Status:

UNKNOWN

Tislelizumab Combined With Nab-paclitaxel and Gemcitabine for Recurrent Pancreatic Cancer

Lead Sponsor:

Changhai Hospital

Conditions:

Recurrent Pancreatic Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

To evaluate the efficacy of Tislelizumab combined with Nab-paclitaxel and Gemcitabine in the treatment of recurrent pancreatic cancer

Detailed Description

There is heterogeneity in desmoplasia between different metastatic sites in pancreatic cancer. The tumor quasi-characteristics of patients with metastatic PDAC at presentation were more obvious than t...

Eligibility Criteria

Inclusion

  • Patients with radiologically or histologically confirmed postoperative Recurrent Pancreatic Cancer
  • Patients with at least one measurable lesion (according to RECIST 1.1 criteria);
  • Have not received gemcitabine-based regimen after surgery
  • No systemic treatment after diagnosis of recurrence
  • ECOG score 0-1
  • Expected survival ≥ 3 months;
  • Liver function is essentially normal: absolute neutrophil count \> 1500/mm ³; platelet count \> 100,000/mm ³; creatinine less than 1.5 times the upper limit of normal or calculated creatinine clearance (CRCI) \> 45 mL/min; total bilirubin ≤ 2.0 mg/dL; aspartate aminotransferase (AST) and alanine aminotransferase less than 2.5 times the upper limit of normal
  • Appropriate to participate in this trial as assessed by the investigator before entering the study
  • Male and female subjects of childbearing potential must agree to use an effective method of contraception throughout the study
  • Signed Informed Consent Form

Exclusion

  • Patients who only undergo abdominal laparotomy but do not undergo resection of pancreatic tumor tissue
  • Received gemcitabine-based regimen after surgery
  • Systemic treatment after diagnosis of recurrence
  • Patients with previous allergic reactions to similar drugs
  • Pregnant or lactating patients
  • Presence of pericardial effusion, uncontrolled pleural effusion, or clinically significant ascites at screening (including detectable ascites or ascites requiring puncture and aspiration on physical examination at screening)
  • History of interstitial lung disease, pneumonitis, or uncontrolled systemic disease, including diabetes, hypertension, pulmonary fibrosis, acute lung disease, etc
  • Patients with severe cardiovascular diseases within 12 months before enrollment, such as symptomatic coronary heart disease, ≥ grade II congestive heart failure, uncontrolled arrhythmia, myocardial infarction, etc
  • Presence of any active immunodeficiency or autoimmune disease and/or history of any immunodeficiency or autoimmune disease that may recur at screening (e.g., hypothyroidism or hyperthyroidism, interstitial pneumonia, enteritis, hepatitis, hypophysitis, vasculitis, myocarditis, etc)
  • Use of steroids or other systemic immunosuppressive therapy 14 days prior to enrollment
  • Patients with other previous malignancies who are not cured
  • Immunodeficient patients, such as HIV-positive
  • Uncontrollable psychosis

Key Trial Info

Start Date :

November 20 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 20 2023

Estimated Enrollment :

140 Patients enrolled

Trial Details

Trial ID

NCT04902261

Start Date

November 20 2020

End Date

November 20 2023

Last Update

September 1 2023

Active Locations (1)

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Changhai Hospital

Shanghai, China, 200433