A Phase II/III Trial to Evaluate the Efficacy and Safety of Surufatinib Combined With Camrelizumab, Nab-paclitaxel, and Gemcitabine in Metastatic Pancreatic Cancer

Inclusion criteria

• Fully understand and voluntarily sign an informed consent form, willing and able to follow the study process;
• Age range is 18-75 years old (inclusive);
• Pancreatic cancer confirmed by histology or cytology;
• Stage IV metastasis Pancreatic cancer patients;
• Have not received previous systematic first line anti-tumor treatment in the stage of metastatic pancreatic cancer;
• According to RECIST 1.1, there is at least one measurable lesion;
• Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1;
• Expected survival time ≥ 12 weeks;

Exclusion criteria

• Use of systematic non-specific immunomodulatory therapy within 2weeks prior to the first dose；
• Presence of other malignancies in the past 5 years;
• Received major surgical surgery within 4 weeks before the first dose;
• Received palliative radiotherapy within 1 week before the first dose; received radical radiotherapy within 4 weeks before the first dose;
• Any known allergy to surufatinib or its components, camrelizumab, nab-paclitaxel, or gemcitabine;
• Received strong-inducers or strong-inhibitors of cytochrome P450 (CYP) 3A within 2 weeks or 5 half-lives (whichever is longer) before the first dose;
• Use of immunosuppressive drugs within 4 weeks before first dose;
• Known history of clinically significant liver disease, including active viral hepatitis infection or other active hepatitis or clinically significant moderate to severe cirrhosis;
• Patients who currently have hypertension that cannot be controlled by medication;