Evaluating Gemcitabine chemotherapy for metastatic pancreatic cancer patients with the GemCore signature

Phase IV Study Assessing Efficacy of First-Line Chemotherapy With Gemcitabine in GemCore+ Metastatic Pancreatic Adenocarcinoma Patients Ineligible to FOLFIRINOX Treatment

Not applicable Interventional Institut Paoli-Calmettes · NCT06046794

This study is testing if Gemcitabine chemotherapy can help people with advanced pancreatic cancer who have a specific marker in their tumors.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorInstitut Paoli-Calmettes Academic / other
Drugs / interventionschemotherapy
Locations1 site (Marseille)
Trial IDNCT06046794 on ClinicalTrials.gov

What this trial studies

This interventional study aims to assess the efficacy of first-line chemotherapy using Gemcitabine in patients with metastatic pancreatic adenocarcinoma who express the GemCore signature in their tumors. Participants will receive standard Gemcitabine treatment while their tumor samples will be analyzed to confirm the presence of the GemCore signature. The study will monitor tumor response and survival rates to determine the effectiveness of this treatment approach in this specific patient population.

Who should consider this trial

Good fit: Ideal candidates include adults with metastatic pancreatic adenocarcinoma who are ineligible for FOLFIRINOX chemotherapy and have not received prior treatment in a metastatic setting.

Not a fit: Patients who have contraindications to Gemcitabine treatment or those with a poor performance status may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a more effective treatment option for patients with metastatic pancreatic adenocarcinoma who have the GemCore signature.

How similar studies have performed: While this specific approach is novel, previous studies have shown that targeted chemotherapy can improve outcomes in specific patient populations.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Metastatic pancreatic adenocarcinoma histological proved
* FOLFIRINOX chemotherapy-ineligible patient and going to receive first-line metastatic chemotherapy with gemcitabine monotherapy
* Tumor material allowing assessment of GEMCore status (i.e. FFPE block with tumor cellularity ≥ 10%);
* Life expectancy \> 2 months;
* Measurable target according to RECIST 1.1 criteria;
* No previous treatment in metastatic situation;
* Age ≥ 18 years;
* Patient not opposed to study participation;
* Affiliation to a social security system, or beneficiary of such a scheme.

Exclusion Criteria:

* Contraindication to Gemcitabine treatment;
* ECOG performance status ≥ 3;
* Person in emergency situation or unable to express non-opposition;
* Patient under a legal protection measure (adult under guardianship, curatorship or safeguard of justice);
* Unable to undergo medical follow-up for geographical, social or psychological reasons.

Where this trial is running

Marseille

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Cancer Of Pancreas
Last reviewed 2026-06-13 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.