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The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

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Category

Other or Multiple Cancer Types

Ponsegromab (PF-06946860) (GDF-15 Monoclonal Antibody)

Ponsegromab | PF-06946860 is an investigational compound. Its safety and efficacy have not been established.

A Phase 2b/3, Randomized, Double-Blind Study to Investigate the Efficacy, Safety, and Tolerability of Ponsegromab (PF-06946860) Compared With Placebo Both With Background First-Line Chemotherapy in Adult Participants With Cachexia and Metastatic Pancreatic Ductal Adenocarcinoma

Phase 2 /3

NCT06989437

Active enrolling

Globe

Locations

United States, Australia, Israel, Japan, Puerto Rico, Taiwan

QR Code

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for more information at clinicaltrials.gov

Study design
Participant Group/Arm

EXPERIMENTAL: Double-Blind ponsegromab Treatment lower dose

ponsegromab 200 mg subcutaneous injection every 4 weeks

Intervention/Treatment

DRUG: ponsegromab

Double-Blind ponsegromab Treatment

Participant Group/Arm

EXPERIMENTAL: Double-Blind ponsegromab Treatment higher dose

ponsegromab 400 mg subcutaneous injection every 4 weeks

Intervention/Treatment

DRUG: ponsegromab

Double-Blind ponsegromab Treatment

Participant Group/Arm

PLACEBO_COMPARATOR: Double-Blind Placebo Treatment

Match placebo subcutaneous injection every 4 weeks

Intervention/Treatment

DRUG: placebo

Double-Blind placebo Treatment

Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria

Key inclusion Criteria:

  • Signed Informed Consent Document
  • Documented active diagnosis of metastatic pancreatic ductal adenocarcinoma
  • Cachexia defined by Fearon criteria of weight loss
  • Completed 1 x 28-day cycle of first-line systemic nab-paclitaxel and gemcitabine chemotherapy or 2 x 14-day cycles of FOLFIRINOX chemotherapy and prior to receiving Cycle 2 chemotherapy
  • ECOG PS ≤1 with life expectancy of at least 4 months

 

Exclusion criteria
  • Current active reversible causes of decreased food intake
  • Cachexia caused by other reasons
  • History of heart failure
  • Left ventricular ejection fraction \<50%
  • Receiving tube feedings or parenteral nutrition at the time of Screening or Randomization
  • History of allergic or anaphylactic reaction to any therapeutic or diagnostic monoclonal antibody
  • History of allergy or hypersensitivity to any of the chemotherapeutics or any of their excipients
  • Neuroendocrine (carcinoid, islet cell) or acinar pancreatic carcinoma, symptomatic brain metastasis, leptomeningeal disease or other active CNS metastases
  • Inadequate liver function
  • Renal disease requiring dialysis or eGFR \<30 mL/min/1.73m2
Key dates
Study start date
  • October 2025
Estimated Study Completion Date
  • December 2029
Key endpoints
Primary Outcome Measures
Outcome Measure

Percent change from baseline in body weight for ponsegromab compared to placebo

Measure Description

Time Frame

Baseline, Week 12

Outcome Measure

Change from baseline in Functional Assessment of Anorexia/Cachexia Therapy 5-item Anorexia Symptom Scale scores

Measure Description

Scale consists of five items, each rated 0-4. Total score ranges from 0 (minimum) to 20 (maximum). Higher scores are associated with a better outcome.

