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KN046 in Subjects With Advanced Pancreatic Ductal Adenocarcinoma.

Phase 3
Active, not recruiting
Conditions
Advanced Pancreatic Ductal Adenocarcinoma
Interventions
Drug: placebo
Registration Number
NCT05149326
Lead Sponsor
Jiangsu Alphamab Biopharmaceuticals Co., Ltd
Brief Summary

This study is a multicenter, randomized, double-Blind Phase III Study to compare the clinical efficacy and safety of KN046 plus gemcitabine and nab-paclitaxel versus placebo plus gemcitabine and nab-paclitaxel in subjects with advanced pancreatic ductal adenocarcinoma who have not previously received systemic treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
408
Inclusion Criteria
  • Age ≥18, male or female;
  • Has histologically or cytologically confirmed pancreatic ductal adenocarcinoma (PDAC);
  • Has not received prior systemic treatment for their locally advanced or metastatic PDAC;
  • Has presence of measurable disease as defined by Response Evaluation Criteria in Solid Tumours (RECIST 1.1);
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status;
  • Has a life expectancy of at least 3 months;
  • Has adequate organ function;
  • If female of childbearing potential, have a negative serum pregnancy test within 7 days prior to first trial treatment;
  • If female of childbearing potential or a male subject with a partner with childbearing potential, be willing to use a highly effective method of contraception (with a failure rate of less than 1.0% per year) from first study treatment to 24 weeks after completion of the trial treatment.
Exclusion Criteria
  • Untreated active CNS metastasis or leptomeningeal metastasis.
  • Is currently participating and receiving an investigational drug or has participated in a study of an investigational drug within 4 weeks or within 5 times of half-life (no less than 2 weeks), whichever is shorter prior to the first dose of trial treatment;
  • Has received other anti-tumor treatment within 4 weeks or within 5 times of half-life (no less than 2 weeks), whichever is shorter prior to the first trial treatment;
  • Major surgery for any reason, except diagnostic biopsy, within 4 weeks of the first administration of trial treatment and/or if the subject has not fully recovered from the surgery within 4 weeks of the first administration of trial treatment;
  • Curative radiation within 3 months of the first dose of trial treatment. Radiation to more than 30% of the bone marrow or with a wide field of radiation should not be used within 4 weeks prior to the first administration of trial treatment;
  • Subjects receiving immunosuppressive agents (such as steroids) for any reason should be tapered off these drugs before initiation of trial treatment (with the exception of subjects with adrenal insufficiency, who may continue corticosteroids at physiologic replacement doses, equivalent to < 10 mg prednisone daily, inhaled steroids and topical use of steroids);
  • Vaccination within 28 days of the first administration of trial treatment, except for administration of inactivated vaccines (e.g., inactivated influenza vaccines);
  • Has interstitial lung disease, or a history of pneumonitis that required oral or intravenous glucocorticoids to assist with management;
  • History or current active autoimmune disease that might deteriorate when receiving an immunostimulatory agent;
  • Previous malignant disease History of uncontrolled intercurrent illness Prior therapy with any antibody/drug targeting T cell coregulatory proteins Known severe hypersensitivity reactions to antibody drug;
  • Is pregnant or breastfeeding;
  • Other medical conditions that at the discretion of investigator interfere with the requirements of the trial in terms of safety or efficacy evaluation, or treatment compliance.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control armplacebo-
Experimental armKN046-
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS)up to 2 years

OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up.

Secondary Outcome Measures
NameTimeMethod
Progression-free survival (PFS)up to 2 years

Time between randomization to date of disease progression or death due to any cause.

