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← AVGEMSI: metastatic Pancreatic cancer (first-line)

NCT01494506 · STUDY IN CONTEXT

Study of MM-398 With or Without 5-FU/LV, Versus 5-FU/LV in Patients With Metastatic Pancreatic Cancer

Draft scope assessment: unclear. Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

primary · POSTED

Overall survival was the primary efficacy endpoint of the study and was defined as the time from the date of patient randomization to the date of death or the date the patient was last known to be alive. OS was summarized by Kaplan-Meier methodology for each treatment group. Pairwise treatment group comparisons were carried out using unstratified log rank analyses on the ITT population. Hazard ratio estimates are from Cox regression analysis. The comparison of Arm C is based only on patients who were randomized under the 3-arm version of the protocol. Consequently, the 5-FU+Leucovorin (Combo Therapy Comparison) group is a subset of all patients randomized to 5-FU+Leucovorin, which is the Mono Therapy Comparison control and contains patients randomized under both the 2-arm and 3-arm versions of the protocol.

Intent to Treat population (ITT population) consisted of all randomized participants. Efficacy analyses in the ITT population consider treatment group according to randomization. Comparisons of the MM-398+5-FU/LV to 5-FU/LV were carried out only on patients who were randomized under protocol version 2 or later.

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secondary · POSTED

Progression-free survival was defined as the time from the date of randomization to the date of disease progression, or death (any cause) on or prior to the clinical cutoff date, whichever occurred earlier. Participants who did not have disease progression or had not died were censored at the date of the last tumor assessment. Patients with two or more consecutive missing response assessments prior to a visit with documented progression (or death) were censored at the last date of tumor assessment when the patient was documented to be progression free. PFS was summarized using Kaplan-Meier methods. The comparison of Arm C is based only on patients who were randomized under the 3-arm version of the protocol. Consequently, the 5-FU+Leucovorin (Combo Therapy Comparison) group is a subset of all patients randomized to 5-FU+Leucovorin, which is the Mono Therapy Comparison control and contains patients randomized under both the 2-arm and 3-arm versions of the protocol.

ITT Population

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secondary · POSTED

The objective response rate was a secondary efficacy endpoint of the study and was defined by the percentage of patients in the study population with a best overall response of Complete Response (CR) or Partial Response (PR) as assessed by the investigator. Best overall response was defined per RECIST (version 1.1) recorded from randomization until progression or end of study. RECIST (v 1.1) criteria does not require confirmation of response, but an additional, more stringent analysis was also conducted, with designation of CR (or PR) requiring confirmation of response at least 4 weeks following the initial assessment of CR (or PR). Stable disease (SD) required an assessment of SD at least 6 weeks after starting treatment. Subjects with insufficient data for response classification were classified as Not Evaluable for best overall response, and as a non-responder for objective response, in the ITT population. Treatment groups are as indicated for the primary outcome of OS.

ITT Population

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secondary · POSTED

Time from randomization to discontinuation of treatment for any reason, including disease progression, treatment toxicity or death.

ITT Population

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secondary · POSTED

Composite measure based on patient-reported pain (per VAS), patient-reported pain medication, KPS, and weight. Clinical benefit is indicated by either: (a) improvement in pain (less pain intensity with stable or decreased pain medication; or less pain medication with stable or decreased pain intensity) with stable or improved KPS; or (b) improvement in KPS with stable or improved pain. With stable for KPS and pain, clinical benefit may be indicated with an observation of positive weight change. Clinical benefit response (CBR) was classified weekly and a patient was considered a clinical benefit responder if clinical benefit was observed and maintained over a 4 week period.

Clinical Benefit Response Evaluable Population: Patients who received study drug and met at least one of the following criteria were defined as eligible for evaluation of CBR: * baseline pain intensity ≥ 20 (out of 100) * baseline morphine consumption ≥ 10 mg/day PO morphine equivalents * baseline KPS of 70 to 90 points

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secondary · POSTED

Tumor marker response (TMR) was evaluated by the change in CA19-9 serum levels. Response was defined as a decrease of 50% of CA19-9 in relation to the baseline level at least once during the treatment period.

Patients with elevated baseline CA19-9 value (\> 30 U/mL) who received study drug.

