: This is an open label Phase I to determine the RP2D of ABTL0812 in combination with FOLFIRINOX. All patients will receive ABTL0812 in combination with FOLFIRINOX.

A dose de-escalation phase will be performed in which up to 3 different ABTL0812 dose levels will be tested in combination with FOLFIRINOX. ABTL0812 doses are: 1300 mg tid (starting dose), followed (if necessary) by 975 mg tid and 650 mg tid. Patient intra-escalation is not allowed.

Phase II: This is a double blind, randomized, placebo-controlled Phase II multicenter study to evaluate ABTL0812 in combination with FOLFIRINOX for first-line treatment of metastatic pancreatic cancer. Patients will be randomized to one of two groups: arm A) receiving ABTL0812 in addition to FOLFIRINOX and arm B) receiving FOLFIRINOX plus placebo.

Arm A) ABTL0812 + FOLFIRINOX Arm B) PLACEBO + FOLFIRINOX

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Conditions studied

  • Pancreatic Cancer
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In context

Lead sponsor

Ability Pharmaceuticals SL is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

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Who can participate

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

Inclusion criteria

  1. Histologically or cytologically confirmed carcinoma, adenocarcinoma or ductal adenocarcinoma of the pancreas.
  2. Confirmed metastatic disease
  3. Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 guidelines with at least one "target lesion" to be used to assess response. Tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented.
  4. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.
  5. Age, older than 18 years old
  6. Adequate hematologic function, measured as:

    • absolute neutrophil count ≥ 1.5x109/L
    • platelet count ≥ 100x109/L without transfusion support
    • hemoglobin ≥ 10 g/dL
  7. Total bilirubin ≤ 1.5 x ULN
  8. Albumin ≥ 3.3 g/dL
  9. AST (SGOT) and ALT (SGPT) ≤ 2.5 times x upper limit of normal (≤ 5 times the ULN in patients with evidence of liver metastases)
  10. Alkaline phosphatase ≤ 2.5 times ULN (≤5 times the ULN in patients with evidence of liver metastases)
  11. Glomerular filtration rate (GFR) ≥ 60 mL/min/1.73 m2
  12. Only for Phase II patients. If available, a sample of tumor tissue or cytology (either archival or new tumor biopsy) for biomarker analyses. The most recently collected tumor tissue sample should be provided.
  13. Contraception: All premenopausal female patients must use contraception. Male patients and their female partners (if fertile), must use contraception as well. In both cases, contraception means two forms of highly effective contraception during the study and for a period of 6 months following the last administration of the study drug.
  14. Willing and able to provide informed consent
  15. Ability and willingness to comply with study visits, treatment, testing, and to comply with the protocol.

Exclusion criteria

Exclusion criteria

  1. Patients with any histology other than carcinoma, adenocarcinoma or ductal adenocarcinoma (such as squamous cell, acinar cell, medullary, colloid, neuroendocrine, etc)
  2. Patients has only locally advanced disease, resectable or borderline resectable.
  3. The patient has received chemotherapy as adjuvant therapy for locally advanced disease, resectable or borderline resectable.
  4. Patient has received previous abdominal radiotherapy, (with the exception of analgesic radiotherapy that was not performed on target lesions).
  5. Patients previously treated with an inhibitor of the PI3K/Akt/mTOR pathway by a systemic route.
  6. History of chronic diarrhea or inflammatory disease of the colon or rectum, or occlusion or sub-occlusion not resolved under symptomatic treatment
  7. Patient is pregnant or in lactation period. High sensitivity pregnancy test (urine or serum) to be performed within 7 days before study treatment starts.
  8. Patient had myocardial infarction within ≤ 6 months prior to study entry, LVEF \<50%, symptomatic congestive heart failure (New York Heart Association > class II), unstable angina pectoris, or unstable cardiac arrhythmia requiring medication.
  9. 12-lead ECG with clinically relevant abnormality or showing a QTcF >450 ms, PR >210 ms, or QRS >120 ms at screening.
  10. Patients with any other medical conditions (such as psychiatric illness, cardiovascular disease, infectious diseases, abnormal physical examination or laboratory findings) that in the opinion of the investigator may interfere with the planned treatment, affect patient compliance or place the patient at high risk from treatment-related complications.
  11. Patient has active Hepatitis B or C, human immunodeficiency virus (HIV) or Covid-19 infection with non-controlled disease according to the treating physician.
  12. Patients unable to provide informed consent like those under administrative or legal supervision
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Arm A) ABTL0812 + FOLFIRINOX

