Status:
NOT_YET_RECRUITING
Personalized Tumor Neoantigen MRNA Therapy for Advanced Pancreatic Cancer.
Lead Sponsor:
Zhejiang University
Collaborating Sponsors:
Hangzhou Neoantigen Therapeutics Co., Ltd.
Conditions:
Pancreatic Cancer Metastatic
Pancreatic Cancer Non-resectable
Eligibility:
All Genders
18-75 years
Phase:
PHASE1
PHASE2
Brief Summary
This study is a single-arm phase I/II clinical study to evaluate the effectiveness of evaluate the feasibility and safety of personalized tumor neoantigen mRNA therapy (iNeo-Vac-R01) in combination wi...
Eligibility Criteria
Inclusion
- (1) Subjects who meet all the following entry criteria enter the pre-screening phase of the study:
- Voluntary signing of the informed consent form;
- Age: 18 and 75 years old, male or female;
- Evaluation as metastatic pancreatic cancer or postoperative recurrence according to the 2024 NCCN guidelines;
- No systemic treatment, or disease progression with gemcitabine-based first-line chemotherapy.
- An Eastern Cooperative Oncology Group (ECOG) physical fitness status score of 0 or 1;
- According to the efficacy evaluation criteria for solid tumors (RECIST 1.1);
- Can obtain sufficient fresh tumor tissue samples for exome and transcriptome sequencing analysis;
- Main organ function of heart, liver and kidney is normal:
- Ferproductive men and women of childbearing age agree to take effective contraception from the date to the last dose of test drug; women of childbearing age included premenopause and women within 2 years after menopause;
- Ability to follow the study protocol and follow-up procedures.
- (2) Subjects who meet all the following enrollment criteria enter the formal screening stage of the study and enter the study medication process:
- Voluntary signing of the informed consent form;
- Age: 18 and 75 years old, male or female;
- Pancreatic ductal adenocarcinoma (PDAC) diagnosed by pathology (histology or cytology);
- No systemic treatment or gemcitabine-based first-line chemotherapy.
- An Eastern Cooperative Oncology Group (ECOG) physical fitness status score of 0 or 1;
- Main organ function of heart, liver and kidney is normal:
- Ferproductive men and women of childbearing age agree to take effective contraception from the date to the last dose of test drug; women of childbearing age include premenopause and women within 2 years after menopause;
- Ability to follow the study protocol and follow-up procedures.
Exclusion
- Subjects will be excluded from this study if they meet any of the following criteria:
- Pancreatic cancer has central nervous system metastasis or meningeal metastasis;
- At the same time with other malignant tumors, but cured basal cell cancer, thyroid cancer, cervical dysplasia, etc., have been in the disease for more than 5 years or do not considered to be easy to relapse except;
- History of bone marrow transplantation, allogeneic organ transplantation, or allogeneic hematopoietic stem cell transplantation;
- Patients with immunosuppressants, that is, those who require regular use of immunosuppressants 4 weeks before the screening period and the clinical study, including but not limited to the following conditions: severe asthma, autoimmune diseases or immune deficiency, treated with immunosuppressive drugs, and known history of primary immunodeficiency; except type 1 diabetes, autoimmune-related hypothyroidism requiring hormone therapy, vitiligo and psoriasis that do not require systemic therapy;
- Active bacterial or fungal infection identified by clinical diagnosis; a history of active TB or tuberculosis;
- Patients with positive human immunodeficiency virus (HIV) antibody, positive treponema pallidum for syphilis (TP) antibody, active hepatitis C (positive hepatitis C virus (HCV) antibody and positive HCV RNA result), active hepatitis B;
- Herpesvirus infection (except those who scab for more than 4 weeks); respiratory virus infection (except those who have recovered for more than 4 weeks);
- Uncontrolled complications include but are not limited to active infection, symptomatic congestive heart failure, unstable angina, arrhythmia; severe coronary artery disease or cerebrovascular disease, or other diseases considered unacceptable by the investigator;
- Previous history of drug abuse, clinical or psychological or social factors affecting informed consent or study implementation; a history of mental illness;
- Patients with a history of food, drug or vaccine allergy or other potential immunotherapy allergies as considered by the Investigator.
- Women born during pregnancy or lactation;
- The investigator is not fit for enrollment or may not complete the trial for other reasons.
Key Trial Info
Start Date :
April 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
April 1 2028
Estimated Enrollment :
30 Patients enrolled
Trial Details
Trial ID
NCT06888648
Start Date
April 1 2025
End Date
April 1 2028
Last Update
March 21 2025
Active Locations (1)
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1
First Affiliated Hospital of Zhejiang University Schlool of Medicine
Hangzhou, Zhejiang, China, 31000