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A Study to Compare the Efficacy and Safety of YL201 With Standard Chemotherapy in Patients With Metastatic Pancreatic Cancer After Failure of Gemcitabine-Based Systemic Chemotherapy

2. September 2026 aktualisiert von: MediLink Therapeutics (Suzhou) Co., Ltd.

A Randomized, Controlled, Multicenter Phase III Study to Evaluate the Efficacy and Safety of YL201 Versus Liposomal Irinotecan in Combination With 5-Fluorouracil/Leucovorin in Participants With Metastatic Pancreatic Ductal Adenocarcinoma Who Have Failed Prior Gemcitabine-based Systemic Therapy

The purpose of this study is to evaluate the safety and efficacy of an investigational B7-H3 antibody drug-conjugate administered as monotherapy, compared with standard of care (SOC) chemotherapy in metastatic pancreatic cancer patients who have failed prior Gemcitabine-based systemic therapy.

Studienübersicht

Status

Noch keine Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Geschätzt)

320

Phase

  • Phase 3

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, China, 200127
        • Shanghai Jiaotong University School of Medicine
        • Kontakt:
          • Study Coordinator

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

Inclusion Criteria:

  1. Participants must voluntarily sign a written informed consent form (ICF) and be willing and able to comply with protocol requirements.
  2. Participants must be ≥18 and ≤75 years of age.
  3. Participants must have an Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1.
  4. Participants must have a life expectancy of at least 3 months.
  5. Participants must have histologically or cytologically confirmed incurable metastatic pancreatic ductal adenocarcinoma (PDAC).
  6. Participants must have received and failed only one prior line of gemcitabine-based systemic therapy.
  7. Participants must have at least one measurable lesion according to RECIST v1.1.
  8. Participants must have adequate organ function as defined in the protocol.
  9. Participants must agree to follow the contraception requirements specified in the protocol.

Exclusion Criteria:

  1. Participants with another malignancy within 5 years before randomization.
  2. Participants with pathologically confirmed pancreatic cancer other than PDAC.
  3. Participants who have previously received B7-H3-targeted therapy.
  4. Participants who have previously received topoisomerase I inhibitor or antibody-drug conjugate containing topoisomerase I inhibitor.
  5. Participants who are concurrently enrolled in another clinical study, unless it is an observational, non-interventional study or the participant is in the follow-up period of an interventional study.
  6. Participants who have not met the protocol-specified washout requirements for prior systemic therapy, relevant concomitant medications, radiotherapy, or surgery before randomization, or who have not adequately recovered from prior surgery or are planning to undergo major surgery during the study.
  7. Participants with protocol-specified exclusionary conditions related to central nervous system (CNS) metastases, history of transplantation, immunosuppressive therapy, live vaccine administration, or autoimmune or inflammatory diseases.
  8. Participants with uncontrolled or clinically significant concomitant diseases, including serious gastrointestinal, cardiovascular or cerebrovascular, pulmonary, thromboembolic, bleeding-related, effusion-related, or ascites-related safety risks.
  9. Participants with recent serious infection, active infection, active tuberculosis or syphilis, HIV positivity or immunodeficiency, or active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  10. Participants with unresolved toxicity from prior anticancer therapy that has not recovered to the level specified in the protocol.
  11. Participants with known hypersensitivity to any component of the study treatment, or a history of severe hypersensitivity reactions or severe infusion-related reactions.
  12. Participants who are pregnant or breastfeeding, planning to become pregnant or breastfeed, or who have any other medical, psychiatric, social, or compliance-related factors that, in the investigator's opinion, would make them unsuitable for participation in the study.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Tambotatug pelitecan
Tambotatug pelitecan, monotherapy

Drug: Tambotatug pelitecan

2.0mg/kg (maximum 200mg)

Intravenous infusion

Every 3 weeks

Treatment will continue until disease progression or unacceptable toxicity.

Andere Namen:
  • YL201, Tam-Peli
Aktiver Komparator: Chemotherapy
Active comparator: nal-IRI+5-FU/LV

Liposomal irinotecan

Intravenous infusion

Every 2 weeks

Treatment will continue until disease progression or unacceptable toxicity.

5 Fluorouracil

Intravenous infusion

Every 2 weeks

Treatment will continue until disease progression or unacceptable toxicity.

Leucovorin

Intravenous infusion

Every 2 weeks

Treatment will continue until disease progression or unacceptable toxicity.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
PFS by BICR
Zeitfenster: Up to approximately 2 years
Progression-free Survival (PFS) is assessed by Blinded Independent Central Review(BICR) per response evaluation criteria in solid tumors (RECIST) v1.1
Up to approximately 2 years
OS
Zeitfenster: Up to approximately 2 years
OS is defined as the time from randomization until death from any cause.
Up to approximately 2 years

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
PFS by investigator
Zeitfenster: Up to approximately 2 year
PFS per RECIST v1.1, as assessed by Investigator
Up to approximately 2 year
ORR
Zeitfenster: Up to approximately 2 years
Objective Response Rate (ORR), as assessed by BICR and Investigator
Up to approximately 2 years
DCR
Zeitfenster: Up to approximately 2 years
Disease Control Rate (DCR), as assessed by BICR and Investigator
Up to approximately 2 years
DoR
Zeitfenster: Up to approximately 2 years
Duration of Response (DoR), as assessed by BICR and Investigator
Up to approximately 2 years
TTR
Zeitfenster: Up to approximately 2 years
Time to Response (TTR), as assessed by BICR and Investigator
Up to approximately 2 years
Adverse Event
Zeitfenster: Up to approximately 2 years
The incidence and severity of AEs, SAEs and AESIs per the National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 6.0
Up to approximately 2 years
To evaluate the AUC
Zeitfenster: Up to approximately 2 years
Up to approximately 2 years
To evaluate the Cmax
Zeitfenster: Up to approximately 2 years
Up to approximately 2 years
To evaluate the Ctrough
Zeitfenster: Up to approximately 2 years
Up to approximately 2 years
To evaluate the CL
Zeitfenster: Up to approximately 2 years
Up to approximately 2 years
To evaluate the Vd
Zeitfenster: Up to approximately 2 years
Up to approximately 2 years
To evaluate the t1/2
Zeitfenster: Up to approximately 2 years
Up to approximately 2 years
Immunogenicity
Zeitfenster: Up to approximately 2 years
Incidence of anti-drug antibodies of YL201
Up to approximately 2 years

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Geschätzt)

1. Oktober 2026

Primärer Abschluss (Geschätzt)

1. Januar 2029

Studienabschluss (Geschätzt)

1. Mai 2029

Studienanmeldedaten

Zuerst eingereicht

31. August 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

2. September 2026

Zuerst gepostet (Tatsächlich)

4. September 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

4. September 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

2. September 2026

Zuletzt verifiziert

1. September 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • TAISHAN-305

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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