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Stereotactic Body Radiotherapy Combined With PD-1 Blockers for Locally Advanced or Locally Recurrent Pancreatic Cancer


2020-12-01


2023-05-21


2023-12-15


19

Study Overview

Stereotactic Body Radiotherapy Combined With PD-1 Blockers for Locally Advanced or Locally Recurrent Pancreatic Cancer

The goal of this observational study is to investigate the efficacy and safety of stereotactic body radiotherapy combined with PD-1 blockers for LAPC and LRPC. The patients, diagnosed with locally advanced pancreatic cancer (LAPC) or locally recurrent pancreatic cancer (LRPC). LRPC or LAPC, undergoing SABT and PD-1 blockers in our hospital from December 2020 to April 2023 were reviewed consecutively. All patients provided written informed consent before treatment. The study was conducted in accordance with the Declaration of Helsinki, and it was approved by the Institutional Ethics Committee of Peking University Third Hospital.

The goal of this observational study is to investigate the efficacy and safety of stereotactic body radiotherapy (SBRT) combined with PD-1 blockers for LAPC and LRPC. The patients, diagnosed with locally advanced pancreatic cancer (LAPC) or locally recurrent pancreatic cancer (LRPC). LRPC or LAPC, undergoing SBRT and PD-1 blockers in our hospital from December 2020 to April 2023 were reviewed consecutively. The schedule of SBRT is 25 to 50 Gy in 5 fractions and the PD-1 blockers are monoclonal antibodies targeted to PD-1 molecules on the T lymphocytes. All patients provided written informed consent before treatment. The study was conducted in accordance with the Declaration of Helsinki, and it was approved by the Institutional Ethics Committee of Peking University Third Hospital.

  • Stereotactic Body Radiotherapy
  • PD-1 Inhibitors
  • Pancreatic Cancer
  • RADIATION: Stereotactic body radiotherapy (SBRT)
  • DRUG: PD-1 blocking antibody
  • preSPARK-1

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

2023-12-22  

N/A  

2023-12-22  

2023-12-22  

N/A  

2024-01-08  

2024-01-08  

N/A  

2020-12  

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
: SBRT+PD-1 blockers

pembrolizumab (200 mg every 3 weeks), carelizumab (200 mg every 3 weeks), tislelizumab (200 mg every 3 weeks), sintilimab (200 mg every 3 weeks), zimberelimab (240 mg every 3 weeks) until the tumor progressed or the side effects became intolerable.

RADIATION: Stereotactic body radiotherapy (SBRT)

  • All the patients first received SBRT with the dose of 25Gy up to 50Gy in five fractions.

DRUG: PD-1 blocking antibody

  • All the patients first received SBRT with the dose of 25Gy up to 50Gy in five fractions and then received the treatment of PD-1 blockers including pembrolizumab (200 mg every 3 weeks), carelizumab (200 mg every 3 weeks), tislelizumab (200 mg every 3 weeks
Primary Outcome MeasuresMeasure DescriptionTime Frame
progression-free survival (PFS)PFS was defined as the time from SBRT to disease progression12 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
local progression-free survival (LPFS)LPFS was defined as the time from SBRT to local progression.12 months
Overall survival (OS)OS was defined as the time from SBRT to death from any cause.18 months
Adverse Events (AEs)All kinds of side effects.18 months
Pain relief rate (PRR)The numeric rating scale (NRS) was used to evaluate the pain levels before and after treatment and the pain relief rate was calculated from the patients achieving pain The numeric rating scale (NRS) was used to evaluate the pain levels before and after treatment and the pain relief rate was calculated from the patients achieving pain The numeric rating scale (NRS) was used to evaluate the pain levels before and after treatment and the pain relief rate was calculated from the patients achieving pain relief after SBRT.18 months

Contacts and Locations

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

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. LRPC confirmed by pathologic or imaging diagnosis and LAPC confirmed by pathology; 2. disease size ≥1 cm; 3. KPS≥70; 4. adequate hematological reserves, hepatic function, renal function and heart function; 5. expected survival > 3 months.
    Exclusion Criteria:
    1. unconfirmed mass; 2. The upper abdomen was previously treated with radiotherapy; 3. the patients previously underwent immunotherapy of PD-1 or PD-L1 monoclonal antibody; 4. a history of immunodeficiency, including HIV positive or other acquired, congenital immunodeficiency or other immune-related conditions requiring long-term oral hormone therapy; 5. patients with active infectious disease, trauma and severe wounds; 6. patients with any mental disorder; 7. patients with other somatic comorbidities of clinical concern; 8. pregnancy and lactation.

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Junjie Wang, M.D., Peking University Third Hospital

    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