IBI343 versus placebo for CLDN18.2-positive advanced pancreatic cancer after at least two prior therapies
Official title: A Multicenter, Randomized, Double-Blind, Phase III Study of IBI343 Monotherapy Plus Best Supportive Care Versus Placebo Plus Best Supportive Care in Participants With Claudin (CLDN) 18.2-Positive, Locally Advanced Unresectable or Metastatic Pancreatic Cancer Who Received>=2 Prior Lines of Therapy
Run by Innovent Biologics (Suzhou) Co. Ltd. · NCT07066098 · Data updated 2026-11-12
This trial tests whether IBI343 plus best supportive care can help people with CLDN18.2-positive locally advanced or metastatic pancreatic cancer who have had at least two prior treatments live longer than placebo plus best supportive care.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 201 (estimated) |
| Sponsor | Innovent Biologics (Suzhou) Co. Ltd. Industry-sponsored |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | July 17, 2025 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2028 |
| Registry record updated | October 5, 2026 |
| Trial ID | NCT07066098 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed unresectable locally advanced or metastatic pancreatic cancer that is CLDN18.2-positive, who have progressed after at least two prior systemic therapies (including fluorouracil- and gemcitabine-based regimens) and have adequate organ function and performance status, are ideal candidates.
✕Probably not a fit
Patients whose tumors are CLDN18.2-negative, who are too frail to meet eligibility requirements, or who need other anti-cancer treatments during study therapy are unlikely to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, double-blind Phase III trial comparing IBI343 monotherapy plus best supportive care to placebo plus best supportive care in patients with CLDN18.2-positive, locally advanced unresectable or metastatic pancreatic cancer who progressed after at least two systemic therapies. About 201 participants will be enrolled and randomized 2:1 to receive IBI343 or placebo, with treatment and follow-up visits at participating centers. The primary endpoint is overall survival, and patients must have adequate organ function and ECOG performance status within the allowed range. The trial is sponsored by Innovent Biologics and will be conducted at participating oncology centers including Fudan University Shanghai Cancer Center.
Why it matters
Potential benefit: If successful, IBI343 could extend survival for patients with CLDN18.2-positive advanced pancreatic cancer who have exhausted standard treatments.
How similar studies have gone: Other agents targeting CLDN18.2 have shown activity in gastrointestinal cancers, but large-scale success specifically in pancreatic cancer has not yet been established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Sign the written informed consent form (ICF) and be willing and able to comply with the visits and related procedures stipulated in the plan. 2. Histologically confirmed unresectable locally advanced, or metastatic pancreatic cancer. 3. Have received and progression after at least two systemic therapies(must including a fluorouracil-based and a gemcitabine-based therapy). 4. ECOG PS score of 0 or 2. 5. Adequate bone marrow and organ function 6. Confirmed as CLDN18.2 positive. Exclusion Criteria: 1. Participation in another interventional study, except observational or post-intervention follow-up. 2. Prior treatment with topoisomerase inhibitor-based ADC. 3. Has received the last dose of an anti-cancer therapy within 2 weeks or 5 half-lives (whichever is shorter) prior to the first dose of study treatment. 4. Plans to receive other anti-tumor treatments during treatment with the study drug (palliative radiotherapy for symptomatic (e.g., pain) relief that does not affect response assessment is allowed) . 5. Symptomatic CNS metastasis; asymptomatic brain metastases may be allowed with specific criteria. 6. History of other primary malignancies, except cured or low-risk of recurrence.
Where it's running
-
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Study coordinator: Penglei Zheng
- Email: penglei.zheng@innoventbio.com
- Phone: 86-512-69566088
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Integrated genomic and clinical database for cancer biomarker discovery
Researchers are building a combined genomic and clinical database at Samsung Medical Center to test biomarkers for cancer diagnosis, treatment choice, and predicting how well treatments work.
-
Using contrast-enhanced ultrasound to check for local pancreatic cancer recurrence after surgery
This pilot test uses contrast-enhanced ultrasound to see if it can help detect return of pancreatic cancer after surgery in patients being watched with CT scans.
-
Combination of ivermectin with standard skin-protective care for daraxonrasib-related skin toxicity in pancreatic cancer
This study tests whether adding ivermectin to standard preventive skin care helps people with pancreatic cancer who develop skin side effects from daraxonrasib.
-
Becotatug Vedotin Plus Anti-PD-1 and S-1 in EGFR-Positive Advanced Pancreatic Cancer
This study tests a three-drug regimen (becotatug vedotin, an anti-PD-1 therapy, and S-1) in adults with EGFR-positive advanced pancreatic cancer who have not responded to at least one prior therapy.
-
Blood protein biomarkers to help diagnose pancreatic cancer in adults
This study tests whether blood protein biomarkers can help detect pancreatic ductal adenocarcinoma and tell it apart from chronic pancreatitis and mucinous pancreatic lesions, and whether combining markers with CA 19-9 improves accuracy.
-
Lm-LLO-TT and Gemcitabine in Unresectable Pancreatic Cancer (Phase 1)
This early-stage study tests whether giving Lm-LLO-TT directly into the belly with low-dose gemcitabine is safe and tolerable for adults with previously treated, unresectable or metastatic pancreatic cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.