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새로 진단된 전이성 췌장암 환자에서 표준 항암화학요법과 결합한 VCN-01의 빈번한 투여 주기에 대한 연구

A Study of More Frequent Dosing of VCN-01 Combined With Standard Chemotherapy in Patients With Newly Diagnosed Metastatic Pancreatic Cancer

안내

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항목 내용
등록번호 NCT07701486
상태 모집 중
단계 1상/2상
시험 약물/중재 VCN-01 oncolytic adenovirus (zabilugene almadenorepvec), Nab-paclitaxel + Gemcitabine
대상 질환 Pancreas Cancer, Metastatic, Pancreas Cancer, Stage IV, Ductal Adenocarcinoma of the Pancreas
스폰서 Theriva Biologics SL
연령·성별 18 Years ~ 제한 없음 · ALL
목표 인원 6
시작 / 1차 완료 예정 2026-08-03 / 2027-08-01
국내 실시기관 없음
실시 국가 1개국, 기관 1곳 (Spain)
결과 게시 아니오
최근 갱신 2026-07-27

문의처 (등록된 중앙 연락처)

  • Manel Cascalló CEO, PhD +93936899365 mcascallo@therivabio.com

국내 기관 참여 문의는 해당 병원 임상시험센터 또는 담당 주치의를 통해 하세요. 참여 방법 안내

시험 개요

이 임상시험은 새로 전이성 췌장암(metastatic pancreatic cancer)을 진단받고 치료받지 않은 성인 환자를 대상으로 합니다. 종양용해성 아데노바이러스(oncolytic adenovirus)인 VCN-01을 표준 항암화학요법인 gemcitabine(젬시타빈) 및 nab-paclitaxel(납-패클리탁셀)과 함께 투여하는 새로운 요법의 안전성과 내성을 평가합니다. 환자들은 56일마다 한 번씩 총 3회의 VCN-01 투여를 받으며, 각 투여 후 표준 화학요법이 이어집니다. 목표 인원은 6명이며, 초록에 치료 효과나 생존기간 등의 결과는 명시되지 않았습니다.

  • 대상 질환: 새로 진단된 4기 전이성 췌장 췌관 선암종(pancreatic ductal adenocarcinoma, PDAC)
  • 시험 중재: VCN-01 oncolytic adenovirus와 gemcitabine, nab-paclitaxel 병용
  • 목표 인원: 6명
  • 효과 및 생존기간 수치: 초록에 명시되지 않음

참여 조건 (AI 정리, 원문 확인 필요)

선정 기준: - 만 18세 이상의 남녀 환자 - 조직학적 또는 세포학적으로 확진된 전이성(4기) 췌장 선암종 환자로서 췌장암 치료를 받은 적이 없는 자 - 전이성 췌장암 진단 후 6주 이내에 첫 번째 VCN-01 투여를 받을 수 있는 자 - RECIST 1.1 기준에 따라 영상 평가가 가능한 측정 가능한 종양 병소가 최소 1개 이상인 자 - 등록 당시 ECOG 신체 상태 평가(performance status)가 0 또는 1인 자 - 적절한 장기 기능(혈액학적, 간, 신장)을 충족하는 자. 제외 기준: - 지리적, 정신적, 사회적 이유로 임상시험 절차를 완료할 수 없는 자 - 전이성 췌장암에 대해 수술, 방사선치료, 항암화학요법 또는 임상시험용 치료를 이전에 받은 적이 있는 자(통증 완화 목적의 방사선치료 및 담도 스텐트 삽입은 허용됨) - 스크리닝 기간 동안 임상적으로 수용할 수 없는 악화를 시사하는 증상이나 징후가 있는 자 - 활성 감염, 기타 심각한 질환 또는 자가면역 질환이 있는 자 - 만성 간질환, 동시 악성 혈액 질환 또는 고형암 병력이 있는 자 - 치료받지 않은 뇌전이 및/또는 연막 카르시노마토시스가 있는 자 - 이전 폐렴이나 간질성 폐질환 병력이 있는 자

선정/제외 기준 원문 (영어)

Inclusion Criteria:

  • Written informed consent obtained prior to initiating any trial-specific procedures or assessments.
  • Male or female patients aged 18 years or over.
  • Patients with histologically or cytologically confirmed pancreatic adenocarcinoma that is metastatic (stage IV) at diagnosis and who have not received any treatment for their pancreatic cancer.
  • Patients must be able to receive their first dose of VCN-01 ≤6 weeks after their metastatic pancreatic cancer diagnosis.
  • Patients must have at least one measurable tumor lesion that can be imaged for assessments according to RECIST 1.1.
  • ECOG performance status of 0 or 1 at enrollment.
  • Must be willing to comply with the trial intervention, including prophylactic medications, and procedures.
  • Adequate baseline organ function (hematologic, liver, renal) within the 7 days prior to enrollment:

Hematology:

  • Leukocytes ≥3.0x103 mcL
  • Absolute neutrophil count ≥1.5x10⁹/L
  • Hemoglobin ≥9 g/dL
  • Platelets ≥100x10⁹/L

Coagulation:

  • Prothrombin time or international normalized ratio ≤1x upper limit of normal (ULN)
  • Activated partial thromboplastin time ≤1.2xULN

Hepatic:

  • Total bilirubin ≤1.5xULN
  • ALT and AST ≤2.5xULN (\<5xULN is acceptable if liver metastases are present)

Renal:

  • Serum creatinine ≤1.5xULN; or,
  • If serum creatinine >1.5xULN, an estimated creatinine clearance >50 mL/min using the Cockcroft and Gault formula

Nutritional:

• Serum Albumin ≥30 g/L

- Adequate left ventricular ejection fraction (LVEF) ≥ 50% measured by ECHO or MUGA and QT interval corrected by Fridericia (QTcF) assessment ≤ 450 ms for men or ≤ 470 ms for women.

