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| Name | Class |
|---|---|
| Bayer | INDUSTRY |
| Genentech, Inc. | INDUSTRY |
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The purpose of this research is to determine the benefit of two oral chemotherapy drugs, Vemurafenib and Sorafenib, in individuals with KRAS mutated pancreatic cancer who have progressed on standard chemotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vemurafenib in Combination with Sorafenib | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vemurafenib | Drug | Vemurafenib 480 mg PO BID daily given with Sorafenib 200 mg PO BID |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disease Control Rate (DCR) | Disease control rate (DCR) is defined as the combination of patients with complete response + partial response + stable disease at 16 weeks, divided by the total number of patients. Response is defined using RECIST v1.1 imaging criteria. | Initiation of study treatment until 16 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events Possibly or Definitely Related to Vemurafenib in Combination Wit Sorafenib | The number of patients who experienced an adverse event (AE) determined to be possibly or definitely related to the study treatment of vemurafenib + sorafenib. Adverse events occurring were graded according to the NCI Common Terminology Criteria for Adverse Events v5.0 (CTCAE). Grade refers to the severity of the AE and are given on a 1-5 scale, with each scale having unique clinical descriptions of severity for each AE based on this general guideline:
Note: All AEs were grade 3 or lower in this study. |
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Inclusion Criteria:
Be able to understand and be willing to sign the written informed consent for the trial. A signed informed consent form must be appropriately obtained prior to the conduct of any trial-specific procedure.
Be ≥ 18 years of age on day of signing informed consent.
Histologically confirmed cancer of the pancreas (KRAS mutated) with metastases and progression on at least ≥ 2 prior treatment regimens for their disease.
Known mutation status of KRAS and BRAF kinases. For those patients in which this has not previously been determined, the patient must have an archival tumor specimen (primary or metastatic site) available to submit to confirm KRAS and BRAF status.
Have a performance status of 0 or 1 on the ECOG performance scale.
Demonstrate adequate organ function
Female participants of childbearing potential must have a negative serum pregnancy test performed within 24 hours prior to receiving first dose of trial medication. Post-menopausal women (defined as no menses for at least 1 year) and surgically sterilized women are not required to undergo a pregnancy test.
A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:
Male participants must agree to use contraception during the treatment period and for at least 30 days after the last dose of trial treatment and refrain from donating sperm during this period.
Patient must have QTC of ≤500ms.
Subject must be able to swallow and retain oral medication
Measurable disease per RECIST 1.1
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Erkut Borazanci, MD, MS | HonorHealth Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HonorHealth Research Institute | Scottsdale | Arizona | 85258 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41766762 | Derived | Khawaja MR, Jameson G, Cridebring D, Shannon P, Han H, Moore J, Von Hoff D, Posner RG, Hlavacek WS, Kolch W, Kholodenko BN, Rukhlenko OS, Roe DJ, Wertheim BC, Borazanci E. Phase II Trial of Vemurafenib and Sorafenib Combination in Advanced KRAS-Mutated Metastatic Pancreatic Cancer. J Immunother Precis Oncol. 2026 Feb 10;9(1):17-24. doi: 10.36401/JIPO-25-20. eCollection 2026 Feb. |
| Label | URL |
|---|---|
| Phase II Trial of Vemurafenib and Sorafenib Combination in Advanced KRAS-Mutated Metastatic Pancreatic Cancer in: Journal of Immunotherapy and Precision Oncology Volume 9: Issue 1 \| Journal of Immunotherapy and Precision Oncology | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Vemurafenib in Combination With Sorafenib | Vemurafenib 480 mg PO BID combined with sorafenib 200 mg PO BID daily for 28 days per cycle. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Vemurafenib in Combination With Sorafenib | Vemurafenib 480 mg PO BID combined with sorafenib 200 mg PO BID daily for 28 days per cycle. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | ≥ 18 years of age |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Disease Control Rate (DCR) | Disease control rate (DCR) is defined as the combination of patients with complete response + partial response + stable disease at 16 weeks, divided by the total number of patients. Response is defined using RECIST v1.1 imaging criteria. | Posted | Number | DCR, % of participants with CR/PR/SD | Initiation of study treatment until 16 weeks. |
|
|
From enrollment until 30 days following the last dose of study treatment, an average of 90 days
Adverse events occurring during the study were graded according to the NCI Common Terminology Criteria for Adverse Events v5.0 (CTCAE).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Vemurafenib in Combination With Sorafenib | Vemurafenib 480 mg PO BID combined with sorafenib 200 mg PO BID daily for 28 days per cycle. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Systematic Assessment |