    FOLFIRINOX will be dosed according to the standard following regimen: * oxaliplatin 85 mg/m2, administered as 2-hour iv infusion * leucovorin 400 mg/m2, administered as 2-hour iv infusion * irinotecan 180 mg/m2, administered as 1.5-hour iv infusion * fluorouracil 2400 mg/m2, administered as 46-hour iv infusion every 2 weeks (=1 cycle) until disease progression or unacceptable toxicities. ABTL0812 will be administered daily at its RP2D. ABTL0812 will be administered as single agent during a run-in period of one week before starting the first cycle of FOLFIRINOX, then daily during chemotherapy cycles. Also, ABTL0812 will be maintained once chemotherapy is discontinued, if ABTL0812 is tolerated and if the patient is in response or stable disease.

    Drug: ABTL0812 · Drug: Folfirinox

  • Experimental
    Arm B) PLACEBO + FOLFIRINOX

    FOLFIRINOX will be dosed according to the standard following regimen: * oxaliplatin 85 mg/m2, administered as 2-hour iv infusion * leucovorin 400 mg/m2, administered as 2-hour iv infusion * irinotecan 180 mg/m2, administered as 1.5-hour iv infusion * fluorouracil 2400 mg/m2, administered as 46-hour iv infusion every 2 weeks (=1 cycle) until disease progression or unacceptable toxicities. Placebo will be administered at the same volume than ABTL0812 in arm A) FOLFIRINOX, then daily during chemotherapy cycles. Also, placebo will be maintained once chemotherapy is discontinued.

    Drug: ABTL0812 · Drug: Placebo

Interventions

  • DrugABTL0812

    ABTL0812 will be administered daily at its RP2D. ABTL0812 will be administered as single agent during a run-in period of one week before starting the first cycle of FOLFIRINOX, then daily during chemotherapy cycles. Also, ABTL0812 will be maintained once chemotherapy is discontinued, if ABTL0812 is tolerated and if the patient is in response or stable disease.

  • DrugFolfirinox

    FOLFIRINOX will be dosed according to the standard following regimen: * oxaliplatin 85 mg/m2, administered as 2-hour iv infusion * leucovorin 400 mg/m2, administered as 2-hour iv infusion * irinotecan 180 mg/m2, administered as 1.5-hour iv infusion * fluorouracil 2400 mg/m2, administered as 46-hour iv infusionevery 2 weeks (=1 cycle) until disease progression or unacceptable toxicities.

    Also known as: Chemotherapy

  • DrugPlacebo

    Placebo will be administered daily at the same regim as ABTL0812. Placebo will be administered as single agent during a run-in period of one week before starting the first cycle of FOLFIRINOX, then daily during chemotherapy cycles. Also, placebo will be maintained once chemotherapy is discontinued, if the patient is in response or stable disease.

06

What researchers measure

Primary outcomes

  1. Phase I - RP2D

    Recommended Phase II Dose (RP2D) of ABTL0812 in combination with FOLFIRINOX

    Time frame: 5 weeks

  2. Phase II - PFS

    PFS using RECIST v1.1 by central review

    Time frame: 1 year

Secondary outcomes

  1. PFS

    PFS using RECIST v1.1 by investigator analysis

    Time frame: 1 year

  2. ORR

    Objective response rate

    Time frame: 1 year

  3. PFS 6 m

    PFS

    Time frame: 6 months

  4. TTR

    Time to response

    Time frame: 1 year

  5. DOR

    Duration of response

    Time frame: 1 year

  6. OS

    Overall survival

    Time frame: 5 years

  7. OS 1y

    Overall survival

    Time frame: 1 year

  8. Adverse events

    Number of participants with Adverse Events (AE). AEs classified according to CTCAE v5.0

