Advanced Pancreatic Cancer
Conditions
Keywords
activated CIK, MUC1, bispecific antibody, pancreatic cancer
Brief summary
This is a phase II Randomized comparison clinical trial of activated CIK armed with anti-CD3-MUC1 bispecific antibody for advanced pancreatic cancer. And the aim of this research is to study the clinical efficacy and safety of activated CIK armed with anti-CD3-MUC1 bispecific antibody for pancreatic cancer.
Detailed description
Primary pancreatic carcinoma is one of the most common malignancies in China, immunotherapy is considered to be one of the most promising means of human against cancer. This is a phase II clinical trial of single- center, The investigators plan to recruit for 90 patients with advanced pancreatic cancer,and all patients are divided into three groups.one group will receive cryotherapy, one group will receive conventional therapy，and the rest one will receive mixed liquor of activated CIK and anti-CD3-MUC1 bispecific antibody together with cryotherapy. The result of this study was statistic and analysed with the record of Response Evaluation Criteria In Solid Tumors(RECIST1.1) evaluation standard.
Interventions
BIOLOGICALActivated CIK and CD3-MUC1 Bispecific Antibody in Treating Pancreatic Cancer
CIK cells was activated by PD-1 inhibitor and bispecific antibody of anti-CD3/MUC1
PROCEDUREcryotherapy
the maximum tumor length≥2 cm，cool down the lesion,result in degeneration, necrosis or loss of the lesion.
Sponsors
Benhealth Biopharmaceutical (Shenzhen) Co., Ltd.
Fuda Cancer Hospital, Guangzhou
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
With the method of minimum randomized dynamic random by the interactive network response system (IWRS),Participants were assigned to three groups,receive cryotherapy,conventional therapy, and activated CIK armed with anti-CD3-MUC1 bispecific antibody together with cryotherapy .every participant has a unique identification number and emergency letter which have the information of group.
Intervention model description
This is a phase II clinical trial of single-center, and it will divide into three groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* 18-75 years old * The patient is diagnosed as advanced pancreatic cancer,MUC1 is positive * There is at least one tumor should be measured,and length≥10mm of focus not at lymph node or length≥10mm of focus at lymph node * The patient can't tolerate system(systemic chemotherapy/molecular targeted therapy) or local therapies * If the patient received adjuvant chemotherapy after local treatment,the time should be more than 4 weeks after the end of chemotherapy, and disease progression or metastasis patients can also assigned into the group * The time of surgical treatment≥ 3 months ;At the end of the intervention,radiotherapy and the end of the ablation time is more than 4 weeks * The expected survival time ≥12 weeks * The patient did not took any antitumor drugs within 4 weeks(any antitumor drugs, Chinese patent medicine including Delisheng injection,Kanglaite injection, Aidi injection * No serious disease are conflicts with the solution(such as autoimmune disease,immunodeficiency,organ transplantation) * Sign the informed consent
Exclusion criteria
* medium or above ascites * Patient of second primary tumor or multiple primary cancer * Patients of T cell lymphoma、myeloma,and patients are using immunosuppressant * Systemic autoimmune diseases, allergic constitution or immunocompromised patients * Patients of chronic diseases need immune stimulant or hormone therapy * Patients of active bleeding or coagulant function abnormality（PT\>16s、APTT\>43s、TT\>21s、INR≥2）,and patients of bleeding tendency or are receiving thrombolysis and anticoagulation and antiplatelet therapy * Women who is pregnant or during breast feeding or plan to pregnant in 2 years,and not willing to contraception during the test * Patients with brain、dura mater metastases or history of psychogenic * Gastrointestinal bleeding in the past six months or have clear gastrointestinal bleeding tendency,such as: patients of local active ulcerative lesions, defecate occult blood + + above shall not enter into group; defecate occult blood + depend on gastroscopy * Patients with severe stomach/esophageal varices and need for intervention treatment * Patients with abdominal fistula, gastrointestinal perforation or abdominal abscess within 4 weeks before the first treatment * Positive for HIV antibody * Patients who are allergic to computed tomography (CT) and magnetic resonance imaging (MRI) contrast agents at the same time, can't imaging assay * Patients accepted any experimental drugs or pilot medical apparatus and instruments in the past 4 weeks of first treatment * Other reasons the researchers think not suitable
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective response rate | 1 year | ORR.The proportion of patients who had a best response rating of complete response and partial response. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival | 3 years | PFS.The time of patients from randomization to death caused by the progression of the tumor or any cause. |
| Time tumor progression | 1 year | TTP.The time of patient from randomization to objective progress of the tumor. |
| Disease control rate | 1 year | DCR.The proportion of patients who had a best response rating of complete response, partial response,or stable disease. |
| Overall survival | 3 years | OS.The time of patient from randomization to death caused by any cause |
| Symptom remission rate | 1 year | SRR. The proportion of symptoms are alleviated in all evaluative cases. |
Countries
China
Outcome results
None listed