New cocktail of targeted drugs and chemo takes on pancreatic cancer
NCT ID NCT05669482
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tests whether adding two targeted drugs (avutometinib and defactinib) to standard chemotherapy can help people with metastatic pancreatic cancer that hasn't been treated yet. About 40 adults with this cancer will receive the combination. The goal is to find the safest dose and see if it shrinks tumors or slows the disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- avutometinib and defactinib (targeted drugs) plus gemcitabine and nab-paclitaxel (chemotherapy)
- What this could lead to
- If successful, this could lead to a more effective first-line treatment for metastatic pancreatic cancer, potentially shrinking tumors and delaying disease progression.
- What could go wrong
- This is an early-phase trial with only 40 participants, so results may not apply to all patients. The drug combination may cause significant side effects or fail to improve outcomes over standard chemo alone.
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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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2023
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female subjects ≥ 18 years of age * Histologic or cytologic evidence of metastatic pancreatic ductal adenocarcinoma. * An Eastern Cooperative Group (ECOG) performance status ≤ 1 * Measurable disease according to RECIST 1.1 * Adequate organ function * Adequate cardiac function * Agreement to use highly effective method of contraceptive Exclusion Criteria: * Patients with pancreatic neuroendocrine tumors * Prior or concomitant treatment for metastatic pancreatic ductal adenocarcinoma * Prior treatment with inhibitors of the RAS /MAPK pathway \[e.g. MEK inhibitors\] or inhibitors of FAK * History of prior malignancy, with the exception of curatively treated malignancies * Major surgery within 4 weeks (excluding placement of vascular access) * Concurrent heart disease or severe obstructive pulmonary disease * Concurrent ocular disorders * Active skin disorder that has required systemic therapy within the past 1 year * Patients with interstitial lung disease or pulmonary fibrosis or severe lung disease, pulmonary edema, and adult respiratory distress syndrome * Known SARS-Cov2 infection ≤28 days prior to first dose of study therapy
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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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Dana Farber Cancer Institute
Boston, Massachusetts, 02115, United States
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Fred Hutchinson Cancer Center
Seattle, Washington, 98109, United States
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Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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New York Presbyterian/Weill-Cornell Medical Center
New York, New York, 10021, United States
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UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94158, United States
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University of Chicago
Chicago, Illinois, 60637, United States
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University of Michigan Cancer Center
Ann Arbor, Michigan, 48109, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Utah Huntsman Cancer Institute
Salt Lake City, Utah, 84112, United States
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Virginia Mason Medical Center
Seattle, Washington, 98101, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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