AI/ontology_platform/vendored/ontocast/data/chunks/clinical.trials.NCT04896073.json

{
    "chunks": [
        "# JSON Data\n\n**hasResults**: false ## protocolSection ### identificationModule\n**nctId**: NCT04896073\n**briefTitle**: Superenhancer Inhibitor Minnelide in Advanced Refractory Adenosquamous Carcinoma of the Pancreas (ASCP)\n**officialTitle**: A Phase II Trial of the Superenhancer Inhibitor Minnelide in Advanced Refractory Adenosquamous Carcinoma of the Pancreas (ASCP) #### orgStudyIdInfo\n**id**: 10000254 #### secondaryIdInfos\n**id**: 000254-C #### organization\n**fullName**: National Institutes of Health Clinical Center (CC)\n**class**: NIH ### statusModule\n**statusVerifiedDate**: 2025-03-31\n**overallStatus**: COMPLETED\n**studyFirstSubmitDate**: 2021-05-20\n**studyFirstSubmitQcDate**: 2021-05-20\n**lastUpdateSubmitDate**: 2025-04-01 #### expandedAccessInfo\n**hasExpandedAccess**: false #### startDateStruct\n**date**: 2022-03-07\n**type**: ACTUAL #### primaryCompletionDateStruct\n**date**: 2025-03-30\n**type**: ACTUAL #### completionDateStruct\n**date**: 2025-03-30\n**type**: ACTUAL #### studyFirstPostDateStruct\n**date**: 2021-05-21\n**type**: ACTUAL #### lastUpdatePostDateStruct\n**date**: 2025-04-02\n**type**: ACTUAL ### sponsorCollaboratorsModule #### responsibleParty\n**type**: SPONSOR #### leadSponsor\n**name**: National Cancer Institute (NCI)\n**class**: NIH ### oversightModule\n**isFdaRegulatedDrug**: true\n**isFdaRegulatedDevice**: false ### descriptionModule\n**briefSummary**: Background:\n\nPancreatic cancer is one of the most lethal types of cancer. ASCP is a highly aggressive type of pancreatic cancer. It is very rare. Researchers want to see if a drug called Minnelide can be used to treat ASCP.\n\nObjective:\n\nTo see if Minnelide is an effective treatment for ASCP.\n\nEligibility:\n\nAdults ages 18 and older with ASCP whose cancer did not respond to previous treatments.\n\nDesign:\n\nParticipants will be screened with:\n\nMedical history\n\nPhysical exam\n\nBlood and urine samples\n\nEvaluation of ability to do daily activities\n\nElectrocardiogram to test heart function\n\nBody and/or brain scans. For these, participants will lie in a machine that takes pictures of the body. They may have a contrast agent injected into a vein.\n\nTumor sample. If one is not available, participants will have a tumor biopsy. The biopsy will be taken with a small needle put through the skin into the tumor. Treatment will be given in 28-day cycles, for up to 12 cycles. There is a 7-day resting period between cycles. Participants will take Minnelide by mouth every day for 21 days of each cycle. They will keep a medicine diary. Participants will have at least 1 study visit every cycle. They will review their medicine diary. They will repeat some screening tests. Participants may have optional tumor biopsies. Some participants may need to take birth control during the study and for up to 6 months after treatment. Participants will have an end-of-treatment visit 4 weeks after they stop taking the study drug. They will repeat some screening tests.\n**detailedDescription**: Background: - Adenosquamous carcinoma of the pancreas (ASCP) is a highly aggressive variant of pancreatic ductal adenocarcinoma (PDA), the most common type of pancreas cancer.\n- ASCP is estimated to account for 0.5-4% of the 55,000 people who are diagnosed with pancreatic cancer in the U.S. each year, making it a very rare tumor type.\n- No prospective clinical trials specific to ASCP have ever been performed.\n- Preclinical data in ASCP models indicate that an activated superenhancer network drives epigenetic changes which cause the prognostically unfavorable squamous differentiation.\n- Genomic analysis of ASCP tumors identifies frequent amplification of MYC.\n- Minnelide is a small molecule anti-superenhancer drug that inhibits MYC.\n- The recommended dose of Minnelide has previously been established through clinical testing for other indications.\n\nPrimary Objective:\n\n-To determine the single agent antitumor activity (disease control rate) of the anti-superenhancer agent Minnelide in participants with advanced, previously treated ASCP\n\
