Pulsed proton beams aim to tame tough pancreatic tumors
NCT ID NCT07269626
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase II trial tests a new radiation technique called PULSAR, which delivers short, powerful proton beam pulses every few weeks, adapted to tumor changes. It is for people with locally advanced or limited metastatic pancreatic cancer who have already had some chemotherapy. The goal is to improve local control and survival while reducing damage to nearby organs.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Proton beam radiation delivered in personalized ultra-fractionated pulses (PULSAR)
- What this could lead to
- If successful, this approach could improve local tumor control and survival for patients with advanced pancreatic cancer while reducing side effects from radiation.
- What could go wrong
- This is a small, early-phase (phase II) trial with only 47 participants, so results may not apply broadly. The combination therapy may still cause toxicity or fail to 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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 47 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- 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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19 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: * Age ≥ 19 years. * Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. * Histologically confirmed pancreatic ductal adenocarcinoma. * Disease extent classified as borderline resectable, locally advanced, or oligometastatic disease (defined as ≤ 3 metastatic lesions) at the time of staging evaluation. * Completion of at least 2-4 cycles of first-line systemic therapy (FOLFIRINOX, gemcitabine/nab-paclitaxel, or NALIRIFOX) without evidence of distant progression. * Presence of a lesion suitable for radiotherapy, as determined by the investigator, and measurable disease per RECIST 1.1 criteria. * Ability to understand the study requirements and voluntarily provide written informed consent. Exclusion Criteria: * Pregnant or breastfeeding women. * Presence of brain metastases or leptomeningeal disease. * History of prior radiotherapy to the intended treatment area. * Significant comorbid conditions that may interfere with study participation or the ability to safely receive study treatment, as determined by the investigator (e.g., uncontrolled infection, congestive heart failure, clinically significant arrhythmia, or severe psychiatric illness). * Patients deemed unlikely to comply with study procedures or follow-up requirements. * Any condition that, in the opinion of the principal investigator or treating physician, makes the patient inappropriate for participation in this trial.
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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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Samsung Medical Center
RECRUITINGSeoul, Select Province/State, 06351, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gene test may guide smarter chemo for pancreatic cancer
- Could a special MRI help doctors better treat pancreatic cancer?
- Triple attack on pancreatic cancer: radiotherapy, chemo, and immunotherapy aim to make tumors removable
- Triple threat against pancreatic cancer: radiation, immunotherapy, and chemotherapy combined
- Experimental combo therapy targets Hard-to-Treat pancreatic cancer
- Promising cocktail may shrink pancreatic tumors before surgery