Evaluating NALIRIFOX vs Modified Gemcitabine, Nab-Paclitaxel and Cisplatin in Patients With Locally Advanced and Metastatic Pancreatic Adenocarcinoma
NCT07076212 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2026-05-06
Summary
This is a single-center, open-label, randomized Phase 2 trial to evaluate the efficacy of NALIRIFOX (Arm 1) vs mGAP (Arm 2) in previously untreated patients with locally advanced (unresectable) and metastatic pancreatic ductal adenocarcinoma (PDAC).
Conditions
- Metastatic Pancreatic Adenocarcinoma
- Locally Advanced Pancreatic Adenocarcinoma
Interventions
- DRUG
-
Liposomal Irinotecan
50 mg/m2 will be administered on Day 1 of a 2-week cycle
- DRUG
-
60 mg/m2 will be administered on Day 1 of a 2-week cycle
- DRUG
-
5-fluorouracil (2400 mg/m2 over 46 hours) will begin administration on Day 1 of a 2-week cycle
- DRUG
-
400 mg/m2 will be administered on Day 1 of a 2-week cycle
- DRUG
-
Gemcitabine (mg/m²)
1000 mg/m2 will be administered on Day 1 and Day 15 of a 4-week cycle
- DRUG
-
125 mg/m2 will be administered on Day 1 and Day 15 of a 4-week cycle
- DRUG
-
25 mg/m2 will be administered on Day 1 and Day 15 of a 4-week cycle
Sponsors & Collaborators
-
Medical University of South Carolina
lead OTHER
Principal Investigators
-
Albert Lockhart, MD · Medical University of South Carolina
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-02
- Primary Completion
- 2028-05-31
- Completion
- 2029-11-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
FOLFOX vs Gemcitabine in Patients With Metastatic Pancreatic Cancer Non-fit to FOLFIRINOX
NCT04167007 ·Status: UNKNOWN ·Phase: PHASE3
-
NALIRIFOX as Induction Therapy in LAPC
NCT06467565 ·Status: RECRUITING ·Phase: PHASE2
-
A Study Evaluating the Efficacy of 5-FU + NALIRI and 5-FU + NALIRINOX for PDAC (NALPAC)
NCT05472259 ·Status: RECRUITING ·Phase: PHASE2
-
Intraperitoneal Paclitaxel With NALIRIFOX for Pancreatic Ductal Adenocarcinoma With Peritoneal Carcinomatosis
NCT07030283 ·Status: RECRUITING ·Phase: PHASE1
-
Phase 2 Nab® -Paclitaxel (Abraxane®) Plus Gemcitabine in Subjects With Locally Advanced Pancreatic Cancer (LAPC)
NCT02301143 ·Status: COMPLETED ·Phase: PHASE2
-
Pre-operative Treatment for Patients With Untreated Pancreatic Cancer
NCT03138720 ·Status: COMPLETED ·Phase: PHASE2
-
Liposomal Irinotecan in Combination With Oxaliplatin, Leucovorin, and 5-fluorouracil for Patients With Locally Advanced Pancreatic Carcinoma:
NCT03861702 ·Status: COMPLETED ·Phase: PHASE2
-
Stereotactic Body Radiotherapy and NALIRIFOX for Locally Advanced Pancreatic Cancer
NCT07173387 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Combination Therapy for Patients With Untreated Metastatic Pancreatic Ductal Adenocarcinoma
NCT02754726 ·Status: COMPLETED ·Phase: PHASE2
-
First-line Therapy in Metastatic PDAC
NCT03487016 ·Status: UNKNOWN ·Phase: PHASE2
-
Comparing Two Treatment Combinations, Gemcitabine and Nab-Paclitaxel With 5-Fluorouracil, Leucovorin, and Liposomal Irinotecan for Older Patients With Pancreatic Cancer That Has Spread
NCT04233866 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Phase I/II Study to Evaluate Nab-paclitaxel in Substitution of CPT11 or Oxaliplatin in FOLFIRINOX Schedule as First Line Treatment in Metastatic Pancreatic Cancer
NCT02109341 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Gemcitabine Hydrochloride, Paclitaxel Albumin-Stabilized Nanoparticle Formulation, Metformin Hydrochloride, and a Standardized Dietary Supplement in Treating Patients With Pancreatic Cancer That Cannot be Removed by Surgery
NCT02336087 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
NALIRIFOX in Combination With Camrelizumab for BRPC: a Prospective, Exploratory Study
NCT06345300 ·Status: RECRUITING ·Phase: PHASE2
-
Perioperative NALIRIFOX (liposomal Irinotecan in Combination with Fluorouracil, Leucovorin, and Oxaliplatin) in Resectable Pancreatic Adenocarcinoma: Randomized Phase II Trial
NCT06816914 ·Status: RECRUITING ·Phase: PHASE2
-
Study of Nanoliposomal Irinotecan (Nal-IRI)-Containing Regimens Versus Nab-paclitaxel Plus Gemcitabine in Patients With Previously Untreated, Metastatic Pancreatic Adenocarcinoma
NCT02551991 ·Status: COMPLETED ·Phase: PHASE2
-
FIrst Line Treatment of Metastatic Pancreatic Cancer: Sequential Nab-paclitaxel + Gemcitabine/FOLFIRI.3 VS Nab-paclitaxel + Gemcitabine
NCT02827201 ·Status: COMPLETED ·Phase: PHASE2
-
Nab-Paclitaxel + Cisplatin + Gemcitabine in Untreated Metastatic Pancreatic Adenocarcinoma
NCT03915444 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of NALIRIFOX in Combination With Radiation Therapy in People With Pancreatic Ductal Adenocarcinoma (PDAC)
NCT05851924 ·Status: RECRUITING ·Phase: PHASE2
-
24BRO681 : Alternating Gnp and mFOLFIRINOX for BR-PDAC
NCT07043270 ·Status: RECRUITING ·Phase: PHASE2
-
Phase I/II Study of Nab-paclitaxel and Gemcitabine Followed by AG-mFOLFOX in Patients With Metastatic Pancreatic Adenocarcinoma
NCT02504333 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Second-Line Adjuvant Therapy With Nab-Paclitaxel Plus Gemcitabine Versus Oxaliplatin Plus Folinic Acid and Fluorouracil for Gemcitabine-Refractory Pancreatic Cancer After Curative Resection
NCT02506842 ·Status: UNKNOWN ·Phase: PHASE3
-
S1505: Combination Chemotherapy or Gemcitabine Hydrochloride and Paclitaxel Albumin-Stabilized Nanoparticle Formulation Before Surgery in Treating Patients With Pancreatic Cancer That Can Be Removed by Surgery
NCT02562716 ·Status: COMPLETED ·Phase: PHASE2
-
Nimotuzumab Plus NALIRIFOX in Locally Advanced Pancreatic Cancer
NCT06429904 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Phase II Study of Preoperative FOLFIRINOX Versus Gemcitabine/Nab-Paclitaxel in Patients With Resectable Pancreatic Cancer
NCT02243007 ·Status: TERMINATED ·Phase: PHASE2