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CTRI Number  CTRI/2009/091/000568 [Registered on: 05/08/2009]
Last Modified On: 13/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study
Modification(s)  
A Dose tolerability and Efficacy Study of RX-0201 plus Gemcitabine in Metastatic Pancreatic Cancer 
Scientific Title of Study
Modification(s)  
A Dose tolerability and Efficacy Study of RX-0201 plus Gemcitabine in Metastatic Pancreatic Cancer 
Trial Acronym  NIL 
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
RX-0201-P2-A-07  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Shubhangi Desai 
Designation  Associate Director, Clinical Project Management 
Affiliation  SIRO Clinpharm Pvt. Ltd. 
Address  Associate Director, Clinical Project Management SIRO Clinpharm Pvt. Ltd.
DIL Complex, II Floor, S.V. Road, Nr. Tatwagyan Vidyapeeth, Ghodbunder Road
Thane
MAHARASHTRA
400 607
India 
Phone  02225848000  
Fax  02225848275  
Email  shubhangi.desai@siroclinpharm.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Shubhangi Desai 
Designation  Head Clinical Operations - Asia Pacific 
Affiliation  SIRO Clinpharm Pvt. Ltd. 
Address  SIRO Clinpharm Pvt. Ltd.
DIL Complex, II Floor, S.V. Road, Nr. Tatwagyan Vidyapeeth, Ghodbunder Road
Thane
MAHARASHTRA
400 610
India 
Phone  02225848000  
Fax  02225848275  
Email  shubhangi.desai@siroclinpharm.com  
 
Source of Monetary or Material Support
Modification(s)  
NIL 
 
Primary Sponsor
Modification(s)  
Name  Rexahn Pharmaceuticals Inc 
Address  9620 Medical Center Drive, Suite 100, RockvilleMD 20850, USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL   
 
Countries of Recruitment     India
United States of America  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr TP Sahoo  Jawaharlal Nehru Cancer Hospital  Jawaharlal Nehru Cancer Hospital and Research Centre, Idgah Hills, Bhopal-462001
Bhopal
MADHYA PRADESH 
917552738325

tarini73@rediffmail.com 
Dr Krishnaprasad  Kasturba Medical College  N. G. Road, Ambedkar Circle, Attavar, Mangalore-575001
Bangalore
KARNATAKA 
08242425092

drkrishnaprasad@hotmail.com 
Dr P Ravi Mohan  King George Hospital  Dept. of Medicine, New Block, King George Hospital, Andhra Medical College, Visakhapatanam, A.P-530002
Visakhapatnam
ANDHRA PRADESH 
918916667205

oncoravi@rediffmail.com 
Dr Kirushna Kumar  Meenakshi Mission Hospital and Research Centre  Department of Medical Oncology, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai, 625020
Madurai
TAMIL NADU 
914522586353

drkskk@yahoo.com 
Dr D C Doval  Rajiv Gandhi Cancer Institute and Research Centre  Rajiv Gandhi Cancer Institute and Research Centre D-10, Sector-V, Rohini Delhi- 110085
New Delhi
DELHI 
911127051037

dcdoval@gmail.com 
Dr Sajeed Rahuman  Regional Cancer Centre  Post Box- 2417, Thiruvananthapuram - 695 011 Kerala
Thiruvananthapuram
KERALA 
914712443498

sajerose@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethical Review Board, Meenakshi Mission Hospital and Research Centre, Madurai  Approved 
Human Ethics Committee, Regional Cancer Centre, Thiruvananthapuram  Approved 
Institutional Ethics Committee, Jawaharlal Nehru Cancer Hospital and Research Centre, Bhopal  Approved 
Institutional Ethics Committee, Kasturba Medical College, Manglore  Approved 
Institutional Ethics Committee, King George Hospital, Visakhapatanam  Approved 
Institutional Review Board, Rajiv Gandhi Cancer Institute and Research Centre, Delhi  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C259||Malignant neoplasm of pancreas, unspecified,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Gemcitabine  Dose : 1000 mg/msquare Duration : 30 min IV infusion on Day 1, Day 8 and Day 15 followed by 1 week rest (1 Cycle duration is 28 days) 
Intervention  RX-0201  Dose : 250 mg/msquare/day Duration : Continuous IV infusion for 14 days followed by 7 days of rest ( 1 Cycle duration is 21 days) 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Subjects who:
1. Provide written informed consent prior to the initiation of study procedures.
2. Are greater than 18 years of age
3. Have metastatic pancreatic cancer.
4. Have at least a measurable lesion by RECIST criteria.
5. Have a Karnofsky Performance Status of greater than 70.
6. Have at least a 6-month life expectancy as assessed by the investigator.
7. Pre-menopausal women must be surgically sterile or agree to use an accepted method of birth control while participating in the study and for 30 days following the last exposure of study drug. Acceptable forms of birth control are: hormonal contraceptives (oral, injectable, transdermal or implant), double-barrier contraceptives (condom or diaphragm with spermicide), and intrauterine device (IUD).
8. Male subjects need to either be surgically sterile or agree to use a barrier method of birth control described above during the study and for 30 days following the last exposure to study drug. The agreed method of birth control by sunject will be discussed and documented in the source document of subject during the screening phase of the study.  
 
