About this trial
The CEB-01 implant is a membrane containing SN-38, the active metabolite of irinotecan, an already authorized chemotherapeutic agent. After surgical removal of the pancreatic cancer tumor, CEB 01 will be placed in the surgical bed for a local and sustained release of the chemotherapy. This is expected to delay or prevent local recurrence of pancreatic cancer after surgery, while keeping a tolerable toxicity profile.
The study aims to assess the safety, tolerability, pharmacokinetics, and efficacy of CEB-01 in patients with locally resectable pancreatic cancer
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years.
Lesion/s of histologically or cytologically confirmed de novo carcinoma, adenocarcinoma or ductal adenocarcinoma of the pancreas with only locally advanced disease, resectable or borderline resectable.
Histopathological confirmation of the diagnosis can be done during surgery by means of intraoperative biopsy as per clinical practice.
Participants previously treated with chemotherapy will be eligible if they have not had documented progressive disease during treatment.
Disqualifiers
Other malignancies within past 2 years.
R2 resections (macroscopic disease remains after surgery).
Patients with homozygous UGT1A1 known to be at risk of increased toxicity with irinotecan and SN-38.
Active bacterial, viral or fungal infection.
Trial design
Parallel
Treatments tested in this trial
Standard surgery
Procedure/SurgeryThe location and size of the tumor determine the type of surgery.
CEB-01
DrugIt is novel formulation for local release of chemotherapy. It consists of a biocompatible and biodegradable nanofiber membrane made of poly(lactic-co-glycolic acid) (PLGA), which is loaded with the anti-tumor drug SN-38 and implanted in the surgical bed after tumor removal.
Treatment groups
Trial outcomes
Primary outcomes
Frequency of Adverse Events (AEs) (Safety)
Frequency of adverse events reported classified by type and severity according to the most updated version of the Common Terminology Criteria for Adverse Events (CTCAE).
Frequency of surgical complications after pancreatic surgery
Frequency of surgical complications according to the International Patient Safety Goals (IPSG).
Secondary outcomes
Local recurrence-free survival (LRFS)
Time from surgery until the progression of the disease in the area of implanted CEB-01
Progression-free survival (PFS)
Time from surgery to objective tumour progression or death from any cause
Overall survival (OS)
Time from surgery to death from any cause
Maximum concentration (Cmax) of SN-38
The highest concentration of SN-38 in the peripheral blood samples taken at sequential timepoints
Sponsors and contacts
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CEBIOTEX
Lead sponsor
MFAR
Collaborator