- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03716596
SBRT and Anti-programmed Cell Death Protein 1(Anti-PD-1) in Late Stage or Recurrent Pancreatic Cancer Patients (CISPD-2)
November 4, 2018 updated by: Second Affiliated Hospital, School of Medicine, Zhejiang University
Study on the Safety and Therapeutic Effect of Stereotactic Body Radiotherapy and Anti-PD-1 Antibody in Late Stage or Recurrent Pancreatic Cancer Patients Who Failed in Second-line Chemotherapy
When gemcitabine based chemo and fluorouracil based chemo regimes are failed in late-stage or recurrent pancreatic cancer patients, there is no alternative options.
Anti-PD-1 antibody has became a promising anti-cancer drug.
While it showed limited efficacy in pancreatic cancer.
Stereotactic Body Radiotherapy has been a new method to locally treat metastatic cancer.
This study is aimed to evaluate the safety and efficacy of the combination of SBRT and anti-PD-1 antibody in late-stage or recurrent pancreatic caner who failed in second-line chemotherapy.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Pancreatic cancer is a kind of cancer with poor prognosis.
Nowadays, recommended treatment for late-stage or recurrent pancreatic cancer patients are fluorouracil based chemotherapy (such as FOLFIRINOX) and gemcitabine based chemotherapy.
When these two chemo regimes are failed, however, there is no alternative options.
With the improvement of immune therapy, anti-PD-1 antibody has became a promising anti-cancer drug.
While it showed limited efficacy in pancreatic cancer.
Stereotactic Body Radiotherapy (SBRT) has been a new method to locally treat metastatic cancer.
And previous studies showed that SBRT may enhance the efficacy of immunotherapy.
So this study is amed to evaluate the safety and efficacy of the combination of SBRT and anti-PD-1 antibody in late-stage or recurrent pancreatic caner who failed in second-line chemotherapy.
Study Type
Interventional
Enrollment (Anticipated)
36
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Yiwen Chen, MD
- Phone Number: +8615088682641
- Email: cherry0705@zju.edu.cn
Study Contact Backup
- Name: Qi Zhang, MD
- Phone Number: +8613858108798
- Email: zhangqi86@gmail.com
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310000
- Recruiting
- The Second Affiliated Hospital of Zhejiang University
-
Contact:
- Yiwen Chen, MD
- Phone Number: +8615088682641
- Email: cherry0705@zju.edu.cn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 1.≥18 years.
- 2.Histopathology or cytology confirmed pancreatic cancer.
- 3.Patients failed in second-line chemotherapy: patients have failed in gemcitabine-based chemotherapy and also failed in fluorouracil-based chemotherapy (like FOLFIRINOX), failed in combination of chemotherapy and radiotherapy; patients may have failed in immune therapy (including anti-PD-1 antibody).
- 4. Eastern cooperative oncology group physical fitness score was 0~2.
5. The main organs are functional and meet the following criteria (Routine blood tests were in accordance with the following criteria):
- White blood cell (WBC) ≥3.5 x 10^6 /L, neutrophil >1.5 x10^9/L,
- platelet (PLT) ≥50 x10^9/L,
- hemoglobin (HB) ≥80 g/L,
- total bilirubin (TB) ≤1.5 x ULN (upper limit of normal value). 5)Alanine transaminase (ALT) and aspartate aminotransferase (AST) ≤ 2 x ULN (upper limit of normal value) (if there is liver metastasis, ≤ 5 x ULN).
6) Serum creatinine (Scr) ≤ 1.5 x ULN 7) Albumin (ALB) ≥ 3 g/dL.
- 6. Patients will be informed consent, and understand and are willing to cooperate with the trial and sign related documents.
Exclusion Criteria:
- 1. In the first 4 weeks before the start of the study, they took part in other drug clinical trials.
- 2. Before the start of the study, they were diagnosed as immune deficiency diseases or need systemic steroid therapy.
- 3. In the first 4 weeks before the start of the study, they took anti-tumor immune therapy; or didn't recovery from the adverse effects caused by the anti-tumor immune therapy.