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Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

Patient-reported symptom or function measure · Percentage of Patients With Clinical Benefit Response

Score direction: Not stated by the study. Direction is never inferred from an instrument name.

release id
clinical-indications-draft-1
disease state id
ds-pancreatic-cancer-avgemsi-9fcc56af
nct id
NCT01494506
qol key
qol-0004
source section id
NCT01494506-om-0004
source outcome index
4
instrument
Patient-reported symptom or function measure
instrument basis
matched 'patient-reported' in the study's own wording
scale title
Percentage of Patients With Clinical Benefit Response
measure definition
Composite measure based on patient-reported pain (per VAS), patient-reported pain medication, KPS, and weight. Clinical benefit is indicated by either: (a) improvement in pain (less pain intensity with stable or decreased pain medication; or less pain medication with stable or decreased pain intensity) with stable or improved KPS; or (b) improvement in KPS with stable or improved pain. With stable for KPS and pain, clinical benefit may be indicated with an observation of positive weight change. Clinical benefit response (CBR) was classified weekly and a patient was considered a clinical benefit responder if clinical benefit was observed and maintained over a 4 week period.
time frame
Randomization to treatment discontinuation.The maximum time in follow up was 25 months
analysis role
secondary
reporting status
POSTED
higher is better
Source null
direction quote
Source null
population note
Clinical Benefit Response Evaluable Population: Patients who received study drug and met at least one of the following criteria were defined as eligible for evaluation of CBR: * baseline pain intensity ≥ 20 (out of 100) * baseline morphine consumption ≥ 10 mg/day PO morphine equivalents * baseline KPS of 70 to 90 points
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
Open the exact result →
EORTC QLQ · EORTC-QLQ-C30

Score direction: Not stated by the study. Direction is never inferred from an instrument name.