    Time frame: 1 year

Other outcomes

  1. PK - Cmax

    Determination of peak plasma concentration

    Time frame: 1 month

  2. PK - AUC

    Determinatoin of Area under the plasma concentration versus time curve

    Time frame: 1 month

  3. Quality of Life Questionnaire QLC-C30

    Quality of life measured with questionnaires QLC-C30

    Time frame: 1 year

  4. Quality of Life Questionnaire QLQ-PAN26

    Quality of life measured with questionnaires QLQ-PAN26

    Time frame: 1 year

07

Study locations

24 sites
  • Cedars Sinai
    Los Angeles, California 90048, United States
  • University of Kansas Cancer Center
    Westwood, Kansas 66205-0000, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • CGFL Dijon
    Dijon, 21000, France
  • Institute Paoli-Calmettes
    Marseille, 13009, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
  • Rabam MC
    Haifa, Israel
  • Shaare Zedek MC
    Jerusalem, Israel
  • Sheba MC
    Ramat Gan, Israel
  • ICO Badalona
    Badalona, Barcelona 08916, Spain
  • Centro Oncológico de Galicia
    A Coruña, Galicia 15009, Spain
  • Hospital General Universitario Dr. Balmis
    Alicante, 03010, Spain
  • Hospital Quiron Salud
    Barcelona, 08023, Spain
  • Vall d'Hebron University Hospital
    Barcelona, 08035, Spain
  • ICO Girona
    Girona, 17007, Spain
  • Hospital Universitari Arnau de Vilanova
    Lleida, 25198, Spain
  • Hospital Gregorio Marañón
    Madrid, 28009, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital General Universitario Morales Meseguer
    Murcia, 30008, Spain
  • Hospital Universitario Virgen del Rocío
    Sevilla, 41013, Spain
  • Hospital Universitario de Toledo
    Toledo, 45007, Spain
  • Hospital Universitario de Valencia
    Valencia, 46010, Spain
  • Hospital Universitario Miguel Servet
    Zaragoza, 50009, Spain
08