        "#### designInfo\n**allocation**: NA\n**interventionModel**: SINGLE_GROUP\n**primaryPurpose**: TREATMENT ##### maskingInfo\n**masking**: NONE #### enrollmentInfo\n**count**: 15\n**type**: ACTUAL ### armsInterventionsModule #### armGroups\n**label**: 1/Minnelide\n**type**: EXPERIMENTAL\n**description**: Minnelide 2mg Days 1-21 of 28 day cycle (x12) ##### interventionNames\n- Drug: Minnelide #### interventions\n**type**: DRUG\n**name**: Minnelide\n**description**: Administered orally (2 mg) once daily for 21 days of 28-day cycles for 12 cycles. ##### armGroupLabels\n- 1/Minnelide ### outcomesModule #### primaryOutcomes\n**measure**: disease control rate\n**description**: To determine the single agent antitumor activity (disease control rate = CR+PR+stable x16 weeks) of the anti-superenhancer agent Minnelide in participants with advanced, previously treated ASCP\n**timeFrame**: 16 weeks #### secondaryOutcomes ##### Item 1\n\n**measure**: safety and tolerability of Minnelide\n**description**: AEs and SAEs of Minnelite\n**timeFrame**: duration of treatment ##### Item 2\n\n**measure**: progression free survival (PFS)\n**description**: frequency and grade of AEs and SAEs\n**timeFrame**: start of treatment to 30 days after last treatment ##### Item 3\n\n**measure**: Overall Survival (OS)\n**description**: The length of time from the start of treatment that patients diagnosed with the disease are still alive.\n**timeFrame**: through 1 year after last Minnelide treatment in the last subject who completes treatment ### eligibilityModule\n**eligibilityCriteria**: - INCLUSION CRITERIA:\n- Histological or cytological diagnosis of ASCP or high suspicion for ASCP as confirmed by NIH Laboratory of Pathology. ASCP will be defined as \\>=30% malignant squamous component in background of typical PDA. If malignant squamous component is identified in the sample, but the pathologist is unable to determine whether it is \\>= 30%, then the participant will be considered to have high suspicion for ASCP.\n\nNote: To meet this criteria, participant must be able to submit a suitable archival tumor specimen (primary or metastatic site) for review or currently have tumor in a location deemed low risk for core biopsy so that suitable tissue can be acquired for confirmation of diagnosis. Note that cytopathology specimens are not considered suitable for definitive diagnosis of ASCP but can be used to determine high suspicion for ASCP. - Participants with metastatic, recurrent or locally advanced unresectable disease and progression or intolerance to at least 1 prior systemic treatment regimen in the advanced disease setting.\n- Disease measurable by RECIST 1.1 criteria.\n- Progressive disease as evidenced by increasing tumor size on radiologic assessment, increasing serum tumor marker (on last 2 measurements taken at least 1 week apart), increasing ascites, and/or worsening tumor-related symptoms such as weight loss, pain, GI upset.\n- Age \\>18 years.\n- ECOG performance status \\<2 (Karnofsky \\>60%).\n- Be willing and able to provide written informed consent for the trial.