Ignite Creation Date:
2025-12-25 @ 12:18 AM
Ignite Modification Date:
2025-12-25 @ 10:21 PM
Study NCT ID:
NCT06698458
Status:
RECRUITING
Last Update Posted:
2025-12-02
First Post:
2024-11-18
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Alpha Radiation Emitters Device for the Treatment of Pancreatic Cancer With Chemotherapy for the Treatment of Locally Advanced and Metastatic Pancreatic Cancer
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D010190', 'term': 'Pancreatic Neoplasms'}], 'ancestors': [{'id': 'D004067', 'term': 'Digestive System Neoplasms'}, {'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D004701', 'term': 'Endocrine Gland Neoplasms'}, {'id': 'D004066', 'term': 'Digestive System Diseases'}, {'id': 'D010182', 'term': 'Pancreatic Diseases'}, {'id': 'D004700', 'term': 'Endocrine System Diseases'}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NON_RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL', 'interventionModelDescription': '15 patients in each cohort for a total of 30 subjects.'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 30}}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2025-06-17', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-10', 'completionDateStruct': {'date': '2026-12', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-01', 'studyFirstSubmitDate': '2024-11-18', 'studyFirstSubmitQcDate': '2024-11-19', 'lastUpdatePostDateStruct': {'date': '2025-12-02', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2024-11-21', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2026-10', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Safety -Serious adverse events', 'timeFrame': 'From Day 0 ,up to 24 months.', 'description': 'The primary endpoint is the incidence of treatment-related Serious Adverse Events (SAEs) graded according to CTCAE v5.0'}], 'secondaryOutcomes': [{'measure': 'Complete or pain response', 'timeFrame': '30 days and 2 months post-procedure', 'description': "Complete or partial pain response at 30 days and 2 months postprocedure as compared to baseline based on average pain scale using BPI-SF (Brief Pain Inventory - Short Form) used to evaluate the severity of a patient's pain, 0-no pain, 1 to 3- mild pain, 4 to 7- moderate pain, 8 to 10- severe pain ."}, {'measure': 'Percentage of locally advanced that became surgically resectable', 'timeFrame': '6 and 24 months', 'description': 'For cohort 1 only: Percentage of locally advanced patients with tumors that became surgically resectable after DaRT treatment'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isUnapprovedDevice': True, 'isFdaRegulatedDevice': True}, 'conditionsModule': {'keywords': ['Alpha radiation', 'pancreatic cancer', 'Pancreatic Adenocarcinoma', 'Unresectable Pancreatic Cancer'], 'conditions': ['Pancreatic Cancer', 'Pancreatic Adenocarcinoma', 'Metastatic Pancreatic Cancer']}, 'descriptionModule': {'briefSummary': 'This is a multi-center clinical study enrolling up to 30 participants (15 patients in each cohort). The primary objective of the study is to evaluate the safety of Alpha DaRT in combination with chemotherapy, based on the cumulative incidence rate, severity and outcome of device related AEs. Classification of AEs will be done according to CTCAE V5. The secondary objectives of the study are to:\n\n* Assess efficacy of the Alpha DaRT sources in combination with chemotherapy, determined by overall and progression-free survival.\n* Assess pain control\n* Assess rate of surgical resection in Cohort 1.', 'detailedDescription': 'This study will be a prospective, interventional, open label, two cohort, multiple center study to assess the efficacy of Alpha DaRT in combination with chemotherapy. Eligible patients with newly diagnosed pancreatic cancer will be categorized into one of the following two cohorts according to their disease state at baseline:\n\n1. Locally advanced\n2. Metastatic. Patients will begin mFOLFIRINOX treatment and will undergo DaRT placement during the first 4 cycles. Follow-up will continue up to 6 months after enrollment.