drugset / Trial / NCT02546531
Defactinib Combined With Pembrolizumab and Gemcitabine in Patients With Advanced Cancer
Phase 1
Completed
43 enrolled
Washington University School of Medicine
Merck Sharp & Dohme LLC · collabThe Foundation for Barnes-Jewish Hospital · collabVerastem, Inc. · collab
Non-randomizedParallel-groupOpen-labelTreatment
Summary
In pancreatic cancer, targeting the tumor microenvironment has become a promising therapeutic strategy. Focal adhesion kinase (FAK) pathway activation is essential for promoting a fibrotic and inflammatory tumor microenvironment, and FAK inhibitors have demonstrated reasonable anti-tumor activity in the preclinical setting. Furthermore, a maximal synergetic effect was achieved when a FAK inhibitor was given in combination with a PD-1 antagonist and chemotherapy in multiple pancreas tumor animal models. This supports the concept of using FAK inhibitors to reduce stromal fibrosis during checkpoint immunotherapeutic treatment. Therefore, these robust preclinical findings will be tested in the proposed phase I trial.
Timeline
- Start
- 2016-02-03
- Primary completion
- 2017-11-17
- Completion
- 2021-01-11
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Defactinib | Small molecule | — | Oral |
| Subject | Gemcitabine | Small molecule | — | Intravenous |
| Subject | Pembrolizumab | Monoclonal antibody | 200 mg | Intravenous |