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There are 207 active trials for advanced/metastatic pancreas cancer.
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TrialFetch AI summary: Adults with advanced, unresectable or metastatic solid tumors across multiple cohorts (e.g., gastric/EGJ, colorectal, pancreatic, sarcoma, mesothelioma, neuroendocrine, cutaneous/anal SCC, Merkel cell, MMR‑deficient/MSI cancers) after standard therapy, ECOG 0–1; stable small brain mets allowed. Treatment is autologous tumor-infiltrating lymphocyte (TIL) therapy (tumor harvest → ex vivo expansion) after cyclophosphamide/fludarabine lymphodepletion, followed by high-dose aldesleukin (IL-2) to support T-cell expansion; single course with option for a second.
ClinicalTrials.gov ID: NCT03935893
TrialFetch AI summary: Adults with mesothelin-expressing advanced solid tumors (ECOG 0–1) receive weekly IV CT-95 (LNK-101), a mesothelin × CD3 T‑cell–engaging bispecific antibody engineered for reduced off‑tumor activation, in a dose-escalation/expansion study. Excludes prior mesothelin-targeted CD3/CAR‑T therapy; evaluates safety, PK, and preliminary efficacy across tumor types including mesothelioma.
ClinicalTrials.gov ID: NCT06756035
TrialFetch AI summary: Adults with unresectable pancreatic carcinoma eligible for gemcitabine plus nab-paclitaxel receive that regimen with added oral bosentan, a dual endothelin receptor antagonist intended to modulate tumor stroma and perfusion to enhance drug delivery. Key exclusions include significant neuropathy and interacting CYP3A/CYP2C9 drugs; safety, tolerability, and preliminary antitumor activity are assessed across different bosentan lead-in schedules.
ClinicalTrials.gov ID: NCT04158635
TrialFetch AI summary: Adults with TROP2-positive, platinum-resistant ovarian/peritoneal/fallopian tube cancer, mesonephric-like adenocarcinoma, or pancreatic/ampullary cancer with peritoneal/retroperitoneal disease receive lymphodepleting cyclophosphamide/fludarabine followed by a single intraperitoneal infusion of allogeneic cord blood–derived NK cells engineered with a TROP2-directed CAR and IL-15 for persistence. Designed to assess safety and preliminary efficacy of intraperitoneal TROP2 CAR-NK in heavily pretreated patients without active CNS disease or contraindications to IP therapy.
ClinicalTrials.gov ID: NCT05922930
TrialFetch AI summary: Adults with untreated locally advanced or metastatic upper GI adenocarcinomas (including pancreatic, gastroesophageal, cholangiocarcinoma, gallbladder, ampullary, and select CUP) receive a multi-agent regimen of irinotecan, 5-FU/leucovorin, oxaliplatin, and docetaxel, with irinotecan dose tailored by UGT1A1 genotype. The study assesses safety, tolerability, and preliminary efficacy of this intensive first-line combination in ECOG 0–1 patients.
ClinicalTrials.gov ID: NCT04361708
TrialFetch AI summary: Adults with unresectable locally advanced or metastatic CLDN18.2-positive solid tumors (e.g., gastric/GEJ, pancreatic, esophageal adenocarcinoma, biliary tract cancers) after prior systemic therapy receive BL-M05D1, an IV CLDN18.2-targeting antibody–drug conjugate linking a cathepsin B–cleavable topoisomerase I inhibitor payload, given every 21 days. Key eligibility includes measurable disease, ECOG 0–1, adequate organ function, and prior appropriate targeted/immunotherapy for actionable biomarkers.
ClinicalTrials.gov ID: NCT07021066
TrialFetch AI summary: Metastatic, treatment-naïve PDAC (ECOG 0–1) receiving first-line gemcitabine/nab-paclitaxel plus motixafortide (CXCR4 antagonist to disrupt stroma and enhance immune infiltration) and cemiplimab (PD‑1 inhibitor); requires measurable disease and biopsy-accessible tumor. Excludes prior PDAC therapy, active autoimmune disease requiring treatment, CNS mets, uncontrolled infections/hepatitis/HIV, and significant comorbidity.
ClinicalTrials.gov ID: NCT04543071
TrialFetch AI summary: Previously untreated adults with metastatic PDAC (ECOG 0–1) receive ProAgio—an investigational pegylated peptide that targets integrin αvβ3 on cancer‑associated fibroblasts and endothelial cells to induce apoptosis and remodel stroma/vasculature—alone and in combination with standard gemcitabine plus nab‑paclitaxel. Excludes prior gem/nab‑paclitaxel and significant neuropathy, unstable autoimmune/cardiovascular disease, serious infection, or untreated/unstable CNS metastases.
ClinicalTrials.gov ID: NCT06182072
TrialFetch AI summary: Adults with unresectable, locally advanced, or metastatic gastric/GEJ/esophageal or pancreatic adenocarcinoma expressing CLDN18.2 (IHC ≥1+ in ≥50%) receive LB1908, an autologous CLDN18.2-directed CAR-T therapy, as monotherapy in second or later lines or as consolidation after disease control on first-line chemotherapy. Key exclusions include prior cellular/gene therapy, significant effusions/bleeding risk, active autoimmune disease requiring immunosuppression, unstable cardiac/infectious disease, and active CNS disease (except stable treated brain mets in monotherapy cohorts).
ClinicalTrials.gov ID: NCT05539430
TrialFetch AI summary: Adults with previously untreated metastatic PDAC (ECOG 0–1) receive low-dose multi-agent induction chemotherapy (gemcitabine, nab-paclitaxel, capecitabine, cisplatin, irinotecan), then transition to maintenance pembrolizumab (anti–PD-1) plus olaparib (PARP inhibitor) with biopsy required and no prior PD-1/PD-L1 or PARP exposure. Designed to test whether PARP inhibition combined with PD-1 blockade can maintain disease control beyond biomarker-restricted subsets following cytotoxic induction.
ClinicalTrials.gov ID: NCT04753879