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '120 Years', 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Histologically and/or cytologically proven newly diagnosed locally advanced inoperable pancreatic adenocarcinoma (Cohort 1) OR histologically and/or cytologically proven newly diagnosed metastatic pancreatic adenocarcinoma (Cohort 2).\n* Patients will start treatment with mFOLFIRINOX (up to 4 cycles) before DaRT insertion\n* Target lesion is technically amenable for Alpha DaRT sources implantation.\n* Measurable lesion per RECIST (version 1.1) criteria\n* Lesion size ≤ 5 cm in the longest diameter\n* Interstitial radiation indication validated by a multidisciplinary team.\n* ECOG Performance Status Scale 0 -2\n* Life expectancy is more than 6 months\n* WBC ≥ 3500/μl, granulocyte ≥ 1500/μl\n* Platelet count ≥60,000/μl\n* Creatinine ≤1.9 mg/dL\n* AST and ALT ≤ 2.5 X upper limit of normal (ULN)\n* INR \\< 1.4 for patients not on Warfarin\n* Age ≥18 years old\n* Subjects are willing and able to sign an informed consent form\n* Women of childbearing potential (WOCBP) will have evidence of negative pregnancy test before the Ra-224 implantation and are required to use an acceptable contraceptive method to prevent pregnancy for 3 months after initiation of Alpha DaRT therapy.\n* Patients must agree to use adequate contraception (vasectomy or barrier method of birth control) prior to study entry, for the duration of study participation and for 3 months after DaRT insertion.\n\nExclusion Criteria:\n\n* For Cohort 1 only: Borderline unresectable pancreatic cancer, and/or fit for surgical exploration unless patient refuses surgery.\n* For Cohort 1 and Cohort 2: Prior treatment for pancreatic cancer, including chemotherapy except for 1 - 4 cycles of mFOLFIRINOX, radiation therapy, immunotherapy, etc.\n* Known hypersensitivity to any of the components of the treatment.\n* Patients undergoing systemic immunosuppressive therapy excepting intermittent, brief use of systemic corticosteroids.\n* Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy, uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial infarction in the last 12 months.\n* Patients with uncontrolled intercurrent illnesses including, but not limited to an active infection requiring systemic therapy or a known psychiatric or substance abuse disorder(s) that would interfere with cooperation with the requirements of the trial or interfere with the study endpoints.\n* Has a known additional malignancy that is progressing or requires active treatment.\n\nExceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy, low risk prostate cancer, or in situ cervical cancer.\n\n* Patient requires treatment not specified in this protocol which may conflict with the endpoints of this study including evaluation of response or toxicity of DaRT.\n* Patients do not agree to use adequate contraception (vasectomy or barrier method of birth control) prior to study entry, for the duration of study participation and for 3 months after DaRT insertion.\n* Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of DaRT.\n* High probability of protocol non-compliance (in opinion of investigator).\n* Breastfeeding women or women of childbearing potential unwilling or unable to use an acceptable contraceptive method to prevent pregnancy for 3 months after DaRT insertion\n* Patients who are at high risk of complications from radiation due to genetic conditions/mutations, inflammatory bowel disease, or connective tissue disease.'