New drug cocktail aims to shrink pancreatic tumors before surgery
NCT ID NCT07691593
First seen Jul 09, 2026 · Last updated Jul 10, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether adding the experimental drug HRS-4642 to standard chemotherapy, with or without the immunotherapy adebrelimab, can shrink pancreatic tumors before surgery. The study enrolls adults aged 18-70 with pancreatic ductal adenocarcinoma who have at least one measurable tumor. Researchers will monitor side effects and measure how many tumors respond or disappear completely after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HRS-4642, chemotherapy (NALIRIFOX), and adebrelimab
- What this could lead to
- If successful, this combination could shrink pancreatic tumors before surgery, potentially improving surgical outcomes and long-term survival.
- What could go wrong
- This is an early phase 2 trial with only 60 participants, so results may not apply to all patients. Side effects from the drug combination could be significant.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2028
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 to 70 years
- 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. Male and female participants aged 18-70 (including those who are 18 and 70 years old); 2. Pathologically or cytologically confirmed ductal adenocarcinoma of the pancreas; and subjects must have at least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1); 3. Life expectancy ≥ 12 weeks; 4. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1; 5. Adequate marrow and organ function; Exclusion Criteria: 1. Prior receipt of any anti-tumor therapy, including but not limited to systemic chemotherapy, radiotherapy, interventional therapy, immunotherapy, targeted therapy, and anti-tumor traditional Chinese medicine therapy; 2. Presence of distant metastatic lesions confirmed by imaging; 3. Known hypersensitivity to the investigational drug or any of its excipients; 4. Presence of any serious or uncontrolled systemic disease; 5. History of allogeneic hematopoietic stem cell transplantation or solid organ transplantation; 6. Clinically significant acute or chronic pancreatitis; 7. Participation in any interventional clinical trial involving drugs or medical devices within 4 weeks prior to the first administration of study treatment; 8. Vaccination with live or live-attenuated vaccines within 4 weeks prior to the first dose of the investigational drug; 9. Any other condition that, in the judgment of the investigator, makes the subject unsuitable for enrollment.
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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 official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
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