Experimental drug combo aims to boost pancreatic cancer treatment
NCT ID NCT06639724
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial is testing whether adding the drug fostamatinib to standard chemotherapy can help people with resectable pancreatic cancer. Fostamatinib is already approved for a blood disorder but has not been tried in pancreatic cancer. The study will enroll 36 participants to see if the combination is safe and does not delay surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fostamatinib (a Syk inhibitor) combined with gemcitabine and nab-paclitaxel chemotherapy
- What this could lead to
- If it works, this could point toward a new treatment option for resectable pancreatic cancer that may improve outcomes when added to standard chemotherapy.
- What could go wrong
- This is a very early phase 1b trial with only 36 participants, so it is primarily testing safety and feasibility. The drug has not been studied in pancreatic cancer before, and it may not improve outcomes or could cause unexpected side effects.
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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 36 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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: 1. Patient has the ability to understand and willingness to sign a written informed consent. 2. Patient is ≥ 18 years of age. 3. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1. 4. Patient must have surgical consult to verify patient is a surgical candidate within 28 days prior to enrollment. 5. Patient must have resectable primary PDAC based on contrast-enhanced CT or MRI of the chest, abdomen, and pelvis performed no more than 4 weeks before enrollment/baseline. Note that if CT or MRI was performed more than 4 weeks before this visit, imaging needs to be repeated to evaluate eligibility in the study. Resectable primary tumor is defined as: 1. No involvement of the celiac artery, common hepatic artery, and superior mesenteric artery (and, if present, replaced right hepatic artery). 2. No involvement, or \< 180° interface between tumor and vessel wall, of the portal vein and/or superior mesenteric vein. 3. Patent portal vein/splenic vein confluence. 4. No evidence of metastatic disease. 5. Lymphadenopathy (defined as nodes measuring \> 1cm in short axis) outside the surgical basin (i.e., para- aortic, peri-caval, celiac axis, or distant nodes) is considered M1 disease and makes the patient ineligible. If, however, such nodes are biopsied and are negative, then enrollment can be considered after review with the study principal investigator (PI) and/or co-investigator. 6. For tumors of the body and tail of the pancreas, involvement of the splenic artery and vein of any degree is considered resectable disease. 6. Patient has adequate organ function as defined below: 1. Absolute Neutrophil Count ≥ 1.5 x 10\^9/L 2. Platelet count ≥ 100 x 10\^9/L. 3. Hemoglobin ≥ 9.0 g/dL 4. aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SPGT) ≤ 2.5 X institutional upper limit of normal (ULN) 5. Total Bilirubin ≤ 1.5 x institutional ULN or ≤3 × institutional ULN in Gilbert's Ds 6. Serum creatinine ≤ 2 x institutional ULN 7. For subjects able to become pregnant: use of highly effective contraception for at least 2 weeks prior to enrollment and agreement to use such a method during study participation. 8. For subjects able to cause a pregnancy: use of condoms or other methods to ensure effective contraception with partner during study participation. Exclusion Criteria: 1. Any prior treatment for PDAC. 2. Recurrent or metastatic PDAC. 3. Peripheral neuropathy \> grade 2 4. Received an investigational agent within 28 days prior to the first dose of study drug. 5. History of Hepatitis B (defined as Hepatitis B surface antigen, HBsAg, reactive) or known active Hepatitis C virus (HCV) (defined as HCV RNA - qualitative - is detected) infection. Note: no testing for Hepatitis B and Hepatitis C is required unless mandated by local health authority. (Individuals who are hepatitis C antibody positive may be enrolled if negative viral load confirmed). 6. Active infection requiring systemic therapy. 7. Known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial. 8. History of receiving a solid organ transplant or allogeneic bone marrow transplant. 9. Major surgical procedure within 28 days prior to the first dose of study drug. 10. Unable or unwilling to withhold or discontinue any prohibited or restricted medications/procedures for the specified windows during the study. 11. Pregnancy or lactation.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
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Contact
Email: •••••@•••••
Locations
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University of California, San Diego Moores Cancer Center
RECRUITINGLa Jolla, California, 92093, United States
Contact Email: •••••@•••••
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