Advanced Pancreatic CancerPhase 2Nim-PC-28NCT06422156
SBRT Combined With Nimotuzumab and Mono-chemotherapy in Locally Advanced Pancreatic Cancer
A Phase 2 study testing Stereotactic body radiation, Nimotuzumab and mono-chemotherapy in people with Advanced Pancreatic Cancer, run by Peking University Third Hospital.
Trial summary
This is a prospective, multicenter, single arm clinical study. The main purpose of the study is to evaluate the clinical efficacy and safety of SBRT combined with Nimotuzumab and mono-chemotherapy in the treatment of locally advanced pancreatic cancer (LAPC). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Advanced Pancreatic Cancer
- What is being tested?
- Stereotactic body radiation, Nimotuzumab and mono-chemotherapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 73 participants
- Where
- No sites listed yet
- Study dates
- 1 Jun 2024to 1 Jun 2026
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 1. Age 18-75 years old, gender unlimited;
- 2. Histologically or cytologically confirmed pancreatic ductal adenocarcinoma (PDAC);
- 3. Locally advanced pancreatic cancer (according to the NCCN criteria), unresectable or surgically declined;
- 4. The maximum diameter of the primary tumor was < 5.0cm;
- 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
- 6. No prior radiotherapy (upper abdomen) or tumor systemic therapy;
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- 7. Adequate organ and bone marrow function, defined as follows: absolute neutrophil count (ANC)≥1.5×10^9/L; hemoglobin≥9.0 g/dL; platelets≥75×10^9/L; serum total bilirubin (TBIL)≤1.5×ULN; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 times the upper limit of normal (ULN); serum creatinine≤1.5×ULN;
- 8. Left ventricular ejection fraction ≥50%;
- 9. Fertile subjects are willing to take contraceptive measures during the study period;
- 10. Woman who are breastfeeding during the study period or within 150 days after the last treatment;
- 11. Survival was expected to be ≥3 months;
- 12.Good compliance and signed informed consent voluntarily.
Who cannot join
- 1. Tumor invasion of gastrointestinal tract;
- 2. Woman who are pregnant or breastfeeding;
- 3. History of other malignancies (except cured basal cell carcinoma of the skin and carcinoma in situ of the cervix) within the past 5 years;
- 4. History of uncontrolled epilepsy, central nervous system disease, or mental disorder, which may influence the signing of informed consent or affect the patient's adherence;
- 5.Serious heart disease, such as symptomatic coronary heart disease, New York Heart Association (NYHA) class II or more, severe congestive heart failure or severe arrhythmia requiring medical intervention, or a history of myocardial infarction within the past 12 months;
- 6. Patients requiring immunosuppressive;
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- 7.Accompanied by active infections, or a major hematological, renal, metabolic, gastrointestinal, endocrine, or metabolic disorder determined by the investigator, or other serious uncontrolled concomitant disease;
- 8. Known allergy to prescription or any component of the prescription used in this study;
- 9. Immunodeficiency, including HIV infection or other acquired immunodeficiency, or a history of organ transplantation, or other immune-related disorders requiring medical intervention;
- 10. Patients with acute and chronic tuberculosis infection;
- 11. Received Chinese herbal medicines or immune-modulators for anti-tumor within 2 weeks prior to initial administration;
- 12.History of noninfectious pneumonia requiring glucocorticoid therapy or current interstitial lung disease within 1 year prior to initial administration;
- 13. Received any other form of immunosuppressive therapy within 7 days prior to the initial of study administration;
- 14. Participated in other clinical trials within 4 weeks, or received another investigational drugs or investigational device within 4 weeks prior to the initial administration;
- 15.Other reasons that are not suitable to participate in this study according to the researcher's judgment.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: A Prospective, Multicenter, Single Arm Study of SBRT Combined With Nimotuzumab and Mono-chemotherapy in the Treatment of Locally Advanced Pancreatic Cancer
This is a prospective, multicenter, single arm clinical study. The main purpose of the study is to evaluate the clinical efficacy and safety of SBRT combined with Nimotuzumab and mono-chemotherapy in the treatment of locally advanced pancreatic cancer (LAPC).
