About this trial
This is a single-arm, prospective, multicenter, open-label clinical trial, which aims to observe and evaluate the efficacy and safety of Relafen-α combined with famitinib and AG chemotherapy as first-line therapy in patients with unresectable pancreatic cancer.
The study enrolls patients with unresectable locally advanced and metastatic pancreatic cancer.
Progression-free survival (PFS) is set as the primary efficacy endpoint. Approximately 88 patients with unresectable locally advanced and metastatic pancreatic cancer will be recruited. After adequate informed consent and signature of the informed consent form, eligible screened subjects will receive Relafen-α in combination with famitinib plus nab-paclitaxel/gemcitabine.
Treatment regimen: Relafen-α (1800 mg, q3w, Cycle 1); Famitinib (15 mg, qd, q3w); nab-paclitaxel (125 mg/m², d1, d8, Q3W, for 6 cycles) combined with gemcitabine (1000 mg/m², d1, d8, Q3W, for 6 cycles). Treatment will be continued until disease progression or intolerable toxicity, whichever occurs first.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged between 18 and 80 years, of any gender;
Histopathologically-confirmed diagnosis of pancreatic ductal adenocarcinoma;
Unresectable disease or distant metastasis confirmed by imaging evidence. Unresectable pancreatic ductal adenocarcinoma is defined as patients with distant metastasis, or a subset of locally advanced pancreatic cancer (LAPC) with invasion of surrounding major blood vessels that cannot be resected and reconstructed;
Eastern Cooperative Oncology Group (ECOG) performance status: 0-1;
Disqualifiers
Subjects with hypersensitivity to Retlirafusp alfa, famitinib, gemcitabine, albumin-bound paclitaxel or their excipients;
Histopathologically-confirmed other pancreatic malignancies, such as pancreatic acinar cell carcinoma, pancreatic neuroendocrine tumor;
Moderate-to-large pleural effusion, pericardial effusion or ascites with clinical symptoms, which requires frequent drainage (≥ 1 time per week) as judged by the investigator;
History of organ transplantation (including autologous bone-marrow transplantation and peripheral stem-cell transplantation);
Trial design
Single group
Treatments tested in this trial
Retlirafusp alfa Injection
Drugetlirafusp alfa (1800 mg, q3w, Cycle 1),until the disease or toxicity becomes intolerable (whichever comes first)
Famitinib
DrugFamitinib (15mg, once daily, every 3 weeks),until the disease or toxicity becomes intolerable (whichever comes first).
AG
DrugAlbumin-bound paclitaxel (125mg/m² on days 1 and 8, every 3 weeks, for 6 cycles) combined with gemcitabine (1000mg/m² on days 1 and 8, every 3 weeks, for 6 cycles) until the disease progresses or toxicity becomes unbearable (whichever happens first).
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free Survival
Secondary outcomes
Objective Response Rate
Disease Control Rate
Overall Survival
AE
Sponsors and contacts
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