Patients received penpulimab (200mg, IV, D1) and Anlotinib (12mg, P.O, QD, D1-14), in addition to nab-paclitaxel (125mg/m2, I.V, D1,8) and gemcitabine (1.0g/m2, I.V, D1,8), administered over a 21-day treatment cycle….In prespecified exploratory transcriptomic biomarkers analysis, significantly higher expression of IFN-γ, T cell recruiting and Th17 recruiting scores were detected in CR/PR patients compared with SD/PD patients.