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mFOLFIRINOX Plus Anlotinib and Sintilimab for Advanced Pancreatic Cancer


2024-12-23


2027-03


2027-05


29

Study Overview

mFOLFIRINOX Plus Anlotinib and Sintilimab for Advanced Pancreatic Cancer

This study is a prospective, single-arm, multicenter, phase Ib/II clinical trial that treats previously untreated patients with locally advanced or metastatic pancreatic cancer using mFOLFIRINOX in combination with anlotinib and sintilimab. The purpose of this trial is to evaluate the efficacy and safety of this treatment regimen and to preliminarily explore the correlation between biomarkers and treatment outcomes.

N/A

  • Locally Advanced Pancreatic Cancer
  • Metastatic Pancreatic Cancer
  • DRUG: Anlotinib combined with Sintilimab
  • IEC-SG-029-3.0

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

2024-12-28  

N/A  

2025-01-04  

2025-01-04  

N/A  

2025-01-07  

2025-01-07  

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:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: mFOLFIRINOX Plus Anlotinib and Sintilimab

Phase Ib: 6 patients will receive treatment at dose level-0 and their toxicity will be observed. If 2 or fewer patients experience dose-limiting toxicity, the study will proceed to the phase II part using dose level-0 as the treatment dose. If 3 or more p

DRUG: Anlotinib combined with Sintilimab

  • Based on the mFOLFIRINOX chemotherapy regimen, combined with the safe dose of anlotinib determined in phase Ib and sintilimab.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Objective response rate, ORRThe Objective response rate (ORR) was defined as the complete response (CR) rate or the partial response (PR) rate according to RECIST v1.1.Four weeks after the initiation of medication until the day before surgery
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Overall survival, OSThe Overall survival (OS) was defined as the time between receiving treatment and observing death or loss of follow-up for any reason.From date of enrollment until the date of death from any cause, assessed up to 60 months
Progression free survival, PFSThe Progression free survival (PFS) was defined as the time between the start of treatment and the progression of intrahepatic and/or extrahepatic tumors, or the occurrence of death or loss of follow-up for any reason.From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 months
Disease control rate, DCRThe Disease control rate (DCR) was defined as the complete response (CR) rate or the partial response (PR) rate or stable disease (SD) rate according to RECIST v1.1.Four weeks after the initiation of medication until the day before surgery
Toxicity Adverse eventsGrade 1-5 AEs according to NCI-CTCAE V5.0.From the initiation of medication, with recordings made whenever an adverse reaction occurs, assessed up to 60 months

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: Mao-Lin Yan

Phone Number: 0591-88217140

Email: yanmaolin74@163.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:
    1. Fully understand this study and voluntarily sign the informed consent form; 2. Age between 18 and 75 years inclusive, with no gender restrictions; 3. Patients with locally advanced or metastatic pancreatic cancer diagnosed by histology or cytology; 4. No prior anti-cancer treatment; 5. Patients must have at least one measurable lesion (according to RECIST 1.1 criteria); 6. ECOG PS score of 0-1; 7. Expected survival of at least 3 months; 8. No severe organic diseases of the heart, lungs, brain, liver, kidneys, or other organs; 9. Women of childbearing age must agree to use contraceptive measures during the treatment period and for 6 months after the end of treatment; negative serum or urine pregnancy test within 7 days before study enrollment, and must be non-lactating, men must agree to use contraceptive measures during the study period and for 6 months after the study ends.
    Exclusion Criteria:
    1. Have already received or are currently receiving additional anti-tumor treatment measures such as chemotherapy, radiotherapy, targeted therapy, immunotherapy, or traditional Chinese medicine treatment; 2. Known allergies to any of the drugs in the study; 3. Symptomatic brain metastases or metastases with symptom control time less than 2 months; 4. A large liver metastasis burden, occupying more than 70% of the liver volume; 5. Patients with obstructive jaundice whose bilirubin cannot be reduced to the expected level after adequate decompression; 6. Presence of any active autoimmune diseases or patients with autoimmune diseases expected to relapse (such as interstitial pneumonia, colitis, hepatitis, hypophysitis, vasculitis, nephritis, hyperthyroidism, hypothyroidism, including but not limited to these diseases and syndromes); 7. History of immunodeficiency; patients currently using immunosuppressants, systemic corticosteroid therapy, or any other form of immunosuppressive treatment; 8. Known genetic or acquired bleeding tendencies (such as coagulation disorders) or thrombosis, such as hemophiliacs; currently using or have recently (within 10 days before the start of the study treatment) used full-dose oral or injectable anticoagulants or thrombolytic drugs for therapeutic purposes (preventive use of low-dose aspirin, low molecular weight heparin is allowed); 9. Serious infections (CTC AE greater than grade 2) occurred within 4 weeks before the first use of the study drug, such as severe pneumonia requiring hospitalization, bacteremia, infectious complications, etc.; baseline chest imaging suggests active pulmonary inflammation, presence of symptoms and signs of infection within 2 weeks before the first use of the study drug, or requiring oral or intravenous antibiotic treatment (excluding the use of antibiotics for prevention); 10. History of other malignant tumors within the past 5 years or concurrently, except for cured basal cell carcinoma of the skin, cervical carcinoma in situ, and papillary thyroid carcinoma; 11. Patients with mental illness; history of abuse of psychotropic drugs, alcoholism, and drug addiction; 12. Pregnant or lactating women; 13. Deemed by the investigator as unsuitable to participate in this trial for other reasons.

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