A Phase III Study of Ivonescimab + Chemo With/Without AK117 vs Chemo in Metastatic Pancreatic Cancer

NCT ID: NCT06953999

Last Updated: 2025-05-01

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

999 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-14

Study Completion Date

2028-05-14

Brief Summary

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This is a Phase 3, randomized, double-blind clinical trial aimed at evaluating the efficacy and safety of Ivonescimab plus chemotherapy with or without AK117 versus placebo plus chemotherapy in patients with metastatic pancreatic cancer. The study seeks to determine whether the addition of Ivonescimab and/or AK117 improves clinical outcomes compared to standard chemotherapy alone. Participants will be randomly assigned to receive either Ivonescimab with/without AK117 or placebo, both in combination with chemotherapy.

Detailed Description

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Conditions

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Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Ivonescimab + AK117 + Albumin-bound Paclitaxel + Gemcitabine

Group Type EXPERIMENTAL

Ivonescimab, AK117, Albumin-bound Paclitaxel, Gemcitabine

Intervention Type DRUG

Ivonescimab: a specified dose and frequency administrated by intravenous infusion (IV).

AK117: a specified dose and frequency administrated by intravenous infusion (IV).

Albumin-bound Paclitaxel: 125 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Gemcitabine: 1000 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Ivonescimab + AK117 Placebo + Albumin-bound Paclitaxel + Gemcitabine

Group Type EXPERIMENTAL

Ivonescimab, AK117 Placebo, Albumin-bound Paclitaxel, Gemcitabine

Intervention Type DRUG

Ivonescimab: a specified dose and frequency administrated by intravenous infusion (IV).

AK117 Placebo: a specified dose and frequency administrated by intravenous infusion (IV).

Albumin-bound Paclitaxel: 125 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Gemcitabine: 1000 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Ivonescimab Placebo + AK117 Placebo + Albumin-bound Paclitaxel + Gemcitabine

Group Type ACTIVE_COMPARATOR

Ivonescimab Placebo, AK117 Placebo, Albumin-bound Paclitaxel, Gemcitabine

Intervention Type DRUG

Ivonescimab Placebo : a specified dose and frequency administrated by intravenous infusion (IV).

AK117 Placebo : a specified dose and frequency administrated by intravenous infusion (IV).

Albumin-bound Paclitaxel: 125 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Gemcitabine: 1000 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Interventions

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Ivonescimab, AK117, Albumin-bound Paclitaxel, Gemcitabine

Ivonescimab: a specified dose and frequency administrated by intravenous infusion (IV).

AK117: a specified dose and frequency administrated by intravenous infusion (IV).

Albumin-bound Paclitaxel: 125 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Gemcitabine: 1000 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Intervention Type DRUG

Ivonescimab, AK117 Placebo, Albumin-bound Paclitaxel, Gemcitabine

Ivonescimab: a specified dose and frequency administrated by intravenous infusion (IV).

AK117 Placebo: a specified dose and frequency administrated by intravenous infusion (IV).

Albumin-bound Paclitaxel: 125 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Gemcitabine: 1000 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Intervention Type DRUG

Ivonescimab Placebo, AK117 Placebo, Albumin-bound Paclitaxel, Gemcitabine

Ivonescimab Placebo : a specified dose and frequency administrated by intravenous infusion (IV).

AK117 Placebo : a specified dose and frequency administrated by intravenous infusion (IV).

Albumin-bound Paclitaxel: 125 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Gemcitabine: 1000 mg/m2 weekly for 3 weeks followed by 1 week of rest.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Voluntarily sign a written informed consent form.
2. Age at enrollment is ≥ 18 and ≤ 75 years, both males and females are eligible.
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
4. Life expectancy of ≥ 3 months.
5. Histologically or cytologically confirmed, unresectable metastatic pancreatic ductal adenocarcinoma (PDAC).
6. No prior systemic anti-cancer treatment for metastatic PDAC.
7. At least one measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
8. Adequate organ function.

Exclusion Criteria

1. Histologically or cytologically confirmed other types of pancreatic malignancies or mixed histology types.
2. Presence of active central nerve system (CNS) metastases.
3. Known germline BRCA1/2 or PALB2 mutations.
4. Clinically significant or recurrent pleural effusion, pericardial effusion, or ascites requiring drainage.
5. History of other malignancies within the past 5 years.
6. History of significant bleeding tendencies or coagulopathy; clinically significant bleeding events within 1 month before the first dose.
7. Previous anti-angiogenic therapy and immunotherapy.
8. Active autoimmune disease requiring systemic treatment within the past 2 years.
9. Pregnant or breastfeeding women.
10. Concurrent participation in another clinical trial, unless it is an observational or non-interventional study or in the follow-up phase of an interventional study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akeso

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Central Contacts

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Wenting Li

Role: CONTACT

+86-18116403289

Facility Contacts

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Yuxian Jun, MD

Role: primary

021-64175590

Jieer Ying, MD

Role: primary

0571-88122062

Other Identifiers

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AK112-310

Identifier Type: -

Identifier Source: org_study_id

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