Personalized drug matching put to the test in pancreatic cancer
NCT ID NCT07802418
First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether choosing treatment based on the genetic changes in a person's pancreatic cancer works better than standard chemotherapy. Adults with advanced pancreatic cancer that has progressed after first-line treatment may join if their tumor has a genetic change that can be matched to an available targeted drug. Participants with such a change are randomly assigned to receive either the matched drug or standard second-line treatment. The study measures how long the cancer stays under control, overall survival, side effects, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A panel of targeted drugs (including axitinib, crizotinib, dabrafenib, trametinib, erlotinib, larotrectinib, olaparib, pembrolizumab, pemigatinib, pertuzumab/trastuzumab, selpercatinib, vismodegib) selected based on tumor genetics, compared with standard chemotherapy (gemcitabine, nab-paclitaxel, 5-FU, oxaliplatin, irinotecan, capecitabine).
- What this could lead to
- If it works, this could show that matching treatment to a tumor's genetic profile slows cancer growth better than standard chemotherapy, pointing toward a more personalized approach for advanced pancreatic cancer.
- What could go wrong
- This is a phase 2 trial, so results are preliminary. The targeted drugs may not work for many participants, and side effects could be significant. The study also depends on finding a genetic change that matches an available drug, which may not happen for everyone.
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 1,200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2032
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: * Adult patients (aged 18 and over) * PC confirmed by cytology or histology * Written informed consent before any specific study procedures * Available personalized report communicating the molecular testing results and detailed treatment options * Participants must have received and progressed during or after 1 line of systemic chemotherapy in the advanced setting (gemcitabine or 5-FU based regimens) or within one year of the adjuvant/neoadjuvant treatment Notes: * In general, discontinuation of 1 drug in a multi-drug regimen and continuation of other drug(s), is considered part of the same line of treatment. Restarting the same regimen after a drug holiday or maintenance chemotherapy can also be considered part of the same line of treatment * Switching from IV (5-FU) to an oral formulation (capecitabine) of the same drug is also considered part of the same line of treatment * Minimum time from first systemic therapy for advanced PC to progression should be at least 2 months * ECOG Performance Status (PS) 0-2 * Participants must have normal organ and marrow function as defined below: * Absolute neutrophil count (ANC) ≥ 1.5 x 10⁹/L * Platelet count ≥ 75 x 10⁹/L * Serum bilirubin ≤ 1.5 x upper limit of normal (ULN) * AST/ALT ≤ 5 x ULN * Serum creatinine ≤ 1.5 x ULN or CrCl ≥ 50 mL/min (using the Cockcroft-Gault formula) * Women of childbearing potential (WOCBP) must use method(s) of contraception as indicated in the protocol * Men who are sexually active with WOCBP must use any contraceptive method with a failure rate of less than 1% per year Exclusion Criteria: * Any serious or uncontrolled medical disorder that, in the opinion of the investigator, may increase the risk associated with study participation or study drug administration, impair the ability of the subject to receive protocol therapy, or interfere with the interpretation of study results * Allergies and Adverse Drug Reaction * History of allergy to study drug components * History of severe hypersensitivity reaction to any monoclonal antibody (applicable for participants to receive a monoclonal antibody in the trial) * WOCBP who are pregnant or breastfeeding
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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
4 sites. 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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Department of Oncology
Aalborg, 9000, Denmark
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Department of Oncology
Aarhus, 8200, Denmark
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Department of Oncology
Herlev, 2730, Denmark
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Department of Oncology
Vejle, 7100, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a new drug combo outsmart RAS-Mutated pancreatic cancer?
- Can protein patterns in stored tumors point to new treatment targets?
- Can a triple therapy shrink pancreatic tumors enough for complete surgery?
- Can a radioactive antibody light up hidden tumors on PET scans?
- Can a radioactive drug seek out and attack solid tumors?