Irreversible Electroporation Ablation Combined With Anti-PD(L)1 Therapy for Locally Advanced Pancreatic Cancer
NCT06677762 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 55
Last updated 2024-11-07
Summary
Pancreatic cancer is a highly lethal malignant tumor of the digestive tract, especially local advanced pancreatic cancer (LAPC), which often loses the opportunity for surgical resection at the time of diagnosis. LAPC patients are often accompanied by tumor invasion of key anatomical structures such as major blood vessels, and traditional treatment methods such as radiotherapy and chemotherapy can slow down the progression of the disease, but the effect is limited, and the overall survival rate is still very low. There is a lack of effective treatment options for LAPC, especially in local control and prolonging survival, which exists a major limitation.
The surgical resection rate is low in LAPC, and the postoperative recurrence rate is high, and traditional radiotherapy and chemotherapy are difficult to completely eliminate the tumor. Immunotherapy has achieved breakthroughs in other tumors such as melanoma and non-small cell lung cancer, but the effect is limited in pancreatic cancer due to the immunosuppressive state of the tumor microenvironment (TME), which limits the efficacy of immunotherapy. In addition, the high invasiveness and rapid progression of pancreatic cancer further aggravates the treatment challenge.
Recent studies have shown that local ablation techniques such as irreversible electroporation (IRE) ablation not only can effectively ablate local tumors, but also may destroy the structural integrity of tumor cells, release tumor-associated antigens, and enhance the anti-tumor effect of the immune system. Therefore, IRE ablation may provide local control of pancreatic cancer for patients. At the same time, the combination of immune checkpoint inhibitors such as anti-PD(L)1 inhibitors may enhance the immune response in the tumor microenvironment and further improve the therapeutic effect. This combined treatment regimen is expected to overcome the limitations of single therapy and provide a new treatment strategy for local advanced pancreatic cancer.
Conditions
Interventions
- PROCEDURE
-
Irreversible electroporation
Irreversible electroporation ablation is an interventional ablation method, while anti-PD(L)1 is an immunotherapy.
Sponsors & Collaborators
-
Ruijin Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-10
- Primary Completion
- 2025-06-30
- Completion
- 2025-06-30
More Related Trials
-
Irreversible Electroporation (NanoKnife) for the Treatment of Pancreatic Adenocarcinoma
NCT03105921 ·Status: COMPLETED ·Phase: NA
-
Quality of Life After in Situ IRE in Locally Advanced Pancreatic Cancer
NCT02926040 ·Status: TERMINATED
-
Combination Therapy for Patients With Untreated Metastatic Pancreatic Ductal Adenocarcinoma
NCT02754726 ·Status: COMPLETED ·Phase: PHASE2
-
IRE Combined With the Dual-Function Antibody PD-1/CTLA-4 for the Treatment of LAPC Following Failure of First-Line AG Therapy
NCT07306273 ·Status: RECRUITING ·Phase: PHASE2
-
Simultaneous Gemcitabine and Irreversible Electroporation for Locally Advanced Pancreatic Cancer
NCT02981719 ·Status: COMPLETED ·Phase: NA
-
Influence Factors of PD-1 Therapeutic Efficacy in Advanced Pancreatic Cancer
NCT05201729 ·Status: UNKNOWN
-
Intraoperative Radiation Therapy for Resectable Pancreas Cancer
NCT02599662 ·Status: UNKNOWN ·Phase: PHASE1
-
A Study to Evaluate the Safety and Efficacy of PRRT With 177Lu-EB-FAPI in Patients With Advanced Cholopancreatic Tumors
NCT06081322 ·Status: UNKNOWN ·Phase: PHASE1
-
In Vitro Organoid Drug Sensitivity-Guided Treatment for Advanced Pancreatic Neuroendocrine Tumor
NCT06246630 ·Status: RECRUITING ·Phase: NA
-
Ablation of Unresectable Locally Advanced Pancreatic Cancer With Irreversible Electroporation (IRE) System
NCT03614910 ·Status: COMPLETED
-
Pembrolizumab Plus Chemotherapy in 1st Line Treatment of Pancreatic Cancer
NCT04447092 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Cryoablation Combined With the Dual-Function Antibody PD-1/CTLA-4 for the Treatment of LAPC Following Failure of First-Line AG Therapy
NCT07306286 ·Status: RECRUITING ·Phase: PHASE2
-
Phase II/III of Randomized Controlled Clinical Research on IRE Synchronous Chemotherapy for LAPC
NCT03673137 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Safety and Efficacy of NRT6008 in Patients With Unresectable Locally Advanced Pancreatic Cancer (LAPC)
NCT06278454 ·Status: RECRUITING ·Phase: PHASE1
-
Prospective Cohort Study of Pancreatic Cancer Patients Treated With Proton Beam Therapy
NCT04466189 ·Status: ENROLLING_BY_INVITATION
-
PROACTIVE: Surgical Resection Outcomes in Locally Advanced and Unresectable Pancreatic Cancer After Neoadjuvant Chemotherapy
NCT06132087 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Stereotactic Radiosurgery and Metformin in Patients With Borderline-Resectable or Locally-Advanced Pancreatic Cancer
NCT02153450 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Oncolytic Virus Plus Anti-PD1 and Chemotherapy as Preoperative Therapy for Patients With BRPC/LAPC
NCT06346808 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Endoscopic Ultrasound Radiofrequency Ablation and Immunotherapy Pembrolizumab for Locally Advanced Unresectable and Metastatic Pancreatic Duct Adenocarcinoma
NCT06831136 ·Status: RECRUITING ·Phase: PHASE2
-
Irreversible Electroporation + Nivolumab for Patients With Metastatic Pancreatic Cancer
NCT05435053 ·Status: TERMINATED ·Phase: PHASE2
-
First-in-human Study of the Theranostic Pair [68Ga]Ga DOTA-5G and [177Lu]Lu DOTA-ABM-5G in Pancreatic Cancer
NCT04665947 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Conventional Partial Pancreatoduodenectomy Versus an Extended Pancreatoduodenectomy for Pancreatic Head Cancers
NCT06703905 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
NH002-mediated Sonoporation With Chemotherapy in Advanced Pancreatic Cancer
NCT07314385 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
EUS-RFA for Unresectable Pancreatic Cancer
NCT04310111 ·Status: COMPLETED ·Phase: NA
-
Ex-vivo Ultrasound Guided Radiofrequency Ablation on Pancreatic Solid Lesions
NCT06371716 ·Status: TERMINATED ·Phase: NA