Read the detailed description
This clinical study is designed as a prospective, multicenter, single arm study to evaluate the clinical efficacy and safety of SBRT combined with nimotuzumab and mono-chemotherapy in the treatment of locally advanced pancreatic cancer (LAPC). All eligible patients will receive SBRT with doses ranging from 35-40 Gy in five fractions, intravenous nimotuzumab 400mg weekly or 600mg on day 1 and 8 of a 21-day cycle, and mono-chemotherapy (Gemcitabine, S-1 or capecitabine) until disease progression, death, unacceptable toxicity, or consent withdrawal. The main endpoint is progression-free survival (PFS).
- Conditions
- Advanced Pancreatic Cancer
- Being tested
- Stereotactic body radiation, Nimotuzumab, mono-chemotherapy
- Keywords
- advanced pancreatic cancer, stereotactic body radiation therapy (SBRT), Nimotuzumab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Stereotactic body radiationRadiation
Also called SBRT
Patients will receive SBRT with doses ranging from 35-40 Gy in five fractions.
NimotuzumabDrug
Also called h-R3
Patients will receive Nimotuzumab 400 mg weekly or Nimotuzumab 600mg on day 1 and 8 of a 21-day cycle until disease progression.
mono-chemotherapyDrug
Also called chemotherapy
Patients will receive mono-chemotherapy (Gemcitabine, S-1 or capecitabine) until disease progression.
| Study group | Role | What they receive |
|---|---|---|
| SBRT+Nimotuzumab+ mono-chemotherapy | Experimental | All eligible patients will receive SBRT combined with nimotuzumab and mono-chemotherapy. Receives: Radiation: Stereotactic body radiation; Drug: Nimotuzumab; Drug: mono-chemotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
progression-free survival (PFS)
PFS, defined as the time from the beginning of treatment to disease progression or all-cause death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Measured: Up to 12 months
Secondary outcomes (5)
overall survival (OS)
The time from the beginning of treatment to death due to any cause.
Measured: Up to 12 months
Objective response rate (ORR)
Objective response rate (ORR), including complete response (CR) and partial response (PR). Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions.
Measured: Up to 12 months
Disease control rate (DCR)
Disease control rate (DCR), including complete response (CR) and partial response (PR) and stable disease(SD). Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT/MRI: CR, disappearance of all target lesions; PR, at least a 30% decrease in the sum of the longest diameter of target lesions. SD, neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD (PD, defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions).
Measured: Up to 12 months
Pain relief rate
The proportion of patients with pain relief after treatment to the total number enrolled.
Measured: Up to 12 months
adverse events
Frequency and severity of adverse events.
Measured: Up to 30 days after last administration
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2024
- Study start1 Jun 2024 (estimated)
- Primary completion1 Jun 2026 (estimated)
- Study completion1 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Pancreatic CancerStudies of the same condition, open and under way.
- More trials run by Peking University Third HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 73 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Peking University Third Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Biotech Pharmaceutical Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Junjie Wang, Dr, Principal investigator, Peking University Third Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06422156
- Sponsor's protocol ID
- M2023639
- Acronym
- Nim-PC-28
- Status last verified
- Nov 2023
- First submitted
- 17 Mar 2024
- Last updated
- 20 May 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multicenter, Single Arm Study of SBRT Combined With Nimotuzumab and Mono-chemotherapy in the Treatment of Locally Advanced Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT06422156
- Acronym / sponsor ID
- Nim-PC-28 / M2023639
- Conditions
- Advanced Pancreatic Cancer
- Keywords
- advanced pancreatic cancer, stereotactic body radiation therapy (SBRT), Nimotuzumab
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 73 participants (estimated)
- Lead sponsor
- Peking University Third HospitalUniversity, hospital or other
- Collaborators
- Biotech Pharmaceutical Co., Ltd.
