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Cholesterol Metabolism Disruptor

Cholesterol-Lowering Drug + Chemotherapy for Pancreatic Cancer

Phase < 1
Recruiting
Led By Francine Aubin, MD FRCPC
Research Sponsored by CHU de Quebec-Universite Laval
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be at least 18 years or older at the time of signing the informed consent
Have a histologically confirmed, treatment-naive locally advanced and inoperable (LaiPDAC) or metastatic pancreatic ductal adenocarcinoma (mPDAC)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 years
Awards & highlights

Study Summary

This trial will test whether adding a cholesterol-lowering drug to standard chemotherapy can improve outcomes in pancreatic cancer.

Who is the study for?
This trial is for adults with newly diagnosed, untreated advanced pancreatic cancer that can't be removed by surgery or has spread. They must have a life expectancy of at least 12 weeks, good performance status (able to carry out daily activities), and normal organ function. Women who can bear children and men must use effective birth control during the study.Check my eligibility
What is being tested?
The study tests if adding cholesterol-lowering drugs (atorvastatin, ezetimibe, Repatha) to standard chemotherapy (FOLFIRINOX) slows down or stops pancreatic cancer progression. It's a proof-of-concept trial aiming to see if this combination is feasible and acceptable for patients.See study design
What are the potential side effects?
Possible side effects include muscle pain or weakness due to statins, allergic reactions to any of the drugs used in the trial, liver-related issues from biopsies or drug interactions, and general chemotherapy side effects like fatigue, nausea, and increased infection risk.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am 18 years old or older.
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My pancreatic cancer is advanced and cannot be removed by surgery.
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I am fully active or restricted in physically strenuous activity but can do light work.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Characterization of dose-limiting toxicities
Safety as measured by the rate of adverse events
Secondary outcome measures
CD36 (Cluster of Differentiation 36) changes in response to the multipathway cholesterol embargo
Change in tumoral and hepatic levels of TILs (Tumor-Infiltrating Lymphocytes)
LDLR (low-density lipoprotein receptor) tumoral and hepatic changes in response to the multipathway cholesterol embargo.
+5 more
Other outcome measures
Efficacy as measured by objective response rate
Efficacy as measured by overall survival
Efficacy as measured by progression free survival
+6 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Multipathway cholesterol metabolism disruptionExperimental Treatment1 Intervention
Twelve to fifteen patients will receive a combination of daily atorvastatin 40 mg, twice daily ezetimibe 10 mg and evolocumab 420 mg subcutaneously every month. This multipathway cholesterol metabolism disruption will be combined to standard chemotherapy (FOLFIRINOX).

Find a Location

Who is running the clinical trial?

BiovaloremUNKNOWN
CHU de Quebec-Universite LavalLead Sponsor
167 Previous Clinical Trials
107,145 Total Patients Enrolled
Canadian Institutes of Health Research (CIHR)OTHER_GOV
1,345 Previous Clinical Trials
26,453,555 Total Patients Enrolled

Media Library

Cholesterol metabolism disruption (Cholesterol Metabolism Disruptor) Clinical Trial Eligibility Overview. Trial Name: NCT04862260 — Phase < 1
Pancreatic Cancer Research Study Groups: Multipathway cholesterol metabolism disruption
Pancreatic Cancer Clinical Trial 2023: Cholesterol metabolism disruption Highlights & Side Effects. Trial Name: NCT04862260 — Phase < 1
Cholesterol metabolism disruption (Cholesterol Metabolism Disruptor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04862260 — Phase < 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What objectives are this experiment trying to accomplish?

"This trial seeks to evaluate safety by monitoring adverse events over a two year period. Secondary measurements of success include assessing changes in tumoral lipid droplet content using red oil staining, alterations of Low-density lipoprotein Receptor-Related Protein 1 levels evaluated with immunohistochemistry and modifications in Niemann-Pick C1-Like 1 protein concentration gauged via the same technique."

Answered by AI

What is the participant count of this clinical investigation?

"Confirmed. Clinicaltrials.gov has this medical trial listed as actively recruiting candidates since its initial posting on November 4th 2021 and the last edit was made October 17th 2022. The study requires 12 participants to be enrolled at a single site."

Answered by AI

Have prior research efforts investigated the ramifications of interrupting cholesterol homeostasis?

"Currently, 102 clinical trials examining Cholesterol metabolism disruption are active with 25 in Phase 3. Despite the concentration of research facilities located in Omaha, Nebraska; 1403 other clinics across America are also involved."

Answered by AI

Is this experiment a pioneering endeavor?

"Global research into Cholesterol metabolism disruption has been ongoing since 2005, when Merck Sharp & Dohme LLC initiated their Phase 4 clinical trial with 80 participants. Since that time, a total of 650 trials have concluded and 102 are currently live in 354 cities across 45 countries."

Answered by AI

What treatments commonly involve disruption of Cholesterol metabolism?

"Cholesterol metabolism disruption is generally implemented to address lipid related issues. It has also shown efficacy in treating a range of conditions such as lipidemias, postoperative thromboembolism, and anginal pain."

Answered by AI

Are there any restrictions that would disqualify someone from enrolling in this research study?

"This experimental protocol is searching for 12 volunteers between the ages of 18 and 99 with adenocarcinoma. The enrollees must fulfill additional prerequisites, such as having a life expectancy longer than three months and demonstrating normal organ function within one week prior to treatment commencement. Furthermore, they should be able to provide written consent and comply with the trial's visit schedule. Lastly, those selected for this study need to meet other criteria related to their hemoglobin levels, platelet count, creatinine levels, bilirubin readings and more which are outlined in detail in these instructions"

Answered by AI

Is there still opportunity to participate in this experiment?

"Clinicaltrials.gov documents this medical trial is still seeking participants, after its initial posting on November 4th 2021 and most recent update October 17th 2022."

Answered by AI

Does this trial's eligibility extend to octogenarians?

"This clinical trial is enrolling participants aged 18 to 99. Additionally, there are 40 trials open for minors and 1626 studies available for senior citizens."

Answered by AI
~3 spots leftby Jan 2025