Limitations of this study include a single-arm, nonrandomized study design, a small sample size, and the lack of pharmacokinetic and pharmacodynamic (PK/PD) measurements.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Erkut H. Borazanci, MD | HonorHealth Research Institute | 4805837120 | eborazanci@honorhealth.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 23, 2023 | Dec 5, 2024 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Apr 5, 2023 | Dec 5, 2024 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
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| ID | Term |
|---|---|
| D000077484 | Vemurafenib |
| D000077157 | Sorafenib |
| ID | Term |
|---|---|
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013450 | Sulfones |
| D013457 |
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| Sorafenib | Drug | Sorafenib 200 mg PO BID and Vemurafenib 480 mg PO BID daily |
|
| Initiation of study treatment up to 30 days post treatment, an average of 90 days |
| Progression-free Survival (PFS) | Progression-free survival (PFS) is defined as first dose treated until the date of disease progression as measured by imaging using RECIST v1.1 criteria. | Initiation of study treatment up to study completion, up to 2 years. |
| Overall Survival (OS) | Survival was defined as the time from initiation of study treatment (C1/D1) to date of death. In the absence of confirmation of death, survival time was censored at the last date the patient was known to be alive. | Initiation of study treatment up to study completion, up to 2 years. |
| Percent Change in Plasma Levels of Phospho-ERK From Baseline | Phospho-ERK is a key downstream effector of the RAS/RAF/MEK signaling pathway that is proposed to be targeted by vemurafenib and sorafenib treatment. Plasma levels of phospho-ERK were measured over multiple treatment timepoints to gain molecular insight into targeted pathway suppression of the study regimen. Six patients who had blood samples available for the baseline (screen) and at least one on- or post-treatment time point were included in this analysis. Timepoints include Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), and End of Treatment (EOT). | Initiation of study treatment to end of study treatment, up to 90 days. |
| Percent Change in Plasma Levels of Phospho-AKT From Baseline | Phospho-AKT is a key downstream effector of the RAS/RAF/MEK signaling pathway that is proposed to be targeted by vemurafenib and sorafenib treatment. Plasma levels of phospho-AKT were measured over multiple treatment timepoints to gain molecular insight into targeted pathway suppression of the study regimen. Six patients who had blood samples available for the baseline (screen) and at least one on- or post-treatment time point were included in this analysis. Timepoints include Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), and End of Treatment (EOT). | Initiation of study treatment to end of study treatment, up to 90 days. |
| Full Range |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Eastern Cooperative Oncology Group (ECOG) Score 0 - 1 | The Eastern Cooperative Oncology Group (ECOG) score (0-5) is a validated tool used by clinicians to assess a cancer patient's functional status. Lower scores indicate better function, while higher scores indicate greater impairment. Score 0: Fully active, able to carry on all pre-disease performance without restriction; 1: Restricted in physically strenuous activity but ambulatory and able to carry out light work; 2: Ambulatory and capable of all self-care but unable to carry out any work activities; 3: Capable of only limited self-care; 4: Completely disabled; 5: Deceased. | Count of Participants | Participants |
|
| Cancer Antigen 19-9 (CA 19-9) | Unknown status for one (1) subject. | Count of Participants | Participants |
|
| Primary Tumor Location | Count of Participants | Participants |
|
| Site of Metastasis | Count of Participants | Participants |
|
| Number of Prior Lines of Therapy | Count of Participants | Participants |
|
|
| Secondary | Adverse Events Possibly or Definitely Related to Vemurafenib in Combination Wit Sorafenib | The number of patients who experienced an adverse event (AE) determined to be possibly or definitely related to the study treatment of vemurafenib + sorafenib. Adverse events occurring were graded according to the NCI Common Terminology Criteria for Adverse Events v5.0 (CTCAE). Grade refers to the severity of the AE and are given on a 1-5 scale, with each scale having unique clinical descriptions of severity for each AE based on this general guideline:
Note: All AEs were grade 3 or lower in this study. | Posted | Count of Participants | Participants | Initiation of study treatment up to 30 days post treatment, an average of 90 days |
|
|
|
| Secondary | Progression-free Survival (PFS) | Progression-free survival (PFS) is defined as first dose treated until the date of disease progression as measured by imaging using RECIST v1.1 criteria. | Posted | Median | 95% Confidence Interval | months | Initiation of study treatment up to study completion, up to 2 years. |
|
|
|
| Secondary | Overall Survival (OS) | Survival was defined as the time from initiation of study treatment (C1/D1) to date of death. In the absence of confirmation of death, survival time was censored at the last date the patient was known to be alive. | Posted | Median | 95% Confidence Interval | months | Initiation of study treatment up to study completion, up to 2 years. |