References and documents

Publications

  • Erazo T, Lorente M, Lopez-Plana A, Munoz-Guardiola P, Fernandez-Nogueira P, Garcia-Martinez JA, Bragado P, Fuster G, Salazar M, Espadaler J, Hernandez-Losa J, Bayascas JR, Cortal M, Vidal L, Gascon P, Gomez-Ferreria M, Alfon J, Velasco G, Domenech C, Lizcano JM. The New Antitumor Drug ABTL0812 Inhibits the Akt/mTORC1 Axis by Upregulating Tribbles-3 Pseudokinase. Clin Cancer Res. 2016 May 15;22(10):2508-19. doi: 10.1158/1078-0432.CCR-15-1808. Epub 2015 Dec 15. PubMed 26671995 ↗
  • Munoz-Guardiola P, Casas J, Megias-Roda E, Sole S, Perez-Montoyo H, Yeste-Velasco M, Erazo T, Dieguez-Martinez N, Espinosa-Gil S, Munoz-Pinedo C, Yoldi G, Abad JL, Segura MF, Moran T, Romeo M, Bosch-Barrera J, Oaknin A, Alfon J, Domenech C, Fabrias G, Velasco G, Lizcano JM. The anti-cancer drug ABTL0812 induces ER stress-mediated cytotoxic autophagy by increasing dihydroceramide levels in cancer cells. Autophagy. 2021 Jun;17(6):1349-1366. doi: 10.1080/15548627.2020.1761651. Epub 2020 May 25. PubMed 32397857 ↗
  • Felip I, Moiola CP, Megino-Luque C, Lopez-Gil C, Cabrera S, Sole-Sanchez S, Munoz-Guardiola P, Megias-Roda E, Perez-Montoyo H, Alfon J, Yeste-Velasco M, Santacana M, Dolcet X, Reques A, Oaknin A, Rodriguez-Freixinos V, Lizcano JM, Domenech C, Gil-Moreno A, Matias-Guiu X, Colas E, Eritja N. Therapeutic potential of the new TRIB3-mediated cell autophagy anticancer drug ABTL0812 in endometrial cancer. Gynecol Oncol. 2019 May;153(2):425-435. doi: 10.1016/j.ygyno.2019.03.002. Epub 2019 Mar 7. PubMed 30853360 ↗
  • Lopez-Plana A, Fernandez-Nogueira P, Munoz-Guardiola P, Sole-Sanchez S, Megias-Roda E, Perez-Montoyo H, Jauregui P, Yeste-Velasco M, Gomez-Ferreria M, Erazo T, Ametller E, Recalde-Percaz L, Moragas-Garcia N, Noguera-Castells A, Mancino M, Moran T, Nadal E, Alfon J, Domenech C, Gascon P, Lizcano JM, Fuster G, Bragado P. The novel proautophagy anticancer drug ABTL0812 potentiates chemotherapy in adenocarcinoma and squamous nonsmall cell lung cancer. Int J Cancer. 2020 Aug 15;147(4):1163-1179. doi: 10.1002/ijc.32865. Epub 2020 Feb 6. PubMed 31943158 ↗
  • Vidal L, Victoria I, Gaba L, Martin MG, Brunet M, Colom H, Cortal M, Gomez-Ferreria M, Yeste-Velasco M, Perez A, Rodon J, Sohal DPS, Lizcano JM, Domenech C, Alfon J, Gascon P. A first-in-human phase I/Ib dose-escalation clinical trial of the autophagy inducer ABTL0812 in patients with advanced solid tumours. Eur J Cancer. 2021 Mar;146:87-94. doi: 10.1016/j.ejca.2020.12.019. Epub 2021 Feb 12. PubMed 33588149 ↗
  • Paris-Coderch L, Soriano A, Jimenez C, Erazo T, Munoz-Guardiola P, Masanas M, Antonelli R, Boloix A, Alfon J, Perez-Montoyo H, Yeste-Velasco M, Domenech C, Roma J, Sanchez de Toledo J, Moreno L, Lizcano JM, Gallego S, Segura MF. The antitumour drug ABTL0812 impairs neuroblastoma growth through endoplasmic reticulum stress-mediated autophagy and apoptosis. Cell Death Dis. 2020 Sep 17;11(9):773. doi: 10.1038/s41419-020-02986-w. PubMed 32943619 ↗
  • Mancini A, Colapietro A, Cristiano L, Rossetti A, Mattei V, Gravina GL, Perez-Montoyo H, Yeste-Velasco M, Alfon J, Domenech C, Festuccia C. Anticancer effects of ABTL0812, a clinical stage drug inducer of autophagy-mediated cancer cell death, in glioblastoma models. Front Oncol. 2022 Nov 2;12:943064. doi: 10.3389/fonc.2022.943064. eCollection 2022. Erratum In: Front Oncol. 2025 Jan 22;15:1538834. doi: 10.3389/fonc.2025.1538834. PubMed 36408162 ↗
  • Polonio-Alcala E, Sole-Sanchez S, Munoz-Guardiola P, Megias-Roda E, Perez-Montoyo H, Yeste-Velasco M, Alfon J, Lizcano JM, Domenech C, Ruiz-Martinez S, Puig T. ABTL0812 enhances antitumor effect of paclitaxel and reverts chemoresistance in triple-negative breast cancer models. Cancer Commun (Lond). 2022 Jun;42(6):567-571. doi: 10.1002/cac2.12282. Epub 2022 Mar 16. No abstract available. PubMed 35293148 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2024, 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
NCT04431258
Lead sponsor
Ability Pharmaceuticals SL
Responsible party
Sponsor
First posted
Jun 16, 2020
Start date
May 6, 2021
Primary completion
Jan 10, 2024
Completion
Jan 10, 2024
Last update
Mar 18, 2024

Study contacts

Marc Cortal
study director · Ability Pharmaceuticals SL

Oversight

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

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

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