ExclusionCriteria 
Details  Subjects who:
1. Are unwilling or unable to provide informed consent.
2. Are unwilling or unable to comply with the requirements of the protocol.
3. Have been treated with another investigational agent.
4. Have any of the following screening laboratory values:
i. Hemoglobin less than 8.0 grams/deciliter (g/dL)
ii. Absolute neutrophil count (ANC) less than 1500/microliter
iii. Platelet count less than 100,000/microL
iv. Serum creatinine greater than 1.5 x the institutional upper limit of normal (IULN) creatinine.
v. Serum bilirubin greater than 1.5 X IULN
vi. Aspartate transaminase (AST) (serum glutamic oxaloacetic transaminase, SGOT) greater than 2 x IULN (greater than 5 x IULN in presence of known liver metastasis)
vii. Alanine transaminase (ALT) (serum glutamate pyruvate transaminase, SGPT) greater than 2 x IULN (greater than 5 x IULN in presence of known liver metastasis)
viii. Have a prothrombin time greater than 1.25 x IULN on screening laboratory assessments.
ix. Lack Lewis antigens
x. HCV, and HBsAg positive Subjects
xi. CA 19-9 less than 75 U/ml
5. Have received either warfarin or heparin treatment within 21 days before Day 1 (the first day of dosing; except for line dose of prophylactic warfarin or heparin).
6. Have a history of brain cancer (primary or metastatic).
7. Have a history of an active hematologic malignancy within the past 2 years.
8. Have an underlying diagnosis or disease state associated with an increased risk of bleeding (i.e., coagulopathies, HIV).
9. Have a serious infection requiring intravenous antibiotic therapy during screening.
10. Females who are pregnant, lactating, or have a positive serum pregnancy test during the screening period.  
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Not Applicable 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
1. Tolerability
2. Survival 
1. At Every Cycle (14 day cycle).
2. At 2,4 & 6 months from the last completed cycle. 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Response(Assessed by RECIST)  NIL 
Molecular Markers (VEGF, AKT and CA 19-9)  NIL 
Toxicity/ Safety using CTCAE v. 3.0 (safety) and Vital Signs, ECG, Clinical Laboratory Assessment (Safety)  NIL 
 
Target Sample Size
Modification(s)  
Total Sample Size="35"
Sample Size from India="15" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 2 
Date of First Enrollment (India)
Modification(s)  
16/02/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  21/09/2009 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="2"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This Study is an Open Lable, Single Arm dose tolerability and efficacy study od RX-0201 plus Gemcetabine in Metatatic Pancreatic Cancer. This study comprise of the Safety and the Efficacy phase. In the Safety phase, RX-0201 (250 mg/m2/Day) plus Gemcitabilne (1000 mg/m2) will be administered for 2 cycles as a combination therapy. In the Efficacy phase, RX-0201 (250 mg/m2/day) plus Gemcitabine (1000 mg/m2) will be administered for 4 cyclels as a combination therapy. The study will be conducted in 2 centers in US and 7 centers in India. The primary outcome of the study is Tolerability and Survival. The secondary outcome of the study is Response (assessed by RECIST), Molecular Markers (VEGF, AKT and CA 19-9) and Toxicity/Safety using CTCAE v. 3.0 (safety) and Vital Signs, ECG, Cllinical Laboratory Assessment (safety) Target Sample size for India- It will be basically be competitive recruitment & we at this point targeting to recruit 15 patients  
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