Clinical trial Recruiting at 10 sites Phase 2 Interventional Ages 18 and up

Adding acoustic cluster therapy to chemotherapy for locally advanced pancreatic cancer

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

Run by EXACT Therapeutics AS · NCT06850623 · Data updated 2026-11-12

This trial will try adding Acoustic Cluster Therapy (PS101 plus ultrasound) to modified FOLFIRINOX chemotherapy for people with locally advanced pancreatic cancer who have not had prior treatment.

More Locally Advanced Pancreatic Adenocarcinoma trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment25 (estimated)
SponsorEXACT Therapeutics AS
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations10 sites (Scottsdale, Arizona and 9 other locations)
StatusRecruiting
StartedJune 19, 2025
Main results expectedDecember 15, 2026
Study endsJuly 15, 2027
Registry record updatedOctober 13, 2026
Trial IDNCT06850623 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with locally advanced or borderline resectable pancreatic adenocarcinoma who have not had prior anti-cancer treatment for their pancreas and who are fit enough to receive modified FOLFIRINOX.

Probably not a fit

Patients who have already received prior chemotherapy, radiation, or pancreatic surgery for their cancer, those with distant metastatic disease, or those unable to tolerate mFOLFIRINOX are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Patients with inoperable or borderline resectable locally advanced pancreatic adenocarcinoma who have not received prior pancreatic cancer treatment will receive Acoustic Cluster Therapy (an intravenous PS101 injection followed by ultrasound to the tumor) on Day 1 of each 2-week chemotherapy cycle together with modified FOLFIRINOX. Treatment can continue for up to eight 2-week cycles while investigators monitor safety and side effects at clinic visits. Tumor response and objective efficacy will be measured by CT scans every 8 weeks. The multicenter Phase 2 trial is sponsored by EXACT Therapeutics and is being conducted at three US cancer centers.

Why it matters

Potential benefit: If successful, adding ACT could improve chemotherapy delivery into the tumor and increase tumor shrinkage, potentially improving outcomes or making surgery possible for some patients.

How similar studies have gone: Preclinical work and early-phase trials in other tumor types suggest ultrasound-activated microbubbles can enhance drug delivery, but ACT for pancreatic cancer remains relatively novel and not yet proven in large clinical trials.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • HonorHealth Research Institute
    Scottsdale, Arizona, United States
    Recruiting
  • Stanford Cancer Center Palo Alto
    Stanford, California, United States
    Recruiting
  • Beth Israel Deaconess Medical Center - Division of Hematology/Oncology
    Boston, Massachusetts, United States
    Recruiting
  • Henry Ford Centre
    Detroit, Michigan, United States
    Recruiting
  • Sidney Kimmel Cancer Center, Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Allegheny General Hospital
    Pittsburgh, Pennsylvania, United States
    Recruiting
Show 4 more locations
  • Brown University Cancer Institute
    Providence, Rhode Island, United States
    Recruiting
  • CAMBRIDGE CANCER TRIALS CENTRE-Addenbrooke's Hospital
    Cambridge, Cambridge, United Kingdom
    Recruiting
  • Gary Weston Centre- Imperial College Healthcare- Du Cane Road
    Hammersmith, London, United Kingdom
    Recruiting
  • The Royal Marsden- Downs Road
    Sutton, Surrey, United Kingdom
    Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.