}, 'identificationModule': {'nctId': 'NCT06698458', 'briefTitle': 'Alpha Radiation Emitters Device for the Treatment of Pancreatic Cancer With Chemotherapy for the Treatment of Locally Advanced and Metastatic Pancreatic Cancer', 'organization': {'class': 'INDUSTRY', 'fullName': 'Alpha Tau Medical LTD.'}, 'officialTitle': 'A Study to Assess the Safety of Intratumoral Diffusing Alpha Radiation Emitters With Chemotherapy for the Treatment of Locally Advanced and Metastatic Pancreatic Cancer', 'orgStudyIdInfo': {'id': 'CTP-PANC-09'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Patients with locally advanced pancreatic adenocarcinoma', 'description': 'Patients will begin mFOLFIRINOX treatment and will undergo DaRT placement during the first 4 cycles. Follow-up will continue up to 6 months after enrollment.', 'interventionNames': ['Device: Radiation: Diffusing Alpha Radiation Emitters Therapy (DaRT)']}, {'type': 'EXPERIMENTAL', 'label': 'Patients with metastatic pancreatic adenocarcinoma', 'description': 'Patients will begin mFOLFIRINOX treatment and will undergo DaRT placement during the first 4 cycles. Follow-up will continue up to 6 months after enrollment.', 'interventionNames': ['Device: Radiation: Diffusing Alpha Radiation Emitters Therapy (DaRT)']}], 'interventions': [{'name': 'Radiation: Diffusing Alpha Radiation Emitters Therapy (DaRT)', 'type': 'DEVICE', 'otherNames': ['DaRT'], 'description': 'DaRT source will be inserted using endoscopy into the tumor. The sources release by recoil into the tumor short-lived alpha-emitting atoms', 'armGroupLabels': ['Patients with locally advanced pancreatic adenocarcinoma', 'Patients with metastatic pancreatic adenocarcinoma']}]}, 'contactsLocationsModule': {'locations': [{'zip': '85234', 'city': 'Gilbert', 'state': 'Arizona', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Prathab Devaraj, MD', 'role': 'CONTACT', 'email': 'Prathab.Devaraj@bannerhealth.com'}, {'name': 'Angel Tameron', 'role': 'CONTACT', 'email': 'BMDACCStudyStartup@bannerhealth.com', 'phone': '480-256-3311'}], 'facility': 'Banner MD Anderson Cancer Center', 'geoPoint': {'lat': 33.35283, 'lon': -111.78903}}, {'zip': '85338', 'city': 'Goodyear', 'state': 'Arizona', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Toufic Kachaamy, MD', 'role': 'CONTACT', 'email': 'tkachaamy@coh.org'}, {'name': 'Miranda Miranda Qian', 'role': 'CONTACT', 'email': 'lqian@coh.org', 'phone': '(626) 218-3533'}], 'facility': 'City of Hope', 'geoPoint': {'lat': 33.43532, 'lon': -112.35821}}, {'zip': '85258', 'city': 'Scottsdale', 'state': 'Arizona', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Erkut Borazanci, MD', 'role': 'CONTACT', 'email': 'eborazanci@honorhealth.com'}, {'name': 'Angie Dababneh Dababneh', 'role': 'CONTACT', 'email': 'adababneh@honorhealth.com'}], 'facility': 'Honor Health', 'geoPoint': {'lat': 33.50921, 'lon': -111.89903}}, {'zip': '90048', 'city': 'Los Angeles', 'state': 'California', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Mitchell Kamrava, MD', 'role': 'CONTACT', 'email': 'Mitchell.Kamrava@cshs.org'}, {'name': 'Amit Gupta', 'role': 'CONTACT', 'email': 'amit.gupta2@cshs.org', 'phone': '310.423.1270'}], 'facility': 'Cedars-Sinai', 'geoPoint': {'lat': 34.05223, 'lon': -118.24368}}, {'zip': '32804', 'city': 'Orlando', 'state': 'Florida', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Sharona Ross, MD', 'role': 'CONTACT', 'email': 'mysharonaross@gmail.com'}, {'name': 'Amber Barrick', 'role': 'CONTACT', 'email': 'amber.barrick@adventhealth.com'}], 'facility': 'Advent Health Cancer Institute', 'geoPoint': {'lat': 28.53834, 'lon': -81.37924}}, {'zip': '30308', 'city': 'Atlanta', 'state': 'Georgia', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'MD', 'role': 'CONTACT'}], 