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Pancreatic NeoplasmsPhase 2NCT06532617

Cadonilimab Combined With S-1 or Capecitabine as Second-line Treatment for Advanced Pancreatic Cancer

A Phase 2 study testing Cadonilimab+S-1or Capecitabine in people with Pancreatic Neoplasms, run by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a single arm, single cencer, phase II clinical trial. This study aims to evaluate the efficacy and safety of Cadonilimab combined with S-1 or capecitabine as a second-line treatment for advanced pancreatic cancer. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Pancreatic Neoplasms
What is being tested?
Cadonilimab+S-1or Capecitabine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteChina
Study dates
19 Sep 2024to 1 Aug 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Main Inclusion Criteria:

  • Signed written informed consent
  • Age 18-80, female or male
  • Histopathologically confirmed pancreatic ductal adenocarcinoma
  • Patients with locally advanced pancreatic cancer who have previously received standard first-line anti-tumor treatment (radiotherapy, chemotherapy, targeted or immunotherapy, etc.)
  • Locally advanced pancreatic cancer is defined as follows: a. The tumor has no distant metastasis; b. Pancreatic head/uncinate process: The tumor contacts the superior mesenteric artery >180˚; c. Pancreatic body and tail: The tumor contacts the superior mesenteric artery or celiac artery >180˚; The tumor contacts the celiac artery and infiltrates the abdominal aorta; d. The tumor invades the jejunal branch of the superior mesenteric artery. Portal vein-superior mesenteric vein cannot be safely reconstructed due to tumor invasion, vein occlusion, or involvement of a large range of jejunal branches of the superior mesenteric vein.
  • At least one measurable lesion (RECIST1.1)
  • ECOG PS 0-1
  • Expected survival time>3 months
  • Adequate organ function

Main Exclusion Criteria:

  • Malignant diseases other than pancreatic cancer diagnosed within 5 years before the first dose (excluding radically resected basal cell carcinoma of the skin, squamous cell carcinoma of the skin, and/or radically resected carcinoma in situ)
  • Currently participating in interventional clinical research treatment, or having received other research drugs or used research devices within 4 weeks before the first dose
  • Active autoimmune disease
  • Allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation
  • Allergic to the active ingredients or excipients of this study drug, cadonilimab, S-1 or capecitabine
  • Have not fully recovered from any toxicity and/or complications caused by the intervention before starting treatment
  • History of HIV
  • Active HBV or HCV
  • Pregnant or breastfeeding women
  • Any severe or uncontrolled systemic disease
  • Active pulmonary tuberculosis
  • People with mental disorders who are unable to cooperate with treatment
  • Uncontrolled infection
  • The investigators assess that the subjects are unable to complete the entire trial process or are otherwise unsuitable for participating in this trial

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Shanghai General Hospital

    Shanghai, Shanghai Municipality, 200040

    Jiang Long, MD, +86 18017317460, jiang.long@shgh.cn

    Jiang Long, MD

    Recruiting

Other trials in China

About this study

Official title: A Single-arm Phase II Clinical Study of Cadonilimab Combined With S-1 or Capecitabine as Second-line Treatment for Patients With Advanced Pancreatic Cancer

This is a single arm, single cencer, phase II clinical trial. This study aims to evaluate the efficacy and safety of Cadonilimab combined with S-1 or capecitabine as a second-line treatment for advanced pancreatic cancer.

Being tested
Cadonilimab+S-1or Capecitabine
Keywords
PD-1/CTLA-4 Bispecific Antibody
Medical subject headings
Pancreatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cadonilimab+S-1or CapecitabineDrug

    Eligible patients will receive Cadonilimab (6mg/k, iv, D1,Q3W)combined with S-1 (40-60mg po BID Q3W D1-14)or Capecitabine (1250mg/m2, po BID Q3W D1-14)until disease progression or unacceptable toxicity. Patients who had used S-1 in the first line should choose capecitabine; patients who had used capecitabine in the first line should choose S-1; otherwise decided by investigator's choice.

Study groups in NCT06532617
Study groupRoleWhat they receive
Cadonilimab+S-1or CapecitabineExperimentalNot described
Receives: Drug: Cadonilimab+S-1or Capecitabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective response rate (ORR)

    Defined as the proportion of patients with a complete response or partial response to treatment according to RECIST1.1

    Measured: Up to 2 years

Secondary outcomes (4)
  1. Overall survival (OS)

    Defined as the length of time from the first dose to death from any cause.

    Measured: Up to 2 years

  2. Progression-free survival (PFS)

    Defined as the length of time from the first dose to progression disease or death from any cause.

    Measured: Up to 2 years

  3. Disease control rate (DCR)

    Defined as the proportion of patients with a complete response, partial response or stable disease to treatment according to RECIST1.1

    Measured: Up to 2 years

  4. Duration of response (DoR)

    Defined as the length of time from first tumor response (CR or PR) to disease progression (PD) or death.

    Measured: Up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2024
  2. Study start19 Sep 2024
  3. Primary completion1 Aug 2026 (estimated)
  4. Study completion1 Aug 2027 (estimated)

Resources

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
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06532617
Sponsor's protocol ID
20240515024702669
Status last verified
May 2025
First submitted
30 Jul 2024
Last updated
14 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cadonilimab+S-1or Capecitabine in people with Pancreatic Neoplasms, run by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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: looking for participants now, as of the sponsor's last update on 14 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective response rate (ORR) (time frame: Up to 2 years). 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 14 May 2025.

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