An open, randomised phase I/II dose escalation study evaluating the safety and tolerability, pharmacokinetics, antigenicity and efficacy of Iodine-131-Kab201 when given intra-arterially or intravenously in patients with surgically unresectable pancreatic ductal adenocarcinoma

ISRCTN ISRCTN16857581
DOI https://doi.org/10.1186/ISRCTN16857581
Protocol serial number KSB303PAN/C1/001
Sponsor Xenova Ltd (UK)
Funder Xenova Ltd
Submission date
12/09/2005
Registration date
19/10/2005
Last edited
10/05/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://cancerhelp.cancerresearchuk.org/trials/monoclonal-antibody-and-iodine-treatment-for-advanced-cancer-of-the-pancreas

Contact information

Prof John Neoptolemos
Scientific

Royal Liverpool University Hospital
Prescot Street
Liverpool
L7 8XP
United Kingdom

Phone +44 (0)151 706 4175
Email j.p.neoptolemos@liverpool.ac.uk

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific title
Study acronymKaBI
Study objectivesTo assess the safety, tolerability and efficacy of targeted radiotherapy to pancreas using anti-carcinoembryonic antigen (CEA) monoclonal antibody labelled with Iodine-131.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedPancreatic adenocarcinoma unsuitable for curative resection.
InterventionIodine-131-Kab201 given intra-arterially or intravenously
Intervention typeOther
Primary outcome measure(s)

To evaluate the safety, tolerability and maximum tolerated dose of Iodine-131-Kab201 when administered either intra-arterially or intravenously in patients with unresectable pancreatic cancer.

Key secondary outcome measure(s)

To assess the pharmacokinetics, antigenicity and evaluate efficacy of Iodine-131-Kab201 when administered either intra-arterially or intravenously in patients with unresectable pancreatic cancer.

Completion date31/10/2005

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration48
Key inclusion criteria1. Male or female; aged 18 or over
2. Histologically proven diagnosis of ductal adenocarcinoma in the head of the pancreas
3. Advanced pancreatic ductal adenocarcinoma involving the head of the pancreas and thus unsuitable for potentially curative resection
4. At least one confirmed and measurable tumour site on computed tomography (CT) documented within 4 weeks of randomisation
5. Karnofsky Score of 70 or more
6. Life expectancy of greater than or equal to 3 months
7. Women of childbearing potential must have a negative pregnancy test at the time of screening and must be willing to practice appropriate contraceptive methods for the duration of the study. Men with partners of childbearing potential must also be willing to practice appropriate barrier contraceptive methods for the duration of the study.
8. Written informed consent to participate in the study
Key exclusion criteria1. Leucopenia and/or granulocytopenia
2. Thrombocytopenia
3. Significant and worsening hepatic impairment (aspartate aminotransferase/alanine aminotransferase [AST/ALT] >3 x the upper limit of normal [ULN]; bilirubin >5 x ULN) in the absence of obstructive jaundice. Liver function tests must be stable or improving at time of investigational drug administration.
4. Significant renal impairment (serum creatinine >ULN)
5. Known immunological reactions to previously administered antibodies, proteins or iodine
6. Pregnant or lactating women
7. Radiotherapy or chemotherapy within the preceding 1 month at the scheduled time of dosimetric dosing (preceding 6 weeks for nitrosoureas)
8. Previous external beam radiotherapy to maximal tolerable levels to any critical organ (3000 cGy for liver, 2000 cGY for lungs/kidneys)
9. Treatment with any other clinical trial medication within the 3 months prior to dosimetric dosing
10. Presence of concomitant condition or circumstances which, in the opinion of the investigator, would render the patient unsuitable for the study, such as ongoing alcohol or drug abuse or being unable to tolerate any of the study procedures (e.g. unable to lie flat for nuclear imaging scans)
Date of first enrolment01/09/2002
Date of final enrolment31/10/2005

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Royal Liverpool University Hospital
Liverpool
L7 8XP
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results: 21/07/2006 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes