pancreas, biliary-tract or periampullary cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-80 years old; 2. Patients with local advanced or metastatic carcinoma of pancreat, biliary tract ,or periampullary , confirmed by pathology; 3. Patients who have not received immunotherapy or antiangiogenic therapy before. Patients who have ever received adjuvant chemotherapy or first-line chemotherapy can be enrolled. 4. At least one measurable focus (tumor focus CT scan length >=10 mm, lymph node focus CT scan short Diameter >=15 mm, layer thickness not more than 5 mm); 5. The main organs function is well, and the indexes within 14 days before randomization meet the following requirements: Blood routine examination: Hemoglobin >=100 g/L; Neutrophil count > 1.5x10^9/L; platelet count >=100x10^9/L; Biochemical examination: Total bilirubin =60 ml / min (Cockcroft Gault formula); 6. The subjects voluntarily joined the study and signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1) Patients who were suffering from other malignant tumors in the past or at the same time; 2) Patients who have used PD-1 / PD-L1 antibody before; 3) There was a history of haemorrhagic disease, and any bleeding event with a severe grade 3 or more occurred within 4 weeks before screening; 4) Routine urine test indicated that urine protein >=+ + and confirmed that 24-hour urine protein quantity was more than 1.0 G; 5) Patients with poor control of hypertension; 6) Patients with infectious pneumonia, non infectious pneumonia, interstitial pneumonia and other patients who need to use corticosteroids; 7) Patients with chronic autoimmune diseases, such as systemic lupus erythematosus, etc; 8) Other situations that the researchers do not think suitable for inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival, OS;?Progression Free Survival, PFS; | — |
Secondary
| Measure | Time frame |
|---|---|
| Objective response rate, ORR; including CR+PR;Disease Control Rate, DCR; including CR+PR+SD); | — |
Countries
China
Contacts
Department of Oncology, The Affiliated Hospital of Jiangnan University