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This study is a multicenter, open-label, phase II study to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, pharmacodynamics (PD) and anti-tumor activities of AK104,a PD-1/CTLA-4 bispecific antibody, in combination with chemotherapy as first-line therapy in subjects with advanced unresectable or metastatic pancreatic ductal adenocarcinoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AK104 6mg/kg and AG | Experimental |
| |
| AK104 10mg/kg and AG | Experimental |
| |
| AK104 and mFOLFIRINOX | Experimental |
| |
| AK104 and NALIRIFOX | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AK104 | Drug | AK104 (6mg/kg) on day 1, IV, Q2W |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | ORR is the proportion of subjects with CR or PR based on RECIST v1.1 | Up to 2 years |
| The number of subjects experiencing adverse events (AEs) | Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), and clinically significant abnormal laboratory results. | From the subject signs the ICF to 90 days after the last dose of study treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum observed concentration (Cmax) of AK104 | The endpoints for assessment of PK of AK104 include serum concentrations of AK104 at different timepoints after AK104 administration. | From first dose of study drug until the 8th cycle (each cycle is 28 days) of study drug administration. |
| Minimum observed concentration (Cmin) of AK104 at steady state |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhifang Yao, MD | Contact | +86-0760-89873999 | clinicaltrials@akesobio.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Recruiting | Beijing | Beijing Municipality | 100005 | China |
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| AK104 | Drug | AK104 (10mg/kg) on day 1, IV, Q2W |
|
| Gemcitabine | Drug | Gemcitabine (1000mg/m2) on days 1, 8 and 15, IV, Q4W |
|
| Nab-Paclitaxel | Drug | Nab-Paclitaxel (125mg/m2) on days 1, 8 and 15, IV, Q4W |
|
| Liposomal Irinotecan, Oxaliplatin, 5-Fluorouracil/Calcium folinate | Drug | liposomal irinotecan 50 mg/m², oxaliplatin 60 mg/m², leucovorin 400 mg/m², and fluorouracil 2400 mg/m², administered sequentially as a continuous intravenous infusion over 46 h |
|
| Oxaliplatin + Irinotecan + 5-Fluorouracil/Leucovorin | Drug | oxaliplatin, 85 mg/m²; irinotecan, 180 mg/m²; leucovorin, 400 mg/m²; and fluorouracil, 400 mg/m² given as a bolus followed by 2400 mg per square meter given as a 46-hour continuous infusion, every 2 weeks |
|
The endpoints for assessment of PK of AK104 include serum concentrations of AK104 at different timepoints after AK104 administration. |
| From first dose of study drug until the 8th cycle (each cycle is 28 days) of study drug administration. |
| Area under the curve (AUC) of AK104 | The endpoints for assessment of PK of AK104 include serum concentrations of AK104 at different timepoints after AK104 administration. | From first dose of study drug until the 8th cycle (each cycle is 28 days) of study drug administration. |
| Number of subjects who develop detectable anti-drug antibodies (ADAs) | The immunogenicity of AK104 will be assessed by summarizing the number of subjects who develop detectable antidrug antibodies (ADAs). | From first dose of study drug until the 8th cycle (each cycle is 28 days) of study drug administration. |
| Sun Yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510000 | China |
|
| Union Hospital Tongji Medical College Huazhong University of Science And Technology | Recruiting | Wuhan | Hubei | China |
|
| Shandong Cancer Hospital | Recruiting | Jinan | Shandong | 250117 | China |
|
| Shanghai Changhai Hospital | Recruiting | Shanghai | Shanghai Municipality | 200433 | China |
|
| Zhejiang Cancer Hospital | Recruiting | Hangzhou | Zhejiang | 310005 | China |
|
| Zhejiang Provincial People's hospital | Recruiting | Hangzhou | Zhejiang | China |
|
| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D000093542 | Gemcitabine |
| C520255 | 130-nm albumin-bound paclitaxel |
| C584112 | irinotecan sucrosofate |
| D000077150 | Oxaliplatin |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| D000077146 | Irinotecan |
| ID | Term |
|---|---|
| D006571 | Heterocyclic Compounds |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D002166 | Camptothecin |
| D000470 | Alkaloids |
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