release id
clinical-indications-draft-1
disease state id
ds-pancreatic-cancer-avgemsi-9fcc56af
nct id
NCT01494506
qol key
qol-0006
source section id
NCT01494506-om-0006
source outcome index
6
instrument
EORTC QLQ
instrument basis
matched 'eortc' in the study's own wording
scale title
EORTC-QLQ-C30
measure definition
This patient recorded outcome consists of 15 subscales in 3 independent domains: global health-related quality of life (HRQoL), functional scales (cognitive, emotional, physical, role and social functioning), and symptom scales (appetite loss, constipation, diarrhea, dyspnea, fatigue, insomnia, nausea and vomiting, and pain). For each subscale, patients were classified as improved, worsened or stable. Improvement is indicated by achievement of subscale score at least 10% improved from baseline and maintained for at least 6 weeks. Worsened is indicated by subscale score at least 10% worse than baseline. Stable is indicated by neither improvement nor worsened. Achievement of improvement prior to worsening was classified as improvement.
time frame
Baseline to treatment discontinuation every 6 weeks; The maximum time in follow up was 25 months
analysis role
secondary
reporting status
POSTED
higher is better
Source null
direction quote
Source null
population note
ITT patients who had baseline and at least one-post baseline EORTC-QLQ-C30 assessment.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
Open the exact result →
Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-pancreatic-cancer-avgemsi-9fcc56af
nct id
NCT01494506
trial label
Study of MM-398 With or Without 5-FU/LV, Versus 5-FU/LV in Patients With Metastatic Pancreatic Cancer
applicability
unclear
applicability note
Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
regulator-cited
discovery note
Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
outcome Count
6
harms Count
3
qol Count
2
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0000
    source section id
    NCT01494506-om-0000
    source outcome index
    0
    endpoint
    Overall Survival
    endpoint definition
    Overall survival was the primary efficacy endpoint of the study and was defined as the time from the date of patient randomization to the date of death or the date the patient was last known to be alive. OS was summarized by Kaplan-Meier methodology for each treatment group. Pairwise treatment group comparisons were carried out using unstratified log rank analyses on the ITT population. Hazard ratio estimates are from Cox regression analysis. The comparison of Arm C is based only on patients who were randomized under the 3-arm version of the protocol. Consequently, the 5-FU+Leucovorin (Combo Therapy Comparison) group is a subset of all patients randomized to 5-FU+Leucovorin, which is the Mono Therapy Comparison control and contains patients randomized under both the 2-arm and 3-arm versions of the protocol.
    time origin
    From randomization to death; until the data cut off 14 Feb 2014. The maximum time in follow up was 25 months.
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Intent to Treat population (ITT population) consisted of all randomized participants. Efficacy analyses in the ITT population consider treatment group according to randomization. Comparisons of the MM-398+5-FU/LV to 5-FU/LV were carried out only on patients who were randomized under protocol version 2 or later.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0001
    source section id
    NCT01494506-om-0001
    source outcome index
    1
    endpoint
    Progression Free Survival
    endpoint definition
    Progression-free survival was defined as the time from the date of randomization to the date of disease progression, or death (any cause) on or prior to the clinical cutoff date, whichever occurred earlier. Participants who did not have disease progression or had not died were censored at the date of the last tumor assessment. Patients with two or more consecutive missing response assessments prior to a visit with documented progression (or death) were censored at the last date of tumor assessment when the patient was documented to be progression free. PFS was summarized using Kaplan-Meier methods. The comparison of Arm C is based only on patients who were randomized under the 3-arm version of the protocol. Consequently, the 5-FU+Leucovorin (Combo Therapy Comparison) group is a subset of all patients randomized to 5-FU+Leucovorin, which is the Mono Therapy Comparison control and contains patients randomized under both the 2-arm and 3-arm versions of the protocol.
    time origin
    Randomization until disease progression or death from any cause; Until the data cut off of 14 Feb 2014. The maximum time in follow up was 25 months.
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    ITT Population
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0002
    source section id
    NCT01494506-om-0002
    source outcome index
    2
    endpoint
    Objective Response Rate
    endpoint definition
    The objective response rate was a secondary efficacy endpoint of the study and was defined by the percentage of patients in the study population with a best overall response of Complete Response (CR) or Partial Response (PR) as assessed by the investigator. Best overall response was defined per RECIST (version 1.1) recorded from randomization until progression or end of study. RECIST (v 1.1) criteria does not require confirmation of response, but an additional, more stringent analysis was also conducted, with designation of CR (or PR) requiring confirmation of response at least 4 weeks following the initial assessment of CR (or PR). Stable disease (SD) required an assessment of SD at least 6 weeks after starting treatment. Subjects with insufficient data for response classification were classified as Not Evaluable for best overall response, and as a non-responder for objective response, in the ITT population. Treatment groups are as indicated for the primary outcome of OS.
    time origin
    Assessment every 6 weeks after initial response; Day 1 to data cut off of 14 Feb 2014; maximum time on study 25 months.
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    ITT Population
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0003
    source section id
    NCT01494506-om-0003
    source outcome index
    3
    endpoint
    Time to Treatment Failure
    endpoint definition
    Time from randomization to discontinuation of treatment for any reason, including disease progression, treatment toxicity or death.
