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New drug combo takes on tough cancers: early trial hopes for better control

NCT ID NCT03257761

First seen Jan 06, 2026 · Last updated Jun 19, 2026 · Updated 31 times

Summary

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

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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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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

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 it works, this combination could offer a new treatment option for people with advanced liver, pancreatic, bile duct, or gallbladder cancers.

What could go wrong

This is a very early (phase 1) trial with only 55 participants, so it is mainly checking safety and dosing. The cancers studied are hard to treat, and the combination may not shrink tumors or improve survival.

Conditions

The condition(s) this trial relates to.

cholangiocarcinoma exocrine pancreatic carcinoma extrahepatic bile duct adenocarcinoma gallbladder adenocarcinoma gallbladder cancer gallbladder carcinoma gallbladder neoplasm hepatocellular carcinoma intrahepatic cholangiocarcinoma malignant pancreatic neoplasm pancreatic adenocarcinoma pancreatic neoplasm

As listed by the trial registrant

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

EXTRAHEPATIC BILE DUCT ADENOCARCINOMA, BILIARY TYPE GALLBLADDER ADENOCARCINOMA, BILIARY TYPE GALLBLADDER ADENOCARCINOMA, BILIARY TYPE METASTATIC PANCREATIC ADENOCARCINOMA RECURRENT CHOLANGIOCARCINOMA RECURRENT GALLBLADDER CARCINOMA RECURRENT HEPATOCELLULAR CARCINOMA RECURRENT INTRAHEPATIC CHOLANGIOCARCINOMA RECURRENT PANCREATIC CARCINOMA STAGE III GALLBLADDER CANCER AJCC V7 STAGE III GALLBLADDER CANCER AJCC V7 STAGE III HEPATOCELLULAR CARCINOMA AJCC V7 STAGE III HEPATOCELLULAR CARCINOMA AJCC V7 STAGE III INTRAHEPATIC CHOLANGIOCARCINOMA AJCC V7 STAGE III INTRAHEPATIC CHOLANGIOCARCINOMA AJCC V7 STAGE III PANCREATIC CANCER AJCC V6 AND V7 STAGE III PANCREATIC CANCER AJCC V6 AND V7 STAGE III PANCREATIC CANCER AJCC V6 AND V7 STAGE IIIA GALLBLADDER CANCER AJCC V7 STAGE IIIA GALLBLADDER CANCER AJCC V7 STAGE IIIA HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IIIA HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IIIB GALLBLADDER CANCER AJCC V7 STAGE IIIB GALLBLADDER CANCER AJCC V7 STAGE IIIB HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IIIB HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IIIC HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IIIC HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IIIC HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IV GALLBLADDER CANCER AJCC V7 STAGE IV GALLBLADDER CANCER AJCC V7 STAGE IV HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IV HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IV PANCREATIC CANCER AJCC V6 AND V7 STAGE IV PANCREATIC CANCER AJCC V6 AND V7 STAGE IVA GALLBLADDER CANCER AJCC V7 STAGE IVA GALLBLADDER CANCER AJCC V7 STAGE IVA HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IVA HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IVA INTRAHEPATIC CHOLANGIOCARCINOMA AJCC V7 STAGE IVA INTRAHEPATIC CHOLANGIOCARCINOMA AJCC V7 STAGE IVB GALLBLADDER CANCER AJCC V7 STAGE IVB GALLBLADDER CANCER AJCC V7 STAGE IVB HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IVB HEPATOCELLULAR CARCINOMA AJCC V7 STAGE IVB INTRAHEPATIC CHOLANGIOCARCINOMA AJCC V7 STAGE IVB INTRAHEPATIC CHOLANGIOCARCINOMA AJCC V7 UNRESECTABLE GALLBLADDER CARCINOMA UNRESECTABLE PANCREATIC CARCINOMA