Time Frame

Baseline, Week 12

Primary Outcome Measures table for Clinical Trial
Secondary Outcome Measures:
Outcome Measure

Change from baseline in non-sedentary physical activity time

Measure Description

measured by wearable Digital Health Technology watch

Time Frame

Baseline, Week 12

Outcome Measure

Overall survival

Measure Description

Outcome defined as the time from randomization to occurrence of all-cause death

Time Frame

Randomization through completion of Phase 3 of the study, an average of 1 year

Outcome Measure

Change from baseline in body weight (kg)

Measure Description

Time Frame

Baseline, Week 12 and up to Week 52

Outcome Measure

Change from baseline at Week 12 in physical activity as measured by total vector magnitude

Measure Description

measured by wearable Digital Health Technology watch

Time Frame

Baseline, Week 12

Outcome Measure

Effect on progression free survival

Measure Description

determined by Blinded Independent Central Review

Time Frame

Randomization through completion of Phase 3 of the study, an average of 1 year

Outcome Measure

Effect on objective response rate

Measure Description

determined by Blinded Independent Central Review

Time Frame

Baseline, Week 52

Outcome Measure

Effect on disease control rate

Measure Description

determined by Blinded Independent Central Review

Time Frame

Baseline, Week 52

Outcome Measure

Effect on duration of response

Measure Description

determined by Blinded Independent Central Review

Time Frame

Baseline, Week 52

Outcome Measure

Change from baseline in skeletal muscle area and radiodensity at third lumbar vertebra (L3)

Measure Description

measured by CT (or MRI) scan

Time Frame

Baseline, Week 12

Outcome Measure

Change from baseline in intermuscular adipose area and radiodensity at L3

Measure Description

measured by CT (or MRI) scan

Time Frame

Baseline, Week 12

Outcome Measure

Change from baseline in subcutaneous adipose area and radiodensity at L3

Measure Description

measured by CT (or MRI) scan

Time Frame

Baseline, Week 12

Outcome Measure

Change from baseline in visceral adipose area and radiodensity at L3

Measure Description

measured by CT (or MRI) scan

Time Frame

Baseline, Week 12

Outcome Measure

Number of participants with incidence of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Adverse Events (AEs) leading to permanent discontinuation from study intervention or from study.

Measure Description

Time Frame

Baseline, Week 12 and up to Week 52

Outcome Measure

Number of participants with laboratory test abnormalities.

Measure Description

Time Frame

Baseline, Week 12 and up to Week 52

Outcome Measure

Number of participants with vital signs abnormalities.

Measure Description

Time Frame

Baseline, Week 12 and up to Week 52

Outcome Measure

Change in physical function, assessed on participant completed Patient-Reported Outcomes Measurement Information System Physical Function (version 8c) questionnaire.

Measure Description

The overall score range for the T-score is 0-100. Higher scores indicate better outcome.

Time Frame

Baseline, Week 12 and up to Week 52

Outcome Measure

Change in fatigue, as assessed on participant completed Patient-Reported Outcomes Measurement Information System - Fatigue (version 7a) questionnaire.

Measure Description

The overall score range for the T-score is 29.4-83.2. Lower scores indicate better outcome.

Time Frame

Baseline, Week 12 and up to Week 52

Outcome Measure

Occurrence of the TEAEs of nausea, vomiting, loss of appetite, or fatigue.

Measure Description

Time Frame

Baseline, Week 52

Outcome Measure

Severity of the adverse events of nausea, vomiting, loss of appetite, or fatigue by maximum grade.

Measure Description

Time Frame

Baseline, Week 52

Outcome Measure

Occurrence of chemotherapy dosing changes (including dosing reductions, dosing interruptions, and dosing discontinuations) due to occurrence of the TEAEs of nausea, vomiting, loss of appetite, or fatigue

Measure Description

Time Frame

Baseline, up to Week 52

Outcome Measure

Tumor status

Measure Description

Assessment of tumor response to treatment as determined by Blinded Independent Central Review assessment per RECIST 1.1 using CT scan (or MRI)

Time Frame

Baseline, Week 12 and up to Week 52

Secondary Outcome Measures table for Clinical Trial
Number of participants

982

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of December 17th 2025.

Contact Us
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For more information, call or email the Pfizer Clinical Trial Contact Center:

1-800-887-7002 Email us

When calling, please reference this study number:

More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT06989437