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There are 199 active trials for advanced/metastatic pancreas cancer.
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199 trials meet filter criteria.
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TrialFetch AI summary: Adults with measurable, unresectable locally advanced or metastatic solid tumors that have progressed after standard therapies, enrolled in tumor-specific refractory cohorts (e.g., melanoma post–PD-(L)1, SCCHN post platinum/PD-(L)1, HER2-negative gastric/GEJ, HGS ovarian, cervical, endometrial, urothelial, ESCC, pancreatic, mCRPC, nonsquamous NSCLC without drivers, and HR+/HER2– breast cancer after CDK4/6 and chemo). Single-arm therapy is patritumab deruxtecan (HER3-DXd) 5.6 mg/kg IV q3w, an HER3-targeted antibody–drug conjugate delivering a topoisomerase I inhibitor (DXd).
ClinicalTrials.gov ID: NCT06172478
TrialFetch AI summary: Adults with advanced solid tumors after ≥1 prior therapy, enriched for ARID1A-altered cancers, ATM-deficient tumors (including mCRPC), and a post–checkpoint inhibitor endometrial cancer cohort; measurable disease required. Patients receive the ATR inhibitor ceralasertib (monotherapy for BAF250a-negative ARID1A or ATM-loss, ceralasertib + PARP inhibitor olaparib for BAF250a-positive ARID1A, or ceralasertib + anti–PD-L1 durvalumab for endometrial), leveraging DNA damage response targeting and potential synergy with PARP inhibition or immunotherapy.
ClinicalTrials.gov ID: NCT03682289
TrialFetch AI summary: Adults and children with biopsy-proven EBV-positive PTLD after solid organ or allogeneic HCT who have failed rituximab (± chemotherapy for SOT) receive tabelecleucel, an allogeneic, off‑the‑shelf EBV‑specific cytotoxic T‑cell therapy matched by HLA and infused on days 1, 8, and 15 of 35‑day cycles. Excludes T‑cell lymphomas, active/untreated CNS PTLD, significant GVHD, recent checkpoint inhibitors or EBV‑directed cell therapies, and requires measurable FDG‑avid disease and adequate organ function.
ClinicalTrials.gov ID: NCT03394365
TrialFetch AI summary: Treatment-naïve adults with metastatic pancreatic ductal adenocarcinoma (ECOG 0–1) receive modified FOLFIRINOX plus nivolumab with NC410, a recombinant LAIR-2–IgG1 Fc fusion protein that binds tumor collagen to block LAIR-1 inhibitory signaling and enhance T-cell activity; a second cohort adds ipilimumab. Excludes prior ICI/PDAC therapy and significant autoimmune/immunosuppression, with efficacy and safety endpoints including ORR, PFS, and toxicity.
ClinicalTrials.gov ID: NCT06941857
TrialFetch AI summary: Previously untreated adults with metastatic pancreatic ductal adenocarcinoma (ECOG 0–1) are randomized to gemcitabine/nab-paclitaxel plus SBP-101 (ivospemin) versus placebo; SBP-101 is a polyamine analogue that modulates polyamine metabolism (inhibits ODC1 and S-adenosylmethionine decarboxylase) with preferential pancreatic uptake. Key exclusions include prior systemic therapy for metastasis, BRCA1/2 mutation if known, metformin use, retinopathy risk, active infections, and significant cardiopulmonary comorbidity.
ClinicalTrials.gov ID: NCT05254171
TrialFetch AI summary: Adults with inoperable, advanced, well-differentiated (G1–2) SSTR-positive GEP-NETs that progressed after prior 177Lu-SSA PRRT (with ≥6 months disease control) are randomized to RYZ101 (225Ac-DOTATATE, an SSTR2-targeted alpha-emitting radiopharmaceutical) versus investigator’s choice of everolimus, sunitinib, octreotide, or lanreotide. Key eligibility includes Krenning 3–4 on SSTR-PET, ECOG 0–2, and adequate organ function; excludes prior non–Lu-177 PRRT, radioembolization, significant cardiovascular disease, and cirrhosis.
ClinicalTrials.gov ID: NCT05477576
TrialFetch AI summary: Adults with CLDN18.2-positive advanced solid tumors—specifically gastric/GEJ adenocarcinoma (post up to two lines), untreated metastatic pancreatic ductal adenocarcinoma, and previously treated biliary tract cancer—are enrolled to receive the CLDN18.2-targeted antibody–drug conjugate AZD0901 (sonesitatug vedotin, MMAE payload) as monotherapy or combined with standard pancreatic chemotherapy backbones. Suitable for ECOG 0–1 patients without prior MMAE-ADC or CLDN18.2 therapy (except mAbs) and without significant GI bleeding, ILD/pneumonitis, CNS mets, or grade ≥2 neuropathy.
ClinicalTrials.gov ID: NCT06219941
TrialFetch AI summary: Adults with metastatic pancreatic adenocarcinoma progressing on gemcitabine (ECOG 0–1, limited comorbidities, adequate organ function) are randomized to glufosfamide 4500 mg/m2 IV q21d versus weekly bolus 5‑FU. Glufosfamide is an investigational oxazaphosphorine alkylating prodrug linked to glucose to enhance tumor uptake via GLUTs, releasing isophosphoramide mustard to form DNA crosslinks; key risks include renal tubular toxicity and myelosuppression.
ClinicalTrials.gov ID: NCT01954992
TrialFetch AI summary: Adults with advanced, unresectable or metastatic pancreatic ductal adenocarcinoma (ECOG 0–1, RECIST-measurable) are randomized to mFOLFIRINOX with or without OT-101, an intravenous antisense oligonucleotide that downregulates TGF-β2 to counter tumor immune evasion and metastasis. Primary endpoint is overall survival, with key secondary endpoints of PFS and ORR.
ClinicalTrials.gov ID: NCT06079346
TrialFetch AI summary: Adults with unresectable PDAC (metastatic or locally advanced) who have completed 16–24 weeks of first-line chemotherapy with no progression (stable disease or partial response), ECOG 0–1, measurable disease, and willingness for paired tumor biopsies. Patients receive maintenance IV odetiglucan (soluble β-glucan innate/myeloid immune activator engaging complement/CR3 pathways) plus IV mitazalimab (agonistic anti-CD40 antibody to activate APCs and promote T-cell priming/macrophage reprogramming), with primary efficacy focused on metastatic patients with partial response after induction chemotherapy.
ClinicalTrials.gov ID: NCT07199764