Light-Activated therapy targets pancreatic tumors during surgery
NCT ID NCT07698613
First seen Jul 13, 2026 · Last updated Jul 14, 2026 · Updated 1 time
Summary
This study tests a new approach called photoimmunotherapy for people with locally advanced or borderline resectable pancreatic cancer. Patients receive an injection of ASP-1929, a drug that attaches to cancer cells and becomes active when exposed to a specific light. During surgery, if the tumor cannot be removed, a laser activates the drug to destroy cancer cells. The trial aims to see if this treatment is safe and helps prevent the cancer from growing for at least six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ASP-1929 (cetuximab sarotalocan) photoimmunotherapy
- What this could lead to
- If successful, this approach could offer a new treatment option for patients with locally advanced pancreatic cancer that cannot be surgically removed, potentially improving survival.
- What could go wrong
- This is an early-phase trial with a small number of participants, so the benefits are uncertain. The treatment requires surgery and carries risks of side effects from the drug and laser activation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Pathologically confirmed pancreatic adenocarcinoma. 2. Clinically staged locally advanced or borderline resectable pancreatic adenocarcinoma. 3. Completed neoadjuvant chemotherapy 4. Neoadjuvant radiation is allowed 5. Planned surgical exploration 6. Treatment with ASP-1929 will be at least 4 - 10 weeks after last chemotherapy and radiation. 7. Patients with a history of biliary obstruction must have adequate biliary drainage. 8. Patients meeting the following laboratory criteria for Adequate Organ and Bone Marrow Function: Platelet Count ≥ 75,000/mm3. Hemoglobin ≥ 8.0 g/dL \[NOTE: Participants requiring ongoing transfusions or growth factor support to maintain hemoglobin ≥8.0 g/dL are not eligible\] Absolute neutrophil count ≥ 1,000/mm3. \[Granulocyte-colony stimulating factor administration is not allowed within 1 week prior to C1D1\] Alanine aminotransferase (ALT) ≤ 3×ULN Aspartate aminotransferase (AST) ≤ 3×ULN Total Bilirubin ≤ 1.5×ULN or \< 3×ULN in the presence of documented Gilbert's syndrome (unconjugated hyperbilirubinemia) Creatinine ≤ 3×ULN 9. Age ≥ 18 10. ECOG performance status 0-1 11. For women of pregnancy potential, a negative pregnancy test within 7 days prior to registration. 12. Ability to understand and the willingness to sign a written informed consent document. Exclusion Criteria: 1. Patients with distant metastases. 2. Patients with medical co-morbidities that make them not candidates for surgical exploration 3. Planned concomitant, non-protocol directed anti-cancer therapy for at least 8 weeks after ASP-1929 4. Patients with unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia) not yet resolved to Grade ≤ 1 or baseline. Note: Subjects may be enrolled with chronic, stable Grade 2. 5. History of significant (Grade ≥ 3) cetuximab infusion reactions 6. Photosensitizing medications must be discontinued 4 weeks before ASP-1929 PIT treatment, unless medically required. 7. No uncontrolled intercurrent illness including but not limited to symptomatic CHF, unstable angina, clinically significant severe cardiac arrhythmia, psychiatric illness or social situations that would limit compliance with study requirements. 8. Any other condition which, in the investigator's opinion, deems the patient an unsuitable candidate to receive ASP-1929 and/or be exposed to PIT illumination. 9. Women who are pregnant or nursing. 10. Patients with concomitant malignancies not expected to cause death within 5 years are eligible.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Rhode Island and the Miriam Hospitals (Brown University Health)
Providence, Rhode Island, 02903/02906, United States
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- A watchful eye: could alternating scans outsmart pancreatic cancer?
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