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Page 16 of 23   Koukourakis et al. J Cancer Metastasis Treat 2022;8:38  https://dx.doi.org/10.20517/2394-4722.2022.43

               Table 5. Ongoing trials on neoadjuvant immunotherapy for PDAC
                ClinicalTrials.gov   Country Disease  Study   Treatment        Primary endpoint  Status
                identifier                   type
                LA-PDAC
                NCT01959672   USA    LA-PDAC   Phase II Gemcitabine/5-FU/leucovorin every 3   Response and resectability  Completed
                                     with          weeks plus Oregovomab anti-CA125 and   rates  (has results)
                                     High serum    nelfinavir mesylate (protease inhibitor).
                                     CA125         SBRT starts on week 11. Assessment of
                                     levels        resectability
                NCT04327986   USA    LA-PDAC  Phase   Dose escalation of M9241 (IL-12   Safety, dose finding   Completed
                                             I/II  immunocytokine) with M7824 (bi-  efficacy
                                                   functional anti-PD-L1 and anti-TGFβ ΜοΑb),
                                                   with or without SBRT
                NCT02446093   USA    LA-PDAC  Phase   Aglatimagene besadenovec (oncolytic   Resectability safety  Recruiting
                                             I/II  adenoviral vector), valacyclovir and chemo-
                                                   RT followed by surgery. Control arm:
                                                   chemo-RT and Surgery
                NCT03767582   USA    LA-PDAC  Phase   Nivolumab and CCR2/CCR5 dual antagonist  Survival pathological   Recruiting
                                             I/II  with or without GVAX and SBRT  responses
                NCT03563248   USA    LA-PDAC  Phase II FFX and SBRT with or without Losartan   R0 resections survival  Recruiting
                                                   (inhibitor of angiotensin) with or without
                                                   Nivolumab, followed by surgery
                NCT02648282   USA    LA-PDAC  Phase II Cyclophosphamide plus GVAX plus   DMFS    Active, not
                                                   Pembrolizumab plus SBRT                       recruiting
                LA/BR-PDAC
                NCT03983057   China  LA-PDAC   Phase II FFX vs. FFX and anti-PD1 MoAb  PFS       Recruiting
                                     BR-PDAC
                BR-PDAC
                NCT03970252   USA    BR-PDAC  Phase II Nivolumab and FFX       Pathological response  Recruiting
                BR/R-PDAC
                NCT02305186   USA    BR-PDAC   Phase   Pembrolizumab and chemo-RT   Safety immunopathology   Recruiting
                                     R-PDAC  I/II  (capecitabine + 50.4 Gy, 1.8 Gy/fraction)   study
                                                   vs. chemo-RT
                NCT04940286   USA    BR-PDAC   Phase II Durvalumab, oleclumab (anti-CD73   Pathological response   Recruiting
                                     R-PDAC        ectonucleotidase), GnP followed by surgery safety
                R-PDAC
                NCT03727880   USA    R-PDAC  Phase II Pembrolizumab and Defactinib vs.   Pathological responses  Recruiting
                                                   Pembrolizumab before surgery
                NCT02588443   USA    R-PDAC  Phase I RO70097890 (anti-CD40) with or without  Adverse event  Completed
                                                   GnP before surgery
                NCT00727441   USA    R-PDAC  Phase II A GVAX vaccination followed by surgery.   Safety and OS  Completed
                                                   Postoperative vaccination, chemo-RT with      2020
                                                   gemcitabine and 5-FU
                                                   B Low dose cyclophosphamide, GVAX
                                                   vaccination followed by surgery.
                                                   Postoperative vaccination, chemo-RT with
                                                   gemcitabine and 5-FU
                NCT02451982   USA    R-PDAC  Phase II A GVAX vaccine with CY followed by   Pathologic response and   Recruiting
                                                   surgery and chemo-RT        intra-tumoral
                                                   B Same as A plus Nivolumab followed by   immunological response
                                                   surgery and chemo-RT        evaluation
                                                   C Same as B plus urelumab followed by
                                                   surgery and chemo-RT
                                                   D BMS-986253 and Nivolumab the surgery
                                                   and chemo-RT
               PDAC: Pancreatic ductal adenocarcinoma; LA: locally advanced; BR: borderline resectable; R: resectable; chemo-RT: chemoradiotherapy; OS:
               overall survival; PFS: progression-free survival; FFX: 5-FU/leucovorin/irinotecan/oxaliplatin; GnP: gemcitabine/nab-paclitaxel; SBRT: stereotactic
               body radiation therapy; DMFS: distant metastasis free survival; MoAb: monoclonal antibody.


               surgery alone to neoadjuvant chemo-RT with cisplatin and gemcitabine.
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