New chemo cocktail shows promise against tough pancreatic cancer
NCT ID NCT03443492
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This phase II trial tested two chemotherapy combinations as first-line treatment for people with advanced or metastatic pancreatic cancer. One group received a newer regimen called SLOG, while the other got a standard combo called mFOLFIRINOX. The study aimed to see which worked better at delaying cancer growth. 130 patients took part, and the results could help doctors choose the best initial treatment for this aggressive cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- chemotherapy combination (S-1, leucovorin, gemcitabine, oxaliplatin, irinotecan, 5-FU)
- What this could lead to
- If successful, this could point toward a more effective first-line chemotherapy regimen for advanced pancreatic cancer, potentially improving progression-free survival.
- What could go wrong
- This is a phase II trial with only 130 participants, so results are preliminary. The experimental combo may not prove superior or may have 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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
130 people
The number who actually took part.
- Started
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Mar 2018
- Finished
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Nov 2019
- 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
-
20 to 80 years
- Sex
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Anyone
- Healthy volunteers
-
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. Patients must have cyto-/histologically confirmed, locally advanced unresectable or metastatic adenocarcinoma of the pancreas (mPAC). Patients who have disease measurable or evaluable on x-ray, CT scan, or physical examination are eligible. 2. Patients must have no history of prior chemotherapy for PAC, except those delivered as adjuvant setting that completed at least 6 months before documentation of recurrence by imaging study. 3. Patients with prior radiotherapy are eligible if the irradiated area does not involve the only source of measurable / evaluable disease. 4. Patients' baseline ECOG performance status must be 1. 5. Patients' life expectancy 12 weeks or greater. 6. Patients' age 20 and 80. 7. Patients with biliary obstruction and adequate drainage procedures before enrollment are eligible. 8. Patients must agree to have indwelling venous catheter implanted. 9. Women or men and their partners of reproductive potential should agree to use an effective contraceptive method. 10. All patients must be informed of the investigational nature of this study and must sign and give written informed consent. Exclusion Criteria: 1. Patients who have major abdominal surgery, radiotherapy or other investigating agents within 4 weeks are not eligible. Patients who have palliative radiotherapy for bony metastasis will be eligible 2 weeks after the completion of radiotherapy. 2. Patients with central nervous system metastasis 3. Patients with active infection 4. Pregnant or breast-nursing women 5. Patients with active cardiopulmonary disease or history of ischemic heart disease 6. Patients who have peripheral neuropathy \> Grade I of any etiology 7. Patients who have serious concomitant systemic disorders incompatible with the study, i.e. poorly controlled diabetes mellitus, auto-immune disorders, cirrhosis of the liver, and the rest will be at the discretion of in-charged investigator. 8. Patients who have other prior or concurrent malignancy except for adequately treated in situ carcinoma of cervix or adequately treated basal cell carcinoma of skin, or any malignancy remains disease-free for 3 or more years after initial curative treatment 9. Patients who are under biologic treatment for their malignancy 10. Laboratory tests (hematology, chemistry) outside specified limits: 1. WBC ≤ 3 x 10³/mm³ 2. ANC ≤ 1.5 x 10³/mm³ 3. Platelets ≤ 100.000/mm³ 4. Hb ≤ 9.0 g/dl (≤ 5.6 mmol/l) 5. GFR \< 60 mL/min 6. AST and/or ALT \> 2.5 x ULN; for patients with significant liver metastasis AST and/or ALT \> 5 x ULN 7. Total bilirubin \> 2 x ULN 8. Albumin \< 2.5 g/dL
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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.
Contacts and locations
Locations
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National Institute of Cancer Research
Miaoli, Taiwan