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The purpose of this study is to determine the safety and efficacy of pan KRAS inhibitor JAB-23E73 in combination with nab-paclitaxel and gemcitabine in participants with metastatic PDAC harboring KRAS gene alterations.
This is a phase Ib/III, multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK) and preliminary antineoplastic activity of pan-KRAS inhibitor JAB-23E73 in combination with nab-paclitaxel and gemcitabine in treatment-naive participants with metastatic PDAC.
Phase Ib study:an open-label study, including dose escalation and backfill cohorts, with approximately 40-80 participants planned to be enrolled (including approximately 20-50 participants in the backfill cohort),Aiming to determine the recommended phase III dose [RP3D] within investigated patient population groups.
Phase III: Following confirmation of the efficacy and safety of JAB-23E73 in combination with the AG regimen in Phase Ib, a Phase III trial will be initiated to evaluate the efficacy and safety of JAB-23E73 plus AG versus AG alone for the treatment of metastatic PDAC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation/backfill | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JAB-23E73 tablet,nab-paclitaxel,gemcitabine | Drug | Orally, intravenous (IV) infusion |
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| Measure | Description | Time Frame |
|---|---|---|
| Dose limiting toxicities (DLT) | The number and proportion of participants who experienced dose-limiting toxicities (DLT). | Up to 28 days |
| Adverse events.safety evaluation | The types, incidence, severity, and outcomes of adverse events and serious adverse events evaluated using the Common Terminology Criteria for Adverse Events (CTCAE) version 6.0. | Up to approximately 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| ORR | Objective response rate, ORR is defined as the proportion of participants with confirmed complete response or partial response | Up to approximately 3 years |
| DOR | Duration of response, DOR is defined as the time from the first documented CR or PR to the first occurrence of disease progression or death from any cause, whichever occurs first |
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Inclusion Criteria:
1.Written informed consent signed by the participant or the participant's legally authorized representative must be obtained prior to performing any study-related procedures. 2. Histologically or cytologically confirmed metastatic PDAC.
3. No prior systemic antitumor therapy for advanced disease (treatment-naïve). 4. Presence of KRAS gene alterations: be enrolled upon approval by the sponsor).
5. ECOG performance status score of 0 or 1. 6. Adequate organ function.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jacobio Pharmaceuticals | Contact | 86 10 56315466 | clinicaltrials@jacobiopharma.com |
| Name | Affiliation | Role |
|---|---|---|
| Jacobio Pharmaceuticals | Jacobio Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Beijing | Beijing Municipality | 100142 | China |
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| Up to approximately 3 years |
| TTR | Time to Response, TTR is defined as the time from the first dose of study treatment to the first documented CR or PR. | Up to approximately 3 years |
| PFS | Progression-Free Survival , PFS is defined as the time from the first dose of study treatment to the first documented disease progression or death from any cause, whichever occurs first. | Up to approximately 3 years |
| DCR | Disease Control Rate, DCR is defined as the proportion of participants whose best overall response is CR, PR, or SD.. | Up to approximately 3 years |
| OS | Overall Survival , OS is defined as the time from the first dose of study treatment to death from any cause. | Up to approximately 3 years |
| PK | maximum plasma concentration (Cmax) | Up to approximately 3 years |
| PK | area under the plasma concentration-time curve (AUC) | Up to approximately 3 years |
| PK | trough plasma concentration (Ctrough) | Up to approximately 3 years |
| Zhejiang Cancer Hospital | Hangzhou | Zhejiang | 310005 | China |
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| Beijing Tsinghua Changgung Hospital | Beijing | China |
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| Hunan Cancer Hospital | Changsha | China |
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| Harbin Medical University Cancer Hospital | Harbin | China |
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| Jiangsu Province Hospital | Nanjing | China |
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| Shanghai Jiaotong University School of Medicine Ruijin Hospital | Shanghai | China |
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| ShanXi Cancer Hospital | Taiyuan | China |
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| Hubei Province Hospital | Wuhan | China |
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| Wuhan Union Hospital Of China | Wuhan | China |
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| Zhongnan Hospital of Wuhan University | Wuhan | China |
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| Henan Cancer Hospital | Zhengzhou | China |
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| The First Affiliated hospital of Zhengzhou University | Zhengzhou | China |
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