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Phase I: XB2001

Phase 1

Pancreatic Cancer | Monoclonal antibody | Oncology |XBiotech Inc.|Last Updated: Aug 4, 2026

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment76

FDA Designations

No designations recorded

Clinical trial landscape

Phase I: XB2001 · 1 trial · 1 indication

Phase 1 1
NCT04825288XB2001 in Combination With ONIVYDE + 5-FU/LV (+Folinic Acid) in Advanced Pancreatic CancerPancreatic Cancer
COMPLETED76 Analytics
PHASE1COMPLETED
XB2001 in Combination With ONIVYDE + 5-FU/LV (+Folinic Acid) in Advanced Pancreatic Cancer
Pancreatic CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

To Establish the Maximum Tolerated Dose (MTD) of XB2001 as Measured by Dose-Limiting Toxicity (DLT), in Combination With ONIVYDE + LV + 5-FU Chemotherapy Regimen in Patients With Advanced Pancreatic Cancer.
28 days (consisting of the first two 14-day treatment cycles or the formal DLT observation window).

The primary objective of the Phase I portion is to identify the MTD of XB2001 when administered in combination with ONIVYDE + LV + 5-FU. The MTD is defined as the highest dose level at which no more than one out of six subjects experience a DLT. If two or more subjects in a cohort of six experience a DLT, the MTD is considered exceeded, and the previous lower dose level will be identified as the MTD. If no DLTs are observed at the highest dose level studied, that dose will be used for Phase II. A DLT is defined as any Grade 3-4 adverse event (per NCI CTCAE v5.0) occurring within the first 28 days that is deemed possibly related to the combination regimen, unless the toxicity is clearly attributable to a single non-XB2001 component. Specific DLT criteria include: 1. Inability to deliver all scheduled doses during the 28-day window due to unexpected drug-related toxicity. 2. Inability to deliver the intended dose of XB2001 due to drug-related toxicity.

Safety and Tolerability of XB2001 in Combination With ONIVYDE + LV + 5-FU
From post-infusion visit 1(week 0) through visit 13 (week 24), which is two weeks after the last infusion.

This endpoint evaluates the cumulative safety profile and patient tolerance of XB2001 when administered at the Maximum Tolerated Dose (MTD) or the maximum dose studied in Phase I, in combination with the ONIVYDE + LV + 5-FU regimen. Safety is characterized by the total number of participants in each cohort who experienced one or more adverse events. For the purpose of this count, each participant is counted only once, regardless of the total number of individual adverse events experienced.

Secondary Endpoints

Progression Free Survival (PFS)
From baseline until the date of first documented disease progression or date of death (from any cause), whichever come first.
Overall Survival (OS)
From baseline until death from any cause
Objective Response Rate (ORR)
Analyses performed at Visit 5 (Week 8), Visit 9 (Week 16), and Visit 13 (Week 24). This outcome measure was reported for Visit 13.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase I: Dose Escalation PhaseEXPERIMENTALIn Phase I (Dose escalation phase), 3 sequential dose levels were administered by participants; 250 mg (dose cohort 1), 500 mg (dose cohort 2), and 1000 mg (dose cohort 3), and traditional 3:3 design was used. Dose-escalation will continue if none of three subjects experience a dose-limiting toxicity (DLT). After enrollment participants received two treatment cycles (a total of 28 days) in which they were given one intravenous (IV) dose of XB2001 prior to receiving ONIVYDE 70 mg/m2 IV over 90 minutes, followed by leucovorin 400 mg/m2 IV over 30 minutes, followed by 5-Fluorouracil 2400 mg/m2 intravenously over 46 hours at each cycle.
Phase II: Dose Expansion PhaseEXPERIMENTALIn Phase II (dose expansion phase), participants were randomized in 1:1 fashion and received: 1. XB2001 1000 mg combination with ONIVYDE, Leucovorin, and 5-Fluorouracil 2. Placebo 1000 mg in combination with ONIVYDE, Leucovorin, and 5-Fluorouracil

