New x-ray activated drug injection tested for Hard-to-Treat cancers

NCT ID NCT04389281

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-stage trial is testing a treatment called X-PACT for people with advanced head and neck cancer, breast cancer, soft tissue sarcoma, or melanoma that has not responded to standard treatments. X-PACT involves injecting a drug called methoxsalen directly into the tumor and then activating it with a targeted X-ray beam. The main goal is to check if the treatment is safe, with up to 52 participants receiving multiple injections over several weeks.

What this could mean

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

Active substance

X-PACT (methoxsalen injection plus X-ray activation)

What this could lead to

If it works, this could point toward a new local treatment option for advanced solid tumors that have not responded to standard therapies.

What could go wrong

This is an early Phase 1 trial with only 52 participants, focused on safety. It may not show meaningful tumor shrinkage, and there are risks from the injection and X-ray exposure.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

breast cancer breast carcinoma cancer cutaneous melanoma head and neck cancer Head and Neck Neoplasms metastatic melanoma soft tissue sarcoma triple-negative breast carcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Duke University

    RECRUITING

    Durham, North Carolina, 27710, United States

    Contact

    Contact

  • Levine Cancer Institute

    RECRUITING

    Charlotte, North Carolina, 28204, United States

    Contact

    Contact

  • Prisma Health

    RECRUITING

    Greenville, South Carolina, 29605, United States

    Contact

  • Sibley Hospital - Johns Hopkins University

    RECRUITING

    Washington D.C., District of Columbia, 20016, United States

    Contact