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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 25 (estimated) |
| Sponsor | EXACT Therapeutics AS Industry-sponsored |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 10 sites (Scottsdale, Arizona and 9 other locations) |
| Status | Recruiting |
| Started | June 19, 2025 |
| Main results expected | December 15, 2026 |
| Study ends | July 15, 2027 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT06850623 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
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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
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.