Clinical Study Evaluating the Safety, Tolerability, and Preliminary Efficacy of LM-108 ± Penpulimab+Chemotherapy in Advanced Solid Tumors - Cohort C

NCT ID: NCT06821503

Last Updated: 2025-02-17

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

NOT_YET_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-28

Study Completion Date

2028-12-31

Brief Summary

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This trial is the cohort C part of a multicenter, open label Phase Ib/II clinical study evaluating the preliminary efficacy, safety, and tolerability of LM-108 combined with anti-tumor therapy in patients with advanced solid tumors. The dose of LM-108 combined with penpulimab, albumin paclitaxel, and gemcitabine is recommended in Phase Ib.Explore the efficacy and safety of LM-108 combined with anti-tumor therapy in patients with advanced pancreatic cancer in Phase II.

Detailed Description

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Conditions

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Advanced Pancreatic Cancer

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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LM-108 injection+penpulimab injection+Albumin paclitaxel+Gemcitabine

LM-108 injection+Penpulimab injection+Paclitaxel for injection (albumin bound)+Gemcitabine hydrochloride for injection, with a cycle of 28 days.

Group Type EXPERIMENTAL

LM-108 injection

Intervention Type DRUG

LM-108 injection is a monoclonal antibody that selectively clears regulatory T cells that infiltrate tumor sites.

Penpulimab injection

Intervention Type DRUG

Penpulimab injection is a Programmed Cell Death Protein 1 (PD-1) immune checkpoint inhibitor.

Paclitaxel for injection (albumin bound)

Intervention Type DRUG

Paclitaxel for injection (albumin bound) is a cytotoxic anticancer drug

Gemcitabine hydrochloride for injection

Intervention Type DRUG

Gemcitabine hydrochloride for injection is a cell cycle specific anti-tumor drug that can inhibit the growth of tumor cells and belongs to a type of chemotherapy drug.

LM-108 injection+Albumin paclitaxel+Gemcitabine

LM-108 injection+paclitaxel for injection (albumin bound type)+gemcitabine hydrochloride for injection, with a cycle of 28 days.

Group Type EXPERIMENTAL

LM-108 injection

Intervention Type DRUG

LM-108 injection is a monoclonal antibody that selectively clears regulatory T cells that infiltrate tumor sites.

Paclitaxel for injection (albumin bound)

Intervention Type DRUG

Paclitaxel for injection (albumin bound) is a cytotoxic anticancer drug

Gemcitabine hydrochloride for injection

Intervention Type DRUG

Gemcitabine hydrochloride for injection is a cell cycle specific anti-tumor drug that can inhibit the growth of tumor cells and belongs to a type of chemotherapy drug.

Interventions

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LM-108 injection

LM-108 injection is a monoclonal antibody that selectively clears regulatory T cells that infiltrate tumor sites.

Intervention Type DRUG

Penpulimab injection

Penpulimab injection is a Programmed Cell Death Protein 1 (PD-1) immune checkpoint inhibitor.

Intervention Type DRUG

Paclitaxel for injection (albumin bound)

Paclitaxel for injection (albumin bound) is a cytotoxic anticancer drug

Intervention Type DRUG

Gemcitabine hydrochloride for injection

Gemcitabine hydrochloride for injection is a cell cycle specific anti-tumor drug that can inhibit the growth of tumor cells and belongs to a type of chemotherapy drug.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 or above.
* The Eastern Cooperative Oncology Group (ECOG) physical fitness status score is 0-1 points.
* There should be at least one measurable lesion.

Exclusion Criteria

* Have sufficient organ and bone marrow function
* Expected survival period ≥ 12 weeks
* Infertility is defined as women who have reached menopause or have undergone bilateral oophorectomy with medical records. Male participants and female participants with fertility must agree to use one medically approved contraceptive measure during the trial period and within 6 months after the last administration of the trial drug or within 9 months after the last administration of chemotherapy drug (oxaliplatin) (whichever is later). The serum pregnancy test must be negative within 3 days before starting the study medication and not during lactation.
* With my consent and signed informed consent form.
* Patients diagnosed with Pancreatic ductal adenocarcinoma (PDAC) by pathology have evidence of advanced stage or metastasis that cannot be surgically removed.
* Have not received systematic treatment for unresectable locally advanced or metastatic PDAC in the past


* Known High-frequency microsatellite instability (MSI-H)/deficient mismatch repair (dMMR).
* There is uncontrolled or symptomatic active central nervous system metastasis, which can manifest as clinical symptoms, cerebral edema, spinal cord compression, cancerous meningitis, leptomeningeal disease, and/or progressive growth.
* Within 14 days prior to enrollment, there were still uncontrollable pleural effusion and ascites despite treatment such as puncture and drainage; Pericardial effusion accompanied by clinical symptoms or moderate or above.
* Within 14 days prior to enrollment, there is an unresolved biliary obstruction, or the clinical status has remained stable for less than 14 days after biliary stent implantation.
* Participants' weight has decreased by more than 20% or their body mass index (BMI) is less than 18 kg/m ² within the first 2 months of enrollment.
* Received the following treatments or medications before enrollment:

