The Seven Trial: Exploiting the Unfolded Protein Response
NCT06076837 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 6
Last updated 2026-01-12
Summary
The goal of this investigator initiated interventional study is to improve the response to the anticancer treatments (chemotherapy) in people who have previously untreated metastatic pancreas cancer. The main question it aims to answer is:
• Do new types of immune-based therapies, called botensilimab, and balstilimab, when given in combination with chemotherapy consisting of nab-paclitaxel + gemcitabine + cisplatin, and oral medications of chloroquine and celecoxib help patients with previously untreated metastatic pancreatic cancer?
Participants will be administered two immune-based therapies:
* Botensilimab (also referred to as AGEN1811)
* Balstilimab (also referred to as AGEN2034)
Patients will be evaluated when given in combination with:
* Triple chemotherapy (nab-paclitaxel + gemcitabine + cisplatin), plus two oral medications:
* chloroquine
* celecoxib
Conditions
- Pancreatic Cancer Metastatic
- Pancreatic Adenocarcinoma Metastatic
Interventions
- DRUG
-
Botensilimab
an Fc-engineered anti-CTLA-4 (cytotoxic T-lymphocyte antigen 4) monoclonal antibody
- DRUG
-
Balstilimab
a human monoclonal immunoglobulin (Ig) G4 (IgG4) antibody, designed to block programmed cell death protein (PD-1) binding by PD-L1 and PD-L2
- DRUG
-
Chloroquine Phosphate
an antimalarial agent, that is being used in this patient population to sensitize cancer cells to chemotherapy and leads to anticancer effects through inhibiting autophagy
- DRUG
-
Celecoxib
a second-generation selective Cyclooxygenase 2 (COX-2) inhibitor, is being used in this patient population to enhance the therapeutic effect of cisplatin by inhibiting the expression of COX-2 as well as inhibit anti-apoptotic gene BCL-2 (B-cell lymphoma 2)
- DRUG
-
Nab paclitaxel
microtubule inhibitor indicated for the treatment of Metastatic adenocarcinoma of the pancreas as first-line treatment, in combination with gemcitabine
- DRUG
-
a nucleoside metabolic inhibitor indicated as a single agent for the treatment of pancreatic cancer
- DRUG
-
platinum-based drug indicated for the treatment of advanced cancers
Sponsors & Collaborators
-
University of Arizona
collaborator OTHER -
Agenus Inc.
collaborator INDUSTRY -
HonorHealth Research Institute
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-09
- Primary Completion
- 2026-06-30
- Completion
- 2026-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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