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KN046 in Subjects With Advanced Pancreatic Ductal Adenocarcinoma.

Primary Purpose

Advanced Pancreatic Ductal Adenocarcinoma

Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
KN046
placebo
Sponsored by
Jiangsu Alphamab Biopharmaceuticals Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Pancreatic Ductal Adenocarcinoma

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥18, male or female;
  • Has histologically or cytologically confirmed pancreatic ductal adenocarcinoma (PDAC);
  • Has not received prior systemic treatment for their locally advanced or metastatic PDAC;
  • Has presence of measurable disease as defined by Response Evaluation Criteria in Solid Tumours (RECIST 1.1);
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status;
  • Has a life expectancy of at least 3 months;
  • Has adequate organ function;
  • If female of childbearing potential, have a negative serum pregnancy test within 7 days prior to first trial treatment;
  • If female of childbearing potential or a male subject with a partner with childbearing potential, be willing to use a highly effective method of contraception (with a failure rate of less than 1.0% per year) from first study treatment to 24 weeks after completion of the trial treatment.

Exclusion Criteria:

  • Untreated active CNS metastasis or leptomeningeal metastasis.
  • Is currently participating and receiving an investigational drug or has participated in a study of an investigational drug within 4 weeks or within 5 times of half-life (no less than 2 weeks), whichever is shorter prior to the first dose of trial treatment;
  • Has received other anti-tumor treatment within 4 weeks or within 5 times of half-life (no less than 2 weeks), whichever is shorter prior to the first trial treatment;
  • Major surgery for any reason, except diagnostic biopsy, within 4 weeks of the first administration of trial treatment and/or if the subject has not fully recovered from the surgery within 4 weeks of the first administration of trial treatment;
  • Curative radiation within 3 months of the first dose of trial treatment. Radiation to more than 30% of the bone marrow or with a wide field of radiation should not be used within 4 weeks prior to the first administration of trial treatment;
  • Subjects receiving immunosuppressive agents (such as steroids) for any reason should be tapered off these drugs before initiation of trial treatment (with the exception of subjects with adrenal insufficiency, who may continue corticosteroids at physiologic replacement doses, equivalent to < 10 mg prednisone daily, inhaled steroids and topical use of steroids);
  • Vaccination within 28 days of the first administration of trial treatment, except for administration of inactivated vaccines (e.g., inactivated influenza vaccines);
  • Has interstitial lung disease, or a history of pneumonitis that required oral or intravenous glucocorticoids to assist with management;
  • History or current active autoimmune disease that might deteriorate when receiving an immunostimulatory agent;
  • Previous malignant disease History of uncontrolled intercurrent illness Prior therapy with any antibody/drug targeting T cell coregulatory proteins Known severe hypersensitivity reactions to antibody drug;
  • Is pregnant or breastfeeding;
  • Other medical conditions that at the discretion of investigator interfere with the requirements of the trial in terms of safety or efficacy evaluation, or treatment compliance.