    time origin
    Randomization to treatment discontinuation (any cause). The maximum time in follow up was 25 months
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    ITT Population
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0004
    source section id
    NCT01494506-om-0004
    source outcome index
    4
    endpoint
    Percentage of Patients With Clinical Benefit Response
    endpoint definition
    Composite measure based on patient-reported pain (per VAS), patient-reported pain medication, KPS, and weight. Clinical benefit is indicated by either: (a) improvement in pain (less pain intensity with stable or decreased pain medication; or less pain medication with stable or decreased pain intensity) with stable or improved KPS; or (b) improvement in KPS with stable or improved pain. With stable for KPS and pain, clinical benefit may be indicated with an observation of positive weight change. Clinical benefit response (CBR) was classified weekly and a patient was considered a clinical benefit responder if clinical benefit was observed and maintained over a 4 week period.
    time origin
    Randomization to treatment discontinuation.The maximum time in follow up was 25 months
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Clinical Benefit Response Evaluable Population: Patients who received study drug and met at least one of the following criteria were defined as eligible for evaluation of CBR: * baseline pain intensity ≥ 20 (out of 100) * baseline morphine consumption ≥ 10 mg/day PO morphine equivalents * baseline KPS of 70 to 90 points
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0005
    source section id
    NCT01494506-om-0005
    source outcome index
    5
    endpoint
    Percentage of Patients With Tumor Marker (CA 19-9) Response
    endpoint definition
    Tumor marker response (TMR) was evaluated by the change in CA19-9 serum levels. Response was defined as a decrease of 50% of CA19-9 in relation to the baseline level at least once during the treatment period.
    time origin
    Baseline to treatment discontinuation every 6 weeks; The maximum time in follow up was 25 months
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Patients with elevated baseline CA19-9 value (\> 30 U/mL) who received study drug.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0000
    arm key
    OG000
    arm label
    MM-398 Arm A (Mono Therapy Comparison)
    regimen
    • MM-398 120 mg/m2 IV on Day 1of a 3 weekly cycle Patients who were homozygous for UGT1A1\*28 allele received the first cycle of therapy at a reduced dose of 80 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased in increments of 20 mg/m2 up to a maximum of 120 mg/m2.
    analyzed count
    151
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0000
    arm key
    OG001
    arm label
    5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)
    regimen
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    analyzed count
    149
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0000#groups/OG001
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0000
    arm key
    OG002
    arm label
    MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison
    regimen
    * MM-398 80 mg/m2 IV every 2 weeks Patients who were homozygous for UGT1A1\*28 allele and were randomized to Arm C, received the first cycle of therapy at a reduced dose of 60 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased to 80 mg/m2. * 5-FU 2400 mg/m2 IV over 46-hours, and * Leucovorin l + d racemic form 400 mg/m2, or l form 200 mg/m2 IV over 30 minutes, every 2 weeks
    analyzed count
    117
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0000#groups/OG002
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0000
    arm key
    OG003
    arm label
    5-FU + Leucovorin (Combo Therapy Comparison)
    regimen
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    analyzed count
    119
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0000#groups/OG003
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0001
    arm key
    OG000
    arm label
    MM-398 Arm A (Mono Therapy Comparison)
    regimen
    • MM-398 120 mg/m2 IV on Day 1of a 3 weekly cycle Patients who were homozygous for UGT1A1\*28 allele received the first cycle of therapy at a reduced dose of 80 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased in increments of 20 mg/m2 up to a maximum of 120 mg/m2.
    analyzed count
    151
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0001#groups/OG000
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0001
    arm key
    OG001
    arm label
    5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)
    regimen
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    analyzed count
    149
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0001#groups/OG001
  7. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0001
    arm key
    OG002
    arm label
    MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison
    regimen
    * MM-398 80 mg/m2 IV every 2 weeks Patients who were homozygous for UGT1A1\*28 allele and were randomized to Arm C, received the first cycle of therapy at a reduced dose of 60 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased to 80 mg/m2. * 5-FU 2400 mg/m2 IV over 46-hours, and * Leucovorin l + d racemic form 400 mg/m2, or l form 200 mg/m2 IV over 30 minutes, every 2 weeks
    analyzed count
    117
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0001#groups/OG002
  8. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0001
    arm key
    OG003
    arm label
    5-FU + Leucovorin (Combo Therapy Comparison)
    regimen
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    analyzed count
    119
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0001#groups/OG003
  9. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0002
    arm key
    OG000
    arm label
    MM-398 Arm A (Mono Therapy Comparison)
    regimen
    • MM-398 120 mg/m2 IV on Day 1of a 3 weekly cycle Patients who were homozygous for UGT1A1\*28 allele received the first cycle of therapy at a reduced dose of 80 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased in increments of 20 mg/m2 up to a maximum of 120 mg/m2.
    analyzed count
    151
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0002#groups/OG000
  10. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0002
    arm key
    OG001
    arm label
    5-FU + Leucovorin (Arm B) (Mono Therapy Comparison)
    regimen
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    analyzed count
