This is a Phase I/IIa, multicenter study designed to evaluate the safety, tolerability, and efficacy of GKL-006 injection in patients with ductal adenocarcinoma of pancreas.
This study will evaluate GKL-006 injection in combination with nab-paclitaxel and gemcitabine in patients with advanced pancreatic cancer. Phase I will primarily assess tolerability and safety, and will also evaluate preliminary efficacy and pharmacokinetic and pharmacodynamic characteristics. Phase II will primarily evaluate efficacy, with further assessment of safety and pharmacokinetic and pharmacodynamic characteristics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
52
GKL-006 injection will be administered at the protocol-defined dose every 2 weeks. Participants in Phase I will receive the assigned low or high dose, and recommended dose in Phase II.
Nab-paclitaxel and Gemcitabine are given intravenously as a combination chemotherapy regimen according to the study protocol.
No. 1 Shuaifuyuan, Wangfujing, Dongcheng District
Beijing, Beijing Municipality, China
Incidence of Dose-Limiting Toxicities
The number and percentage of participants experiencing a dose-limiting toxicity during the protocol-defined DLT evaluation period. Dose-limiting toxicities will be assessed according to the criteria specified in the protocol.
Time frame: From the first dose until 42 days
Incidence and Severity of Adverse Events and Serious Adverse Events
The number and percentage of participants experiencing adverse events and serious adverse events, including their severity. The number and percentage of participants with clinically significant abnormalities in laboratory tests, 12-lead electrocardiograms, physical examinations, and vital signs.
Time frame: Up to 18 months
Progression-Free Survival
The time from randomisation/enrolment/first treatment to the first documented disease progression or death from any cause, whichever occurs first. Tumour response will be assessed according to RECIST version 1.1.
Time frame: Up to 18 months
Objective Response Rate
The percentage of participants with a best overall response of complete response or partial response according to RECIST version 1.1.
Time frame: Up to 18 months
Disease Control Rate
The percentage of participants with a best overall response of complete response, partial response, or stable disease according to RECIST version 1.1.
Time frame: Up to 18 months
Duration of Response
The time from the first documented response to the first documented disease progression or death from any cause, whichever occurs first. Assessments will be performed according to RECIST version 1.1.
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Time frame: Up to 18 months
Time to Progression
The time from randomisation/enrolment/ the first treatment to the first documented disease progression according to RECIST version 1.1.
Time frame: Up to 18 months
One-Year Overall Survival Rate
The probability of participants remaining alive at 1 year after enrolment.
Time frame: From enrolment until 1 year
Overall Survival
The time from randomisation/enrolment/ the first dose to death from any cause.
Time frame: Up to 18 months
Tumour Markers
Change from baseline in serum carbohydrate antigen 19-9 (CA199), carcinoembryonic antigen (CEA), and carbohydrate antigen 125 (CA 125) levels.
Time frame: Up to 18 months
Quality of Life Change From Baseline
Health-related quality of life measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30.
Time frame: Up to 18 months
Maximum Observed Peripheral Blood iNKT-Cell Concentration (Cmax)
Pharmacokinetic Parameters
Time frame: Up to 6 months
Time to Maximum Peripheral Blood iNKT-Cell Concentration (Tmax)
Pharmacokinetic Parameters
Time frame: Up to 6 months
Area Under the Concentration-Time Curve From Time Zero to the Last Quantifiable Time Point (AUC0-t)
Pharmacokinetic Parameters
Time frame: Up to 6 months
Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf)
Pharmacokinetic Parameters
Time frame: Up to 6 months
Peripheral Immune-Cell Subsets Change From Baseline
Pharmacodynamic Parameters. Change from baseline in peripheral immune-cell subsets, including natural killer cells (CD3-negative/CD56-positive), activated natural killer cells (CD3-negative/CD56-positive/CD69-positive), CD8-positive T cells, and myeloid-derived suppressor cells (CD11b-positive/CD33-positive).
Time frame: Up to 6 months
Plasma Cytokines and Other Soluble Biomarkers Change From Baseline
Change from baseline in plasma concentrations of interferon gamma, perforin, granzyme B, tumour necrosis factor alpha, granulocyte colony-stimulating factor, interleukin-1 beta, interleukin-2, interleukin-4, interleukin-5, interleukin-6, interleukin-8, interleukin-10, interleukin-12p70, interleukin-13, and interleukin-17.
Time frame: Up to 6 months