Sites / Locations

  • The Second Hospital Of Anhui medical University
  • Beijing Cancer Hospital
  • Beijing Friendship Hospital
  • Cancer Hospital Chinese Academy of Medical Sciences
  • Chinese PLA General Hospital
  • Peking Union Medical College
  • Peking University Third Hospital
  • Chongqing Cancer Hospital
  • The First Affiliated Hospital of Chongqing Medical University
  • The Southwest Hospital of AMU
  • The Third Affiliated Hospital of Army Medical University
  • Fujian Cancer Hospital
  • Fujian Medical University Union Hospital
  • The First Affiliated Hospital of Fujian Medical University
  • The First Affiliated Hospital of Xiamen University
  • The First Hospital of Lanzhou University
  • Guangdong Provincial People's Hospital
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University
  • The First Affiliated Hospital,Sun Yat-sen University
  • Affiliated Cancer Hospital of Guangxi Medical University
  • The Affiliated Hospital of Guizhou Medical University
  • The Fourth Hospital of Hebei Medical University
  • Harbin Medical University Cancer Hospital
  • Henan Cancer Hospital
  • Henan Provincial People's Hospital
  • The First Affiliated Hospital of Zhengzhou University
  • Hubei Cancer Hospital
  • Renmin Hospital of Wuhan University
  • Union Hospital Tongji Medical College Huazhong University of Science And Technology
  • Zhongnan Hospital of Wuhan University
  • Hunan Cancer Hospital
  • Hunan Provincial People's Hospital
  • The Second Xiangya Hospital of Central South University
  • Xiangya Hospital Central South University
  • The First People's Hospital of Changzhou
  • Jiangsu Province Hospital
  • Nantong Tumor Hospital
  • The Affiliated Hospital Of XuZhou Medical University
  • First Affiliated Hospital of Nanchang University
  • The Second Affiliated Hospital of Nanchang University
  • China-Japan Union Hospital of Jilin University
  • The First Hospital of Jilin University
  • Liaoning Cancer Hospital
  • The First Affiliated Hospital of China Medical University
  • Shandong Cancer Hospital
  • Shandong Provincial Hospital
  • Affiliated Hospital of Jining Medical University
  • LINYI Cancer Hospital
  • Linyi City People Hospital
  • The Affiliated Hospital of Qingdao University
  • Weifang People'S Hospital
  • Shanghai Changhai Hospital
  • Yueyang Hospital of Integrated Traditional Chinese and Western Medicine , Shanghai University of Traditional Chinese Medicine
  • Zhongshan Hospital Fudan University
  • Shanxi Cancer hospital
  • Shanxi Provincial People's Hospital
  • the First Affiliated Hospital of Xi'an Jiaotong University
  • Sichuan Cancer Hospital
  • Sichuan Provincial People's Hospital
  • Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
  • The Second Affiliated Hosipital Zhejiang University School of Medicine
  • Zhejiang Cancer Hospital
  • Zhejiang Provincial People's hospital
  • Jiaxing Second Hospital
  • The First Affiliated Hospital of Wenzhou Medical University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Experimental arm

Control arm

Arm Description

Outcomes

Primary Outcome Measures

Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up.

Secondary Outcome Measures

Progression-free survival (PFS)
Time between randomization to date of disease progression or death due to any cause.
Overall response rate (ORR)
Complete Response or Partial Response according to RECIST