Overall response rate (ORR)up to 2 years

Complete Response or Partial Response according to RECIST

Trial Locations

Locations (65)

Affiliated Hospital of Jining Medical University

🇨🇳

Jining, Shandong, China

The Second Hospital Of Anhui medical University

🇨🇳

Hefei, Anhui, China

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

Beijing Friendship Hospital

🇨🇳

Beijing, Beijing, China

Cancer Hospital Chinese Academy of Medical Sciences

🇨🇳

Beijing, Beijing, China

Chinese PLA General Hospital

🇨🇳

Beijing, Beijing, China

The First Affiliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

The Southwest Hospital of AMU

🇨🇳

Chongqing, Chongqing, China

The Third Affiliated Hospital of Army Medical University

🇨🇳

Chongqing, Chongqing, China

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

Fujian Medical University Union Hospital

🇨🇳

Fuzhou, Fujian, China

The First Affiliated Hospital of Fujian Medical University

🇨🇳

Fuzhou, Fujian, China

Guangdong Provincial People's Hospital

🇨🇳

Guangzhou, Guangdong, China

Hubei Cancer Hospital

🇨🇳

Wuhan, Hubei, China

The Fourth Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

Harbin Medical University Cancer Hospital

🇨🇳

Harbin, Heilongjiang, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, Henan, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Union Hospital Tongji Medical College Huazhong University of Science And Technology

🇨🇳

Wuhan, Hubei, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

Hunan Provincial People's Hospital

🇨🇳

Changsha, Hunan, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

Xiangya Hospital Central South University

🇨🇳

Changsha, Hunan, China

The First People's Hospital of Changzhou

🇨🇳

Changzhou, Jiangsu, China

Nantong Tumor Hospital

🇨🇳

Nantong, Jiangsu, China

First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

Jiangsu Province Hospital

🇨🇳

Nanjing, Jiangsu, China

The Second Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

China-Japan Union Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

The First Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Liaoning Cancer Hospital

🇨🇳

Shenyang, Liaoning, China

Shandong Cancer Hospital

🇨🇳

Jinan, Shandong, China

The First Affiliated Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Shandong Provincial Hospital

🇨🇳

Jinan, Shandong, China

LINYI Cancer Hospital

🇨🇳

Linyi, Shandong, China

Linyi City People Hospital

🇨🇳

Linyi, Shandong, China

The Affiliated Hospital of Qingdao University

🇨🇳

Qingdao, Shandong, China

Weifang People'S Hospital

🇨🇳

Weifang, Shandong, China

Shanghai Changhai Hospital

🇨🇳

Shanghai, Shanghai, China

Zhongshan Hospital Fudan University

🇨🇳

Shanghai, Shanghai, China

Shanxi Cancer hospital

🇨🇳

Taiyuan, Shanxi, China

Shanxi Provincial People's Hospital

🇨🇳

Taiyuan, Shanxi, China

the First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shanxi, China

Sichuan Cancer Hospital

🇨🇳

Chengdu, Sichuan, China

Sichuan Provincial People's Hospital

🇨🇳

Chengdu, Sichuan, China

The Second Affiliated Hosipital Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Jiaxing Second Hospital

🇨🇳

Jiaxing, Zhejiang, China

The First Affiliated Hospital of Wenzhou Medical University

🇨🇳

Wenzhou, Zhejiang, China

Chongqing Cancer Hospital

🇨🇳

Chongqing, Chongqing, China

The First Affiliated Hospital of Xiamen University

🇨🇳

Xiamen, Fujian, China

The First Hospital of Lanzhou University

🇨🇳

Lanzhou, Gansu, China

Affiliated Cancer Hospital of Guangxi Medical University

🇨🇳

Nanning, Guangxi, China

The Affiliated Hospital of Guizhou Medical University

🇨🇳

Guiyang, Guizhou, China

Henan Provincial People's Hospital

🇨🇳

Zhengzhou, Henan, China

The Affiliated Hospital Of XuZhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine , Shanghai University of Traditional Chinese Medicine

🇨🇳

Shanghai, Shanghai, China

Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

Peking Union Medical College

🇨🇳

Beijing, Beijing, China

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital,Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

Zhongnan Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Zhejiang Provincial People's hospital

🇨🇳

Hangzhou, Zhejiang, China

Fujian Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

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