Clinical trialPhase 2Not yet recruiting
FMT Plus SHR-1701 With Nab-Paclitaxel/Gemcitabine as First-Line Treatment for Locally Advanced or Metastatic Pancreatic Ductal Adenocarcinoma
Fecal Microbiota Transplantation Combined With SHR-1701(an Anti-PD-L1/TGF-βRII Fusion Protein) and Nab-Paclitaxel Plus Gemcitabine as First-Line Treatment for Locally Advanced or Metastatic Pancreatic Ductal Adenocarcinoma:A Randomized, Open-Label, Single-Center, Two-Arm, Prospective Phase II Study
- Outcome
- Ongoing
- Phase
- Phase 2
- Status
- Not yet recruiting
- Study type
- Interventional
- Start
- November 2026
- Expected end
- May 2030
- Enrollment
- 60 participants
- Sites
- 1
- Primary outcomes
- Median Progression-Free Survival (mPFS)
- Sponsor
- Other
- Results posted
- No
- Last update
- 1 October 2026
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Brief summary public domain (ClinicalTrials.gov)
This is a prospective, single-center, randomized, open-label, two-arm Phase II clinical trial design to evaluate the feasibility, safety and preliminary efficacy of combining fecal Fecal Microbiota Transplantation (FMT) Combined With SHR-1701plus Nab-paclitaxel and Gemcitabine as first-line treatment in patients for locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC).
Detailed description public domain (ClinicalTrials.gov)
This phase II study aims to assess the efficacy and safety of fecal microbiota transplantation (FMT) combined with SHR-1701plus Nab-paclitaxel and Gemcitabine as first-line treatment in patients with locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC). This study plans to enroll a total of 60 treatment-naïve patients diagnosed with locally advanced or metastatic PDAC and participants will be randomized in a 1:1 ratio into experimental group (group A, n=30)or control group (group B, n=30) The primary objective is to evaluate the median progression free-survival (mPFS) of fecal microbiota transplantation (FMT) combined with SHR-1701 Plus AG chemotherapy in patients for locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC). The secondary objectives are to determine the overall survival (OS), objective response rate (ORR), disease control rate (DCR), and duration of response (DoR) according to RECIST v1.1 criteria. Furthermore, to assess adverse drug events (ADEs) and other reported adverse events will be evaluated and graded in based on the NCI-CTCAE, version 6.0. As exploratory objectives, this study aims to investigate multi-omics prognosis prediction biomarkers and their associated mechanisms.
Papers 11
- BackgroundRationale for multi-epitope TGFβ vaccination in pancreatic cancer: evidence from immunologic and clinical correlates. DOI 10.1038/s41392-026-02626-3↗
- BackgroundA phase 1b/2 study of first-line anti-PD-L1/ TGF-βRII fusion protein SHR-1701 combined with nab-paclitaxel and gemcitab… DOI 10.1038/s41392-025-02530-2↗
- BackgroundSingle dual-specific anti-PD-L1/TGF-β antibody synergizes with chemotherapy as neoadjuvant treatment for pancreatic duc… DOI 10.1097/js9.0000000000001226↗
- BackgroundGlobal cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. DOI 10.3322/caac.21834↗
- BackgroundCancer statistics, 2024. DOI 10.3322/caac.21820↗
- BackgroundChallenges and Opportunities for Pancreatic Cancer Immunotherapy. DOI 10.1016/j.ccell.2020.08.004↗
- BackgroundPancreatic cancer. DOI 10.1016/s0140-6736(20)30974-0↗
- BackgroundThe tumour microenvironment in pancreatic cancer - clinical challenges and opportunities. DOI 10.1038/s41571-020-0363-5↗
- BackgroundTumor Microbiome Diversity and Composition Influence Pancreatic Cancer Outcomes. DOI 10.1016/j.cell.2019.07.008↗
- BackgroundThe Pancreatic Cancer Microbiome Promotes Oncogenesis by Induction of Innate and Adaptive Immune Suppression. DOI 10.1158/2159-8290.cd-17-1134↗
- BackgroundSafety and activity of anti-PD-L1 antibody in patients with advanced cancer. DOI 10.1056/nejmoa1200694↗