About this trial
There is a growing number of patients diagnosed with gastrointestinal cancers who are also simultaneously being treated with GLP-1 Receptor Agonists (RA)s. To date, no clinical trial data exists to establish safety and/or feasibility with use of GLP-1 RAs during chemotherapy in the metastatic setting. The goal of this clinical trial is to evaluate the safety, tolerability, preliminary efficacy, and correlative analyses of combining GLP-1 RAs with standard chemotherapy in patients with metastatic pancreatic, colorectal, or hepatocellular cancers in the first-line setting.
Eligibility criteria
Qualifiers
Histological or cytological diagnosis of pancreatic adenocarcinoma or colorectal adenocarcinoma. Previous tumor tissue testing is acceptable. Please refer to the "additional HCC cohort criteria" below.
The subject has disease that is not amenable to curative-intent management (e.g., oligometastatic disease)
Measurable disease per RECIST v1.1 as determined by the investigator
Patients must be appropriate candidates for first-line, SOC treatment.
Disqualifiers
The subject has received cytotoxic chemotherapy (including investigational cytotoxic chemotherapy) or biologic agents (eg, cytokines or antibodies) for metastatic and/or unresectable disease.
BMI < 25 kg/m2
For colorectal cancer only - Microsatellite instability high (MSI-H) or mismatch repair deficient (dMMR) tumors.
For colorectal cancer only - BRAF V600E mutant tumors.
Trial design
Treatments tested in this trial
- GLP1-RA (semaglutide)