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RecruitingInterventionalPhase 2

A Phase 2 Study to Investigate the Efficacy and Safety of Acoustic Cluster Therapy With Modified FOLFIRINOX in Patients With Locally Advanced Pancreatic Cancer

NCT ID: NCT06850623Sponsor: EXACT Therapeutics ASLast updated: 2026-04-03

Summary

The purpose of the study is to assess the efficacy and safety of Acoustic Cluster Therapy (ACT) when given in addition to chemotherapy for treatment of Locally Advanced Pancreatic Cancer.

Detailed description

Patients with Locally Advanced Pancreatic Cancer who have not received prior treatment to their pancreatic cancer will receive ACT treatment (the drug PS101 and ultrasound application to the tumor) with up to eight 2-week cycles of modified FOLFIRINOX chemotherapy. ACT treatment will be given on Day 1 of each cycle of chemotherapy. Patients' well-being and side effects will be assessed at the same visits. The objective efficacy of the treatment will be assessed by CT scans every 8 weeks.

Arms & interventions

  • Combination ProductAcoustic Cluster Therapy

    Drug: PS101; Device: Ultrasound

  • DrugModified FOLFIRINOX

    Chemotherapy

Outcome measures

Primary

  • ORR (Overall response rate), defined as the number of participants with measurable disease at baseline who have a confirmed Complete Response or confirmed Partial Response according to RECIST Version 1.1.

    Time frame: From baseline to end of treatment (up to Week 24)

Secondary

  • Overall summary of TEAEs including number and percentage of participants with at least one TEAE. TEAEs will be summarized by System Organ Class and Preferred Term. TEAEs will be summarized by severity and causality.

    Time frame: From enrollment up to week 24

  • Change in maximum tumor diameter and volume summarized as the largest or the smallest percentage change from baseline. Independent central image review based on RECIST 1.1 criteria will be the primary analysis.

    Time frame: From baseline up to week 24

  • Median OS and proportion of participants alive at 6 months.

    Time frame: from baseline to week 24

  • The proportion of participants becoming eligible for resection as determined by local multidisciplinary team review

    Time frame: from baseline to week 24

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Not deemed suitable for primary curative surgery and have radiographic and pathological disease consistent with inoperable LAPC or borderline resectable pancreatic cancer. * Suitable to receive treatment with mFOLFIRINOX according to the Investigator's assessment. Exclusion Criteria: • Any prior anti-cancer treatment for pancreatic cancer (e.g. chemotherapy, surgery, radiation). Palliative bypass procedure and bile duct stenting are allowed.

Study locations (7)

HonorHealth Research Institute

Scottsdale, Arizona, 85258

Recruiting
Erkut Borazanci, MD · Principal Investigator

Stanford Cancer Center Palo Alto

Stanford, California, 94305

Recruiting
Britney Williams · Contact
Isabel Leonio ( Study Coordinator) · Contact
Pejman Ghanouni, MD:PhD · Principal Investigator

Beth Israel Deaconess Medical Center - Division of Hematology/Oncology

Boston, Massachusetts, 02215

Recruiting
Selma Sinanovic Study Coordinator · Contact
Andrea Bullock, MD · Principal Investigator

Henry Ford Centre

Detroit, Michigan, 48202

Recruiting
Christina Vu, Study Nurse · Contact
Maria Diab, MD · Principal Investigator

Sidney Kimmel Cancer Center, Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107

Recruiting
Babar Bashir, MD · Contact
Priscilla Machado -Sub Investigator, MD, FAIUM · Contact
Babar Bashir, MD · Principal Investigator

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212

Recruiting
Paul Renz, DO · Contact
Linda Kernrick (Study Coordinator) · Contact
Paul Renz, DO · Principal Investigator

Brown University Cancer Institute

Providence, Rhode Island, 02906

Recruiting
Alexander Raufi, MD · Contact
Lindsey Cavanagh Study Nurse · Contact
Alexander Raufi, MD · Principal Investigator