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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05546476
Registration number
NCT05546476
Ethics application status
Date submitted
12/08/2022
Date registered
19/09/2022
Titles & IDs
Public title
Study of the Efficacy and Safety of Ponsegromab in Patients With Cancer, Cachexia and Elevated GDF-15
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Scientific title
A PHASE 2, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY TO INVESTIGATE THE EFFICACY, SAFETY AND TOLERABILITY OF PONSEGROMAB IN PATIENTS WITH CANCER, CACHEXIA, AND ELEVATED CONCENTRATIONS OF GDF-15, FOLLOWED BY AN OPTIONAL OPEN-LABEL TREATMENT PERIOD (PROACC -1)
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Secondary ID [1]
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2022-003016-87
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Secondary ID [2]
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C3651003
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Universal Trial Number (UTN)
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Trial acronym
PROACC-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-small Cell Lung Cancer
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Pancreatic Cancer
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Colorectal Cancer
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Loss of Appetite
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Fatigue
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Cachexia
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Condition category
Condition code
Diet and Nutrition
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Other diet and nutrition disorders
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Mental Health
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ponsegromab
Treatment: Drugs - Placebo for ponsegromab
Experimental: Double-Blind ponsegromab Treatment low dose followed by Open Label ponsegromab Treatment - ponsegromab low dose subcutaneous injection every 4 weeks
Placebo comparator: Double-Blind Placebo Treatment followed by Open-Label ponsegromab Treatment - Match placebo subcutaneous injection every 4 weeks
Experimental: Double-Blind ponsegromab Treatment medium dose followed by Open Label ponsegromab Treatment - ponsegromab medium dose subcutaneous injection every 4 weeks
Experimental: Double-Blind ponsegromab Treatment high dose followed by Open Label ponsegromab Treatment - ponsegromab high dose subcutaneous injection every 4 weeks
Treatment: Drugs: ponsegromab
Double-Blind ponsegromab Treatment followed by Open Label ponsegromab Treatment
Treatment: Drugs: Placebo for ponsegromab
Double-Blind placebo Treatment followed by Open Label ponsegromab Treatment
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from baseline in body weight for ponsegromab compared to placebo
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Assessment method [1]
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Timepoint [1]
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baseline, Week 12
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Secondary outcome [1]
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Change from baseline in physical activity as measured with remote digital sensors
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Assessment method [1]
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evaluation of physical activity (Sedentary, light and moderate) and gait speed.
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Timepoint [1]
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baseline, Week 12
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Secondary outcome [2]
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change from baseline in Functional Assessment of Anorexia-Cachexia Therapy (FAACT-ACS and FAACT-5IASS) scores
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Assessment method [2]
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FACT-G score sums 27 items; ACS score sums 12 items; both use a 5-point scale (0-4).Higher scores are associated with a higher health-related quality of life.
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Timepoint [2]
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baseline, Week 12
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Secondary outcome [3]
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Change from baseline in anorexia/appetite; Nausea and vomiting; and Fatigue as measured by the Cancer Related Cachexia Symptom Diary (CRCSD)
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Assessment method [3]
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Self-reported questionnaire that measures severity of symptoms related to cancer cachexia: appetite, nausea, vomiting, and fatigue.
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Timepoint [3]
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baseline, Week 12
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Secondary outcome [4]
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Incidence of adverse events
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Assessment method [4]
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Timepoint [4]
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Week 12
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Secondary outcome [5]
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Incidence of lab abnormalities
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Timepoint [5]
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Week 12
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Secondary outcome [6]
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Incidence of vital sign abnormalities
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Timepoint [6]
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Week 12
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Secondary outcome [7]
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Incidence of ECG abnormalities
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Assessment method [7]
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Timepoint [7]
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Eligibility
Key inclusion criteria
Key
* Documented active diagnosis of non-small cell lung, pancreatic, colorectal cancer
* Cachexia defined by Fearon criteria of weight loss
* Serum GDF-15 concentrations
* Signed informed consent
* ECOG PS =3 with life expectancy of at least 4 months to be able to complete Part A.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Receiving tube feedings or parenteral nutrition at the time of Screening or Randomization.
* Current active reversible causes of decreased food intake.
* Cachexia caused by other reasons.
* History of allergic or anaphylactic reaction to any therapeutic or diagnostic monoclonal antibody.
* inadequate liver function
* renal disease requiring dialysis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
21/11/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/04/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
187
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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St Vincent's Hospital Sydney - Darlinghurst
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Orange Hospital - Orange
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Recruitment hospital [3]
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Prince of Wales Hospital - Randwick
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GenesisCare North Shore - St Leonards
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St Vincent's Hospital Melbourne - Fitzroy
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [7]
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Western Health-Sunshine & Footscray Hospitals - St Albans
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2010 - Darlinghurst
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2800 - Orange
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2031 - Randwick
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2065 - St Leonards
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3065 - Fitzroy
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3000 - Melbourne
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Recruitment postcode(s) [7]
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3021 - St Albans
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Recruitment outside Australia
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United States of America
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Arkansas
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California
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Taoyuan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Study to evaluate the efficacy, safety and tolerability of ponsegromab compared to placebo in patients with cancer, cachexia, and elevated GDF 15.
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Trial website
https://clinicaltrials.gov/study/NCT05546476
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Pfizer CT.gov Call Center
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Pfizer
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05546476