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Atu027 & gemcitabine in lead in safety period

Phase 1

Carcinoma, Pancreatic Ductal | Small molecule | Oncology |Silence Therapeutics Plc American Depository Share|Last Updated: Mar 11, 2016

Success Probability

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials1
Total Enrollment29

FDA Designations

No designations recorded

Clinical trial landscape

Atu027 & gemcitabine in lead in safety period · 1 trial · 1 indication

Phase 1 1
NCT01808638Atu027 Plus Gemcitabine in Advanced or Metastatic Pancreatic Cancer (Atu027-I-02)Carcinoma, Pancreatic Ductal
COMPLETED29 Analytics
PHASE1COMPLETED
Atu027 Plus Gemcitabine in Advanced or Metastatic Pancreatic Cancer (Atu027-I-02)
Carcinoma, Pancreatic DuctalUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of subjects with adverse events
Baseline till follow up visit 1 (18 weeks)

Time frame will be 18 weeks if patient will be withdrawn after 3 cycles because of disease progression or toxicity.

Subject physical examination
At baseline; later on in 4 week intervals till last follow up visit (1 year);

Additional time frames in arm 1: 8 days after baseline. Additional time frames in arm 2 and safety cohort (cycle 1 only): 4 and 15 days after baseline.

Measuring of subject vital signs and body weight
At baseline; end of treatment (13 weeks); later on in 4 week intervals till last follow up visit (1 year)

End of treatment visit will be after 13 weeks only when patient is withdrawn after 3 cycles. Additional time frames in arm 1: 8 days after baseline. Additional time frames in arm 2 and safety cohort (cycle 1 only): 4 and 15 days after baseline.

Performance of 12-lead ECG
At baseline; later on in 4 week intervals till end of treatment (13 weeks)

End of treatment visit will be after 13 weeks only when patient is withdrawn after 3 cycles. Additional time frames in arm 1: 8 days after baseline. Additional time frames in arm 2 and safety cohort (cycle 1 only): 4 and 15 days after baseline.

Assessment of clinically significant laboratory parameters outside normal range
At baseline; at end of treatment (week 13 if patient withdrawn after 3 cycles); at follow up visit 1 (week 18 if patient withdrawn after 3 cycles); at each follow up visit till end of trial (1 year)

Additional time frames in arm 1: During treatment on days 1, 8, 15 of each cycle. Additional time frames in arm 2 and safety cohort (cycle 1 only): During treatment on days 1, 4, 8, 11, 15, 18, 22, 25 of each cycle.

Maximum concentration (Cmax), area under the curve (AUC), time to maximum concentration (tmax), and half life (t½) of the Atu027 siRNA single strand (A-strand), and of AtuFect01 and the helper lipid DPyPE
At end of treatment (week 13 if patient withdrawn after 3 cycles); at follow up visit 1 (week 18 if patient withdrawn after 3 cycles)

Additional time frames in arm 1: During cycles 1 and 2 of treatment on days 1, 8, 15 of each cycle; in cycle 3 and following only on day 1; Additional time frames in arm 2 and safety cohort (cycle 1 only): During the first treatment cycle on days 1, 4, 8, 11, 15, 18; in cycle 3 and following odd numbered cycles only on day 1; in all even numbered cycles no samples are taken. Pharmacokinetics will be assessed in subjects of the safety cohort and in the first 4 subjects per treatment arm.

Secondary Endpoints

Objective response rate
At baseline and in 8 week intervals till end of trial (1 year)
Progression-free survival and overall survival
From baseline in 8 week intervals till end of trial (1 year).
ECOG performance score
At baseline; at end of treatment (13 weeks if patient withdrawn after 3 cycles); at follow up visit 1 (18 weeks if patient withdrawn after 3 cycles); at each following follow up visit till end of trial (1 year)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lead in safety periodOTHERCohort of three subjects with non-pancreatic cancer for whom conventional treatment options have failed, will be treated. If one of the subjects in the safety cohort experiences an unacceptable toxicity, the safety cohort is expanded to six subjects.
Treatment arm 1EXPERIMENTALSubjects with advanced pancreatic cancer will be treated.
Treatment arm 2EXPERIMENTALSubjects with advanced pancreatic cancer will be treated.

Interventions

NameTypeDescription
Atu027 & gemcitabine in lead in safety periodDRUGSubjects will be treated in a 28-day cycle with Atu027 twice weekly for 4 weeks and gemcitabine once weekly for the first three weeks.
Atu027 & gemcitabine in treatment arm 1DRUGSubjects will be treated in a 28-day cycle with Atu027 and gemcitabine once weekly for three consecutive weeks (on days 1, 8, and 15). During week four no treatment is administered. Treatment will be continued in consecutive 28-day cycles until unacceptable toxicity or disease progression occurs.
Atu027 & gemcitabine in treatment arm 2DRUGSubjects will be treated in a 28-day cycle with gemcitabine once weekly (on days 4, 11, and 18) and Atu027 twice weekly (on days 1, 4, 8, 11, 15, 18, 22, and 25). The 28-day combination cycle is followed by a 28-day gemcitabine monotherapy cycle. Treatment will be continued in consecutive 28-day cycles until unacceptable toxicity or disease progression occurs.
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Eligibility Criteria

Age Range18 Years to 84 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: Lead-in safety period: * Subjects between the age of 18 and 84 years * Histologically or cytologically confirmed advanced or refractory cholangiocellular carcinoma, biliary tract cancer, non-small-cell lung carcinoma, duodenal cancer, soft tissue sarcoma, ovarian carcinoma, or ...

Countries:Germany
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Frequently asked questions about Atu027 & gemcitabine in lead in safety period

What is Atu027 used for in pancreatic ductal carcinoma?

Atu027 is an investigational small molecule being studied in combination with gemcitabine for the treatment of advanced or metastatic pancreatic ductal carcinoma. It was evaluated in a Phase 1 clinical trial in Germany involving 29 patients. The trial has been completed, and Atu027 remains in clinical development.

What does Atu027 target?

Atu027 is a small molecule therapeutic being investigated for pancreatic ductal carcinoma. Its specific molecular target has not been disclosed in the available information. The drug is being studied in combination with gemcitabine in a Phase 1 clinical trial.

Who is developing Atu027?

Atu027 is being developed by Silence Therapeutics Plc, a biopharmaceutical company listed on the stock exchange under the ticker symbol SLN. The company conducted a Phase 1 clinical trial of Atu027 in combination with gemcitabine for pancreatic ductal carcinoma in Germany.

What phase is Atu027 in?

Atu027 is in Phase 1 clinical development. A Phase 1 trial combining Atu027 with gemcitabine for advanced or metastatic pancreatic ductal carcinoma has been completed. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Atu027 in?

Atu027 has been studied in one clinical trial, identified as NCT01808638, titled "Atu027 Plus Gemcitabine in Advanced or Metastatic Pancreatic Cancer (Atu027-I-02)." This Phase 1 trial enrolled 29 patients with pancreatic ductal carcinoma in Germany and has been completed.

Is Atu027 the same as gemcitabine?

No, Atu027 is not the same as gemcitabine. Atu027 is an investigational small molecule being developed by Silence Therapeutics, while gemcitabine is an established chemotherapy drug. In the clinical trial, Atu027 was studied in combination with gemcitabine for pancreatic ductal carcinoma.