[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100533721":3},{"organization":4,"armGroups":7,"interventions":22,"overallOfficials":11,"centralContacts":36,"locations":47,"responsibleParty":92,"collaborators":11,"id":96,"slug":97,"hasResults":98,"nctId":99,"briefTitle":100,"officialTitle":101,"acronym":102,"eligibilityCriteria":103,"healthyVolunteers":98,"sex":104,"minAge":105,"maxAge":11,"enrollmentInfo":106,"targetDuration":11,"studyType":109,"phases":110,"briefSummary":112,"conditions":113,"keywords":115,"overallStatus":50,"whyStopped":11,"lastUpdateSubmitDate":118,"lastUpdatePostDateStruct":119,"startDateStruct":122,"completionDateStruct":124,"leadSponsor":126,"locationsCount":127},{"fullName":5,"class":6},"Chang Gung Memorial Hospital","OTHER",[8,14,18],{"label":9,"type":10,"description":11,"interventionNames":12},"GAS regimen-dose level 1","EXPERIMENTAL",null,[13],"Combination Product: Gemcitabine 800mg\u002Fm2 + Nab-paclitaxel 100mg\u002Fm2 + S-1 (dose according to BSA)",{"label":15,"type":10,"description":11,"interventionNames":16},"GAS regimen-dose level 2",[17],"Combination Product: Gemcitabine 800mg\u002Fm2 + Nab-paclitaxel 125mg\u002Fm2 + S-1 (dose according to BSA)",{"label":19,"type":10,"description":11,"interventionNames":20},"GAS regimen-dose level 3",[21],"Combination Product: Gemcitabine 1000mg\u002Fm2 + Nab-paclitaxel 125mg\u002Fm2 + S-1 (dose according to BSA)",[23,28,32],{"type":24,"name":25,"description":26,"armGroupLabels":27,"otherNames":11},"COMBINATION_PRODUCT","Gemcitabine 800mg\u002Fm2 + Nab-paclitaxel 100mg\u002Fm2 + S-1 (dose according to BSA)","Dose escalation study-dose level 1",[9],{"type":24,"name":29,"description":30,"armGroupLabels":31,"otherNames":11},"Gemcitabine 800mg\u002Fm2 + Nab-paclitaxel 125mg\u002Fm2 + S-1 (dose according to BSA)","Dose escalation study-dose level 2",[15],{"type":24,"name":33,"description":34,"armGroupLabels":35,"otherNames":11},"Gemcitabine 1000mg\u002Fm2 + Nab-paclitaxel 125mg\u002Fm2 + S-1 (dose according to BSA)","Dose escalation study-dose level 3",[19],[37,43],{"name":38,"role":39,"phone":40,"phoneExt":41,"email":42},"Wen-Kuan Huang, MD, PhD","CONTACT","03-3281200","2517","medfox0924@cgmh.org.tw",{"name":44,"role":39,"phone":40,"phoneExt":45,"email":46},"Hao-Yun Hsiao, MD","5167","hyhsiao@cgmh.org.tw",[48,66,79],{"facility":49,"status":50,"city":51,"state":11,"zip":52,"country":53,"countryCode":54,"cosmosGeoPoint":55,"geoPoint":60,"contacts":61},"Chiayi Chung Gung Memmorial Hospital","RECRUITING","Chiayi City","613","Taiwan","TW",{"type":56,"coordinates":57},"Point",[58,59],120.44889,23.47917,{"lat":59,"lon":58},[62],{"name":63,"role":39,"phone":64,"phoneExt":11,"email":65},"Chang-Hsien Lu, MD","886975353096","q12014@cgmh.org.tw",{"facility":67,"status":68,"city":69,"state":11,"zip":11,"country":53,"countryCode":54,"cosmosGeoPoint":70,"geoPoint":74,"contacts":75},"Chang-Gung Memorial Hospital, Kaohsiung Branch","NOT_YET_RECRUITING","Kaohsiung City",{"type":56,"coordinates":71},[72,73],120.31333,22.61626,{"lat":73,"lon":72},[76,78],{"name":38,"role":39,"phone":77,"phoneExt":41,"email":42},"033281200",{"name":44,"role":39,"phone":77,"phoneExt":45,"email":46},{"facility":80,"status":50,"city":81,"state":11,"zip":11,"country":53,"countryCode":54,"cosmosGeoPoint":82,"geoPoint":86,"contacts":87},"Chang-Gung Memorial Hospital, Linkou Branch","Taoyuan",{"type":56,"coordinates":83},[84,85],121.29696,24.99368,{"lat":85,"lon":84},[88,90],{"name":89,"role":39,"phone":77,"phoneExt":41,"email":42},"Wen-Kuan Huang, MD,PhD",{"name":44,"role":39,"phone":77,"phoneExt":91,"email":46},"5165",{"type":93,"investigatorFullName":94,"investigatorTitle":95,"investigatorAffiliation":5,"oldNameTitle":11,"oldOrganization":11},"PRINCIPAL_INVESTIGATOR","Yeh Chun-Nan","Professor","100533721","phase-1-dose-escalation-and-dose-expansion-study-of-gas-in-subjects-with-metastatic-pancreatic-adenocarcinoma-100533721",false,"NCT06229496","Dose Escalation and Dose Expansion Study of GAS in Subjects With Metastatic Pancreatic Adenocarcinoma","A Phase 1b, Open-label, Multicenter, Dose Escalation and Dose Expansion Study of S-1 in Combination With Nab-paclitaxel and Gemcitabine (GAS) in Subjects With Metastatic Pancreatic Adenocarcinoma","GAS","Inclusion Criteria:\n\n1. Histologically or cytologically confirmed pancreatic adenocarcinoma (poorly differentiated carcinoma is allowed in the absence of neuroendocrine features or squamous differentiation)\n2. Treatment-naï ve stage IV disease (measurable disease is required). Prior adjuvant chemotherapy or radiochemotherapy is allowed, if completed ≥ 6 months before enrollment.