Newly Emerging Immunotherapy For Pancreatic Cancer Treatment

Study Overview

Newly Emerging Immunotherapy for Pancreatic Cancer Treatment

This is a Phase Ib/II platform clinical study to evaluate the initial efficacy and safety of different novel immunotherapies in patients with advanced pancreatic cancer.

The cohort A/B/C included patients with unresectable locally advanced or metastatic pancreatic cancer who had previously failed at least first line gemcitabine-based system therapy.The cohort D/E/F included patients with previously untreated systemic pancreatic cancer with unresectable locally advanced or metastatic pancreatic cancer.This study plans to first explore A/B/C cohort, and then start the D/E/F cohort after determining the safety.

Pancreatic Cancer

DRUG: JS001
DRUG: JS004
DRUG: JS007
DRUG: JS015
DRUG: Irinotecan Liposome Injection
DRUG: 5-Fluorouracil (5-FU)
DRUG: Leucovorin (LV)
DRUG: Nab paclitaxel
DRUG: Gemcitabine

2401289-19-2403

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates	Results Reporting Dates	Study Record Updates
First Submitted 2024-04-15	Results First Submitted N/A	Last Update Submitted that met QC Criteria 2024-04-16
First Submitted that Met QC Criteria 2024-04-16	Results First Submitted that Met QC Criteria N/A	Last Update Posted (ACTUAL) 2024-04-17
First Posted (ACTUAL) 2024-04-17	Results First Posted N/A	Last Verified 2024-04

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment

Allocation:
Non Randomized

Interventional Model:
Parallel

Masking:
None

Arms and Interventions

Participant Group/Arm	Intervention/Treatment
EXPERIMENTAL: Cohort1: JS004+JS001+Irinotecan Liposome Injection+5-fluorouracil (5-FU)/leucovorin (LV) Participants with unresectable locally advanced or metastatic pancreatic cancer who had previously failed at least first line gemcitabine-based system therapy will receive JS004 and JS001 combined with chemotherapy (irinotecan liposome injection+5-FU/LV)	DRUG: JS001 240 mg by IV infusionevery 3 weeks (Q3W), given on cycle day 1. DRUG: JS004 200 mg by IV infusion Q3W, given on cycle day 1. DRUG: Irinotecan Liposome Injection 60 or 70 mg/m^2 by IV infusion every 2 weeks (Q2W), given on cycle day 1. DRUG: 5-Fluorouracil (5-FU) 2400mg/m^2, intravenously, over 46 h on day 1, Q2W. DRUG: Leucovorin (LV) 400mg/m^2, intravenously, over 30 min on day 1, Q2W.
EXPERIMENTAL: Cohort2: JS007+JS001+Irinotecan Liposome Injection+5-FU/LV Participants with unresectable locally advanced or metastatic pancreatic cancer who had previously failed at least first line gemcitabine-based system therapy will receive JS007 and JS001 combined with chemotherapy (irinotecan liposome injection+5-FU/LV)	DRUG: JS001 240 mg by IV infusionevery 3 weeks (Q3W), given on cycle day 1. DRUG: JS007 3mg/kg by IV infusion Q3W, given on cycle day 1. DRUG: Irinotecan Liposome Injection 60 or 70 mg/m^2 by IV infusion every 2 weeks (Q2W), given on cycle day 1. DRUG: 5-Fluorouracil (5-FU) 2400mg/m^2, intravenously, over 46 h on day 1, Q2W. DRUG: Leucovorin (LV) 400mg/m^2, intravenously, over 30 min on day 1, Q2W.
EXPERIMENTAL: Cohort3: JS015+JS001+Irinotecan Liposome Injection+5-FU/LV Participants with unresectable locally advanced or metastatic pancreatic cancer who had previously failed at least first line gemcitabine-based system therapy will receive JS015 and JS001 combined with chemotherapy (irinotecan liposome injection+5-FU/LV)	DRUG: JS001 240 mg by IV infusionevery 3 weeks (Q3W), given on cycle day 1. DRUG: JS015 600mg by IV infusion Q3W, given on cycle day 1. DRUG: Irinotecan Liposome Injection 60 or 70 mg/m^2 by IV infusion every 2 weeks (Q2W), given on cycle day 1. DRUG: 5-Fluorouracil (5-FU) 2400mg/m^2, intravenously, over 46 h on day 1, Q2W. DRUG: Leucovorin (LV) 400mg/m^2, intravenously, over 30 min on day 1, Q2W.
EXPERIMENTAL: Cohort4: JS004+JS001+Nab-Paclitaxel+Gemcitabine Participants with previously untreated systemic pancreatic cancer with unresectable locally advanced or metastatic pancreatic cancer will receive JS004 and JS001 combined with chemotherapy (nab-paclitaxel+gemcitabine) until the treatment termination event	DRUG: JS001 240 mg by IV infusionevery 3 weeks (Q3W), given on cycle day 1. DRUG: JS004 200 mg by IV infusion Q3W, given on cycle day 1. DRUG: Nab paclitaxel 125 mg/m^2 by IV infusion Q3W, given on cycle day 1 and 8. DRUG: Gemcitabine 1000 mg/m^2 by IV infusion Q3W, given on cycle day 1 and 8.
EXPERIMENTAL: Cohort5: JS007+JS001+Nab-Paclitaxel+Gemcitabine Participants with previously untreated systemic pancreatic cancer with unresectable locally advanced or metastatic pancreatic cancer will receive JS007 and JS001 combined with chemotherapy (nab-paclitaxel+gemcitabine) until the treatment termination event	DRUG: JS007 3mg/kg by IV infusion Q3W, given on cycle day 1. DRUG: Nab paclitaxel 125 mg/m^2 by IV infusion Q3W, given on cycle day 1 and 8. DRUG: Gemcitabine 1000 mg/m^2 by IV infusion Q3W, given on cycle day 1 and 8.
EXPERIMENTAL: Cohort6: JS015+JS001+ Nab-Paclitaxel+Gemcitabine Participants with previously untreated systemic pancreatic cancer with unresectable locally advanced or metastatic pancreatic cancer will receive JS015 and JS001 combined with chemotherapy (nab-paclitaxel+gemcitabine) until the treatment termination event	DRUG: JS015 600mg by IV infusion Q3W, given on cycle day 1. DRUG: Nab paclitaxel 125 mg/m^2 by IV infusion Q3W, given on cycle day 1 and 8. DRUG: Gemcitabine 1000 mg/m^2 by IV infusion Q3W, given on cycle day 1 and 8.

