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Experimental combo aims to overcome drug resistance in metastatic cancers

NCT ID NCT04150042

First seen Jan 30, 2026 · Last updated Jun 22, 2026 · Updated 22 times

Summary

This early-stage trial is testing a combination of two chemotherapy drugs (melphalan and BCNU) plus vitamins B12b and C, followed by an infusion of the patient's own stem cells. The goal is to see if this approach is safe for people with metastatic pancreatic or breast cancer, especially those with BRCA or PALB2 mutations. The study involves 24 participants and uses a dose-escalation plan for vitamin C to find the safest dose.

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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

  • Massachusetts General Hospital

    COMPLETED

    Boston, Massachusetts, 02114, United States

  • Memorial Sloan Kettering Cancer Center

    RECRUITING

    New York, New York, 10065, United States

    Contact

    Contact

What this could mean

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

Active substance

Melphalan, BCNU (carmustine), vitamin B12b (hydroxocobalamin), vitamin C (ascorbic acid), and autologous hematopoietic stem cells

What this could lead to

If this trial shows safety, it could point toward a new treatment option for people with metastatic pancreatic or breast cancer who have specific genetic mutations.

What could go wrong

This is a very early phase 1 trial with only 24 participants, focused on safety, not effectiveness. The treatment involves strong chemotherapy with serious risks like liver damage, lung problems, and kidney injury.

Conditions

The condition(s) this trial relates to.

BRCA1-related cancer predisposition BRCA2-related cancer predisposition breast adenocarcinoma breast cancer breast neoplasm exocrine pancreatic carcinoma Her2-receptor negative breast cancer malignant pancreatic neoplasm Neoplasm Metastasis PALB2-related cancer predisposition pancreatic acinar cell carcinoma pancreatic adenocarcinoma pancreatic ductal adenocarcinoma pancreatic neoplasm Recurrence

As listed by the trial registrant

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