New drug combo targets tough cancers in early trial

NCT ID NCT03257761

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-phase trial is testing a combination of two drugs—guadecitabine and durvalumab—in 55 people with advanced liver, pancreatic, bile duct, or gallbladder cancers that have spread. Guadecitabine aims to stop cancer cell growth, while durvalumab helps the immune system attack tumors. The main goals are to find the safest dose and see if the combination can shrink tumors or slow the disease.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Guadecitabine and durvalumab
What this could lead to
If this combination works, it could offer a new treatment option for people with advanced liver, pancreatic, bile duct, or gallbladder cancers that have spread.
What could go wrong
This is an early phase 1 trial with only 55 participants, so the main goal is safety and dosing, not proof of effectiveness. The cancers studied are very hard to treat, and the combination may not shrink tumors or extend life.

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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.

Contacts and locations

Locations

  • Hoag Memorial Hospital Presbyterian

    Newport Beach, California, 92663, United States

  • Johns Hopkins University/Sidney Kimmel Cancer Center

    Baltimore, Maryland, 21287, United States

  • USC / Norris Comprehensive Cancer Center

    Los Angeles, California, 90033, United States

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