\n- Participants must have adequate organ and marrow function as defined below:\n\n  - absolute neutrophil count (ANC) \\>= 1,500/microL\n  - platelets \\>= 100,000/microL\n  - hemoglobin \\>= 9.0 g/dL or \\>= 5.6 mmol/La\\-\n  - Creatinine \\<= 1.5 x ULN\n\nOR\n\nmeasured or calculated \\-bcreatinine clearance (GFR can also be used in place of creatinine or CrCl) \\>= 45 mL/min for participant with creatinine levels \\>1.5 x institutional ULN - total bilirubin \\<= 1.5 x ULN OR direct bilirubin \\<= ULN for participants with total bilirubin levels \\>1.5 x ULN\n- AST (SGOT) and ALT (SGPT) \\<= 2.5 x ULN (\\<= 5 x ULN for participants with liver metastases)\n- International normalized ratio (INR) OR\n\n  - prothrombin time (PT)\n  - activated partial thromboplastin time (aPTT):\n\n\\<= 1.5 x ULN unless participant is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants\n\nALT (SGPT) = alanine aminotransferase (ser
        "Participants with carcinomatous meningitis are excluded regardless of clinical stability. - Has an active infection requiring systemic therapy.\n- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the participant s participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating investigator.\n- Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.\n- Has known uncontrolled or poorly controlled human immunodeficiency virus (HIV) infection. HIV is considered uncontrolled or poorly controlled if an HIV-infected individual is not taking highly active anti-retroviral therapy or has a detectable viral load within the previous 6 months.\n- Has active HBV or HCV or is currently under treatment for HBV or HCV. Active HBV or HCV does not include previously cleared HBV or HCV or successfully cured HBV or HCV through treatment\n- Has received a live vaccine within 30 days of planned start of trial therapy.\n\nNote: Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g. Flu-Mist (Registered Trademark)) are live attenuated vaccines, and are not allowed.\n\n-History of allergic reactions attributed to compounds of similar chemical or biologic composition to Minnelide\n**healthyVolunteers**: false\n**sex**: ALL\n**minimumAge**: 18 Years #### stdAges\n- ADULT\n- OLDER_ADULT ### contactsLocationsModule #### overallOfficials\n**name**: Christine C Alewine, M.D.\n**affiliation**: National Cancer Institute (NCI)\n**role**: PRINCIPAL_INVESTIGATOR #### locations\n**facility**: National Institutes of Health Clinical Center\n**city**: Bethesda\n**state**: Maryland\n**zip**: 20892\n**country**: United States ##### geoPoint\n**lat**: 38.98067\n**lon**: -77.10026 ### referencesModule #### references\n**pmid**: 35535581\n**type**: DERIVED\n**citation**: Skorupan N, Ahmad MI, Steinberg SM, Trepel JB, Cridebring D, Han H, Von Hoff DD, Alewine C. A phase II trial of the super-enhancer inhibitor Minnelide in advanced refractory adenosquamous carcinoma of the pancreas. Future Oncol. 2022 Jun;18(20):2475-2481. doi: 10.2217/fon-2021-1609. Epub 2022 May 10. #### seeAlsoLinks\n**label**: NIH Clinical Center Detailed Web Page\n**url**: https://clinicalstudies.info.nih.gov/cgi/detail.cgi?B_000254-C.html ### ipdSharingStatementModule\n**ipdSharing**: YES\n**description**: All IPD recorded in the medical record will be shared with intramural investigators upon request.@@@@@@In addition, all large scale genomic sequencing data will be shared with subscribers to dbGaP.\n**timeFrame**: Clinical data available during the study and indefinitely.@@@@@@Genomic data are available once genomic data are uploaded per protocol GDS plan for as long as database is active.\n**accessCriteria**: Clinical data will be made available via subscription to BTRIS and with the permission of the study PI.@@@@@@Genomic data are made available via dbGaP through requests to the data custodians. #### infoTypes\n- STUDY_PROTOCOL\n- SAP\n- ICF ## derivedSection ### miscInfoModule\n**versionHolder**: 2025-05-21",
