About this trial
The purpose of this study is to evaluate the safety and efficacy of an investigational B7-H3 antibody drug-conjugate administered as monotherapy, compared with standard of care (SOC) chemotherapy in metastatic pancreatic cancer patients who have failed prior Gemcitabine-based systemic therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants must voluntarily sign a written informed consent form (ICF) and be willing and able to comply with protocol requirements.
Participants must be ≥18 and ≤75 years of age.
Participants must have an Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1.
Participants must have a life expectancy of at least 3 months.
Disqualifiers
Participants with another malignancy within 5 years before randomization.
Participants with pathologically confirmed pancreatic cancer other than PDAC.
Participants who have previously received B7-H3-targeted therapy.
Participants who have previously received topoisomerase I inhibitor or antibody-drug conjugate containing topoisomerase I inhibitor.
Trial design
Parallel
Treatments tested in this trial
Tambotatug pelitecan
DrugDrug: Tambotatug pelitecan 2.0mg/kg (maximum 200mg) Intravenous infusion Every 3 weeks Treatment will continue until disease progression or unacceptable toxicity.
Liposomal irinotecan
DrugLiposomal irinotecan Intravenous infusion Every 2 weeks Treatment will continue until disease progression or unacceptable toxicity.
5 Fluorouracil
Drug5 Fluorouracil Intravenous infusion Every 2 weeks Treatment will continue until disease progression or unacceptable toxicity.
Leucovorin
DrugLeucovorin Intravenous infusion Every 2 weeks Treatment will continue until disease progression or unacceptable toxicity.
Treatment groups
Trial outcomes
Primary outcomes
PFS by BICR
Progression-free Survival (PFS) is assessed by Blinded Independent Central Review(BICR) per response evaluation criteria in solid tumors (RECIST) v1.1
OS
OS is defined as the time from randomization until death from any cause.
Secondary outcomes
PFS by investigator
PFS per RECIST v1.1, as assessed by Investigator
ORR
Objective Response Rate (ORR), as assessed by BICR and Investigator
DCR
Disease Control Rate (DCR), as assessed by BICR and Investigator
DoR
Duration of Response (DoR), as assessed by BICR and Investigator
Sponsors and contacts
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