    149
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0002#groups/OG001
  11. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0002
    arm key
    OG002
    arm label
    MM-398 + 5-FU + Leucovorin(Arm C) Combo Therapy Comparison
    regimen
    * MM-398 80 mg/m2 IV every 2 weeks Patients who were homozygous for UGT1A1\*28 allele and were randomized to Arm C, received the first cycle of therapy at a reduced dose of 60 mg/m2. If the patient did not experience any drug related toxicity after the first administration of MM-398, from cycle 2 onwards, the dose could be increased to 80 mg/m2. * 5-FU 2400 mg/m2 IV over 46-hours, and * Leucovorin l + d racemic form 400 mg/m2, or l form 200 mg/m2 IV over 30 minutes, every 2 weeks
    analyzed count
    117
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0002#groups/OG002
  12. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    outcome key
    om-0002
    arm key
    OG003
    arm label
    5-FU + Leucovorin (Combo Therapy Comparison)
    regimen
    * 5-FU 2000 mg/m2 IV over 24-hours, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle * Leucovorin l + d racemic form 200 mg/m2, or l form 100 mg/m2 IV over 30 minutes, every week for 4 weeks (days 1, 8, 15 and 22), followed by 2 weeks of rest, in a 6 week cycle.
    analyzed count
    119
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT01494506-om-0002#groups/OG003
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    harm key
    EG000
    source section id
    NCT01494506-ae
    event group key
    EG000
    event group label
    MM-398
    serious affected
    90
    serious at risk
    147
    other affected
    145
    other at risk
    147
    frequency threshold
    5
    collection period
    Study drug initiation through 30 days after the last dose of study drug or EOS, whichever is later; Up to 764 days.
    event definition
    5-FU= 5-fluorouracil; LV=leucovorin Events were collected by systematic assessment Term from vocabulary, MedDRA version 14.1
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    harm key
    EG001
    source section id
    NCT01494506-ae
    event group key
    EG001
    event group label
    5 Fluorouracil and Leucovorin IV
    serious affected
    58
    serious at risk
    134
    other affected
    132
    other at risk
    134
    frequency threshold
    5
    collection period
    Study drug initiation through 30 days after the last dose of study drug or EOS, whichever is later; Up to 764 days.
    event definition
    5-FU= 5-fluorouracil; LV=leucovorin Events were collected by systematic assessment Term from vocabulary, MedDRA version 14.1
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    harm key
    EG002
    source section id
    NCT01494506-ae
    event group key
    EG002
    event group label
    MM-398, 5-FU and Leucovorin
    serious affected
    56
    serious at risk
    117
    other affected
    116
    other at risk
    117
    frequency threshold
    5
    collection period
    Study drug initiation through 30 days after the last dose of study drug or EOS, whichever is later; Up to 764 days.
    event definition
    5-FU= 5-fluorouracil; LV=leucovorin Events were collected by systematic assessment Term from vocabulary, MedDRA version 14.1
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    qol key
    qol-0004
    source section id
    NCT01494506-om-0004
    source outcome index
    4
    instrument
    Patient-reported symptom or function measure
    instrument basis
    matched 'patient-reported' in the study's own wording
    scale title
    Percentage of Patients With Clinical Benefit Response
    measure definition
    Composite measure based on patient-reported pain (per VAS), patient-reported pain medication, KPS, and weight. Clinical benefit is indicated by either: (a) improvement in pain (less pain intensity with stable or decreased pain medication; or less pain medication with stable or decreased pain intensity) with stable or improved KPS; or (b) improvement in KPS with stable or improved pain. With stable for KPS and pain, clinical benefit may be indicated with an observation of positive weight change. Clinical benefit response (CBR) was classified weekly and a patient was considered a clinical benefit responder if clinical benefit was observed and maintained over a 4 week period.
    time frame
    Randomization to treatment discontinuation.The maximum time in follow up was 25 months
    analysis role
    secondary
    reporting status
    POSTED
    higher is better
    Source null
    direction quote
    Source null
    population note
    Clinical Benefit Response Evaluable Population: Patients who received study drug and met at least one of the following criteria were defined as eligible for evaluation of CBR: * baseline pain intensity ≥ 20 (out of 100) * baseline morphine consumption ≥ 10 mg/day PO morphine equivalents * baseline KPS of 70 to 90 points
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-pancreatic-cancer-avgemsi-9fcc56af
    nct id
    NCT01494506
    qol key
    qol-0006
    source section id
    NCT01494506-om-0006
    source outcome index
    6
    instrument
    EORTC QLQ
    instrument basis
    matched 'eortc' in the study's own wording
    scale title
    EORTC-QLQ-C30
    measure definition
    This patient recorded outcome consists of 15 subscales in 3 independent domains: global health-related quality of life (HRQoL), functional scales (cognitive, emotional, physical, role and social functioning), and symptom scales (appetite loss, constipation, diarrhea, dyspnea, fatigue, insomnia, nausea and vomiting, and pain). For each subscale, patients were classified as improved, worsened or stable. Improvement is indicated by achievement of subscale score at least 10% improved from baseline and maintained for at least 6 weeks. Worsened is indicated by subscale score at least 10% worse than baseline. Stable is indicated by neither improvement nor worsened. Achievement of improvement prior to worsening was classified as improvement.
    time frame
    Baseline to treatment discontinuation every 6 weeks; The maximum time in follow up was 25 months
    analysis role
    secondary
    reporting status
    POSTED
    higher is better
    Source null
    direction quote
    Source null
    population note
    ITT patients who had baseline and at least one-post baseline EORTC-QLQ-C30 assessment.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
setting source links

    Preserved source evidence · Not medical advice