About this trial
This study is a prospective, single-arm, multicenter, phase Ib/II clinical trial that treats previously untreated patients with locally advanced or metastatic pancreatic cancer using mFOLFIRINOX in combination with anlotinib and sintilimab. The purpose of this trial is to evaluate the efficacy and safety of this treatment regimen and to preliminarily explore the correlation between biomarkers and treatment outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Fully understand this study and voluntarily sign the informed consent form;
Age between 18 and 75 years inclusive, with no gender restrictions;
Patients with locally advanced or metastatic pancreatic cancer diagnosed by histology or cytology;
No prior anti-cancer treatment;
Disqualifiers
Have already received or are currently receiving additional anti-tumor treatment measures such as chemotherapy, radiotherapy, targeted therapy, immunotherapy, or traditional Chinese medicine treatment;
Known allergies to any of the drugs in the study;
Symptomatic brain metastases or metastases with symptom control time less than 2 months;
A large liver metastasis burden, occupying more than 70% of the liver volume;
Trial design
Single group
Treatments tested in this trial
Anlotinib combined with Sintilimab
DrugBased on the mFOLFIRINOX chemotherapy regimen, combined with the safe dose of anlotinib determined in phase Ib and sintilimab.
Treatment groups
Trial outcomes
Primary outcomes
Objective response rate, ORR
The Objective response rate (ORR) was defined as the complete response (CR) rate or the partial response (PR) rate according to RECIST v1.1.
Secondary outcomes
Overall survival, OS
The Overall survival (OS) was defined as the time between receiving treatment and observing death or loss of follow-up for any reason.
Progression free survival, PFS
The Progression free survival (PFS) was defined as the time between the start of treatment and the progression of intrahepatic and/or extrahepatic tumors, or the occurrence of death or loss of follow-up for any reason.
Disease control rate, DCR
The Disease control rate (DCR) was defined as the complete response (CR) rate or the partial response (PR) rate or stable disease (SD) rate according to RECIST v1.1.
Toxicity Adverse events
Grade 1-5 AEs according to NCI-CTCAE V5.0.
Sponsors and contacts
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