NCT07561463

Brief Summary

This is a multicenter, prospective, open-label Phase II clinical study designed to evaluate the efficacy and safety of sacituzumab govitecan monotherapy in patients with locally advanced or metastatic pancreatic ductal adenocarcinoma who have failed at least one prior line of therapy, and to explore the potential correlation between baseline tumor tissue TROP-2 expression and treatment efficacy. The study plans to enroll 30 eligible subjects, who will receive sacituzumab govitecan at 5 mg/kg via intravenous infusion every 2 weeks as one treatment cycle, until disease progression or intolerable toxicity occurs. The primary endpoint is Objective Response Rate (ORR); secondary endpoints include Progression-Free Survival (PFS), Overall Survival (OS), Disease Control Rate (DCR), Duration of Response (DOR), and the incidence and severity of Treatment-Related Adverse Events (TRAEs).

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
30

participants targeted

Target at P25-P50 for phase_2

Timeline
14mo left

Started Apr 2026

Shorter than P25 for phase_2

Status
not yet 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 Progress8%
Apr 2026Jul 2027

First Submitted

Initial submission to the registry

March 31, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 1, 2026

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2027

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2027

Last Updated

May 1, 2026

Status Verified

April 1, 2026

Enrollment Period

9 months

First QC Date

March 31, 2026

Last Update Submit

April 28, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Objective Response Rate (ORR)

    Percentage of patients with Complete Response (CR) or Partial Response (PR) per RECIST

    From the date of first dose to the date of first documented disease progression as assessed by RECIST v1.1, death from any cause, or study discontinuation, whichever occurs first; tumor assessments performed every 6 weeks for up to 100 weeks.

Study Arms (1)

Sacituzumab tirumotecan in Previously Treated Locally Advanced or Metastatic PDAC

EXPERIMENTAL
Drug: Sacituzumab tirumotecan

Interventions

Sacituzumab tirumotecan 5 mg/kg administered intravenously every 2 weeks

Sacituzumab tirumotecan in Previously Treated Locally Advanced or Metastatic PDAC

Eligibility Criteria

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

You may qualify if:

  • Voluntary participation with written informed consent provided
  • Age ≥18 years at the time of signing the informed consent form
  • Histologically or cytologically confirmed pancreatic ductal adenocarcinoma (including adenosquamous carcinoma)
  • Failure of or disease progression after at least one prior line of systemic therapy for locally advanced or metastatic pancreatic cancer
  • At least one measurable target lesion at baseline per RECIST 1.1 criteria (a single measurable lesion must not have received prior radiotherapy, or must have demonstrated clear progression after radiotherapy)
  • ECOG performance status score of 0-2
  • Adequate organ and bone marrow function (including hematologic, hepatic, renal, and coagulation parameters meeting specified criteria)
  • Subjects of childbearing potential must use highly effective contraception, and female subjects must have a negative pregnancy test
  • Ability and willingness to comply with study-related procedures.

You may not qualify if:

  • History of or current presence of central nervous system metastases
  • Presence of untreated or unstable spinal cord compression
  • High risk of gastrointestinal or intra-abdominal bleeding
  • Prior treatment with TROP2-targeted agents or antibody-drug conjugates (ADCs)
  • Requirement for strong CYP3A4 inhibitors or inducers within 2 weeks prior to the first dose, or inability to avoid their use during the study
  • History of severe dry eye syndrome, meibomian gland disease, or other corneal disorders that may impair corneal healing
  • Major surgery within 28 days prior to the first dose (excluding palliative procedures), or receipt of curative radiotherapy within 3 months
  • Presence of other malignancies within 3 years prior to the first treatment (except for certain definitively treated cancers)
  • Uncontrolled severe systemic diseases such as cardiovascular or cerebrovascular disease, diabetes mellitus, or hypertension
  • History of interstitial lung disease or non-infectious pneumonitis, or current related lesions
  • Presence of severe underlying pulmonary disease, autoimmune disease, or prior total pneumonectomy
  • Active chronic inflammatory bowel disease, gastrointestinal obstruction, or other severe gastrointestinal disorders
  • Tumor invasion of critical organs or vessels with associated symptoms, or risk of fistula formation
  • Toxicities from prior antitumor therapy not recovered to ≤ Grade 1 (except for low-risk toxicities)
  • Active hepatitis B, hepatitis C, HIV infection, or active syphilis
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Officials

  • LIN YANG, Doctor

    Cancer Institute and Hospital, Chinese Academy of Medical Sciences

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Professor

Study Record Dates

First Submitted

March 31, 2026

First Posted

May 1, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

January 1, 2027

Study Completion (Estimated)

July 1, 2027

Last Updated

May 1, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share