Phase II Study of Radiation Therapy With Anti-PD-1 Antibody in Treating Patients With Unresectable Pancreatic Cancer
Overview
- Phase
- Phase 2
- Intervention
- Radiation
- Conditions
- Pancreatic Cancer
- Sponsor
- Shixiu Wu
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Local control
- Last Updated
- 5 years ago
Overview
Brief Summary
The objective of this study is to evaluate the efficacy and safety of radiation therapy combined with anti-PD-1 antibody in patients with pancreatic cancer
Investigators
Shixiu Wu
director of the hospital
Hangzhou Cancer Hospital
Eligibility Criteria
Inclusion Criteria
- •age:18-75 years, male or female.
- •Histologically or cytologically confirmed pancreatic cancer.
- •Measurable disease based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.
- •Can provide either a newly obtained or archival tumor tissue sample.
- •Life expectancy of greater than 12 weeks.
- •Adequate organ function.
- •Patient has given written informed consent.
Exclusion Criteria
- •Patients who have or are currently undergoing additional chemotherapy, radiation therapy, targeted therapy or immunotherapy.
- •Other malignancy within 5 years prior to entry into the study, expect for curatively treated basal cell and squamous cell carcinoma of the skin and/or curatively resected in-situ cervical and/or breast cancers.
- •Known central nervous system (CNS) metastases.
- •Subjects with any active autoimmune disease or history of autoimmune disease.
- •Uncontrolled clinically significant heart disease, including but not limited to the following: (1) \> NYHA II congestive heart failure; (2) unstable angina, (3) myocardial infarction within the past 1 year; (4) clinically significant supraventricular arrhythmia or ventricular arrhythmia requirement for treatment or intervention;
- •Active infection or an unexplained fever \> 38.5°C during screening or before the first scheduled day of dosing (subjects with tumor fever may be enrolled at the discretion of the investigator);
- •History of Interstitial Pneumonia or active non-infectious pneumonitis.
- •Known Human Immunodeficiency Virus (HIV) infection、active Hepatitis B or Hepatitis C.
- •Prior therapy with a PD-1, anti-PD-Ligand 1 (PD-L1) agent.
- •Concurrent medical condition requiring the use of cortisol (\>10mg/day Prednisone or equivalent dose) or other systematic immunosuppressive medications within 14 days before the study treatment. Except: inhalation or topical corticosteroids. Doses \> 10 mg/day prednisone or equivalent for replacement therapy.
Arms & Interventions
Experimental Group
Radiation to 45-50.4 Gy, 5 x per week, 1.8Gy/fx. Radiation begun the day after the first dose of anti-PD-1 antibody . Anti-PD-1 antibody (every 2 weeks for 5 cycles) will be administered as an intravenous infusion over 30 minutes.
Intervention: Radiation
Experimental Group
Radiation to 45-50.4 Gy, 5 x per week, 1.8Gy/fx. Radiation begun the day after the first dose of anti-PD-1 antibody . Anti-PD-1 antibody (every 2 weeks for 5 cycles) will be administered as an intravenous infusion over 30 minutes.
Intervention: Anti-PD-1 Antibody
Outcomes
Primary Outcomes
Local control
Time Frame: 2 year
occurrence of local or regional progression
Secondary Outcomes
- Incidence of Treatment-Emergent Adverse Events(3 months)
- Objective response rate(3 months)
- Overall survival(2 year)