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NCT Number: NCT06156267

Study of Personalized Tumour Vaccines and a PD-L1 Blocker in Patients With Surgically Resected Pancreatic Adenocarcino

This is a phase 1, open-label study to evaluate the safety and tolerability of neoantigen personalized mRNA tumour vaccine combined with Adebrelimab (a PD-L1 humanized monoclonal antibody) in patients with surgically resected pancreatic adenocarcinoma.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center; Pancreatic Cancer Institute, Fudan University

Shanghai, Shanghai Municipality, 200032, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Voluntarily signed the informed consent form and complied with protocols requirements.
  • Patients with radiographically resectable primary pancreatic tumors with histopathology or cytology confirmed resected ductal pancreatic adenocarcinoma (PDAC) with macroscopic complete resection (R0 and R1).
  • Pancreatic cancer surgical staging per AJCC 8th edition staging: T 1-3, N0-2, M0.
  • Tumour specimen availability.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Life expectancy ≥ 6 months.
  • Surgical complications have recovered, or complications lower than Clavien-Dindo complication grade 3.
  • Adequate marrow and organ function.
  • Patients with fertility are willing to use an adequate method of contraception.

Exclusion criteria

  • Prior anti-PDAC therapy (e.g., chemotherapy, radiotherapy, targeted therapy, immunotherapy and therapeutic tumor vaccines) prior to initiation of study treatment.
  • Unsuitable for immunotherapy assessed by the investigator.
  • Plan to receive a live-attenuated vaccine within 28 days prior to initiation of study treatment or during the study treatment or within 90 days after the end of study treatment.
  • Have any active autoimmune disease, or have a history of autoimmune disease and have received systemic therapy in the past 2 years.
  • Active tuberculosis or a history of active tuberculosis infection within 28 days prior to initiation of study treatment.
  • Known or highly suspected history of interstitial pneumonia.
  • Allergic to research drug ingredients, or have a history of severe allergic reactions to other vaccines.
  • Prior malignancy within 5 years prior to study entry.
  • Known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation.
  • Known splenectomy history.
  • Concurrent severe infection within 28 days prior to initiation of study treatment.
  • Congenital or acquired immune deficiency.
  • Active hepatitis B (HBV-DNA≥1000IU/ml), hepatitis C (hepatitis C antibody positive, and HCV-RNA higher than the lower limit of assay).
  • Uncontrolled or severe cardiovascular disease.
  • Other situations that are not suitable for inclusion in this study judged by investigator.

Treatment and study plan

Adebrelimab

Drug

Adebrelimab is a programmed death-ligand 1 antibody.

mRNA tumor vaccines

Drug

neoantigen personalized mRNA vaccines

Primary outcomes

  1. DLT

    Time frame: Day 1 to Day 28 after the first tumour vaccine was administrated

    Percentage of subjects who meet the criteria of DLT in DLT observation period

  2. MTD/MAD

    Time frame: From first dose up to end of the study, assessed up to 36 months

    Maximum tolerated dose (MTD)/Maximum administrated dose (MAD)

  3. RDE

    Time frame: From first dose up to end of the study, assessed up to 36 months

    Recommended dose of expansion

  4. AE

    Time frame: From date of ICF up to end of the study, assessed up to 36 months

    Percentage of subjects with Adverse Events (AEs)

Sponsors and collaborators

Lead sponsor

Fudan University

Other

Collaborators

  • Shanghai Regenelead Therapies Co., Ltd.

Registry information

Official study title

An Exploratory Study of Neoantigen Personalized mRNA Vaccines in Combination With Adebrelimab and Sequential mFOLFIRINOX Regimen in Patients With Surgically Resected Pancreatic Adenocarcinoma

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Dec 5, 2023
Registry last updated
Dec 5, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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