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A Study to Assess Adverse Events and Change in Disease Activity With Treatment Combinations With Telisotuzumab Adizutecan in Adults Participants With Pancreatobiliary Cancers

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AbbVie

Status and phase

Begins enrollment in 1 month
Phase 2

Conditions

Pancreatobiliary Cancers
Pancreatic Ductal Adenocarcinoma

Treatments

Drug: Telisotuzumab Adizutecan
Drug: Gemcitabine
Drug: Nab-Paclitaxel

Study type

Interventional

Funder types

Industry

Identifiers

NCT07769502
M26-118
2025-524801-33-00 (EU Trial (CTIS) Number)

Details and patient eligibility

About

Cancer is a condition where cells in a specific part of the body grow and reproduce uncontrollably. The pancreas is a gland behind the stomach that produces a digestive fluid that is emptied into the intestines through tube shaped ducts. Pancreatic cancer often starts in these ducts. The goal of this study is to evaluate the safety and efficacy of telisotuzumab adizutecan in combination with gemcitabine and nab-paclitaxel in adult participants with pancreatobiliary cancers.

Telisotuzumab adizutecan is an investigational drug being developed for the treatment of pancreatobiliary cancers. In Substudy 1, participants will be randomized into two groups. One group will receive different doses of telisotuzumab adizutecan with gemcitabine. The other group will receive standard of care (SOC) - gemcitabine and nab-paclitaxel. Approximately 168 participants will be enrolled in this study in approximately 50 sites worldwide.

Substudy 1 includes a dose escalation stage and a dose optimization stage. In the dose escalation stage, participants will receive escalating doses of Intravenous (IV) telisotuzumab adizutecan + Gemcitabine. In the dose optimization stage, participants will receive 1 of 2 doses of IV telisotuzumab adizutecan with Gemcitabine or SOC. The study will run for a duration of approximately 3 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Enrollment

168 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Eastern Cooperative Oncology Group (ECOG) Performance status (PS) of 0 or 1.
  • Resolution of any acute clinically significant treatment-related toxicity from prior therapy to Grade <= 1 prior to study entry (except for alopecia of any grade).
  • Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 at baseline. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.

Exclusion criteria

  • Prior cellular-Mesenchymal Epithelial Transition (c-MET) protein targeting therapy
  • History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan, including a history of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug induced pneumonitis, or idiopathic pneumonitis.
  • Has had major surgery or significant traumatic injury within 28 days prior to randomization/enrollment, or anticipation of the need for major surgery during the course of study intervention. Placement of biliary stent/tube is permitted.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

168 participants in 4 patient groups

SS1: Dose Escalation: Telisotuzumab Adizutecan + Gemcitabine
Experimental group
Description:
Participants will receive Telisotuzumab Adizutecan + Gemcitabine until doses for optimization are determined. as part of an approximately 3 year study period.
Treatment:
Drug: Gemcitabine
Drug: Telisotuzumab Adizutecan
SS1:DoseOptimization:TelisotuzumabAdizutecan+Gemcitabine DoseA
Experimental group
Description:
Participants will receive Telisotuzumab Adizutecan Dose A + Gemcitabine as part of the approximately 3 year study duration.
Treatment:
Drug: Gemcitabine
Drug: Telisotuzumab Adizutecan
SS1:DoseOptimization:TelisotuzumabAdizutecan+GemcitabineDoseB
Experimental group
Description:
Participants will receive Telisotuzumab Adizutecan Dose B + Gemcitabine as part of the approximately 3 year study duration.
Treatment:
Drug: Gemcitabine
Drug: Telisotuzumab Adizutecan
SS1: Dose Optimization: Standard of Care (SOC)
Active Comparator group
Description:
Participants will receive gemcitabine and nab-paclitaxel as part of the approximately 3 year study duration.
Treatment:
Drug: Nab-Paclitaxel
Drug: Gemcitabine

Trial contacts and locations

4

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Central trial contact

ABBVIE CALL CENTER

Data sourced from clinicaltrials.gov

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