Clinical Trials for Pancreas Cancer

Multi-agent Low Dose Chemotherapy (Gemcitabine, Nab-paclitaxel, Capecitabine, Cisplatin, Irinotecan) Followed by Maintenance Olaparib and Pembrolizumab in Untreated Metastatic Pancreatic Ductal Adenocarcinoma.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

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

Phase I/II Study of Anti-CD3 x Anti-EGFR Bispecific Antibody (EGFRBi) Armed Fresh Peripheral Blood Mononuclear Cells (EGFR FPBMC) in Metastatic or Unresectable Pancreatic Cancer

No known activity

No investigational drug(s) in this trial have shown anticancer activity yet in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with measurable unresectable locally advanced or metastatic pancreatic cancer, ECOG 0–1, and stable disease or better for at least 3 months after chemotherapy receive autologous fresh peripheral blood mononuclear cells armed with an anti-CD3 × anti-EGFR bispecific antibody. The antibody is intended to direct CD3-positive T cells against EGFR-expressing tumor cells; prior indicated targeted therapy or immunotherapy is required.

ClinicalTrials.gov ID: NCT06479239

A Phase 1 Study of Olaparib in Combination With Durvalumab (MEDI4736) and Concurrent Radiation Therapy Following First-Line Chemotherapy in Locally Advanced Unresectable Pancreatic Cancer

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with unresectable, locally advanced pancreatic adenocarcinoma (ECOG 0–1) who completed ≥16 weeks of first-line chemotherapy without progression receive olaparib (PARP1/2 inhibitor) plus durvalumab (anti–PD-L1) with hypofractionated external beam radiation starting cycle 2. Excludes prior PD-1/PD-L1, PARP inhibitors, upper abdominal RT, and germline BRCA1/2 mutation.

ClinicalTrials.gov ID: NCT05411094

A Phase I/Ib Pilot Trial, Single Arm, Open Label, of Protein-Bound Paclitaxel, Cisplatin, and Gemcitabine (GCN) Combined With Tumor Treatment Fields (TTF) in Patient With Metastatic Pancreatic Adenocarcinoma

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with untreated metastatic pancreatic adenocarcinoma (including adenosquamous) with liver metastasis, ECOG 0–1, and no brain mets receive modified gemcitabine/cisplatin/nab-paclitaxel every 2 weeks plus continuous Tumor Treating Fields (TTF), followed by maintenance gemcitabine with TTF. TTF is a noninvasive device therapy delivering alternating electric fields that disrupt mitosis; key exclusions include significant cardiac conduction issues/implantable stimulators and inability to use the device.

ClinicalTrials.gov ID: NCT04605913

Phase I Pilot Study of Endoscopic Ultrasound Guided RFA in Advanced Pancreatic Cancer

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with locally advanced, unresectable, non-metastatic PDAC (ECOG 0–2) progressing after first-line therapy receive ongoing second- or third-line chemotherapy plus endoscopic ultrasound–guided radiofrequency ablation (EUS-RFA) of 1–4 cm, endoscopically accessible tumors. EUS-RFA is a local thermal ablation delivered via EUS needle to induce coagulative necrosis, performed over three sessions alongside systemic therapy to assess safety/tolerability.

ClinicalTrials.gov ID: NCT05723107

A Phase I/II Open Label Study to Assess Safety and Preliminary Evidence of a Therapeutic Effect of Azeliragon in Patients Refractory to Prior Treatment of Metastatic Pancreatic Cancer

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

No known activity

No investigational drug(s) in this trial have shown anticancer activity yet in clinical trials

TrialFetch AI summary: Adults aged 18–80 with unresectable locally advanced or metastatic pancreatic adenocarcinoma previously treated with gemcitabine/nab-paclitaxel– or FOLFIRINOX-based therapy receive oral azeliragon alone in escalating doses. Azeliragon is an investigational inhibitor of RAGE (receptor for advanced glycation end products).

ClinicalTrials.gov ID: NCT05766748

Phase I Trial of MK2 Inhibitor in Combination With mFOLFIRINOX for Untreated Metastatic Pancreatic Ductal Adenocarcinoma

No known activity

No investigational drug(s) in this trial have shown anticancer activity yet in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with previously untreated, advanced inoperable or metastatic pancreatic ductal adenocarcinoma and ECOG 0–1 receive first-line mFOLFIRINOX plus oral zunsemetinib, which inhibits MK2 activation through the p38 MAP kinase–MK2 complex. The dose-expansion cohort is limited to patients with metastatic disease.

ClinicalTrials.gov ID: NCT06648434

Chemotherapy and Irreversible Electroporation (IRE) in the Treatment of Advanced Pancreatic Adenocarcinoma

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with stage III locally advanced pancreatic adenocarcinoma receive irreversible electroporation of the primary tumor with peri-ablation systemic chemotherapy continued from their pre-IRE regimen (FOLFIRINOX or gemcitabine). The study assesses safety and progression outcomes of adding IRE to standard chemotherapy in this non-randomized single-arm setting.

ClinicalTrials.gov ID: NCT03484299

A Phase I/II Open-label Dose Escalation and Dose Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of AZD4360 in Adult Participants With Advanced Solid Tumours

No known activity

No investigational drug(s) in this trial have shown anticancer activity yet in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with CLDN18.2-positive, locally advanced or metastatic pancreatic ductal, gastric/gastroesophageal junction, or biliary tract cancer after at least one systemic treatment for advanced disease receive AZD4360 monotherapy, an investigational CLDN18.2-targeting antibody–drug conjugate that delivers a cytotoxic payload. Patients must have ECOG performance status 0–1; HER2-positive or indeterminate gastric/gastroesophageal junction cancers are excluded.

ClinicalTrials.gov ID: NCT06921928

Phase I Study of Concurrent Nab-Paclitaxel + Gemcitabine With Hypofractionated, Ablative Proton Therapy for Locally Advanced Pancreatic Cancer

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

TrialFetch AI summary: Adults with locally advanced, unresectable, nonmetastatic pancreatic adenocarcinoma (ECOG 0–1), including those after induction chemotherapy, receive concurrent weekly gemcitabine plus nab-paclitaxel (microtubule inhibitor; radiosensitizer) with hypofractionated ablative proton therapy (67.5 Gy/15 fx), followed by surgical exploration if feasible. Excludes prior overlapping abdominal RT or significant neuropathy; evaluates dose tolerance, safety, response, and resection potential.

ClinicalTrials.gov ID: NCT03652428