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A Real-world Study of Liposomal Irinotecan (Onivyde)-Based Therapy in Patients With Locally Advanced/Metastatic Pancreatic Cancer in China


2025-07-01


2027-07-31


2027-07-31


40

Study Overview

A Real-world Study of Liposomal Irinotecan (Onivyde)-Based Therapy in Patients With Locally Advanced/Metastatic Pancreatic Cancer in China

This study is designed to evaluate the real world efficacy and safety of the liposomal irinotecan (Onivyde®)-based treatment scheme in Chinese patients with locally advanced or metastatic pancreatic cancer, and to compare the efficacy with that of the whole pancreatic cancer population who did not receive relevant treatment.

Chinese patients with pancreatic cancer are mostly treated according to foreign clinical research, lacking the diagnosis and treatment data of efficacy and safety of Chinese population. In the NAPOLI-1 study, irinotecan liposomes (Onivyde®) The combination of 5-fluorouracil and folinic acid (Nal-IRI+5-FU/LV) has shown survival benefits in patients with metastatic pancreatic ductal adenocarcinoma (mPDAC) who have previously received gemcitabine-based treatment. The NAPOLI-3 study showed that NALIRIFOX (Nal-IRI+oxaliplatin+5-FU/LV) significantly improved overall survival (OS) and progression free survival (PFS) compared to albumin bound paclitaxel and gemcitabine in newly diagnosed mPDAC patients. However, the efficacy and safety data of Nal-IRI-based treatment regimens in China are limited. In August 2023, Onivyde® was commercially listed in China. The purpose of this study is to: ① evaluate the real world efficacy and safety of Onivyde®-based treatment schemes in Chinese patients with locally advanced or metastatic pancreatic cancer; ② analyze the efficacy of Onivyde® treatment and the efficacy of all pancreatic cancer patients who have not received relevant treatment using the project data of China Advanced pancreatic cancer Big Data Center (Renji Hospital Cancer Department is the national leading unit), in conjunction with the survival follow-up data of China Center for Disease Control and Prevention of Chronic Non communicable Diseases.

  • Advanced Pancreatic Cancer
  • DRUG: Nal-IRI (Onivyde®)-based treatment
  • DRUG: Other second-line treatment
  • IIT-95013-002-CHN

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2025-06-10  

N/A  

2025-06-10  

2025-06-10  

N/A  

2025-06-18  

2025-06-18  

N/A  

2025-06  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Experimental group

Liposomal irinotecan (Onivyde®)-based treatment.

DRUG: Nal-IRI (Onivyde®)-based treatment

  • Nal-IRI (Onivyde®) combined with 5-FU/LV is used for metastatic pancreatic ductal adenocarcinoma patients who have progressed after treatment with gemcitabine. The recommended dose of Nal-IRI (Onivyde®) is 70 mg/m^2, administered intravenously for 90 minu
: Control group

Real medication data from accepting other second-line treatment options in the China Pancreas Data Center (CPDC) project.

DRUG: Other second-line treatment

  • Other second-line treatment
Primary Outcome MeasuresMeasure DescriptionTime Frame
Overall Survival (OS)Overall Survival (OS) is defined as the time from enrollment to death from any cause.Up to 24 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Progression-Free Survival (PFS)Progression-Free Survival (PFS) is defined as the time from first-dose to the first documented disease progression or deathUp to 24 months
Time To Progress (TTP)Time To Progress (TTP) is defined as the length of time from first-dose until the date of disease progressionUp to 24 months
Overall Response Rate (ORR)Overall Response Rate (ORR) is defined as the percentage of people in this study who have a partial response or complete response (according to RESIST v1.1) to the treatmentUp to 24 months
Disease Control Rate (DCR)Disease Control Rate (DCR) is defined as the proportion of patients with complete response, partial response or stable disease, according to RESIST v1.1Up to 24 months
Safety and tolerability by incidence, severity and outcome of adverse eventsSafety and tolerance will be evaluated by incidence, severity and outcomes of adverse events (AEs) and categorized by severity in accordance with the NCI CTC AE Version 5.0Until 30 day safety follow-up visit

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Liwei Wang, M.D.

Phone Number: 021-58752345

Email: lwwang2013@163.com

Study Contact Backup

Name: Jiujie Cui, M.D.

Phone Number: 13621958524

Email: cuijiujie@126.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria of the experimental group:

  • Age ≥ 18 years old.
  • Patients with locally advanced or metastatic PDAC diagnosed by pathology.
  • Patients who received at least one cycle of Nal-IRI (Onivyde®)+ 5-FU/LV treatment.
  • Patients who have progressed in treatment with gemcitabine or gemcitabine containing regimens in the past.
  • The patient voluntarily participates in the study and signs an informed consent form.

  • Inclusion Criteria of the control group:

  • Age ≥ 18 years old.
  • Patients with locally advanced or metastatic PDAC diagnosed by pathology.
  • Not received Nal IRI (Onivyde®)+ 5-FU/LV treatment in the past.

  • Exclusion Criteria:

  • Confirm pregnant or lactating women.
  • The patient's clinical data is not available.
  • The researchers determined that they were not suitable for inclusion in the study due to other circumstances.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Servier (Tianjin) Pharmaceutical Co. LTD.

  • PRINCIPAL_INVESTIGATOR: Liwei Wang, M.D., Renji Hospital, School of Medicine, Shanghai Jiao Tong University

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available