- 4. In the first 2 weeks before the start of the study, they took chemotherapy, small molecule targeting therapy, and radiotherapy; or didn't recovery from the adverse effects caused by these therapies.
- 5. Has had active tuberculosis before.
- 6. Has a history of malignant tumor, except for basal and skin squamous cell carcinoma, cervical carcinoma in situ and papillary thyroid carcinoma.
- 7. Has central nervous system metastasis or meningeal metastasis.
- 8. Has serious and uncontrollable internal diseases such as severe diabetes, severe hypertension, serious infection, congestive heart failure, ventricular fibrillation, coronary heart disease with obvious symptoms or myocardial infarction in the past 6 months.
- 9. Has blood precancerous diseases, such as myelodysplastic syndrome.
- 10. Has clinically relevant or preexisting interstitial lung diseases, such as noncommunicable pneumonia or pulmonary fibrosis, or evidence of interstitial lung diseases on baseline chest CT scans or chest x-rays.
- 11. Past or physical examinations have found diseases of the central nervous system, with the exception of those that have been adequately treated (such as primary brain tumors, uncontrolled seizures or strokes with standard medication).
- 12. Has preexisting neuropathy at > level 1 (NCI CTCAE).
- 13. Allotransplantation requires immunosuppression therapy or other major immunosuppression therapy.
- 14. Has a severe open wound, ulcer, or fracture.
- 15. Systemic treatment is required for autoimmune diseases that have been active for the past 2 years.Alternative therapies are not systemic treatments.
- 16. Has a history of non-infectious pneumonia requiring steroid therapy or active pneumonia.Has interstitial lung disease.
- 17. Patients with active infections require systemic treatment.
- 18. Patients with active hepatitis b or c are not included in liver lesions SBRT.
- 19. Has vaccinate within 30 days before treatment.Including intranasal influenza vaccines, except seasonal influenza vaccines
- 20. Others: allergic history of similar drugs, pregnancy or lactation.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: SBRT and PD-1
Stereotactic body radiotherapy, radiation dose is 40-50 Gy in total.
Intravenous drug of anti-PD-1 antibody, 200mg, once a time, every three weeks.
|
SBRT radiation dose is 40-50 Gy in total.
Other Names:
Intravenous drug of anti-PD-1 antibody, 200mg, once a time, every three weeks.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
overall survival
Time Frame: Up to approximately 12 months
|
The percentage of people still alive for a given period of time after diagnosis
|
Up to approximately 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disease control rate
Time Frame: Up to approximately 12 months
|
Percentage of patients whose cancer doesn't progress after treatment
|
Up to approximately 12 months
|
Objective response rate
Time Frame: Up to approximately 12 months
|
Percentage of patients whose cancer shrinks or disappears after treatment
|
Up to approximately 12 months
|
Progression-free survival
Time Frame: Up to approximately 12 months
|
The percentage of people does not get worse for a period of time after diagnosis
|
Up to approximately 12 months
|
Common Toxicity Criteria for Adverse Effects
Time Frame: Up to approximately 12 months
|
According to Common Toxicity Criteria for Adverse Effects version 4
|
Up to approximately 12 months
|
EORTC quality of life questionnaire (QLQ)
Time Frame: Up to approximately 12 months
|
Assessed by the European Organization for Research and Treatment of Cancer Quality of Life
|
Up to approximately 12 months
|
Related tumor markers
Time Frame: Up to approximately 12 months
|
Serum level of related tumor markers (like carbohydrate antigen19-9, carcinoembryonic antigen and so on)
|
Up to approximately 12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
October 22, 2018
Primary Completion (ANTICIPATED)
October 22, 2021
Study Completion (ANTICIPATED)
October 22, 2023
Study Registration Dates
First Submitted
October 21, 2018
First Submitted That Met QC Criteria
October 21, 2018
First Posted (ACTUAL)
October 23, 2018
Study Record Updates
Last Update Posted (ACTUAL)
November 6, 2018
Last Update Submitted That Met QC Criteria
November 4, 2018
Last Verified
October 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CISPD-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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