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New cocktail of chemo and precision radiation aims to tame pancreatic cancer

NCT ID NCT04570943

First seen Jan 11, 2026 · Last updated Jun 20, 2026 · Updated 25 times

Summary

This phase 2 trial tests a two-step approach for people with locally advanced pancreatic cancer that cannot be removed by surgery. First, patients receive two powerful chemotherapy regimens in sequence (GEMBRAX then FOLFIRINOX). Then, those whose cancer does not worsen get MRI-guided stereotactic radiotherapy, which delivers high-dose radiation very precisely. The goal is to stop the cancer from growing and to see if this combined treatment is safe and feasible.

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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

Study contacts

  • Contact

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

Locations

  • CHU Carémeau

    RECRUITING

    Nîmes, Gard, 30029, France

    Contact Email: •••••@•••••

  • CHU Saint-Eloi

    RECRUITING

    Montpellier, Herault, 34295, France

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

    Contact

  • Centre Eugène Marquis

    NOT_YET_RECRUITING

    Rennes, 35042, France

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

    Contact

  • Centre Georges-François Leclerc

    RECRUITING

    Dijon, 21079, France

    Contact

    Contact Email: •••••@•••••

  • Hopital Paul Brousse

    NOT_YET_RECRUITING

    Villejuif, France

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

    Contact

  • Hôpital Beaujon

    NOT_YET_RECRUITING

    Clichy, France

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

    Contact

  • Hôpital Pitié Salpétriêre

    RECRUITING

    Paris, 75013, France

    Contact Email: •••••@•••••

    Contact

  • Institut Paoli Calmettes

    RECRUITING

    Marseille, Bouches-du-Rhône, 13009, France

    Contact

    Contact Email: •••••@•••••

  • Institut régional du Cancer de Montpellier

    RECRUITING

    Montpellier, Hérault, 34298, France

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

What this could mean

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

Active substance

Gemcitabine, nab-paclitaxel, oxaliplatin, leucovorin, irinotecan, 5-fluorouracil, and MRI-guided stereotactic radiotherapy

What this could lead to

If successful, this could offer a new treatment sequence to control locally advanced pancreatic cancer and potentially make it surgically removable.

What could go wrong

This is a mid-stage trial with only 103 participants, so results may not apply broadly. Chemotherapy and radiotherapy have significant side effects, and the cancer may still progress.

Conditions

The condition(s) this trial relates to.

neoplasm pancreatic adenocarcinoma

As listed by the trial registrant

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