A Study of mRNA Vaccines AK154 Monotherapy or in Combination With AK104/AK112,and Sequential mFOLFIRINOX in Surgically Resected PDAC

NCT ID: NCT06913218

Last Updated: 2025-04-06

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

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-22

Study Completion Date

2028-11-06

Brief Summary

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To explore safety and efficacy of neoantigen personalized mRNA vaccines AK154 monotherapy or in combination with AK104/AK112 and sequential mFOLFIRINOX regime in Resected PDAC

Detailed Description

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This is a prospective, open-label, single-center, exploratory clinical study. To explore the safety, tolerability, efficacy, immunogenicity, and PK/PD profile of neoantigen personalized mRNA vaccine AK154 monotherapy or combined with AK104 or AK112, sequential mFOLFIRINOX chemotherapy regimen as postoperative adjuvant therapy in Surgically Resected Pancreatic Adenocarcino

Conditions

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Pancreas Cancer Pancreas Cancer, Duct Cell Adenocarcinoma

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pancreatic Cancer

Resectable PDAC

Group Type EXPERIMENTAL

AK154

Intervention Type BIOLOGICAL

AK154 is neotigeon personalized mRNA vaccine

Cadonilimab

Intervention Type BIOLOGICAL

a PD-1/CTLA-4 bispecific antibody

Ivonescimab (SMT112 or AK112) Injection

Intervention Type BIOLOGICAL

a PD-1/VEGF bi-specific antibody

mFOLFORINOX

Intervention Type DRUG

mFOLFIRINOX:Fluorouracil+leucovorin+Irinotecan+Oxaliplatin

Interventions

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AK154

AK154 is neotigeon personalized mRNA vaccine

Intervention Type BIOLOGICAL

Cadonilimab

a PD-1/CTLA-4 bispecific antibody

Intervention Type BIOLOGICAL

Ivonescimab (SMT112 or AK112) Injection

a PD-1/VEGF bi-specific antibody

Intervention Type BIOLOGICAL

mFOLFORINOX

mFOLFIRINOX:Fluorouracil+leucovorin+Irinotecan+Oxaliplatin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Voluntarily signed the informed consent form and complied with protocols requirements
* Patients with radiographically resectable primary pancreatic tumors
* Histopathology or cytology confirmed resected PDAC with macroscopic complete resection (R0 and R1)
* Pancreatic cancer surgical staging per AJCC 8th edition staging: T 1-3, N0-2, M0
* ECOG 0 or 1
* Life expectancy ≥ 6 months
* Surgical complications have recovered,
* Adequate organ function
* Patients with fertility are willing to use an adequate method of contraception.

Exclusion Criteria

* The presence of other pathologic types
* Participating in another clinical study
* Have received treatment for pancreatic cancer, including chemotherapy, radiation therapy, targeted therapy, immunotherapy,etc
* Plan to receive a live-attenuated vaccine within 28 days prior to initiation of study treatment or during the study treatment or within 90 days after the end of study treatment
* Severe infection occurs within 4 weeks prior to the first dose
* Requiring systemic therapy with glucocorticoids or other immunosuppressive drugs within 14 days prior to initial administration.
* Acute pancreatitis or subclinical pancreatitis
* Active autoimmune disease
* Allergic to immunotherapies and related drugs
* History of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation.
* Splenectomy history
* Active tuberculosis
* Known or highly suspected history of interstitial pneumonia.
* Clinically significant liver disease
* Uncontrolled or severe cardiovascular disease.
* Severe bleeding tendency or history of coagulopathy
* Active malignancy within the last 3 years
* Active syphilis infection
* Any other situations that are not suitable for inclusion in this study judged by investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role collaborator

Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Pancreatic Surgery,Fudan University Shanghai Cancer Center

Shanghai, Xuhui, China

Site Status

Countries

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China

Central Contacts

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Ting Liu

Role: CONTACT

+86 (0760) 8987 3999

Facility Contacts

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Xianjun Yu, PhD,MD

Role: primary

021-33988888

Other Identifiers

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AK154-IIT-001

Identifier Type: -

Identifier Source: org_study_id

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