'facility': 'Emory University', 'geoPoint': {'lat': 33.749, 'lon': -84.38798}}, {'zip': '13326', 'city': 'Cooperstown', 'state': 'New York', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Timothy Korytko, MD', 'role': 'CONTACT', 'email': 'timothy.korytko@bassett.org', 'phone': '607-547-3089'}, {'name': 'Peggy Cross', 'role': 'CONTACT', 'email': 'peggy.cross@bassett.org'}], 'facility': 'Bassett Healthcare Network', 'geoPoint': {'lat': 42.70048, 'lon': -74.92426}}, {'zip': '10016', 'city': 'New York', 'state': 'New York', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Gonda Tamas Adam, MD', 'role': 'CONTACT', 'email': 'Tamas.Gonda@nyulangone.org'}, {'name': 'Kevin Grimaldi', 'role': 'CONTACT', 'email': 'GriKevin.Grimaldi@nyulangone.org', 'phone': '212-404-3748'}], 'facility': 'NYU Langone Health', 'geoPoint': {'lat': 40.71427, 'lon': -74.00597}}, {'zip': '10075', 'city': 'New York', 'state': 'New York', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Elliot Newman, MD', 'role': 'CONTACT', 'email': 'enewman4@northwell.edu'}], 'facility': 'Lenox hill Hospital', 'geoPoint': {'lat': 40.71427, 'lon': -74.00597}}, {'zip': '10467', 'city': 'The Bronx', 'state': 'New York', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Rafi Kabarriti, MD', 'role': 'CONTACT', 'email': 'rkabarri@montefiore.org'}, {'name': 'Rikin Gandhi', 'role': 'CONTACT', 'email': 'rikin.gandhi@einsteinmed.edu'}], 'facility': 'Montefiore Medical Center', 'geoPoint': {'lat': 40.84985, 'lon': -73.86641}}, {'zip': '75251', 'city': 'Houston', 'state': 'Texas', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'John Hardaway, MD', 'role': 'CONTACT', 'email': 'john.hardaway@usoncology.com', 'phone': '281-822-3390'}, {'name': 'Amber Graham', 'role': 'CONTACT', 'email': 'Amber.graham@usoncology.com', 'phone': '972-480-3285'}], 'facility': 'Texas Oncology', 'geoPoint': {'lat': 29.76328, 'lon': -95.36327}}, {'zip': '77054', 'city': 'Houston', 'state': 'Texas', 'status': 'NOT_YET_RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Benjamin Leon Musher, MD', 'role': 'CONTACT', 'email': 'blmusher@bcm.edu'}, {'name': 'Deb Dowlin', 'role': 'CONTACT', 'email': 'Deborah.Dowlin@bcm.edu', 'phone': '8328244306'}], 'facility': 'Baylor College of Medicine', 'geoPoint': {'lat': 29.76328, 'lon': -95.36327}}, {'zip': '77089', 'city': 'Houston', 'state': 'Texas', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': "Mark D'Andrea, MD", 'role': 'CONTACT', 'email': 'mmmeead@aol.com', 'phone': '936-223-1379'}, {'name': 'Jo Ann Ramirez', 'role': 'CONTACT', 'email': 'jramirez@universitycancercenters.com', 'phone': '9362231379'}], 'facility': 'University Cancer and Diagnostic', 'geoPoint': {'lat': 29.76328, 'lon': -95.36327}}, {'city': 'Montreal', 'state': 'Quebec', 'status': 'NOT_YET_RECRUITING', 'country': 'Canada', 'contacts': [{'name': 'Corey Miller, MD', 'role': 'CONTACT', 'email': 'corey.miller@mcgill.ca', 'phone': '514-340-8144'}, {'name': 'Chadi Zakaria, Ph.D.', 'role': 'CONTACT', 'email': 'chadi.zakaria.ccomtl@ssss.gouv.qc.ca', 'phone': '514-340-8222 Ext 23293'}], 'facility': 'Jewish General Hospital', 'geoPoint': {'lat': 45.50884, 'lon': -73.58781}}, {'city': 'Jerusalem', 'status': 'RECRUITING', 'country': 'Israel', 'contacts': [{'name': 'Aron Popovzer, MD', 'role': 'CONTACT', 'email': 'Aronp@hadassah.org.il'}, {'name': 'Hanna Lea Knafou', 'role': 'CONTACT', 'email': 'hannalea@hadassah.org.il', 'phone': '972-2-6776709'}], 'facility': 'Hadassah Ein Kerem', 'geoPoint': {'lat': 31.76904, 'lon': 35.21633}}], 'centralContacts': [{'name': 'Liron Dimnik', 'role': 'CONTACT', 'email': 'LironD@alphatau.com', 'phone': '+972-2-3737-7000'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Alpha Tau Medical LTD.', 'class': 'INDUSTRY'}, 'responsibleParty': {'type': 'SPONSOR'}}}}