Combining albumin-bound paclitaxel with gemcitabine for treating inoperable pancreatic cancer
Official title: Non-inferiority Study of Albumin-bound Paclitaxel Combined With Gemcitabine for Three Weeks Versus Four Weeks for First-line Inoperable Locally Advanced or Metastatic Pancreatic Cancer
Run by Tianjin Medical University Cancer Institute and Hospital · NCT05035147 · Data updated 2026-11-12
This study is testing if giving a combination of two cancer drugs, albumin-bound paclitaxel and gemcitabine, every three weeks can help people with inoperable pancreatic cancer just as well as giving them every four weeks.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 934 (estimated) |
| Sponsor | Tianjin Medical University Cancer Institute and Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Tianjin, Tianjin Municipality) |
| Status | Recruiting |
| Started | March 25, 2021 |
| Main results expected | April 2026 |
| Study ends | December 2026 |
| Registry record updated | September 21, 2021 |
| Trial ID | NCT05035147 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with inoperable locally advanced or metastatic pancreatic cancer who have not received prior systemic treatment.
✕Probably not a fit
Patients with islet cell carcinoma or those who have received recent systemic treatment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness of administering albumin-bound paclitaxel combined with gemcitabine every three weeks compared to a four-week regimen for patients with inoperable locally advanced or metastatic pancreatic cancer. The aim is to determine if a lower dose intensity can achieve similar clinical outcomes as a higher dose, potentially leading to improved treatment options. The trial focuses on patients who have not received prior systemic treatment or have had a significant interval since their last treatment. The study will measure the efficacy based on tumor response and patient outcomes.
Why it matters
Potential benefit: If successful, this approach could provide a more effective and less toxic treatment option for patients with inoperable pancreatic cancer.
How similar studies have gone: Previous studies have shown promise with albumin-bound paclitaxel in treating pancreatic cancer, but this specific combination and dosing schedule is being evaluated for the first time.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age: ≥18 years old, no gender limit; 2. Inoperable locally advanced or metastatic pancreatic cancer patients (except islet cell carcinoma) diagnosed by pathology or histology; 3. The patient has not undergone standard systemic treatment in the past, or more than half a year after the end of postoperative treatment.For those who have undergone major surgery or radiotherapy, the interval must be more than 4 weeks and their metastases have not received any local treatment including radiotherapy, chemotherapy, surgical treatment, etc.; 4. At least one measurable lesion (CT scan of tumor lesions with long diameter ≥ 10 mm, CT scan of lymph node lesions with short diameter ≥ 15 mm, and scan thickness not greater than 6 mm); 5. The main organs are functioning normally, that is, they meet the following standards:Routine blood examination: Hb≥90g/L (no blood transfusion within 14 days);ANC ≥1.5×109/L;PLT ≥100×109/L;Biochemical examination: ALB≥29 g/L (without ALB in 14 days), TBIL \<1.5 times the upper limit of normal (ULN);ALT and AST≤3ULN, accompanied by liver metastasis, then ALT and AST\<5×ULN;Cr ≤1.5×ULN or creatinine clearance rate ≥60ml/min; 6. The subject voluntarily joined the study and signed an informed consent form, with good compliance and cooperation with follow-up Exclusion Criteria: 1. Pregnant or lactating women; 2. Patients suffering from other malignant tumors in the past or at the same time, except for cured skin basal cell carcinoma and cervical carcinoma in situ; 3. Those who have been confirmed to be allergic to the test drug albumin-bound paclitaxel and gemcitabine or its excipients. 4. The patient has clinically significant ascites; 5. Those who have experienced arterial/venous thrombosis within six months, such as cerebrovascular accidents (including temporary ischemic attacks), deep vein thrombosis and pulmonary embolism; 6. Patients with active hepatitis B or C; 7. Doctors think it is not suitable for inclusion.
Where it's running
-
Rui Liu
Tianjin, Tianjin Municipality, China Recruiting
Study contacts
- Study coordinator: Liu rui, professor
- Email: Liurui9003@163.com
- Phone: 13602139003
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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.