Study of Immunotherapy Combined With Chemotherapy in Locally Advanced and Metastatic Pancreatic Cancer

NCT ID: NCT04324307

Last Updated: 2023-09-01

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-26

Study Completion Date

2023-11-30

Brief Summary

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To evaluate the efficacy of PD-L1/CTLA4 BsAb for the second line treatment and the combination with chemotherapy for the first line treatment in pancreatic cancer

Detailed Description

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Subjects who signed the informed consent were assigned to three cohorts according to the actual treatment status. Cohort 1 enrolled subjects receiving PD-L1/CTLA4 BsAb 5mg/kg iv Q2W for 2nd treatment; cohort 2 enrolled subjects receiving PD-L1/CTLA4 BsAb in combination with gemcitabine/albumin- paclitaxel as 1st treatment for 4-6 cycles with PD-L1/CTLA4 BsAb monotherapy maintainence; cohort 3 enrolled subjects received systemic chemotherapy, receiving PD-L1/CTLA4 BsAb combined with oxaliplatin / irinotecan / leucovorin / fluorouracil (FOLFIRINOX) as 1st treatment for 4-6 cycles withPD-L1/CTLA4 BsAb monotherapy maintainence; until disease progression according to RECIST 1.1, intolerable toxicity, withdrawal, death, 2-yr treatment,who comes first.

Conditions

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Locally Advanced and Metastatic Pancreatic Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PD-L1/CTLA4 BsAb

For 2nd line treatment,PD-L1/CTLA4 BsAb 5mg/kg Q2W

Group Type EXPERIMENTAL

PD-L1/CTLA4 BsAb

Intervention Type DRUG

PD-L1/CTLA4 BsAb 5mg/kg, iv,Q2W

PD-L1/CTLA4 BsAb + GP

For 1st line treatment,PD-L1/CTLA4 BsAb 5mg/kg Q2W in combination with Gemcitabine 1000 mg/m2 and Nab-paclitaxel 125 mg/m2 , 28days/cycle

Group Type EXPERIMENTAL

PD-L1/CTLA4 BsAb

Intervention Type DRUG

PD-L1/CTLA4 BsAb 5mg/kg, iv,Q2W

GP

Intervention Type COMBINATION_PRODUCT

Gemcitabine 1000mg/m2, iv, D1,8,15, 28days/cycle; nab-Paclitaxel 125mg/m2,iv,D1,8,15, 28days/cycle;

PD-L1/CTLA4 BsAb + FOLFIRINOX

For 1st line treatment,PD-L1/CTLA4 BsAb 5mg/kg Q2W in combination with Oxaliplatin 68 or 85 mg/m2, Irinotecan 135 or 150 or 180 mg/m2, Calcium Folate 400 mg/m2, Fluorouracil 2400mg/m2, 14 days/cycle

Group Type EXPERIMENTAL

PD-L1/CTLA4 BsAb

Intervention Type DRUG

PD-L1/CTLA4 BsAb 5mg/kg, iv,Q2W

FOLFIRINOX

Intervention Type COMBINATION_PRODUCT

Fluorouracil 2400mg/m2,iv,D1, 14days/cycle; Oxaliplatin 68-85mg/m2,iv, D1,14days/cycle;Irinotecan135-180mg/m2,iv, D1, 14days/cycle;Calcium Folate 400mg/m2,iv, D1, 14days/cycle;

Interventions

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PD-L1/CTLA4 BsAb

PD-L1/CTLA4 BsAb 5mg/kg, iv,Q2W

Intervention Type DRUG

GP

Gemcitabine 1000mg/m2, iv, D1,8,15, 28days/cycle; nab-Paclitaxel 125mg/m2,iv,D1,8,15, 28days/cycle;

Intervention Type COMBINATION_PRODUCT

FOLFIRINOX

Fluorouracil 2400mg/m2,iv,D1, 14days/cycle; Oxaliplatin 68-85mg/m2,iv, D1,14days/cycle;Irinotecan135-180mg/m2,iv, D1, 14days/cycle;Calcium Folate 400mg/m2,iv, D1, 14days/cycle;

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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Gemcitabine nab-Paclitaxel Oxaliplatin Irinotecan Calcium Folate Fluorouracil

Eligibility Criteria

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Inclusion Criteria

* Histology or cytology confirmed as pancreatic ductal adenocarcinoma;
* ECOG 0-1;
* adequate organ function (absolute neutrophil count ≥1.5 x 109/L; platelet count ≥100 x 109/L; creatinine \< 1.5 x ULN (upper normal) or calculated creatinine clearance ( CRCI) ≥ 60mL/min; albumin ≥ 30g/L; total bilirubin \<1.5 x ULN; aspartate aminotransferase (AST) \< 2.5 x ULN; alanine aminotransferase (ALT) \< 2.5x ULN; INR or PT \< 1.5x ULN, and aPTT \<1.5x ULN);
* no obvious symptoms of jaundice and ascites;
* no other serious underlying diseases

Exclusion Criteria

* patients with active brain metastases;
* history of autoimmune diseases, or need to be treated with corticosteroids and immunosuppressive agents;
* past history of unstable angina, symptomatic congestive heart failure, severe arrhythmia, myocardial infarction within 6 months, QT interval prolongation (\>450ms);
* other malignant tumors within the last 5 years;
* pregnant or lactating women;
* NRS ≥ 4 points;
* unintentional weight loss ≥ 5% within 1 month before the first dose even if peripheral or central vein nutrition support,
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Changhai Hospital

OTHER

Sponsor Role lead

Responsible Party

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Guo ShiWei

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gang Jin, Doctor

Role: PRINCIPAL_INVESTIGATOR

Changhai Hospital

Locations

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Changhai hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shiwei Guo, Doctor

Role: CONTACT

86-18621500666

Suizhi Gao, Doctor

Role: CONTACT

86-13167137990

Facility Contacts

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Shiwei Guo, Doctor

Role: primary

86-18621500666

Other Identifiers

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ChanghaiH-PP05

Identifier Type: -

Identifier Source: org_study_id

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