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Nivolumab

Phase 1

Borderline Resectable Pancreatic Adenocarcinoma | Monoclonal antibody | Oncology |NovoCure Limited|Last Updated: Aug 9, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment28
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03970252Nivolumab in Combination With Chemotherapy Pre-Surgery in Treating Patients With Borderline Resectable Pancreatic CancerEARLY_PHASE1 COMPLETED 28Jul 24, 2019May 25, 2024Aug 9, 20241 United States
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Study Endpoints
Primary Endpoints
Clinically relevant pancreatic fistula in the post-operative period after neoadjuvant treatment with nivolumab and fluorouracil, irinotecan hydrochloride, leucovorin calcium and oxaliplatin (FOLFIRINOX) (mFFX) chemotherapy
Up to 3 years

Descriptive statistics with frequency and proportion will be used.

Pathologic complete response after nivolumab and mFFX treatment
Up to 3 years

Descriptive statistics with frequency and proportion will be used.

Secondary Endpoints
Percent change of CA 19-9 response rate
Baseline up to 3 years
R0 resection rate
Up to 3 years
Overall response rate (ORR)
Up to 3 years
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (nivolumab, mFOLFIRINOX)EXPERIMENTALPatients receive nivolumab IV over 60 minutes on day 1. Patients also receive fluorouracil IV over 10 minutes and over 46 hours, irinotecan hydrochloride IV over 90-120 minutes, leucovorin calcium IV over 120 minutes, and oxaliplatin IV over 120 minutes on days 1 and 15. Treatments repeat every 28 days for 3-6 cycles in the absence of disease progression or unacceptable toxicity. Within 2-4 weeks after treatment, patients with resectable disease undergo surgery. Within 8-12 weeks after surgery, patients with successful resection may receive 6 additional cycles of fluorouracil, irinotecan hydrochloride, leucovorin calcium, and oxaliplatin in the absence of disease progression or unacceptable toxicity.
Interventions
NameTypeDescription
FluorouracilDRUGGiven IV
IrinotecanDRUGGiven IV
Irinotecan HydrochlorideDRUGGiven IV
LeucovorinDRUGGiven IV
Leucovorin CalciumDRUGGiven IV
NivolumabBIOLOGICALGiven IV
OxaliplatinDRUGGiven IV
Therapeutic Conventional SurgeryPROCEDUREUndergo surgery
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Histologically confirmed pancreatic adenocarcinoma * One of the following: * Borderline resectable disease. There are multiple definitions of borderline resectable pancreatic ductal adenocarcinoma (PDAC) including the MD Anderson definition and the criteria developed during...

Countries:United States
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