The purpose of this study is to evaluate the safety, immunogenicity and preliminary efficacy of engineered dendritic cells(eDCs)loaded with mKRAS antigen (CAT-101) alone or in combination with Tislelizumab (anti-PD-1 monoclonal antibody) among participants with KRAS-G12C/D/R/V mutated advanced pancreatic cancer and other solid tumors.
The primary objective of this study is to systematically evaluate the safety profile, immunogenicity, and preliminary clinical efficacy of mKRAS antigen-loaded engineered dendritic cells (eDCs, designated as CAT-101), administered either as monotherapy or in combination with Tislelizumab (an anti-PD-1 monoclonal antibody), in patients with KRAS-G12C/D/R/V-mutated advanced pancreatic cancer and other refractory solid tumors. Secondary objectives include exploring the correlation between treatment-induced immune responses and clinical outcomes, as well as characterizing the optimal administration regimen for this combination therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
13
intravenous injection
intravenous injection
Adverse events
Adverse events defined as the number of participants with adverse events according to CTCAE v5.0.
Time frame: up to 24 months
Objective Response Rate
The proportion of patients achieving a predefined reduction in tumor burden as assessed by Response Evaluation Criteria in Solid Tumors (RECIST v1.1). Responses are categorized as complete response (CR, disappearance of all target lesions) or partial response (PR, ≥30% reduction in the sum of target lesion diameters), with ORR calculated as the percentage of patients with CR or PR relative to the total evaluable cohort.
Time frame: up to 24 months
Immunogenicity of eDC-KRAS vaccine
Measure vaccine-induced immune response (e.g., antigen-specific T-cell/cytokine responses /lymphocyte subsets changes).
Time frame: up to 24 months
Rate of MRD Clearance
The percentage of patients who achieve minimal residual disease (MRD) negativity following treatment, defined as the absence of detectable tumor-specific biomarkers (e.g., circulating tumor DNA, tumor-associated antigens) or malignant cells in peripheral blood, bone marrow, or other relevant biological samples, using a validated, high-sensitivity detection assay.
Time frame: up to 24 months
Disease Control Rate (DCR)
The percentage of patients whose disease is controlled, encompassing those with complete response (CR), partial response (PR), and stable disease (SD, no significant increase or decrease in target lesion size per RECIST v1.1 criteria) for a minimum of the predefined evaluation period. DCR reflects the treatment's ability to inhibit tumor progression in the evaluable patient population.
Time frame: up to 24 months
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Duration of Relief
The time interval from the first documentation of a clinically meaningful reduction in cancer-related symptoms (e.g., pain, fatigue, dyspnea) to the recurrence of symptoms or initiation of subsequent anti-tumor therapy. Symptom assessment is based on validated patient-reported outcome (PRO) scales or clinician-administered symptom rating tools, with relief defined by a predefined threshold of symptom improvement.
Time frame: up to 24 months
Progress-Free Survival (PFS)
The time from treatment initiation to the first documentation of tumor progression (per RECIST v1.1) or death from any cause, whichever occurs first. PFS is measured using standardized imaging assessments performed at predefined time points and is a key endpoint reflecting the treatment's ability to delay disease progression.
Time frame: up to 24 months
Overall Survival (OS)
The time from treatment initiation to death from any cause. OS is a definitive endpoint that evaluates the treatment's impact on patient survival, with follow-up conducted until patient death or the end of the study's observation period.
Time frame: up to 24 months
Tumor Markers Changes
The dynamic alterations in the levels of tumor-associated serological or tissue biomarkers (e.g., CA 19-9, CEA, CA 125) measured at baseline and at predefined post-treatment time points. Changes are quantified as the percentage reduction or increase from baseline, with a predefined threshold (e.g., ≥50% reduction) used to define a clinically significant change. These data are analyzed to explore correlations with clinical response and disease progression.
Time frame: up to 24 months