Clinical Trials for Pancreas Cancer

A Phase 1, Open-Label, Dose Escalation and Expansion, Multicenter Study of Claudin 18.2-Targeted Chimeric Antigen Receptor T-cells in Subjects With Unresectable, Locally Advanced, or Metastatic Gastric, Gastroesophageal Junction (GEJ), Esophageal, or Pancreatic 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.

HealthScout 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

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

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.

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.

HealthScout 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 II Study to Evaluate Modified Folfirinox and Stereotactic Body Radiation Therapy in Non-metastatic Unresectable Pancreatic Adenocarcinoma

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.

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.

HealthScout AI summary: Adults with histologically confirmed, non‑metastatic unresectable pancreatic adenocarcinoma (borderline resectable or locally advanced), ECOG 0–1, and no prior therapy receive induction modified FOLFIRINOX (5‑FU/leucovorin, irinotecan [topoisomerase I inhibitor], oxaliplatin [DNA crosslinker]) followed by pancreatic SBRT. Single‑arm study at a single center; outcomes include 9‑month PFS with secondary response, recurrence patterns, toxicity, and OS.

ClinicalTrials.gov ID: NCT03991962

A Phase I, Open-Label, Dose Finding Study of Calaspargase Pegol-Mnkl in Combination With Cobimetinib in Locally-Advanced or Metastatic Pancreatic Cancer

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.

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.

HealthScout AI summary: Adults with locally advanced or metastatic exocrine pancreatic adenocarcinoma (ECOG 0–2) who have progressed on, are intolerant of, or declined standard regimens receive calaspargase pegol-mknl (PEGylated L-asparaginase depleting extracellular asparagine) plus cobimetinib (MEK1/2 inhibitor). Single-arm dose-escalation with mandatory paired biopsies; key exclusions include prior asparaginase, significant cardiac/ocular MEK-risk factors, pancreatitis, thrombosis/coagulopathy, and strong CYP3A modulators.

ClinicalTrials.gov ID: NCT05034627

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.

HealthScout AI summary: Adults with unresectable/locally advanced or metastatic pancreatic adenocarcinoma after at least one prior systemic regimen (and prior targeted/immunotherapy when indicated), ECOG 0–1, receive repeated infusions of autologous PBMCs armed ex vivo with an anti-CD3 × anti-EGFR bispecific antibody that redirects T-cell cytotoxicity to EGFR-expressing tumors. Treatment involves 8 weekly infusions followed by 8 biweekly infusions after a second leukapheresis; key exclusions include EGFR mAb hypersensitivity, active infections, and autoimmune disease requiring immunosuppression.

ClinicalTrials.gov ID: NCT06479239

A Phase 1/2, Open-Label, Dose Escalation and Expansion Study With PT886 (Spevatamig) Followed by a Multi-cohorT Study in Patients With Advanced GastrIc, Gastroesophageal JuNction, Pancreatic Ductal or Biliary Tract AdEnocarcinomas of PT886, in Combination With ChemotherApy, and/or an Immune ChecKpoint Inhibitor. The TWINPEAK Study

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.

HealthScout AI summary: Adults with unresectable/metastatic CLDN18.2-positive gastric/GEJ, pancreatic ductal, or biliary tract adenocarcinomas receive spevatamig (PT886)—a bispecific antibody targeting CLDN18.2 and CD47 to enhance macrophage-mediated phagocytosis—given as monotherapy or combined with chemotherapy (e.g., paclitaxel, gemcitabine/nab-paclitaxel, FOLFOX, CAPOX, FOLFIRINOX) and/or pembrolizumab. Cohorts are line- and disease-specific, with CLDN18.2 expression ≥10% at ≥2+ required for combination parts.

ClinicalTrials.gov ID: NCT05482893

A Phase I/II Open-label Dose Escalation and Dose Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of AZD5863, a T Cell-engaging Bispecific Antibody That Targets Claudin 18.2 (CLDN18.2) and CD3 in Adult Participants With Advanced or Metastatic Solid Tumors

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.

HealthScout AI summary: Adults with CLDN18.2-positive advanced/metastatic gastric, GEJ, esophageal, or pancreatic adenocarcinoma after prior systemic therapy receive AZD5863 monotherapy, a CLDN18.2×CD3 T cell–engaging bispecific antibody, via IV or SC administration. Trial focuses on dose finding and preliminary efficacy with RECIST-measurable disease and ECOG 0–1 required.

ClinicalTrials.gov ID: NCT06005493

A Phase I Study of Autologous CAR-T Cells Targeting the B7-H3 Antigen and Containing the Inducible Caspase 9 Safety Switch in Subjects With Refractory Pancreatic Ductal Adenocarcinoma (PDAC)

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.

HealthScout AI summary: Adults with refractory/relapsed pancreatic ductal adenocarcinoma (ECOG 0–1) receive a single infusion of autologous B7-H3 (CD276)–targeted CAR-T cells incorporating an inducible caspase-9 safety switch. Dose-escalation evaluates safety/tolerability and feasibility; bridging therapy may be used pre-infusion.

ClinicalTrials.gov ID: NCT06158139

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

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.

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.

HealthScout 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

A Phase 1b Study of Gemcitabine and Nab-paclitaxel in Combination With IM156 in Patients With Advanced 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.

HealthScout AI summary: Adults with treatment‑naïve metastatic pancreatic ductal adenocarcinoma (ECOG 0–1) receive first-line gemcitabine plus nab‑paclitaxel combined with IM156 (lixumistat), an oral mitochondrial complex I inhibitor that reduces oxidative phosphorylation and activates AMPK/mTOR pathway inhibition. Prior (≥6 months) adjuvant/neoadjuvant therapy allowed; excludes concurrent biguanides (e.g., metformin) and sensitive CYP2D6 substrates.

ClinicalTrials.gov ID: NCT05497778