New combo tackles tough pancreatic cancer
NCT ID NCT02077881
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested an experimental immunotherapy called indoximod added to standard chemotherapy (gemcitabine and nab-paclitaxel) in 157 people with metastatic pancreatic cancer. The goal was to find a safe dose and see if the combination helps people live longer. The trial has completed, and results will show whether adding indoximod improves outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Indoximod (an experimental immunotherapy) plus gemcitabine and nab-paclitaxel (standard chemotherapy)
- What this could lead to
- If successful, this combination could improve survival for people with metastatic pancreatic cancer, a disease with very few treatment options.
- What could go wrong
- This is an early-phase trial, so the added benefit over standard chemo alone is uncertain. The immunotherapy may also increase side effects like fatigue or immune reactions.
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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157 people
The number who actually took part.
- Started
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Aug 2014
- Finished
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Oct 2018
- 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
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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: * Patient has definitive histologically or cytologically confirmed metastatic adenocarcinoma of the pancreas. Patients with islet cell or neuroendocrine neoplasms are excluded. * Initial diagnosis of metastatic disease must have occurred ≤8 weeks prior to entry in the study. * Patient has one or more metastatic tumors measurable per RECIST 1.1 by CT scan ≤4 weeks prior to entry into the study * Male or non-pregnant and non-lactating female, and ≥18 years of age. * Patients must have received no previous radiotherapy, surgery, chemotherapy or investigational therapy for the treatment of metastatic disease. * Prior treatment with gemcitabine and/or nab-paclitaxel in the adjuvant setting is allowed, provided at least 6 months have elapsed since completion of the last dose and no lingering toxicities are present. * Patients cannot have received any other immunomodulatory therapies (including vaccines) as treatment for this or any other cancer. * Patient has a Karnofsky performance status (KPS) ≥ 70. * Patients should be asymptomatic for jaundice prior to Day 1. Exclusion Criteria: * Patients may not be receiving (or received prior to enrollment) any other investigational agents for metastatic disease. * Patient has known brain metastases, * Patient has only locally advanced disease. * Lymph node only metastases even if considered M1 disease by official staging criteria. * History of malignancy in the last 3 years. Patients with prior history of in situ cancer or basal or squamous cell skin cancer are eligible. Patients with other malignancies are eligible if they were cured by surgery alone or surgery plus radiotherapy and have been continuously disease-free for at least 3 years. * Patients with any active autoimmune disease * Patient has undergone major surgery, other than diagnostic surgery (ie, surgery done to obtain a biopsy for diagnosis without removal of an organ), within 4 weeks prior to Day 1 of treatment in this study.
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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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Augusta University
Augusta, Georgia, 30912, United States
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Gibbs Cancer Center and Research Institute
Spartanburg, South Carolina, 29303, United States
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Greenville Health Systems
Greenville, South Carolina, 29605, United States
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Huntsman Cancer Center
Salt Lake City, Utah, 84112, United States
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Stanford University
Palo Alto, California, 94304, United States
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The Vally Hospital
Paramus, New Jersey, 07652, United States
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The West Clinic
Memphis, Tennessee, 38120, United States
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University of Kentucy
Lexington, Kentucky, 40536, United States
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232, United States
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University of Vermont Medical Center
Burlington, Vermont, 05401, United States
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Washington University in St. Louis
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo tested against aggressive pancreatic cancer
- Can a smart drug outsmart pancreatic cancer?
- Can a Triple-Drug combo outsmart pancreatic cancer?
- Can removing liver tumors alongside the whipple procedure extend life in stage IV pancreatic cancer?
- Can a One-Two punch of radiation and immunotherapy tame pancreatic cancer?
- Can a Two-Drug immune attack shrink Hard-to-Treat pancreatic tumors?