Full Information

First Posted
November 26, 2021
Last Updated
May 30, 2023
Sponsor
Jiangsu Alphamab Biopharmaceuticals Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05149326
Brief Title
KN046 in Subjects With Advanced Pancreatic Ductal Adenocarcinoma.
Official Title
A Multicenter, Randomized, Double-Blind Phase III Study to Assess the Efficacy and Safety of KN046 Combined With Gemcitabine and Nab-Paclitaxel Versus Placebo Combined With Gemcitabine and Nab-Paclitaxel in First Line Advanced Pancreatic Ductal Adenocarcinoma Subjects (ENREACH-PDAC-01).
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
January 20, 2022 (Actual)
Primary Completion Date
April 30, 2024 (Anticipated)
Study Completion Date
August 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Alphamab Biopharmaceuticals Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is a multicenter, randomized, double-Blind Phase III Study to compare the clinical efficacy and safety of KN046 plus gemcitabine and nab-paclitaxel versus placebo plus gemcitabine and nab-paclitaxel in subjects with advanced pancreatic ductal adenocarcinoma who have not previously received systemic treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Pancreatic Ductal Adenocarcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
408 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental arm
Arm Type
Experimental
Arm Title
Control arm
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
KN046
Intervention Description
KN046+Nab-Paclitaxel+Gemcitabine In combine therapy stage, KN046 is 5 milligram per kilogram, every 2 weeks. In maintain stage, KN046 is 5 milligram per kilogram, every 2 weeks.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
placebo+Nab-Paclitaxel+Gemcitabine In combine therapy stage, placebo is 5 milligram per kilogram, every 2 weeks. In maintain stage, placebo is 5 milligram per kilogram, every 2 weeks.
Primary Outcome Measure Information:
Title
Overall Survival (OS)
Description
OS was defined as the time from randomization to death due to any cause. Participants without documented death at the time of the interim analysis were censored at the date of the last follow-up.
Time Frame
up to 2 years
Secondary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
Time between randomization to date of disease progression or death due to any cause.
Time Frame
up to 2 years
Title
Overall response rate (ORR)
Description
Complete Response or Partial Response according to RECIST
Time Frame
up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18, male or female; Has histologically or cytologically confirmed pancreatic ductal adenocarcinoma (PDAC); Has not received prior systemic treatment for their locally advanced or metastatic PDAC; Has presence of measurable disease as defined by Response Evaluation Criteria in Solid Tumours (RECIST 1.1); Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status; Has a life expectancy of at least 3 months; Has adequate organ function; If female of childbearing potential, have a negative serum pregnancy test within 7 days prior to first trial treatment; If female of childbearing potential or a male subject with a partner with childbearing potential, be willing to use a highly effective method of contraception (with a failure rate of less than 1.0% per year) from first study treatment to 24 weeks after completion of the trial treatment. Exclusion Criteria: Untreated active CNS metastasis or leptomeningeal metastasis. Is currently participating and receiving an investigational drug or has participated in a study of an investigational drug within 4 weeks or within 5 times of half-life (no less than 2 weeks), whichever is shorter prior to the first dose of trial treatment; Has received other anti-tumor treatment within 4 weeks or within 5 times of half-life (no less than 2 weeks), whichever is shorter prior to the first trial treatment; Major surgery for any reason, except diagnostic biopsy, within 4 weeks of the first administration of trial treatment and/or if the subject has not fully recovered from the surgery within 4 weeks of the first administration of trial treatment; Curative radiation within 3 months of the first dose of trial treatment. Radiation to more than 30% of the bone marrow or with a wide field of radiation should not be used within 4 weeks prior to the first administration of trial treatment; Subjects receiving immunosuppressive agents (such as steroids) for any reason should be tapered off these drugs before initiation of trial treatment (with the exception of subjects with adrenal insufficiency, who may continue corticosteroids at physiologic replacement doses, equivalent to < 10 mg prednisone daily, inhaled steroids and topical use of steroids); Vaccination within 28 days of the first administration of trial treatment, except for administration of inactivated vaccines (e.g., inactivated influenza vaccines); Has interstitial lung disease, or a history of pneumonitis that required oral or intravenous glucocorticoids to assist with management; History or current active autoimmune disease that might deteriorate when receiving an immunostimulatory agent; Previous malignant disease History of uncontrolled intercurrent illness Prior therapy with any antibody/drug targeting T cell coregulatory proteins Known severe hypersensitivity reactions to antibody drug; Is pregnant or breastfeeding; Other medical conditions that at the discretion of investigator interfere with the requirements of the trial in terms of safety or efficacy evaluation, or treatment compliance.
Facility Information:
Facility Name
The Second Hospital Of Anhui medical University
City
Hefei
State/Province
Anhui
Country
China
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Friendship Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Chinese PLA General Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking Union Medical College