1. Prior to enrollment, received treatment with C-C chemokine Receptor 8 (CCR8) antibodies, cytotoxic T-lymphocyte associated protein-4 (CTLA-4) antibodies, or other drugs that act on Tregs.
2. Having undergone major surgery within 28 days prior to enrollment.
3. Used immunosuppressive drugs within 14 days prior to enrollment.
4. Vaccination with attenuated live vaccine should be administered within 28 days prior to enrollment or planned within the study period and 60 days after completion of study drug treatment.
5. Received anti-tumor therapy (including chemotherapy, radiotherapy, immunotherapy, endocrine therapy, targeted therapy, biological therapy, or tumor embolization) within 28 days before enrollment.
* Diagnosed with any other malignant tumor within the 5 years prior to enrollment.
* There are any active, known or suspected autoimmune diseases present.
* Within the first 3 months of enrollment, there have been significant clinical bleeding symptoms or clear bleeding tendencies; Arterial/venous thrombotic events that occurred within the first 6 months of enrollment.
* Significant vascular disease occurred within the first 6 months of enrollment.
* Severe, unhealed, or cracked wounds, as well as active ulcers or untreated fractures.
* There is peripheral neuropathy of grade\>1 present.
* Have experienced gastrointestinal perforation and/or gastrointestinal fistula within the 6 months prior to enrollment;
* Within the 6 months prior to enrollment, there have been clinical signs or symptoms of intestinal obstruction and/or gastrointestinal obstruction.
* Existence of interstitial lung disease, non infectious pneumonia, or uncontrolled systemic diseases.
* Known to be allergic to the investigational drug or any of its excipients; Or have experienced severe allergic reactions to other monoclonal antibodies.
* Human immunodeficiency virus (HIV) infection or known acquired immunodeficiency syndrome (AIDS), untreated active hepatitis or co infection with hepatitis B and hepatitis C.
* Clinical symptoms or diseases of the heart that have not been well controlled:
* Systemic use of antibiotics for at least 7 days within the 28 days prior to enrollment, or unexplained fever\>38.5 °C during screening/before first administration.
* Known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation.
* Have participated in any other drug clinical studies within 4 weeks prior to enrollment, or have not had more than 5 half lives since the last study medication.
* Known history of abuse or drug use of psychotropic substances.
* There are other serious physical or mental illnesses or laboratory abnormalities that may increase the risk of participating in the study, or interfere with the study results, as well as patients who the researcher deems unsuitable to participate in this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Cancer Hospital Chinese Academy of Medical Science

Beijing, Beijing Municipality, China

Site Status

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Chongqing Qeneral Hospital

Chongqing, Chongqing Municipality, China

Site Status

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Huazhong University of Science and Technology Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status

Jiangsu Provincial People's Hospital

Nanjing, Jiangsu, China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

The First Affiliated Hospital of China Medical University

Shenyang, Liaoning, China

Site Status

The Sixth People's Hospital of Shenyang

Shenyang, Liaoning, China

Site Status

The First Affiliated Hospital of Xi'an Jiaotong University Medical College

Xi'an, Shaanxi, China

Site Status

The First Affiliated Hospital of Naval Medical University

Shanghai, Shanghai Municipality, China

Site Status

Tianjin Cancer Hospital Airport Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

Central Contacts

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Lin Shen, Doctor

Role: CONTACT

13911219511

Jihui Hao, Doctor

Role: CONTACT

18622221120

Facility Contacts

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Xicheng Wang, Doctor

Role: primary

13439563949

Yongkun Sun, Doctor

Role: primary

13141276041

Lin Shen, Doctor

Role: primary

010-88196561

Huaizhi Wang, Doctor

Role: primary

13996950719

Zhiwei Li, Doctor

Role: primary

15004683651

Feng Wang, Doctor

Role: primary

13938244776

Aili Suo Suo, Doctor

Role: backup

18991232561

Jun Xue, Doctor

Role: primary

15071258754

Xiaofeng Sun, Master

Role: primary

13505156959

Kuirong Jiang, Doctor

Role: primary

15312995688

Yong Li, Doctor

Role: primary

15879155066

Xiujuan Qu, Doctor

Role: primary

13604031355

Jin Xu, Doctor

Role: primary

13236666950

Zheng Wu, Doctor

Role: primary

13609195898

Gang Jin, Doctor

Role: primary

13601635681

Huikai Li, Doctor

Role: primary

18622228639

Jihui Hao, Doctor

Role: primary

18622221120

Other Identifiers

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LM-108-Ib/II-01-C

Identifier Type: -

Identifier Source: org_study_id

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