An Open-label, Phase I/II Study of the Pan-immunotherapy in Patients With Local Advanced/Metastatic Pancreatic Cancer

NCT ID: NCT03989310

Last Updated: 2020-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2022-03-31

Brief Summary

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The outcome of pancreatic cancer is extremely poor. NCCN guidelines recommend FOLFIRINOX or modified-FOLFIRINOX as the first-line chemotherapeutic regimen, but the response rate is unacceptably low. PD-1 blockade has been developed to a new class of cancer immunotherapy that could restore an adequate immunosurveillance against the neoplasm and enhance T-cell-mediated anticancer immune responses. Manganese has been confirmed to activate antigen-presenting cells and function as mucosal immunoadjuvants in pre-clinical studies. This one-arm, phase I/II study is designed to assess the safety and efficacy of Manganese primed combined therapy of anti-PD-1 antibody and chemotherapy.

Detailed Description

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Conditions

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Pancreatic Cancer

Keywords

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local advanced metastatic anti-PD-1 antibody Manganese chemotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Manganese primed anti-PD-1 antibody plus nPG chemotherapy

Subject received Manganese primed anti-PD-1 antibody, nab-paclitaxel and gemcitabine every 3 weeks until achieving a second assessable stable disease or up to a maximum of 12 cycles. Treatment continued until progressive disease, development of unacceptable toxicity, or withdrawal of consent.

Group Type EXPERIMENTAL

Manganese Chloride

Intervention Type DRUG

Administered by inhalation at 0.4mg/kg twice per week in a 3-week cycle

nab-paclitaxel

Intervention Type DRUG

Administered intravenously, 200mg/d on day 1 and day 8 in a 3-week cycle

Gemcitabine

Intervention Type DRUG

Administered intravenously, 1g/m2/d on day1 and day8 in a 3-week cycle

anti-PD-1 antibody

Intervention Type DRUG

Administered intravenously, 2-4mg/kg on day 2 in a 3-week cycle

anti-PD-1 antibody plus nPG chemotherapy

Subject received anti-PD-1 antibody, nab-paclitaxel and gemcitabine every 3 weeks until achieving a second assessable stable disease or up to a maximum of 12 cycles. Treatment continued until progressive disease, development of unacceptable toxicity, or withdrawal of consent.

Group Type EXPERIMENTAL

nab-paclitaxel

Intervention Type DRUG

Administered intravenously, 200mg/d on day 1 and day 8 in a 3-week cycle

Gemcitabine

Intervention Type DRUG

Administered intravenously, 1g/m2/d on day1 and day8 in a 3-week cycle

anti-PD-1 antibody

Intervention Type DRUG

Administered intravenously, 2-4mg/kg on day 2 in a 3-week cycle

Interventions

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Manganese Chloride

Administered by inhalation at 0.4mg/kg twice per week in a 3-week cycle

Intervention Type DRUG

nab-paclitaxel

Administered intravenously, 200mg/d on day 1 and day 8 in a 3-week cycle

Intervention Type DRUG

Gemcitabine

Administered intravenously, 1g/m2/d on day1 and day8 in a 3-week cycle

Intervention Type DRUG

anti-PD-1 antibody

Administered intravenously, 2-4mg/kg on day 2 in a 3-week cycle

Intervention Type DRUG

Other Intervention Names

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Paclitaxel For Injection (Albumin Bound) Anti-PD-1 monoclonal antibody; PD-1 inhibitor

Eligibility Criteria

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Inclusion Criteria

1. Subjects must have histologically proven local advanced/metastatic pancreatic cancer
2. ≥ 18 years old.
3. Life expectancy of at least 6 months.
4. Eastern Cooperative Oncology Group performance status 0-2.
5. Subjects must have at least one measurable lesion ≥ 1 cm as defined by response criteria.
6. Subjects with Anti-PD-1 antibody treatment history are eligible which must be resistance.
7. Adequate organ function.
8. Participants of childbearing potential must be willing to use an adequate method of contraception for the course of the study through 120 days after the last dose of study drug.

Exclusion Criteria

1. Subjects with any autoimmune disease or history of syndrome that requires corticosteroids or immunosuppressive medications.
2. Serious uncontrolled medical disorders or active infections, pulmonary infection especially.
3. Prior organ allograft.
4. Women who are pregnant or breastfeeding.
5. Women with a positive pregnancy test on enrollment or prior to investigational product administration.
6. Subjects who are compulsorily detained for treatment of either a psychiatric or physical (eg, infectious disease) illness.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Han weidong

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Biotherapeutic Department of Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Weidong Han

Role: CONTACT

Phone: 01066937463

Email: [email protected]

Facility Contacts

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Weidong Han, M.D

Role: primary

Qingming Yang, M.D

Role: backup

Other Identifiers

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CHN-PLAGH-BT-041

Identifier Type: -

Identifier Source: org_study_id