Study Examining the Safety and Toxicity of Stereotactic Body Radiotherapy (SBRT) Followed by PCX12 Immunotherapy Delivered by Intratumoral Injection for the Treatment of Patients With Locally Advanced Pancreatic Adenocarcinoma (LAPC)
A Phase 1, Prospective, Standard Dose Escalation Study Examining the Safety and Toxicity of Stereotactic Body Radiotherapy (SBRT) Followed by PCX12 Immunotherapy Delivered by Intratumoral Injection for the Treatment of Patients With Locally Advanced Pancreatic Adenocarcinoma (LAPC)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Haoming Qiu
- Phone Number: 585-275-5863
- Email: WCICTOResearch@URMC.Rochester.edu
Study Locations
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New York
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Rochester, New York, United States, 14642
- University of Rochester
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Contact:
- Haoming Qiu
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient with pathologically proven diagnosis of adenocarcinoma of the pancreas
- After chemotherapy, tumor is determined to be either locally advanced or unresectable by hepatobiliary surgeon; or tumor is considered potentially resectable but subject does not proceed with surgical resection for any reason
- Have completed first line chemotherapy without progression or non-regional metastases
- Tumor is radiographically evident on CT scan after chemotherapy
- Tumor is anatomically amenable to SBRT, e.g. does not directly invade the stomach or bowel
- Tumor is amenable to intra-tumor injection under endoscopic ultrasound guidance
- ECOG performance status 0-2
- Patients with childbearing potential must demonstrate a negative urine or serum pregnancy test
- Male or female subjects, aged at least 18 years; Female subjects of childbearing potential may participate if adequate contraception is used during, and for at least the three months after study completion; Male subjects with partners of childbearing potential may participate in the study if they had a vasectomy at least 6 months prior to randomization or if adequate contraception is used during, and for at least the three months after study completion; Adequate contraception is defined as resulting in a failure rate of less than 1% per year
- Patient must be able to understand and willingly sign study specific informed consent prior to study entry
- Anticipated life expectancy ≥ 12 weeks
- Patients aged at least 18 years of age
Exclusion Criteria:
- Progression of disease or metastatic disease after first line systemic therapy
- Prior radiation treatment or surgical resection of any pancreatic malignancy
- Inability to tolerate SBRT, Endoscopic ultrasound or IL-12 Injection procedure
- Lack of radiographically evident disease after first line chemotherapy
- Severe, active comorbidity that shortens the patient's life expectancy to less than 12 weeks
- History of past malignancy
- Patient who is pregnant and/or breastfeeding
- Inability to comply with other required protocol procedures including required biopsies
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: PCX-12
PCX-12 is an experimental immunotherapy drug that is injected into the pancreatic cancer one time in attempt to stimulate the patient's immune system to fight the cancer.
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treatment combining radiation therapy with PCX12
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability])
Time Frame: 3 years
|
The Primary objective of the safety lead in component is to report acute, attributable, gastrointestinal toxicity
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3 years
|
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Maximum tolerable dose [Safety and Tolerability]
Time Frame: 3 years
|
Maximum tolerable dose is defined by less than or equal to 30% dose limiting toxicity (DLT) event rate within a given dose
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3 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of radiographic response
Time Frame: 2 months
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This study will assess radiographic response following SBRT and PCX12 utilizing RECIST 1.1 criteria
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2 months
|
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Change in biomarkers of innate and adaptive immunity
Time Frame: baseline and 4 weeks
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A combination of flow/mass cytometry will be employed to assess intratumoral immune cells before and after treatment.
Specifically, cells of the adaptive immune system, namely B and T cells (both CD4+ and CD8+), along with innate cells including monocytes, macrophages, neutrophils, and natural killer cells will be investigated and percent of total CD45+ cells along with absolute cell number will be tabulated.
Additionally, markers of activation (IFNg, TNF, etc.) along with suppression (PD1, PD-L1, LAG3, etc.) will be included in the panel of analysis.
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baseline and 4 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Haoming Qiu, University of Rochester
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- URGIP24061
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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