Targeted chemo delivery aims to boost pancreatic cancer surgery success
NCT ID NCT07477418
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tests whether delivering the chemotherapy drug gemcitabine directly into the artery feeding the tumor can improve surgical outcomes for people with borderline resectable pancreatic cancer. Ten participants will receive standard chemo and radiation, followed by the targeted gemcitabine infusion before surgery. The main goal is to see if this approach is safe and feasible.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Gemcitabine delivered via transarterial microperfusion (RenovoCath catheter)
- What this could lead to
- If successful, this approach could help more patients with borderline resectable pancreatic cancer have clear surgical margins, potentially improving survival.
- What could go wrong
- This is a very early, small trial (10 participants) focused on safety and feasibility. The added procedure carries risks like bleeding or infection, and it may not improve outcomes.
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 10 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2031
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: * Histologically confirmed pancreatic ductal adenocarcinoma (PDAC). * Borderline resectable disease as defined by the ABC classification criteria, incorporating one or more of the following: * Anatomy (A): Vascular involvement consistent with borderline resectable or resectable locally advanced-PDAC (e.g., abutment of the superior mesenteric vein or artery, portal vein, or celiac axis) as determined by cross-sectional imaging * Biology (B): Concern for extra-pancreatic metastasis or known N1 disease or suspicious but nonconfirmatory liver/lung lesion(s). CA19-9\>500 after normalized bilirubin * Condition (C): Functional status and comorbidity profile adequate for curative-intent surgery, as assessed by the multidisciplinary team, specifically WHO PS \>/=1. * No prior treatment for PDAC (e.g., chemotherapy, radiation, or surgery). * Age ≥ 18 years. * ECOG performance status of 0 or 1. * Ability to understand and the willingness to sign a written informed consent. Exclusion Criteria: * Locally Advanced PDAC or metastatic PDAC * Histology other than adenocarcinoma * Non-accessible arterial anatomy * Gemcitabine hypersensitivity or contraindication to mFOLFIRINOX therapy based on provider assessment
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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 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
Locations
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University of Vermont Medical Center
Burlington, Vermont, 05401, United States
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- AI reads tumor slides to match cancer patients with trials
- Alpha radiation targets tumors in new cancer trial
- AI joins the hunt for hidden pancreatic cancer