|
|
|
| Secondary | Percent Change in Plasma Levels of Phospho-ERK From Baseline | Phospho-ERK is a key downstream effector of the RAS/RAF/MEK signaling pathway that is proposed to be targeted by vemurafenib and sorafenib treatment. Plasma levels of phospho-ERK were measured over multiple treatment timepoints to gain molecular insight into targeted pathway suppression of the study regimen. Six patients who had blood samples available for the baseline (screen) and at least one on- or post-treatment time point were included in this analysis. Timepoints include Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), and End of Treatment (EOT). | Of n=9 total participants, plasma levels of phospho-ERK measured at baseline for n=6, at C2D1 for n=6, at C3D1 for n=5, and at EOT for n=1. | Posted | Median | 95% Confidence Interval | Percent change from baseline, % | Initiation of study treatment to end of study treatment, up to 90 days. |
|
|
|
| Secondary | Percent Change in Plasma Levels of Phospho-AKT From Baseline | Phospho-AKT is a key downstream effector of the RAS/RAF/MEK signaling pathway that is proposed to be targeted by vemurafenib and sorafenib treatment. Plasma levels of phospho-AKT were measured over multiple treatment timepoints to gain molecular insight into targeted pathway suppression of the study regimen. Six patients who had blood samples available for the baseline (screen) and at least one on- or post-treatment time point were included in this analysis. Timepoints include Baseline, Cycle 2 Day 1 (C2D1), Cycle 3 Day 1 (C3D1), and End of Treatment (EOT). | Of n=9 total participants, plasma levels of phospho-AKT measured at baseline for n=6, at C2D1 for n=6, at C3D1 for n=5, and at EOT for n=1. | Posted | Median | 95% Confidence Interval | Percent change from baseline | Initiation of study treatment to end of study treatment, up to 90 days. |
|
|
|
| 9 |
| 9 |
| 4 |
| 9 |
| 9 |
| 9 |
| Urinary tract infection | Infections and infestations | Systematic Assessment |
|
| Sepsis | Infections and infestations | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | Systematic Assessment |
|
| Duodenal hemorrhage | Gastrointestinal disorders | Systematic Assessment |
|
| Gastroesophageal reflux | Gastrointestinal disorders | Systematic Assessment |
|
| Gastroparesis | Gastrointestinal disorders | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Systematic Assessment |
|
| Stomach pain | Gastrointestinal disorders | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | Systematic Assessment |
|
| Fatigue | General disorders | Systematic Assessment |
|
| Fever | General disorders | Systematic Assessment |
|
| Biliary Obstruction | Hepatobiliary disorders | Systematic Assessment |
|
| Catheter related infection | Infections and infestations | Systematic Assessment |
|
| Lung infection | Infections and infestations | Systematic Assessment |
|
| Wound dehiscence | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Creatinine increased | Investigations | Systematic Assessment |
|
| White blood cell decreased | Investigations | Systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypercalcemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypoglycemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypokalemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hyponatremia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Hypophosphatemia | Metabolism and nutrition disorders | Systematic Assessment |
|
| Iron Deficiency | Metabolism and nutrition disorders | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Arthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Flank pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Generalized muscle weakness | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Muscle weakness lower limb | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Squamous Cell Carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Akathisia | Nervous system disorders | Systematic Assessment |
|
| Cognitive disturbance | Nervous system disorders | Systematic Assessment |
|
| Depression | Psychiatric disorders | Systematic Assessment |
|
| Pelvic pain | Reproductive system and breast disorders | Systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Pain of Skin | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Port-a-cath Malfunction | Surgical and medical procedures | Systematic Assessment |
|
| Hypertension | Vascular disorders | Systematic Assessment |
|
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| D004066 |
| Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Sulfur Compounds |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D010671 | Phenylurea Compounds |
| D014508 | Urea |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009536 | Niacinamide |
| D009539 | Nicotinic Acids |
| D000147 | Acids, Heterocyclic |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| Not Affected |
|
| Diarrhea |
|
| Nausea |
|
| Vomiting |
|
| Fatigue |
|
| Hypokalemia |
|
| Hypophosphatemia |
|
| Arthralgia |
|
| Arthritis |
|
| Pain in extremity |
|
| Squamous Cell Carcinoma |
|
| Dry skin |
|
| Pruritus |
|
| Rash maculo-papular |
|
| Hypertension |
|
|
| EOT |
|
|
|
| EOT |
|
|