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XH001 (New Antigen Tumor Vaccine) Combined With Chemotherapy as Adjuvant Therapy in Pancreatic Cancer

Not Applicable
Not yet recruiting
Conditions
Pancreatic Cancer
Interventions
Drug: Chemotherapy
Registration Number
NCT07114666
Lead Sponsor
Peking Union Medical College Hospital
Brief Summary

This is a single-center, open label, single-arm, investigator-initiated study to evaluate the efficacy and safety of XH001 (neoantigen cancer vaccine) in combination with chemotherapy as Adjuvant Therapy in pancreatic cancer patients following surgical resection.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Provision of signed and dated informed consent form;
  • Aged 18 to 75 years old;
  • Histologically or cytologically confirmed pancreatic ductal adenocarcinoma;
  • R0 or R1 surgical resection as determined by pathology;
  • Have not received any prior neoadjuvant therapy;
  • ECOG score is 0 or 1;
  • Patients must have adequate organ and marrow function defined by study-specified laboratory tests prior to initial study drug.
  • Woman of childbearing potential must have a negative pregnancy test and follow contraceptive guidelines as defined per protocol.
Exclusion Criteria
  • Borderline resectable pancreatic cancer;
  • Evidence of metastasis or disease recurrence following surgical resection at any time;
  • Evidence of malignant ascites;
  • Pre-existing inflammatory bowel disease or the presence of complete or partial bowel obstruction, or persistent severe diarrhea after surgery;
  • Needs to receive long-term systemic anti-allergic drug or known hypersensitivity to any component of the study treatment;
  • History of autoimmune disease;
  • Cerebrovascular accident (including ischemic stroke, hemorrhagic stroke, and transient ischemic attack) within 6 months before screening;
  • Acute myocardial infarction within 6 months before screening, or uncontrolled angina, uncontrolled arrhythmia, severe heart failure (see Appendix 3, New York Heart Association Heart Failure Classification Criteria NYHA Class ≥ III) and other cardiovascular diseases;
  • Received immunomodulatory medications within 4 weeks prior to the date of the first dose (D1) of XH001, including but not limited to: IL-2, CTLA-4 inhibitors, CD40 agonists, CD137 agonists, IFN-α;
  • Received blood transfusion, erythropoietin (EPO), granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF) within 7 days prior to the first dose of XH001;
  • Received therapeutic tumor vaccines;
  • With congenital or acquired immunodeficiency;
  • Participating in other clinical trials and not enrolled at the screening period;
  • Unable or unwilling to comply with the study protocol due to potential health, mental or social conditions in the opinion of the investigator;
  • Other conditions that, in the opinion of the investigator, would make participation in this study inappropriate.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
XH001 (dose 1)XH001Biological: XH001 * mRNA neoantigen cancer vaccine(Dose 1) Drug: Chemotherapy * gemcitabine+capecitabine * oxaliplatin+lrinotecan+calcium folinate+5-FU
XH001 (dose 1)ChemotherapyBiological: XH001 * mRNA neoantigen cancer vaccine(Dose 1) Drug: Chemotherapy * gemcitabine+capecitabine * oxaliplatin+lrinotecan+calcium folinate+5-FU
XH001 (dose 2)XH001Biological: XH001 * mRNA neoantigen cancer vaccine(Dose 2) Drug: Chemotherapy * gemcitabine+capecitabine * oxaliplatin+lrinotecan+calcium folinate+5-FU
XH001 (dose 2)ChemotherapyBiological: XH001 * mRNA neoantigen cancer vaccine(Dose 2) Drug: Chemotherapy * gemcitabine+capecitabine * oxaliplatin+lrinotecan+calcium folinate+5-FU
Primary Outcome Measures
NameTimeMethod
DFSFrom operation up to 36 months

Disease Free Survival

DFS Rate12,24 and 36 months

Disease-free survival rate

MFSup to 36 months

metastasis-free survival

OSup to 48 months

Overall survival

Secondary Outcome Measures
NameTimeMethod
Adverse Eventup to 36 months

Incidence and severity of adverse events (AEs), clinically significant abnormal changes in laboratory tests and other examinations (based on the Criteria for the Evaluation of Adverse Events \[CTCAE\] v5.0).

Specific immune responseup to 36 months

Antigen-specific T-cell responses

Trial Locations

Locations (1)

Peking Union Medical College Hospital

🇨🇳

Beijing, China

Peking Union Medical College Hospital
🇨🇳Beijing, China

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