\n3. Measurable disease defined as at least one lesion that can be measured in at least one dimension (longest diameter to be recorded) as ≥ 10 mm with CT scan or MRI\n4. Eastern Cooperative Oncology Group (ECOG) performance score of 0-1\n5. Life expectancy \\> 6 months in the opinion of his\u002Fher treating physician.\n6. At least 18 years of age\n7. Ability to understand the nature of this study protocol, comply with study and\u002For follow-up procedures, and sign the IRB-approved written informed consent\n8. Fertile female and male patients with child-bearing potential agree to use adequate contraceptive measures prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she must inform her treating physician immediately.\n9. Adequate bone marrow function:\n\n   Absolute neutrophil count (ANC) ≥ 1500\u002FuL Platelet count ≥ 100,000\u002FuL Hemoglobin ≥ 9.0 g\u002FdL\n10. Adequate hepatic function:\n\n    Total bilirubin ≤ 1.5 X ULN (≤3.5 mg\u002FdL if with adequate biliary tract drainage\u002Fstent placement) AST ≤ 3.0 X ULN (≤5.0X ULN if liver metastases are present) ALT ≤ 3.0 X ULN (≤5.0X ULN if liver metastases are present)\n11. Adequate renal function (defined as serum creatinine ≤ 1.5 X ULN or creatinine clearance rate (CCr) ≥ 50 mL\u002Fmin (calculated by Cockroft-Gault formula; male: \\[(140 - age in years) × weight in kg)\\]\u002F\\[72 × serum creatinine(mg\u002FdL)\\];female=male x 0.85 )\n12. Able to take the oral study medication (S-1)\n13. No clinically significant abnormal ECG findings within 28 days (4 weeks) prior to enrollment\n\nExclusion Criteria:\n\n1. Have known endocrine pancreatic tumors or ampullary cancer\n2. Have received first line treatment for metastatic pancreatic cancer\n3. Have a serious concomitant active infection or other major comorbidities that, in the opinion of the investigator, would compromise the patient's ability to adhere to the protocol (e.g., stroke, uncontrolled arrhythmia, heart failure, or active autoimmune disease)\n4. Have HIV history or hepatitis B and C infection, except for prescribing anti-hepatitis B medications for hepatitis B carrier and undetectable HCV RNA level for hepatitis C prior to enrollment.\n5. Have known central nervous system (CNS) malignancy or metastasis (screening is not required)\n6. Have concurrent hematologic malignancies, acute or chronic leukemia\n7. Have known additional malignancy that is progressing or required active treatments within the past 6 months, except for basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g., breast or cervical cancer)\n8. Women with a positive pregnancy test or who are breastfeeding\n9. Have participated within the last 30 days in a clinical trial involving an investigational product\n10. Unable to swallow capsules or has diseases significantly affecting gastrointestinal function or resection of the stomach or small bowel, malabsorption syndrome, symptomatic inflammatory bowel disease or ulcerative colitis, or partial or complete bowel obstruction.\n11. Current peripheral sensory neuropathy ≥ Grade 2\n12. Any social condition or diseases judged ineligible by physician for participation in the study due to safety concern","ALL","18 Years",{"count":107,"type":108},70,"ESTIMATED","INTERVENTIONAL",[111],"PHASE1","A Phase 1b, open-label, multicenter, dose escalation and dose expansion study of S-1 in combination with nab-paclitaxel and gemcitabine (GAS) in subjects with metastatic pancreatic adenocarcinoma. This study is a dose escalation and dose expansion study with the objective to establish the MTD and\u002For RP2D and\u002For DLT of nab-paclitaxel and gemcitabine in combination with a body surface area(BSA)-based dose of S-1 in subject with metastatic pancreatic adenocarcinoma.",[114],"Metastatic Pancreatic Adenocarcinoma",[116,117,102],"Dose escalation","Pancreatic adenocarcinoma","2026-05-19",{"date":120,"type":121},"2026-05-22","ACTUAL",{"date":123,"type":121},"2023-08-01",{"date":125,"type":108},"2028-12-31",{"name":5,"class":6},3]