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临床试验/NCT06156267
NCT06156267尚未招募早期 1 期

An Exploratory Study of Neoantigen Personalized mRNA Vaccines in Combination With Adebrelimab and Sequential mFOLFIRINOX Regimen in Patients With Surgically Resected Pancreatic Adenocarcinoma

Fudan University1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2024年1月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
早期 1 期
状态
尚未招募
入组人数
30
试验地点
1
主要终点
DLT

研究概览

简要总结

This is a phase 1, open-label study to evaluate the safety and tolerability of neoantigen personalized mRNA tumour vaccine combined with Adebrelimab (a PD-L1 humanized monoclonal antibody) in patients with surgically resected pancreatic adenocarcinoma.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Voluntarily signed the informed consent form and complied with protocols requirements.
  • Patients with radiographically resectable primary pancreatic tumors with histopathology or cytology confirmed resected ductal pancreatic adenocarcinoma (PDAC) with macroscopic complete resection (R0 and R1).
  • Pancreatic cancer surgical staging per AJCC 8th edition staging: T 1-3, N0-2, M
  • Tumour specimen availability.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or
  • Life expectancy ≥ 6 months.
  • Surgical complications have recovered, or complications lower than Clavien-Dindo complication grade
  • Adequate marrow and organ function.
  • Patients with fertility are willing to use an adequate method of contraception.

排除标准

  • Prior anti-PDAC therapy (e.g., chemotherapy, radiotherapy, targeted therapy, immunotherapy and therapeutic tumor vaccines) prior to initiation of study treatment.
  • Unsuitable for immunotherapy assessed by the investigator.
  • Plan to receive a live-attenuated vaccine within 28 days prior to initiation of study treatment or during the study treatment or within 90 days after the end of study treatment.
  • Have any active autoimmune disease, or have a history of autoimmune disease and have received systemic therapy in the past 2 years.
  • Active tuberculosis or a history of active tuberculosis infection within 28 days prior to initiation of study treatment.
  • Known or highly suspected history of interstitial pneumonia.
  • Allergic to research drug ingredients, or have a history of severe allergic reactions to other vaccines.
  • Prior malignancy within 5 years prior to study entry.
  • Known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation.
  • Known splenectomy history.
  • Concurrent severe infection within 28 days prior to initiation of study treatment.
  • Congenital or acquired immune deficiency.
  • Active hepatitis B (HBV-DNA≥1000IU/ml), hepatitis C (hepatitis C antibody positive, and HCV-RNA higher than the lower limit of assay).
  • Uncontrolled or severe cardiovascular disease.
  • Other situations that are not suitable for inclusion in this study judged by investigator.

研究组 & 干预措施

Part A: Dose Escalation, Part B: Dose Expansion

Experimental

干预措施: Adebrelimab (Drug)

Part A: Dose Escalation, Part B: Dose Expansion

Experimental

干预措施: mRNA tumor vaccines (Drug)

结局指标

主要结局

DLT

时间窗: Day 1 to Day 28 after the first tumour vaccine was administrated

Percentage of subjects who meet the criteria of DLT in DLT observation period

RDE

时间窗: From first dose up to end of the study, assessed up to 36 months

Recommended dose of expansion

AE

时间窗: From date of ICF up to end of the study, assessed up to 36 months

Percentage of subjects with Adverse Events (AEs)

MTD/MAD

时间窗: From first dose up to end of the study, assessed up to 36 months

Maximum tolerated dose (MTD)/Maximum administrated dose (MAD)

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Xian-Jun Yu

Principal Investigator

Fudan University

研究点 (1)

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