- Study start
- 1 Jun 2024 (estimated)
- Primary completion
- 1 Jun 2026 (estimated)
- Study completion
- 1 Jun 2026 (estimated)
- First posted
- 20 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, multicenter, single arm clinical study. The main purpose of the study is to evaluate the clinical efficacy and safety of SBRT combined with Nimotuzumab and mono-chemotherapy in the treatment of locally advanced pancreatic cancer (LAPC).
Detailed description
This clinical study is designed as a prospective, multicenter, single arm study to evaluate the clinical efficacy and safety of SBRT combined with nimotuzumab and mono-chemotherapy in the treatment of locally advanced pancreatic cancer (LAPC). All eligible patients will receive SBRT with doses ranging from 35-40 Gy in five fractions, intravenous nimotuzumab 400mg weekly or 600mg on day 1 and 8 of a 21-day cycle, and mono-chemotherapy (Gemcitabine, S-1 or capecitabine) until disease progression, death, unacceptable toxicity, or consent withdrawal. The main endpoint is progression-free survival (PFS).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| SBRT+Nimotuzumab+ mono-chemotherapy | Experimental | Radiation: Stereotactic body radiation, Drug: Nimotuzumab, Drug: mono-chemotherapyAll eligible patients will receive SBRT combined with nimotuzumab and mono-chemotherapy. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- 1. Age 18-75 years old, gender unlimited;
- 2. Histologically or cytologically confirmed pancreatic ductal adenocarcinoma (PDAC);
- 3. Locally advanced pancreatic cancer (according to the NCCN criteria), unresectable or surgically declined;
- 4. The maximum diameter of the primary tumor was < 5.0cm;
- 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
Key exclusion criteria (15 listed)
- 1. Tumor invasion of gastrointestinal tract;
- 2. Woman who are pregnant or breastfeeding;
- 3. History of other malignancies (except cured basal cell carcinoma of the skin and carcinoma in situ of the cervix) within the past 5 years;
- 4. History of uncontrolled epilepsy, central nervous system disease, or mental disorder, which may influence the signing of informed consent or affect the patient's adherence;
- 5.Serious heart disease, such as symptomatic coronary heart disease, New York Heart Association (NYHA) class II or more, severe congestive heart failure or severe arrhythmia requiring medical intervention, or a history of myocardial infarction within the past 12 months;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Stereotactic body radiationAlso: SBRTPatients will receive SBRT with doses ranging from 35-40 Gy in five fractions. | Radiation | SBRT+Nimotuzumab+ mono-chemotherapy |
| NimotuzumabAlso: h-R3Patients will receive Nimotuzumab 400 mg weekly or Nimotuzumab 600mg on day 1 and 8 of a 21-day cycle until disease progression. | Drug | SBRT+Nimotuzumab+ mono-chemotherapy |
| mono-chemotherapyAlso: chemotherapyPatients will receive mono-chemotherapy (Gemcitabine, S-1 or capecitabine) until disease progression. | Drug | SBRT+Nimotuzumab+ mono-chemotherapy |
Primary outcome
progression-free survival (PFS)
Time frame: Up to 12 months
PFS, defined as the time from the beginning of treatment to disease progression or all-cause death. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
5 secondary outcomes
overall survival (OS)
Time frame: Up to 12 months
Objective response rate (ORR)
Time frame: Up to 12 months
Disease control rate (DCR)
Time frame: Up to 12 months
Pain relief rate
Time frame: Up to 12 months
adverse events
Time frame: Up to 30 days after last administration
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Junjie Wang, Dr principal investigator
Peking University Third Hospital
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Stereotactic body radiation, Nimotuzumab and mono-chemotherapy in people with Advanced Pancreatic Cancer, run by Peking University Third Hospital.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 20 May 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Bin Qiu, MD (+86 010-82265968, qiubin@pku.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
progression-free survival (PFS) (time frame: Up to 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2024.