MR001 plus chemotherapy for advanced or metastatic pancreatic ductal adenocarcinoma after first-line therapy
Official title: An Open-label, Dose-escalation and Dose-expansion Phase Ib/IIa Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of MR001 in Combination With Standard Chemotherapy Regimens in Patients With Locally Advanced or Metastatic Pancreatic Ductal Adenocarcinoma (PDAC) Who Have Progressed After First-line Therapy
Run by Shenzhen Majory Biotechnology Co., Ltd. · NCT07235202 · Data updated 2026-11-12
This trial will test whether adding MR001 to standard chemotherapy helps people with locally advanced or metastatic pancreatic ductal adenocarcinoma whose disease progressed after first-line therapy.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | Shenzhen Majory Biotechnology Co., Ltd. Industry-sponsored |
| Drugs / interventions | Chemotherapy |
| Locations | 18 sites (Beijing, Beijing Municipality and 17 other locations) |
| Status | Recruiting |
| Started | December 24, 2025 |
| Main results expected | June 22, 2028 |
| Study ends | December 22, 2028 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07235202 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed locally advanced or metastatic PDAC who progressed after exactly one prior systemic therapy, have ECOG 0–1, measurable disease, and adequate organ function would be eligible.
✕Probably not a fit
Patients with uncontrolled brain metastases, significant organ dysfunction, recent systemic immunosuppression, pregnancy, or known hypersensitivity to MR001 are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This open-label Phase Ib/IIa study uses a dose-escalation followed by dose-expansion design to test the safety, tolerability, pharmacokinetics, and preliminary efficacy of MR001 given with standard chemotherapy in patients with locally advanced or metastatic PDAC who progressed after one prior systemic regimen. MR001, a monoclonal antibody directed at pathways related to CD4/TGF-β1 signaling, is administered in combination with standard regimens including irinotecan liposome plus 5-FU/LV, nab-paclitaxel, or gemcitabine. Primary endpoints focus on safety, tolerability, and pharmacokinetics during dose escalation, with expansion cohorts assessing preliminary anti-tumor activity by RECIST v1.1 and exploratory biomarker analyses. The trial is sponsored by Shenzhen Majory Biotechnology and conducted at Beijing Tsinghua Changgung Hospital.
Why it matters
Potential benefit: If successful, adding MR001 could improve disease control and survival for patients with PDAC who have limited options after first-line therapy.
How similar studies have gone: Combining immunomodulatory antibodies with chemotherapy in PDAC is relatively novel and while preclinical data and limited early-phase clinical work suggest potential, there is not yet established proof of major clinical benefit in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 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. Exclusion Criteria: * 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.
Where it's running
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Beijing Tsinghua Changgung Hospital
Beijing, Beijing Municipality, China Recruiting -
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China Recruiting -
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China Recruiting -
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, China Recruiting -
Chongqing University Cancer Hospital
Chongqing, Chongqing Municipality, China Not yet recruiting -
Fujian Cancer Hospital
Fuzhou, Fujian, China Not yet recruiting
Show 12 more locations
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Shenzhen People's Hospital
Shenzhen, Guangdong, China Not yet recruiting -
Cancer Hospital Chinese Academy of Medical Sciences,Shenzhen
Shenzhen, Guangdong, China Not yet recruiting -
Henan Cancer Hospital
Zhengzhou, Henan, China Not yet recruiting -
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China Not yet recruiting -
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China Not yet recruiting -
Hunan Cancer Hospital
Changsha, Hunan, China Not yet recruiting -
The First Hospital of Jilin University
Changchun, Jilin, China Not yet recruiting -
The First Hospital of China Medical University
Shenyang, Liaoning, China Not yet recruiting -
Shandong Cancer Hospital
Jinan, Shandong, China Not yet recruiting -
West China Hospital of Sichuan University
Chengdu, Sichuan, China Not yet recruiting -
The Second People's Hospital of Yibin
Yibin, Sichuan, China Not yet recruiting -
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, China Not yet recruiting
Study contacts
- Study coordinator: Qingshan Xue
- Email: xueqs@majory.com.cn
- Phone: +86 13332895357
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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.