Interventions

NameTypeDescription
Phase I: XB2001 250 mgBIOLOGICALSubjects were administered one intravenous (IV) dose of XB2001 250 mg prior to receiving ONIVYDE 70 mg/m2 IV over 90 minutes, followed by leucovorin 400 mg/m2 IV over 30 minutes, followed by 5-Fluorouracil 2400 mg/m2 intravenously over 46 hours at each cycle.
Phase I: XB2001 500 mgBIOLOGICALSubjects were administered one intravenous (IV) dose of XB2001 500 mg prior to receiving ONIVYDE 70 mg/m2 IV over 90 minutes, followed by leucovorin 400 mg/m2 IV over 30 minutes, followed by 5-Fluorouracil 2400 mg/m2 intravenously over 46 hours at each cycle.
Phase I: XB2001 1000 mgBIOLOGICALSubjects were administered one intravenous (IV) dose of XB2001 1000 mg prior to receiving ONIVYDE 70 mg/m2 IV over 90 minutes, followed by leucovorin 400 mg/m2 IV over 30 minutes, followed by 5-Fluorouracil 2400 mg/m2 intravenously over 46 hours at each cycle.
Phase II: XB2001 1000 mgBIOLOGICALSubjects were administered one intravenous (IV) dose of XB2001 1000 mg prior to receiving ONIVYDE 70 mg/m2 IV over 90 minutes, followed by leucovorin 400 mg/m2 IV over 30 minutes, followed by 5-Fluorouracil 2400 mg/m2 intravenously over 46 hours at each cycle.
Phase II: PlaceboBIOLOGICALSubjects were administered one intravenous (IV) dose of placebo 1000 mg prior to receiving ONIVYDE 70 mg/m2 IV over 90 minutes, followed by leucovorin 400 mg/m2 IV over 30 minutes, followed by 5-Fluorouracil 2400 mg/m2 intravenously over 46 hours at each cycle.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: * Histologically or cytologically confirmed pancreatic adenocarcinoma of exocrine pancreas that is metastatic, unresectable, or recurrent * At least one measurable lesion according to Response Evaluation Criteria in Solid Tumor V1.1 * Documented disease progression after one pri...

Countries:United States
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Competitive Landscape -Pancreatic Cancer 179 trials

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Pfizer Inc.PFE7PHASE2tisotumab vedotin, pembrolizumab, carboplatin, cisplatin
AstraZeneca PLCAZN9PHASE2AZD0901, 5-Fluorouracil, Leucovorin, l-leucovorin, Irinotecan
AbbVie, Inc.ABBV4PHASE2TTX-030, nab-paclitaxel and gemcitabine, Nab-Paclitaxel and gemcitabine
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Incyte CorporationINCY3PHASE2Ruxolitinib, Capecitabine, Regorafenib
Jazz Pharmaceuticals Public Limited CompanyJAZZ1PHASE2Zanidatamab
ImmunityBio IncIBRX1PHASE2N-803, Aldoxorubicin, PD-L1 t-haNK, Nab-paclitaxel, Gemcitabine
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Recent Changes (Last 90 Days)

MEDIUMSep 4, 2026NCT04825288TRIAL_REMOVED: changed
MEDIUMSep 4, 2026NCT04825288TRIAL_REMOVED: changed
HIGHAug 4, 2026NCT04825288Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 4, 2026NCT04825288Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about Phase I: XB2001

What is XB2001 used for in pancreatic cancer?

XB2001 is an investigational monoclonal antibody being studied for the treatment of pancreatic cancer. It is being evaluated in combination with ONIVYDE plus 5-FU/LV (folinic acid) in patients with advanced pancreatic cancer. The drug is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

What does XB2001 target?

XB2001 is a monoclonal antibody, but its specific molecular target has not been disclosed in available clinical trial information. The drug is being investigated for its potential role in treating pancreatic cancer, though the precise mechanism of action is not publicly detailed in the current development data.

Who is developing XB2001?

XB2001 is being developed by XBiotech Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol XBIT. The company is conducting clinical research on this investigational monoclonal antibody for pancreatic cancer, with the drug currently in Phase 1 development.

What phase is XB2001 in?

XB2001 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by the FDA or other regulatory agencies. The drug is being studied for safety and efficacy in patients with advanced pancreatic cancer, and its clinical development program is still in the early stages.

What clinical trials is XB2001 in?

XB2001 has one completed clinical trial registered under NCT04825288, titled "XB2001 in Combination With ONIVYDE + 5-FU/LV (+Folinic Acid) in Advanced Pancreatic Cancer." This Phase 1 study enrolled 76 participants in the United States and was a randomized, double-blind, controlled trial involving adult patients of all sexes.