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AK112 and Cadonilimab Combined With Chemotherapy for 1L Treatment of Metastatic Pancreatic Cancer


2025-01-21


2026-12-30


2027-12-30


110

Study Overview

AK112 and Cadonilimab Combined With Chemotherapy for 1L Treatment of Metastatic Pancreatic Cancer

This trial is a Phase Ib/II study. All patients are stage IV pancreatic cancer (PDAC) patients with Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. The purpose of this study is to evaluate the safety and efficacy of AK112 and Cadonilimab combined with chemotherapy as first-line treatment for patients with metastatic pancreatic cancer.

N/A

  • Metastatic Pancreatic Ductal Adenocarcinoma
  • DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine
  • DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine
  • DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine
  • DRUG: AK112, nab-paclitaxel, gemcitabine
  • DRUG: nab-paclitaxel, gemcitabine
  • AK112-210

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

2024-10-16  

N/A  

2025-01-21  

2024-10-16  

N/A  

2025-01-23  

2024-10-17  

N/A  

2025-01  

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:
Treatment


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Cadonilimab(q4w) + AK112 + nab-paclitaxel + gemcitabine(phase Ib)

Cadonilimab will be administered at a selected dose every 4 weeks (q4w). AK112 will be administed at a fixed dose every 2 weeks (q2w). Nab-paclitaxel and gemcitabine will be administed at 125mg/m2 d1, d8, d15 q4w, and 1000mg/m2 d1, d8, d15 q4w, intravenou

DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.
EXPERIMENTAL: Cadonilimab(q2w) + AK112 + nab-paclitaxel + gemcitabine(phase Ib)

Cadonilimab will be administered at a selected dose every 2 weeks (q2w). AK112 will be administed at a fixed dose every 2 weeks (q2w). Nab-paclitaxel and gemcitabine will be administed at 125mg/m2 d1, d8, d15 q4w, and 1000mg/m2 d1, d8, d15 q4w, intravenou

DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.
EXPERIMENTAL: Cadonilimab + AK112 + nab-paclitaxel + gemcitabine(phase II)

Cadonilimab will be administered at a selected dose and frequency from phase Ib. AK112 will be administered at a fixed dose every 2 weeks (q2w). Nab-paclitaxel and gemcitabine will be administed at 125mg/m2 d1, d8, d15 q4w, and 1000mg/m2 d1, d8, d15 q4w,

DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.
EXPERIMENTAL: AK112 + nab-paclitaxel + gemcitabine(phase II)

AK112 will be administered at a fixed dose every 2 weeks (q2w). Nab-paclitaxel and gemcitabine will be administed at 125mg/m2 d1, d8, d15 q4w, and 1000mg/m2 d1, d8, d15 q4w, intravenously respectively.

DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.

DRUG: AK112, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.
ACTIVE_COMPARATOR: nab-paclitaxel + gemcitabine(phase II)

Nab-paclitaxel and gemcitabine will be administed at 125mg/m2 d1, d8, d15 q4w, and 1000mg/m2 d1, d8, d15 q4w, intravenously respectively.

DRUG: AK112, Cadonilimab, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.

DRUG: AK112, nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.

DRUG: nab-paclitaxel, gemcitabine

  • IV infusion, specified dose on specified days.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Frequency of adverse events (AEs) and serious adverse events (SAEs)Frequency of AEs and SAEs for all Arms in phase Ib.28days+28days
Overall Response Rate (ORR)ORR is the proportion of subjects with complete response(CR) or partial response(PR) , based on RECIST v1.1.Up to approximately 2 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Pharmacokinetics (PK)PK parameters: serum concentrations of AK112 and Cadonilimab at different point of timeUp to Cycle 12
Anti-Drug Antibodies(ADAs)Number and percentage of patients with detectable anti-drug antibodiesUp to approximately 2 years
Progression-Free Survival (PFS)Evaluation of PFS based on RECIST v1.1.Up to approximately 2 years
Overall survival (OS)Evaluation of OS based on RECIST v1.1.Up to approximately 2 years
Disease control rate (DCR)Evaluation of DCR based on RECIST v1.1.Up to approximately 2 years
Duration of Response (DoR)Evaluation of DoR based on RECIST v1.1.Up to approximately 2 years
Time to Response (TTR)Evaluation of TTR based on RECIST v1.1.Up to approximately 2 years

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: Wenting Li, MD

Phone Number: +86(0760)89873999

Email: clinicaltrials@akesobio.com

Study Contact Backup

Name: Xianglin Yuan, MD

Phone Number:

Email:

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:
    1. Be able and willing to provide written informed consent and to comply with all requirements of study participation (including all study procedures). 2. ≥18 years old and ≤ 75 years (regardless of sex). 3. ECOG performance status 0-1 4. Life expectancy longer than 3 months. 5. Histologically or cytologically confirmed diagnosis of metastatic pancreatic ductal carcinoma (PDAC). 6. No prior systemic anti-tumor therapy for metastatic PDAC. 7. Adequate organ function. 8. Measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
    Exclusion Criteria:
    1. Histological or cytological diagnosis of other pathological types. 2. BRCA1/2 or PALB2 mutations. 3. Participating in another clinical research. 4. Active central nervous system (CNS) metastases. 5. Undergoing systemic antiangiogenic therapy. 6. Acute or subacute pancreatitis. 7. Other known malignancies within five years. 8. Active infection requiring systemic therapy.

Collaborators and Investigators

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

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