Primary Outcome Measures	Measure Description	Time Frame
Incidence of dose-limiting toxicity (DLT) (phase IB)	If less than 2 participants developed DLT during the safety observation period (one cycle after the first dose), follow-up first-line D/E/F cohort exploration should be considered. Otherwise, it is up to the investigator to decide the next research plan.	21 days after the first dose was administered to each subject
Objective Response Rate (ORR) (phase II)	ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) based on RECIST 1.1.	Up to 1 year

Secondary Outcome Measures	Measure Description	Time Frame
Objective Response Rate (ORR) (phase IB)	ORR was defined as the percentage of participants with a best overall response of CR or PR based on RECIST 1.1.	Up to 1 year
Disease control rate (DCR)	DCR was defined as the percentage of cases with remission (PR + CR) and stable lesions (SD) after treatment was assessable based on RECIST 1.1.	Up to 1 year
Duration of Response (DOR)	DOR will be calculated from the date of the first evaluation showing PR, or CR, to the date of the first disease progression or death, whichever comes first and based on RECIST 1.1.	Up to 1 year
Progression free survival (PFS)	PFS is defined as the time from the first dose until objective tumor progression(PD), or death, whichever comes first and based on RECIST 1.1. At the end of the study, the time of last acquisition of living patients without PD was taken as the deleted data.	Up to 2 years
Overall Survival (OS)	OS will be measured from the date of first dose to death from any cause.	Up to 2 years
Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment	Adverse event (AE), abnormal laboratory examination, serious adverse event (SAE) related with the study drug judged using NCI-CTCAE V5.0 by investigator.	90 days after the last administration

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Xianjun Yu, M.D.

Phone Number: +86-18017317266

Email: yuxianjun@fudanpci.org

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

Voluntary participation, written informed consent, complied well and cooperated with the follow-up visits;
Age ≥ 18 years old, female or male individuals;
Eastern Cooperative Oncology Group (ECOG) Performance status score of 0 or 1, the expected survival is more than 3 months;
Patients with locally advanced unresectable or metastatic pancreatic cancer confirmed by histopathology or cytopathology (islet cell tumor is not eligible for inclusion) who meet the following requirements:

For the A/B/C/ cohort: Had failed of at least first-line systemic therapy; disease recurrence or progression within 6 months of the last treatment of neoadjuvant or adjuvant chemotherapy was also allowed to be enrolled;
For the D/E/F cohort: No prior systemic treatment; patients with recurrence or progression of disease more than 6 months after the last treatment of neoadjuvant or adjuvant chemotherapy were also allowed to be enrolled;
Had at least one measurable lesion according to RECIST v1.1.
Patients had adequate major organs function;
Women of childbearing potential must undergo serum pregnancy test within 7 days prior to the first dose and the result must be negative. Female subjects of childbearing potential and male subjects whose partners are women of childbearing potential must agree to use highly effective contraceptive methods during the study period and within 180 days after the last dose of study drug.

Previously received drugs with the same target as the planned investigational therapy;
radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, immunotherapy, or molecular targeted therapy within 4 weeks prior to initial administration, except for bisphosphonates (which can be used for bone metastasis);
Uncontrolled central nervous system metastases (meaning symptoms or the use of glucocorticoids or mannitol to control symptoms);
A history of clinically significant or uncontrolled heart disease, including congestive heart failure, angina pectoris, myocardial infarction, or ventricular arrhythmia, in the 6 months prior to initial dosing;
Patients with Grade 1 and above adverse reactions caused by previous treatment, including Grade 1 peripheral neurotoxicity; hair loss is not included and the investigator should clearly record the reasons;
Malignant tumors within 5 years prior to the first dose (except for cured skin basal cell carcinoma and cervical carcinoma in situ);
Active autoimmune disease requiring systemic treatment within 2 years prior to first administration, except for vitiligo, type I diabetes, residual hypothyroidism due to autoimmune thyroiditis requiring hormone replacement therapy only;
History of rapid allergic reaction, eczema or asthma that cannot be controlled by topical corticosteroids;
Patients who have lung disease, such as drug-induced interstitial lung disease or pneumonia, obstructive pulmonary disease that severely affects lung function, and symptomatic bronchospasm;
Serious infections requiring antibiotic treatment within 14 days prior to initial administration (>CTCAE grade 2), such as severe pneumonia, bacteremia, comorbidifications, etc., resulting in the need for hospitalization;
Vaccination of live vaccine within 4 weeks before the first dose or during the study period;
Known human immunodeficiency virus (HIV) infection, allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;
History of prior allergy to any component or excipient of the investigational drug to be received;
Other conditions assessed by the investigator as unsuitable for participation in the trial.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

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