Exclusion Criteria:

  • Unwillingness to complete the trial procedures for geographic, psychiatric, or social reasons.
  • Patient has previously received treatment for their metastatic pancreatic cancer with surgery, radiotherapy, chemotherapy or investigational therapy; except that:
  • Palliative radiotherapy for pain is permitted;
  • Placement of a biliary stent/tube is permitted.
  • Patients who, in the opinion of the investigator, have symptoms or signs suggesting clinically unacceptable deterioration during the Screening Period.
  • Active infection or other serious illness or autoimmune disease at the moment of enrollment. Active infection includes:

• Tuberculosis (TB; clinical evaluation that includes clinical history, physical examination and radiographic findings, and TB testing in line with local practice. * Patients with past or resolved TB are eligible to participate.

• Hepatitis B Virus (HBV; positive HBV surface antigen [HBsAg] result). * HBV carriers (patients positive for HBsAg without an active infection) are not eligible to participate; * Patients requiring antiviral medicines for HBV prophylaxis or treatment are not eligible to participate; * Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [HBcAb] and absence of HBsAg) are eligible to participate provided that blood HBV DNA is negative at enrollment.

• Hepatitis C Virus (HCV; positive HCV Ribonucleic acid [RNA]). * Patients requiring antiviral medicines for HCV prophylaxis or treatment are not eligible to participate; * Patients positive for HCV antibody are eligible to participate (only if polymerase chain reaction is negative for HCV RNA).

  • Human immunodeficiency virus (positive HIV 1/2 antibodies)

Active infection or other serious illness or autoimmune disease at the moment of enrollment. Active infection includes:

  • Tuberculosis (TB; clinical evaluation that includes clinical history, physical examination and radiographic findings, and TB testing in line with local practice.

- Patients with past or resolved TB are eligible to participate. * Hepatitis B Virus (HBV; positive HBV surface antigen [HBsAg] result).

  • HBV carriers (patients positive for HBsAg without an active infection) are not eligible to participate;
  • Patients requiring antiviral medicines for HBV prophylaxis or treatment are not eligible to participate;
  • Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [HBcAb] and absence of HBsAg) are eligible to participate provided that blood HBV DNA is negative at enrollment.
  • Hepatitis C Virus (HCV; positive HCV Ribonucleic acid [RNA]).

  • Patients requiring antiviral medicines for HCV prophylaxis or treatment are not eligible to participate;

  • Patients positive for HCV antibody are eligible to participate (only if polymerase chain reaction is negative for HCV RNA).
  • Human immunodeficiency virus (positive HIV 1/2 antibodies)

  • Known chronic liver disease (e.g. liver cirrhosis, liver fibrosis, chronic hepatitis); except that:

  • Patients with fatty liver disease are eligible to participate if their liver transaminases meet inclusion criterion 8.
  • Concurrent malignant hematologic or solid disease; except that:
  • Patients with a prior history of cancer are eligible to participate if they are in complete remission from their prior cancer for at least 3 years.
  • Patients with Li Fraumeni syndrome or with previously known retinoblastoma protein pathway germline deficiency.
  • Patients with untreated brain metastases and/or leptomeningeal carcinomatosis with progressive symptoms despite corticosteroid coverage; except that:
  • Patients with brain metastases with stable symptoms are eligible to participate.
  • Patients with previous pneumonitis or interstitial lung disease.
  • Patients with pre-existing sensory neuropathy >G1
  • Clinical evidence of deep vein thrombosis, pulmonary embolism or arterial thromboembolic event during the Screening Period.
  • Patients with superficial vein thrombosis are eligible to participate.
  • Patients with uncontrolled coagulopathy.
  • Any other condition, disease, metabolic dysfunction (e.g., uncontrolled diabetes mellitus), active or uncontrolled infection/inflammation, physical examination finding, mental state or clinical laboratory finding that would contraindicate participation in the clinical trial due to concerns over safety or potential non-compliance with clinical trial procedures.
  • A female patient, who is pregnant or lactating.
  • Female patients of reproductive potential must agree to use a highly effective method of birth control. Male patients must agree to use condoms.
  • Treatment with live attenuated vaccines in the last 3 weeks before the administration of the IMP.
  • Treatment with an adenovirus type-5 (Ad5)-based COVID-vaccine in the last 12 weeks before the administration of the IMP.
  • Treatment with another investigational agent within five of that investigational agent's half-lives prior to the administration of the IMP.
  • Chronic immunosuppressive therapy; except that:
  • Inhaled corticosteroids are permitted;
  • Oral or IV corticosteroids with a dose lower than 10 mg prednisone or equivalent/day are permitted;
  • Dexamethasone up to a maximum dose of 1 mg/day is permitted.
  • Known allergy or hypersensitivity to any of the trial-specific interventions or any of their excipients.
  • Subjects, for whom first line treatment options other than the combination nab-paclitaxel/gemcitabine are recommended by the investigator.

출처: ClinicalTrials.gov · 수집 2026-10-06 · 갱신 2026-10-06

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