Can a triple therapy shrink pancreatic tumors enough for complete surgery?
NCT ID NCT01591733
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
This phase II trial tests whether giving chemotherapy and proton beam radiation before surgery can help people with borderline-resectable pancreatic cancer. The goal is to shrink the tumor enough so that surgeons can remove it completely, with no cancer cells left at the edges. Participants receive FOLFIRINOX chemotherapy, then capecitabine with short-course radiation, followed by surgery. Researchers will measure how often the tumor is fully removed and how long people live without the cancer progressing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A combination of chemotherapy drugs (FOLFIRINOX and capecitabine), proton beam radiation, and surgery
- What this could lead to
- If successful, this approach could increase the chance of completely removing the tumor during surgery, potentially improving long-term control of pancreatic cancer.
- What could go wrong
- This is a phase II trial with a small number of participants, so results may not be definitive. The chemotherapy and radiation can cause significant side effects, and the tumor may still not be fully removable.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
48 people
The number who actually took part.
- Started
-
Aug 2012
- Finished
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Apr 2021
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Cytologic or histologic proof pancreatic ductal carcinoma * Borderline resectable * Life expectancy of at least 3 months * ECOG Performance Status ≤ 1 * Adequate organ and bone marrow function * No treatment of other invasive cancers within the last 5 years with greater than 5% risk of recurrence at the time of eligibility screening. Carcinoma in-situ and basal cell carcinoma/squamous cell carcinoma of the skin are allowed * \> 4 weeks since major surgery, excluding laparoscopy Exclusion Criteria: * Evidence of metastatic disease * Pregnant or breastfeeding * Other serious uncontrolled medical conditions * Prior chemotherapy, targeted/biologic therapy or radiation for treatment of the pancreatic tumor * Prior systemic fluoropyrimidine therapy * History of uncontrolled seizures, central nervous system disorders or psychiatric disability * Individuals on cimetidine
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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
-
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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