New hope for pancreatic cancer? immunotherapy cocktails tested in major trial
NCT ID NCT03193190
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested several immunotherapy-based drug combinations in 341 people with metastatic pancreatic cancer. Participants were split into two groups: those who had not yet received treatment and those who had already tried one type of chemotherapy. The goal was to see if these combinations were safe and could shrink tumors. The trial is now complete, and results will help guide future research.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Atezolizumab (an immunotherapy drug) combined with standard chemotherapy drugs (nab-paclitaxel, gemcitabine, oxaliplatin, leucovorin, fluorouracil)
- What this could lead to
- If successful, this could point toward better treatment options for people with metastatic pancreatic cancer, potentially improving survival and quality of life.
- What could go wrong
- This is an early-phase study (Phase 1/2) with a small number of participants, so results may not apply to everyone. Immunotherapy combinations can cause serious side effects, and the cancer may still progress.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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341 people
The number who actually took part.
- Started
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Jul 2017
- Finished
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Feb 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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
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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: * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma * For patients in Cohort 1: no prior systemic treatment for PDAC * For patients in Cohort 2: disease progression during administration of either 5-FU- or gemcitabine-based first-line chemotherapy * Life expectancy greater than or equal to 3 months * Availability of a representative tumor specimen that is suitable for determination of programmed death-ligand 1 (PD-L1) and/or additional biomarker status via central testing * Measurable disease (at least one target lesion) according to RECIST v1.1 * Adequate hematologic and end-organ function test results * Tumor accessible for biopsy * For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating eggs, as outlined for each specific treatment arm * For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm, as outlined for each specific treatment arm Exclusion Criteria: * Uncontrolled pleural effusion, pericardial effusion, or ascites requiring drainage procedure (i.e., more than one time per month) * Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases * History of leptomeningeal disease * Active or history of autoimmune disease or immune deficiency * History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan * Positive human immunodeficiency (HIV) test at screening or at any time prior to screening * Active hepatitis B or C virus infection or active tuberculosis * Severe infection within 4 weeks prior to initiation of study treatment * Prior allogeneic stem cell or solid organ transplantation * History of malignancy other than pancreatic carcinoma within 2 years prior to screening, with the exception of those with a negligible risk of metastasis or death
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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
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Asan Medical Center
Seoul, 05505, South Korea
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City of Hope Comprehensive Cancer Center
Duarte, California, 91010, United States
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Clínica Universidad de Navarra
Pamplona, Navarre, 31008, Spain
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Columbia University
New York, New York, 10032, United States
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Helen Diller Fam Comp Can Ctr
San Francisco, California, 94158, United States
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Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
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Hosp. G. U Gregorio Marañón
Madrid, 28007, Spain
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Hospital Universitario Ramon y Cajal
Madrid, 28037, Spain
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Hospital Universitario Vall d Hebron
Barcelona, 08035, Spain
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Kanagawa Cancer Center
Kanagawa, 241-8515, Japan
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Lombardi Cancer Center, Georgetown University
Washington D.C., District of Columbia, 20007, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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MorristownMedicalCenter
Morristown, New Jersey, 07962, United States
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National Cancer Center Hospital
Tokyo, 104-0045, Japan
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National Cancer Center Hospital East
Chiba, 277-8577, Japan
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Smilow Cancer Hospital at Yale New Haven
New Haven, Connecticut, 06510, United States
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Uni of Chicago Medical Center
Chicago, Illinois, 60637, United States
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Universitätsklinikum Essen
Essen, 45122, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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