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)
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
- 否
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
干预措施: Nab-paclitaxel (nP) (Cohort A, B and C) (Drug)
Cohort A: Nivolumab + Ipilimumab + nP/gem
干预措施: Nivolumab (Cohort A) (Drug)
Cohort A: Nivolumab + Ipilimumab + nP/gem
干预措施: Ipilimumab (Cohort A, B and C) (Drug)
Cohort C: NG-350A + Ipilimumab + nP/gem
干预措施: Ipilimumab (Cohort A, B and C) (Drug)
Cohort A: Nivolumab + Ipilimumab + nP/gem
干预措施: Nab-paclitaxel (nP) (Cohort A, B and C) (Drug)
Cohort A: Nivolumab + Ipilimumab + nP/gem
干预措施: Gemcitabine (gem) (Cohort A, B and C) (Drug)
Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem
干预措施: Ipilimumab (Cohort A, B and C) (Drug)
Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem
干预措施: Hydroxychloroquine (HCQ) (Cohort B) (Drug)
Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem
干预措施: Nab-paclitaxel (nP) (Cohort A, B and C) (Drug)
Cohort B: Hydroxychloroquine + Ipilimumab + nP/gem
干预措施: Gemcitabine (gem) (Cohort A, B and C) (Drug)
Cohort C: NG-350A + Ipilimumab + nP/gem
干预措施: Gemcitabine (gem) (Cohort A, B and C) (Drug)
Cohort C: NG-350A + Ipilimumab + nP/gem
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)
