Metastatic Pancreatic Ductal Adenocarcinoma
Conditions
Brief summary
This trial is a Phase Ib/II study. All patients are stage IV pancreatic cancer (PDAC) patients with Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. The purpose of this study is to evaluate the safety and efficacy of AK112 and Cadonilimab combined with chemotherapy as first-line treatment for patients with metastatic pancreatic cancer.
Interventions
IV infusion, specified dose on specified days.
IV infusion, specified dose on specified days.
IV infusion, specified dose on specified days.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures). 2. ≥18 years old and ≤ 75 years (regardless of sex). 3. ECOG performance status 0-1 4. Life expectancy longer than 3 months. 5. Histologically or cytologically confirmed diagnosis of metastatic pancreatic ductal carcinoma (PDAC). 6. No prior systemic anti-tumor therapy for metastatic PDAC. 7. Adequate organ function. 8. Measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
Exclusion criteria
1. Histological or cytological diagnosis of other pathological types. 2. BRCA1/2 or PALB2 mutations. 3. Participating in another clinical research. 4. Active central nervous system (CNS) metastases. 5. Undergoing systemic antiangiogenic therapy. 6. Acute or subacute pancreatitis. 7. Other known malignancies within five years. 8. Active infection requiring systemic therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of adverse events (AEs) and serious adverse events (SAEs) | 28days+28days | Frequency of AEs and SAEs for all Arms in phase Ib. |
| Overall Response Rate (ORR) | Up to approximately 2 years | ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetics (PK) | Up to Cycle 12 | PK parameters: serum concentrations of AK112 and Cadonilimab at different point of time |
| Anti-Drug Antibodies(ADAs) | Up to approximately 2 years | Number and percentage of patients with detectable anti-drug antibodies |
| Progression-Free Survival (PFS) | Up to approximately 2 years | Evaluation of PFS based on RECIST v1.1. |
| Overall survival (OS) | Up to approximately 2 years | Evaluation of OS based on RECIST v1.1. |
| Disease control rate (DCR) | Up to approximately 2 years | Evaluation of DCR based on RECIST v1.1. |
| Duration of Response (DoR) | Up to approximately 2 years | Evaluation of DoR based on RECIST v1.1. |
| Time to Response (TTR) | Up to approximately 2 years | Evaluation of TTR based on RECIST v1.1. |
Countries
China