Metastatic Pancreatic Cancer
Conditions
Brief summary
In Phase 1b study, six subjects will be enrolled in Arm A (YL-13027 + AG regimen) and Arm B (HY-0102 + AG regimen). The first 12 subjects will be evaluated for safety after one cycle. After safety assessment, subjects will start to enroll in Arm C (YL-13027 + HY-0102 + AG regimen). Each group is planned to include 12-20 subjects. According to the safety and efficacy results of 3 arms of subjects in phase Ib, 1-2 groups were selected for expansion, and a randomized controlled study will be conducted with the standard treatment AG (Arm 4)regimen chemotherapy.
Interventions
YL-13027 is a small molecule inhibitor of the TGF-βRI target.
HY-0102 is a recombinant anti-NKG2A humanized monoclonal antibody.
Gemcitabine is a pyrimidine antineoplastic chemotherapeutic agent.
Paclitaxel for Injection (albumin bound) is a chemotherapeutic agent that acts as an antitumor agent by inhibiting tumor cell mitosis
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject aged between 18 and 75 years. * Subject has histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma. * Subject has at least one evaluable metastatic lesion according to RECIST 1.1 criteria; * Subject has an ECOG score of 0-1 and is expected to survive more than 3 months; * Subjects have a good level of organ function.
Exclusion criteria
* Subject suitable for potentially curative surgery. * The subject confirmed by tissue or cytology as other pathological types, such as acinar cell carcinoma, neuroendocrine carcinoma, etc. * The subject has previously received gemcitabine and nab-paclitaxel combination therapy within 6 months of progression or intolerance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective response rate | From the first dose to the date of disease progression or date of death from any cause, whichever comes first,up to 24months. | The proportion of subjects who have a complete response or partial response. |
| Progression-free survival | From the first dose to the date of disease progression or date of death from any cause, whichever comes first,up to 24months. | Progression-free survival is defined clinically as the time from randomization to disease progression or death from any cause |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease control rate | From the first dose to the date of disease progression or date of death from any cause, whichever comes first,up to 24months. | The proportion of subjects who have a complete response, partial response and stable disease. |
| Adverse events | From time of first dose to 30 days after the last dose. | Incidence of adverse events evaluated by NCI CTCAE v5.0 |
| Plasma concentration of YL-13027 and HY-0102 | From one hour before the first dose to the last dose up to 24months. | This composite endpoint will measure the plasma concentration of YL-13027 and HY-0102. |