跳至主要内容
临床试验/NCT04787991
NCT04787991已完成1 期

A Multicenter, Open-label, ExploRatory Platform Trial to EValuate ImmunOtherapy Combinations With Chemotherapy for the Treatment of Patients With PreviousLy UnTreated MetastatIc Pancreatic AdenOcarciNoma (REVOLUTION)

Cancer Insight, LLC6 个研究点 分布在 1 个国家目标入组 45 人开始时间: 2021年8月9日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
45
试验地点
6
主要终点
Incidence and severity of adverse events

研究概览

简要总结

This trial is designed to evaluate multiple clinical hypotheses and mechanistically-defined combinations to evaluate the safety and efficacy of first-line chemo-immunotherapy combinations in participants with metastatic pancreatic ductal adenocarcinoma (mPDAC).

详细描述

This is an open-label, non-randomized, exploratory platform trial designed to assess the safety and antitumor activity of immunotherapy, in combination with standard of care chemotherapy, in participants with mPDAC who have not received prior therapy. Where supportive mechanistic data are available, immunotherapy may also be combined with other treatment modalities (eg, radiation). Each cohort of this platform trial will test a different immunotherapy combination and consist of up to 2 stages: an initial stage (Stage 1) to evaluate safety, biomarkers, and/or clinical activity of the combination and an expanded cohort (Stage 2), when warranted, based on the safety, clinical activity, and/or biomarker results from Stage 1. The Sponsor intends to modify and/or add new combinations to the protocol as data emerge from scientific findings, in this and other trials.

This trial will be conducted in participants with histologically or cytologically documented diagnosis of mPDAC, with measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, who have not received prior systemic therapy for their disease in the metastatic setting. Participants must have adequate organ and hematologic function and acceptable performance status. Participants must consent to tumor biopsies, including a pre-treatment (baseline) and on-treatment samples.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

Cohort C: NG-350A + Ipilimumab + nP/gem

Experimental

干预措施: Nab-paclitaxel (nP) (Cohort A, B and C) (Drug)

Cohort A: Nivolumab + Ipilimumab + nP/gem

Experimental

干预措施: Nivolumab (Cohort A) (Drug)

Cohort A: Nivolumab + Ipilimumab + nP/gem

Experimental

干预措施: Ipilimumab (Cohort A, B and C) (Drug)

Cohort C: NG-350A + Ipilimumab + nP/gem

Experimental

干预措施: Ipilimumab (Cohort A, B and C) (Drug)

Cohort A: Nivolumab + Ipilimumab + nP/gem

Experimental

干预措施: Nab-paclitaxel (nP) (Cohort A, B and C) (Drug)

Cohort A: Nivolumab + Ipilimumab + nP/gem

Experimental

干预措施: Gemcitabine (gem) (Cohort A, B and C) (Drug)

Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem

Experimental

干预措施: Ipilimumab (Cohort A, B and C) (Drug)

Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem

Experimental

干预措施: Hydroxychloroquine (HCQ) (Cohort B) (Drug)

Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem

Experimental

干预措施: Nab-paclitaxel (nP) (Cohort A, B and C) (Drug)

Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem

Experimental

干预措施: Gemcitabine (gem) (Cohort A, B and C) (Drug)

Cohort C: NG-350A + Ipilimumab + nP/gem

Experimental

干预措施: Gemcitabine (gem) (Cohort A, B and C) (Drug)

Cohort C: NG-350A + Ipilimumab + nP/gem

Experimental

干预措施: NG350A (Cohort C) (Drug)

结局指标

主要结局

Incidence and severity of adverse events

时间窗: Up to 2.5 years

次要结局

  • Overall survival (OS) at 12 months(At 12 months)
  • Objective response rate (ORR)(Up to 2.5 years)
  • Disease control rate (DCR)(At 9 months)
  • Progression-free survival (PFS)(Up to 2.5 years)
  • Overall survival (OS)(Up to 2.5 years)
  • Duration of response (DOR)(Up to 2.5 years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (6)

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