Clinical trial · Interventional
Evaluation of Safety of Rexin-G Gene Transfer for Advanced Pancreatic Cancer
Phase I Evaluation of Safety of Intravenous Infusion of a Pathotropic Vector Bearing a Cytocidal Cyclin G1 Construct (Rexin-G) as Intervention for Locally Advanced and Metastatic Pancreatic Cancer Refractory to Standard Chemotherapy
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): poor enrollment
Summary
Brief summary (as posted)
This is a dose-seeking study that will test the safety of increasing doses of Rexin-G, given intravenously, in patients with advanced or metastatic pancreatic cancer who have failed standard chemotherapy. Rexin-G is a tumor-targeted gene therapy vector that contains a "killer" gene that blocks the action of the human cyclin G1 gene. Cyclin G1 is a cell cycle control element that plays an important role in cancer growth. When injected into a vein, the Rexin-GTM vector seeks out and accumulates in cancerous tumors, therefore, increasing the concentration of the drug in the cancerous tumors and not in normal neighbouring organs.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Pancreatic Cancer | Malignant Pancreatic Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Rexin-G Dose 1 | Genetic | — | UNRESOLVED |
| Rexin-G Dose 2 | Genetic | — | UNRESOLVED |
| Rexin-G Dose 3 | Genetic | — | UNRESOLVED |
| Rexin-G Dose 4 | Genetic | — | UNRESOLVED |
Design
Arms and outcomes
Arms (4)
- type
- EXPERIMENTAL
- label
- 1
- interventionNames
- Genetic: Rexin-G Dose 1
- type
- EXPERIMENTAL
- label
- 2
- interventionNames
- Genetic: Rexin-G Dose 2
- type
- EXPERIMENTAL
- label
- 3
- interventionNames
- Genetic: Rexin-G Dose 3
- type
- EXPERIMENTAL
- label
- 4
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Age 18 years or older. * Locally advanced or metastatic pancreatic cancer. * Histologic or cytologic confirmation at diagnosis or recurrence of pancreatic cancer * Measurable disease (RECIST) criteria. Tumor lesions that are situated in a previously irradiated area are not considered measurable, except if there is radiologically confirmed progression of disease within the radiation fields after radiation was completed. * Failed gemcitabine chemotherapy as indicated by disease progression ≤ 6 months from last gemcitabine treatment * Two or less than 2 chemotherapy regimens for recurrent/progressive disease. * Adequate hepatic function based on laboratory values obtained less than 7 days prior to registration: * Total bilirubin \<2.0 mg/dL; * AST \< 2 x ULN; * AST \< 2 x ULN; * Hgb \> 9.0 gm/dL; * PT \< ULN; * PTT \<ULN; * Albumin \> 3.0 gm/dL; * Alkaline phosphatase \< 3 x ULN; * Absolute granulocyte count \> 1000/uL; * Platelet count \> 100,000/uL; * Serum creatinine \< 1.2 mg/dL for females; \< 1.4 mg/dL for males. * ECOG performance status (PS) 0 or 1. * Ability to provide informed consent. * Life expectancy 12 weeks or greater. * Male participants should be willing to provide semen samples at required intervals. Inability of the patient to provide all semen samples does not make the patient ineligible. (EXCEPTION: If the patient has been vasectomized. To be noted in the study file). * Fertile patients agree to use barrier contraception (condoms plus spermicidal jelly) during the vector infusion period and for six weeks after infusion. * Accessibility of peripheral or central IV line which is adequate for infusions of investigational agent. Exclusion Criteria: * Prior malignancy. (EXCEPTION: Patients who are disease free ≥ 5 years and/or patients with non-melanoma skin cancer, Stage I breast cancer, CIS of cervix) * Any of the following: * Pregnant women; * Nursing women; * Men or women of childbearing potential who are unwilling to employ adequate contraception (condoms, diaphragm, birth control pills, injections, intrauterine device \[IUD\], or abstinence, etc.). This study involves an investigational agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown. * Patients who are HIV+, HBV+ or HCV+. * Clinically significant ascites causing symptoms or requiring therapeutic paracentesis. * Medical, psychiatric, or social conditions that would compromise successful adherence to this protocol. * Concomitant use of other chemotherapeutic, viral or immunotherapeutic agents is not allowed during the 6-week study period. * ≤ 4 weeks from radiation therapy of their pancreatic primary or ≤ 2 weeks from palliative radiation therapy to metastatic sites. * ≤ 4 weeks from prior chemotherapy. * History of congestive heart failure.
References
Publications (0)
Data not yet available