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CompletedNCT06225999Updated May 18, 2026

Phase 2 Study of Irinotecan Liposome Injection, Oxaliplatin, 5-fluorouracil/Levoleucovorin in Japanese Participants Not Previously Treated for Metastatic Adenocarcinoma of the Pancreas

A Phase 2 interventional study of Irinotecan liposome injection (S095013) and Oxaliplatin in Metastatic Adenocarcinoma of the Pancreas, sponsored by Institut de Recherches Internationales Servier. Completed at 14 sites in Japan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-18.

Sponsored by Institut de Recherches Internationales Servier · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
41
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is to assess the anti-tumour activity, safety and tolerability of irinotecan liposome injection (S095013) in combination with oxaliplatin, 5-Fluorouracil (5-FU) and levoisomer form of leucovorin (LLV). S095013, oxaliplatin, 5-FU and LLV will be administered on days 1 and 15 of each 28-day cycle. Cycles will continue until clinical or radiological progressive disease, unacceptable study medication-related toxicity or withdrawal from study. During the treatment period participants will have study visits on day 1, 3, 15, and 17 of each cycle, some of which may occur as a home visit. At least 30 days after treatment has ended a end of treatment visit will occur and then participants will be followed for survival every month via telephone or email until death or end of the study. Study visits may include questionnaires, blood and urine tests, ECG, vital signs, physical examination, and administration of study treatment.

02

Conditions studied

  • Metastatic Adenocarcinoma of the Pancreas
03

In context

Lead sponsor

Institut de Recherches Internationales Servier is the lead sponsor of 64 studies on the registry; 5 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 8 (44%) have results posted.

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

  • Male or non-pregnant and non-lactating female ≥ 18 years of age.
  • Histologically or cytologically confirmed adenocarcinoma of the pancreas that has not been previously treated in the metastatic setting.
  • Initial diagnosis of metastatic disease (as per American Joint Committee on Cancer 8th Edition [AJCC 2017]) must have occurred ≤ 6 weeks prior to screening.
  • Participant has one or more metastatic lesions measurable by CT-scan (or MRI), if the participant is allergic to CT contrast media, according to RECIST Version 1.1 criteria.
  • ECOG PS of 0 or 1 at screening and within 7 days prior to first dosing.
  • Participant has adequate hematological, biochemical, hepatic, and renal function parameters.

Exclusion criteria

Exclusion Criteria:

  • Prior treatment of pancreatic cancer in the metastatic setting with surgery, radiotherapy, chemotherapy or investigational therapy (palliative surgery, palliative radiotherapy and placement of biliary stent/tube are permitted).
  • Prior treatment of pancreatic adenocarcinoma with chemotherapy in the adjuvant setting, except those where at least 12 months have elapsed since completion of the last dose and no persistent treatment-related relevant toxicities are present.
  • Participant has only locally advanced disease.
  • Known hypersensitivity to any of the components of irinotecan liposome injection, other liposomal products, or any components of 5-FU, LLV or oxaliplatin products.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Irinotecan liposome Injection in combination with oxaliplatin, 5-FU and LLV

    Drug: Irinotecan liposome injection (S095013) · Drug: Oxaliplatin · Drug: LLV (levoisomer form of leucovorin) · Drug: 5- FU (5-Fluorouracil)

Interventions

  • DrugIrinotecan liposome injection (S095013)

    Irinotecan liposome injection (S095013) will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

    Also known as: MM-398, Nal-IRI, BAX2398, PEP02, liposomal irinotecan

  • DrugOxaliplatin

    Oxaliplatin will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

  • DrugLLV (levoisomer form of leucovorin)

    LLV will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

  • Drug5- FU (5-Fluorouracil)

    5-FU will be administered via intravenous (IV) infusion on days 1 and 15 of each 28-day cycle.

06

What researchers measure

Primary outcomes

  1. Overall Response (OR)

    OR is defined as complete response (CR) or partial response (PR), as assessed by the independent central review (ICR) per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1.

    Time frame: Through the end of study treatment (approximately 16 months after study start)

07

Study locations

14 sites
  • National Cancer Center Hospital East (003)
    Kashiwa, Chiba 277-8577, Japan
  • Chiba University Hospital (015)
    Chiba, 260-8677, Japan
  • Chiba Cancer Center (011)
    Chiba, 260-8717, Japan
  • National Hospital Organization Shikoku Cancer Center (013)
    Ehime, 791-0280, Japan
  • National Hospital Organization Kyushu Cancer Center (005)
    Fukuoka, 811-1395, Japan
  • Kanazawa University Hospital (008)
    Ishikawa, 920-8641, Japan
  • Kanagawa Cancer Center (002)
    Kanagawa, 241-8515, Japan
  • Aichi Cancer Center (007)
    Nagoya, 464-8681, Japan
  • Osaka International Cancer Institute (009)
    Osaka, 541-8567, Japan
  • Saitama Cancer Center (012)
    Saitama, 362-0806, Japan
  • Hokkaido University Hospital (004)
    Sapporo, 060-8648, Japan
  • National Cancer Center Hospital (001)
    Tokyo, 104-0045, Japan
  • The Cancer Institute Hospital of JFCR (006)
    Tokyo, 135-8550, Japan
  • Yamaguchi University Hospital (010)
    Yamaguchi, 755-8505, Japan
08

References and documents

Publications

  • Ikeda M, Okusaka T, Ueno M, Ozaka M, Satoi S, Skanji D, Martin-Fernandez L, Amellal N, Furuse J. NALIRIFOX in Japanese treatment-naive patients with metastatic pancreatic adenocarcinoma: an open-label, phase II trial design. Future Oncol. 2025 Apr;21(8):959-965. doi: 10.1080/14796694.2025.2469467. Epub 2025 Feb 22. PubMed 39987459 ↗

Individual participant data

Plan to share: Yes — Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: * used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). * where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: * sponsored by Servier * with a first patient enrolled as of 1 January 2004 onwards * for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Supporting information: Study protocol, Sap, Icf, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2026, 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
NCT06225999
Lead sponsor
Institut de Recherches Internationales Servier
Responsible party
Sponsor
First posted
Jan 26, 2024
Start date
Apr 25, 2024
Primary completion
Apr 28, 2025
Completion
Sep 29, 2025
Last update
May 18, 2026

Oversight

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

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This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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