        "### conditionBrowseModule #### meshes ##### Item 1\n\n**id**: D002277\n**term**: Carcinoma ##### Item 2\n\n**id**: D018196\n**term**: Carcinoma, Adenosquamous ##### Item 3\n\n**id**: D010190\n**term**: Pancreatic Neoplasms #### ancestors ##### Item 1\n\n**id**: D009375\n**term**: Neoplasms, Glandular and Epithelial ##### Item 2\n\n**id**: D009370\n**term**: Neoplasms by Histologic Type ##### Item 3\n\n**id**: D009369\n**term**: Neoplasms ##### Item 4\n\n**id**: D018193\n**term**: Neoplasms, Complex and Mixed ##### Item 5\n\n**id**: D004067\n**term**: Digestive System Neoplasms ##### Item 6\n\n**id**: D009371\n**term**: Neoplasms by Site ##### Item 7\n\n**id**: D004701\n**term**: Endocrine Gland Neoplasms ##### Item 8\n\n**id**: D004066\n**term**: Digestive System Diseases ##### Item 9\n\n**id**: D010182\n**term**: Pancreatic Diseases ##### Item 10\n\n**id**: D004700\n**term**: Endocrine System Diseases #### browseLeaves ##### Item 1\n\n**id**: M5534\n**name**: Carcinoma\n**asFound**: Carcinoma\n**relevance**: HIGH ##### Item 2\n\n**id**: M3585\n**name**: Adenocarcinoma\n**relevance**: LOW ##### Item 3\n\n**id**: M13110\n**name**: Pancreatic Neoplasms\n**asFound**: Carcinoma of the Pancreas\n**relevance**: HIGH ##### Item 4\n\n**id**: M20342\n**name**: Carcinoma, Adenosquamous\n**asFound**: Adenosquamous Carcinoma\n**relevance**: HIGH ##### Item 5\n\n**id**: M12320\n**name**: Neoplasms, Glandular and Epithelial\n**relevance**: LOW ##### Item 6\n\n**id**: M12315\n**name**: Neoplasms by Histologic Type\n**relevance**: LOW ##### Item 7\n\n**id**: M8886\n**name**: Gastrointestinal Neoplasms\n**relevance**: LOW ##### Item 8\n\n**id**: M7256\n**name**: Digestive System Neoplasms\n**relevance**: LOW ##### Item 9\n\n**id**: M7863\n**name**: Endocrine Gland Neoplasms\n**relevance**: LOW ##### Item 10\n\n**id**: M8883\n**name**: Gastrointestinal Diseases\n**relevance**: LOW ##### Item 11\n\n**id**: M7255\n**name**: Digestive System Diseases\n**relevance**: LOW ##### Item 12\n\n**id**: M13102\n**name**: Pancreatic Diseases\n**relevance**: LOW ##### Item 13\n\n**id**: M7862\n**name**: Endocrine System Diseases\n**relevance**: LOW ##### Item 14\n\n**id**: T4387\n**name**: Pancreatic Cancer\n**asFound**: Carcinoma of the Pancreas\n**relevance**: HIGH #### browseBranches ##### Item 1\n\n**abbrev**: BC04\n**name**: Neoplasms ##### Item 2\n\n**abbrev**: All\n**name**: All Conditions ##### Item 3\n\n**abbrev**: BC06\n**name**: Digestive System Diseases ##### Item 4\n\n**abbrev**: BC19\n**name**: Gland and Hormone Related Diseases ##### Item 5\n\n**abbrev**: Rare\n**name**: Rare Diseases ### interventionBrowseModule #### meshes\n**id**: C579022\n**term**: 14-O-phosphonooxymethyltriptolide disodium salt #### ancestors ##### Item 1\n\n**id**: D018906\n**term**: Antineoplastic Agents, Alkylating ##### Item 2\n\n**id**: D000477\n**term**: Alkylating Agents ##### Item 3\n\n**id**: D045504\n**term**: Molecular Mechanisms of Pharmacological Action ##### Item 4\n\n**id**: D000970\n**term**: Antineoplastic Agents #### browseLeaves ##### Item 1\n\n**id**: M22554\n**name**: Pancrelipase\n**relevance**: LOW ##### Item 2\n\n**id**: M13114\n**name**: Pancreatin\n**relevance**: LOW ##### Item 3\n\n**id**: M271827\n**name**: Triptolide\n**relevance**: LOW ##### Item 4\n\n**id**: M348302\n**name**: 14-O-phosphonooxymethyltriptolide disodium salt\n**asFound**: Oral lesions\n**relevance**: HIGH ##### Item 5\n\n**id**: M20942\n**name**: Antineoplastic Agents, Alkylating\n**relevance**: LOW ##### Item 6\n\n**id**: M3820\n**name**: Alkylating Agents\n**relevance**: LOW #### browseBranches ##### Item 1\n\n**abbrev**: Gast\n**name**: Gastrointestinal Agents ##### Item 2\n\n**abbrev**: All\n**name**: All Drugs and Chemicals ##### Item 3\n\n**abbrev**: ANeo\n**name**: Antineoplastic Agents ##### Item 4\n\n**abbrev**: Repr\n**name**: Reproductive Control Agents"
    ]
}