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Chongqing Cancer Hospital
City
Chongqing
State/Province
Chongqing
Country
China
Facility Name
The First Affiliated Hospital of Chongqing Medical University
City
Chongqing
State/Province
Chongqing
Country
China
Facility Name
The Southwest Hospital of AMU
City
Chongqing
State/Province
Chongqing
Country
China
Facility Name
The Third Affiliated Hospital of Army Medical University
City
Chongqing
State/Province
Chongqing
Country
China
Facility Name
Fujian Cancer Hospital
City
Fuzhou
State/Province
Fujian
Country
China
Facility Name
Fujian Medical University Union Hospital
City
Fuzhou
State/Province
Fujian
Country
China
Facility Name
The First Affiliated Hospital of Fujian Medical University
City
Fuzhou
State/Province
Fujian
Country
China
Facility Name
The First Affiliated Hospital of Xiamen University
City
Xiamen
State/Province
Fujian
Country
China
Facility Name
The First Hospital of Lanzhou University
City
Lanzhou
State/Province
Gansu
Country
China
Facility Name
Guangdong Provincial People's Hospital
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The First Affiliated Hospital,Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Affiliated Cancer Hospital of Guangxi Medical University
City
Nanning
State/Province
Guangxi
Country
China
Facility Name
The Affiliated Hospital of Guizhou Medical University
City
Guiyang
State/Province
Guizhou
Country
China
Facility Name
The Fourth Hospital of Hebei Medical University
City
Shijiazhuang
State/Province
Hebei
Country
China
Facility Name
Harbin Medical University Cancer Hospital
City
Harbin
State/Province
Heilongjiang
Country
China
Facility Name
Henan Cancer Hospital
City
Zhengzhou
State/Province
Henan
Country
China
Facility Name
Henan Provincial People's Hospital
City
Zhengzhou
State/Province
Henan
Country
China
Facility Name
The First Affiliated Hospital of Zhengzhou University
City
Zhengzhou
State/Province
Henan
Country
China
Facility Name
Hubei Cancer Hospital
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Renmin Hospital of Wuhan University
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Union Hospital Tongji Medical College Huazhong University of Science And Technology
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Zhongnan Hospital of Wuhan University
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
Country
China
Facility Name
Hunan Provincial People's Hospital
City
Changsha
State/Province
Hunan
Country
China
Facility Name
The Second Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
Country
China
Facility Name
Xiangya Hospital Central South University
City
Changsha
State/Province
Hunan
Country
China
Facility Name
The First People's Hospital of Changzhou
City
Changzhou
State/Province
Jiangsu
Country
China
Facility Name
Jiangsu Province Hospital
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
Nantong Tumor Hospital
City
Nantong
State/Province
Jiangsu
Country
China
Facility Name
The Affiliated Hospital Of XuZhou Medical University
City
Xuzhou
State/Province
Jiangsu
Country
China
Facility Name
First Affiliated Hospital of Nanchang University
City
Nanchang
State/Province
Jiangxi
Country
China
Facility Name
The Second Affiliated Hospital of Nanchang University
City
Nanchang
State/Province
Jiangxi
Country
China
Facility Name
China-Japan Union Hospital of Jilin University
City
Changchun
State/Province
Jilin
Country
China
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jilin
Country
China
Facility Name
Liaoning Cancer Hospital
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
The First Affiliated Hospital of China Medical University
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
Shandong Cancer Hospital
City
Jinan
State/Province
Shandong
Country
China
Facility Name
Shandong Provincial Hospital
City
Jinan
State/Province
Shandong
Country
China
Facility Name
Affiliated Hospital of Jining Medical University
City
Jining
State/Province
Shandong
Country
China
Facility Name
LINYI Cancer Hospital
City
Linyi
State/Province
Shandong
Country
China
Facility Name
Linyi City People Hospital
City
Linyi
State/Province
Shandong
Country
China
Facility Name
The Affiliated Hospital of Qingdao University
City
Qingdao
State/Province
Shandong
Country
China
Facility Name
Weifang People'S Hospital
City
Weifang
State/Province
Shandong
Country
China
Facility Name
Shanghai Changhai Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200433
Country
China
Facility Name
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine , Shanghai University of Traditional Chinese Medicine
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Zhongshan Hospital Fudan University
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Shanxi Cancer hospital
City
Taiyuan
State/Province
Shanxi
Country
China
Facility Name
Shanxi Provincial People's Hospital
City
Taiyuan
State/Province
Shanxi
Country
China
Facility Name
the First Affiliated Hospital of Xi'an Jiaotong University
City
Xi'an
State/Province
Shanxi
Country
China
Facility Name
Sichuan Cancer Hospital
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
Sichuan Provincial People's Hospital
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
The Second Affiliated Hosipital Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
Zhejiang Cancer Hospital
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
Zhejiang Provincial People's hospital
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
Jiaxing Second Hospital
City
Jiaxing
State/Province
Zhejiang
Country
China
Facility Name
The First Affiliated Hospital of Wenzhou Medical University
City
Wenzhou
State/Province
Zhejiang
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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KN046 in Subjects With Advanced Pancreatic Ductal Adenocarcinoma.

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