NCT07235202

Brief Summary

This Phase Ib/IIa study is evaluating the safety, tolerability, pharmacokinetics, and preliminary efficacy of MR001 Combined with Chemotherapy in patients with locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC) who have progressed after first-line therapy.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
45

participants targeted

Target at P50-P75 for phase_1

Timeline
32mo left

Started Dec 2025

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress12%
Dec 2025Dec 2028

First Submitted

Initial submission to the registry

November 14, 2025

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 19, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

December 24, 2025

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 22, 2028

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 22, 2028

Last Updated

December 31, 2025

Status Verified

December 1, 2025

Enrollment Period

2.5 years

First QC Date

November 14, 2025

Last Update Submit

December 26, 2025

Conditions

Keywords

MR001PDACCD4TGF-β1

Outcome Measures

Primary Outcomes (6)

  • Number of participants who experience one or more dose-limiting toxicities (DLTs)

    Approximately 12 months

  • Maximum Tolerated Dose (MTD) of MR001

    The maximum tolerated dose (MTD) of MR001 was assessed for QW dosing schedules

    Approximately 12 months

  • Incidence of Adverse Events (AEs) as Assessed by CTCAE v5.0

    Approximately 30 months

  • Objective Response Rate (ORR)

    Approximately 24 months

  • Best Overall Response (BOR)

    Approximately 24 months

  • Disease control rate (DCR)

    Approximately 24 months

Secondary Outcomes (11)

  • Recommended Phase II Dose (RP2D) of MR001 in combination with standard chemotherapy regimens in patients with locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC)

    Approximately 12 months

  • Progressionfree survival (PFS)

    Approximately 24 months

  • Overall survival (OS)

    Approximately 30 months

  • Area Under the Plasma ConcentrationTime Curve (AUC) of MR001

    Predose and at designated timepoints in each cycle for approximately 18 months (each cycle = 2 weeks or 4 weeks)

  • Maximum Plasma Concentration (Cmax) of MR001

    Predose and at designated timepoints in each cycle for approximately 18 months (each cycle = 2 weeks or 4 weeks)

  • +6 more secondary outcomes

Study Arms (7)

Dose Escalation Part1, Dose Group 1: MR001+Irinotecan Liposome+LV/5-FU

EXPERIMENTAL

MR001, 2mg/kg, QW; Irinotecan Liposome+LV/5-FU, Per locally approved dosage and administration

Drug: MR001Drug: Irinotecan Liposome Injection combined with 5-FU/LV

Dose Escalation Part1, Dose Group 2: MR001+Irinotecan Liposome+LV/5-FU

EXPERIMENTAL

MR001, 4mg/kg, QW; Irinotecan Liposome+LV/5-FU, Per locally approved dosage and administration

Drug: MR001Drug: Irinotecan Liposome Injection combined with 5-FU/LV

Dose Escalation Part1, Dose Group 3: MR001+Irinotecan Liposome+LV/5-FU

EXPERIMENTAL

MR001, 6mg/kg, QW; Irinotecan Liposome+LV/5-FU, Per locally approved dosage and administration

Drug: MR001Drug: Irinotecan Liposome Injection combined with 5-FU/LV

Dose Escalation Part2, Dose Group 1: MR001+nab-paclitaxel+gemcitabine

EXPERIMENTAL

MR001, 2mg/kg, QW; nab-paclitaxel+gemcitabine, Per locally approved dosage and administration

Drug: MR001Drug: Nab-paclitaxelDrug: Gemcitabine (GEM)

Dose Escalation Part2, Dose Group 2: MR001+nab-paclitaxel+gemcitabine

EXPERIMENTAL

MR001, 4mg/kg, QW; nab-paclitaxel+gemcitabine, Per locally approved dosage and administration

Drug: MR001Drug: Nab-paclitaxelDrug: Gemcitabine (GEM)

Dose Escalation Part2, Dose Group 3: MR001+nab-paclitaxel+gemcitabine

EXPERIMENTAL

MR001, 6mg/kg, QW; nab-paclitaxel+gemcitabine, Per locally approved dosage and administration

Drug: MR001Drug: Nab-paclitaxelDrug: Gemcitabine (GEM)

Dose Expansion Part

EXPERIMENTAL

Based on the Dose escalation part results, the Investigator and Sponsor will determine one dose and dosing interval to proceed to the dose expansion study

Drug: MR001Drug: Irinotecan Liposome Injection combined with 5-FU/LVDrug: Nab-paclitaxelDrug: Gemcitabine (GEM)

Interventions

MR001DRUG

Intravenous infusion

Dose Escalation Part1, Dose Group 1: MR001+Irinotecan Liposome+LV/5-FUDose Escalation Part1, Dose Group 2: MR001+Irinotecan Liposome+LV/5-FUDose Escalation Part1, Dose Group 3: MR001+Irinotecan Liposome+LV/5-FUDose Escalation Part2, Dose Group 1: MR001+nab-paclitaxel+gemcitabineDose Escalation Part2, Dose Group 2: MR001+nab-paclitaxel+gemcitabineDose Escalation Part2, Dose Group 3: MR001+nab-paclitaxel+gemcitabineDose Expansion Part

Per locally approved formulation

Dose Escalation Part2, Dose Group 1: MR001+nab-paclitaxel+gemcitabineDose Escalation Part2, Dose Group 2: MR001+nab-paclitaxel+gemcitabineDose Escalation Part2, Dose Group 3: MR001+nab-paclitaxel+gemcitabineDose Expansion Part

Per locally approved formulation

Dose Escalation Part2, Dose Group 1: MR001+nab-paclitaxel+gemcitabineDose Escalation Part2, Dose Group 2: MR001+nab-paclitaxel+gemcitabineDose Escalation Part2, Dose Group 3: MR001+nab-paclitaxel+gemcitabineDose Expansion Part

Per locally approved formulation

Dose Escalation Part1, Dose Group 1: MR001+Irinotecan Liposome+LV/5-FUDose Escalation Part1, Dose Group 2: MR001+Irinotecan Liposome+LV/5-FUDose Escalation Part1, Dose Group 3: MR001+Irinotecan Liposome+LV/5-FUDose Expansion Part

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed locally advanced or metastatic PDAC, progressed after only one prior line of systemic therapy.
  • At least one measurable lesion per RECIST v1.1.
  • ECOG Performance Status of 0-1.
  • Life expectancy \>3 months.
  • Adequate organ and marrow function as defined by laboratory parameters.
  • Voluntarily sign the informed consent form.

You may not qualify if:

  • Known hypersensitivity to MR001 or similar monoclonal antibodies.
  • Requirement for systemic immunosuppressive therapy within 14 days before first dosing.
  • Uncontrolled active infections or concurrent malignancies.
  • Not adequately controlled active brain metastases or leptomeningeal metastasis.
  • Clinically significant cardiovascular, renal, or hepatic disorders.
  • Pregnant or breastfeeding women.
  • Any other circumstances which the investigator considers may increase risks to subjects or interfere with the results of the trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Beijing Tsinghua Changgung Hospital

Beijing, Beijing Municipality, 102218, China

RECRUITING

MeSH Terms

Interventions

130-nm albumin-bound paclitaxelGemcitabine

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 14, 2025

First Posted

November 19, 2025

Study Start

December 24, 2025

Primary Completion (Estimated)

June 22, 2028

Study Completion (Estimated)

December 22, 2028

Last Updated

December 31, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations