About this trial
This is a prospective, open-label, single-arm clinical study designed to evaluate the efficacy and safety of retlirafusp alfa combined with apatinib and chemotherapy as second-line treatment in patients with unresectable locally advanced or metastatic pancreatic cancer who have experienced disease progression after first-line systemic therapy. Approximately 37 participants will be enrolled. The primary endpoint is progression-free survival (PFS). Secondary endpoints include overall survival (OS), objective response rate (ORR), disease control rate (DCR), duration of response (DOR), and safety.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 to 75 years, male or female.
Histologically or cytologically confirmed unresectable locally advanced or metastatic pancreatic cancer.
ECOG Performance Status of 0 or 1.
Disease progression after first-line systemic therapy.
Disqualifiers
Known hypersensitivity to the investigational drug or any of its excipients.
Major surgery, open biopsy, or significant traumatic injury within 4 weeks before study treatment.
Participation in another investigational drug clinical study within 4 weeks before enrollment.
History of other malignancy within the past 5 years, except for malignancies that have been definitively treated and are considered cured.
Trial design
Single group
Treatments tested in this trial
Retlirafusp Alfa
DrugRetlirafusp alfa will be administered in combination with apatinib and fluoropyrimidine-based chemotherapy as second-line treatment for locally advanced or metastatic pancreatic cancer.
Apatinib
DrugApatinib will be administered in combination with retlirafusp alfa and fluoropyrimidine-based chemotherapy as second-line treatment for locally advanced or metastatic pancreatic cancer.
Fluoropyrimidine-Based Chemotherapy
DrugFluoropyrimidine-based chemotherapy selected at the investigator's discretion will be administered in combination with retlirafusp alfa and apatinib as second-line treatment for locally advanced or metastatic pancreatic cancer.
Treatment groups
Trial outcomes
Primary outcomes
Progression-free survival
Progression-free survival (PFS) is defined as the time from the first administration of study treatment to the date of disease progression, as assessed by the investigator, or death from any cause, whichever occurs first.
Secondary outcomes
Overall Survival
Overall survival (OS) is defined as the time from the first administration of study treatment to death from any cause.
Objective response rate
Per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) using Investigator assessments, is defined as the number (%) of patients with response of Complete Response or Partial Response, will be assessed up to 1 years.
Duration of Response
Duration of Response(DoR)refers to the time from the first assessment as CR or PR to the first assessment as PD or (due to any reason) death.
Locations
Sponsors and contacts
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