Exploring genetic and immune factors in advanced pancreatic cancer

Genetic, Microenvironmental, and Immunological Factors in Unresectable Pancreatic Ductal Adenocarcinoma

Observational Catholic University of the Sacred Heart · NCT05248750

This study is trying to understand how genetic and immune factors affect treatment responses in patients with advanced pancreatic cancer to help personalize their care.

Quick facts

Study typeObservational
Enrollment250 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorCatholic University of the Sacred Heart Academic / other
Drugs / interventionschemotherapy
Locations1 site (Rome, Lazio)
Trial IDNCT05248750 on ClinicalTrials.gov

What this trial studies

This observational study investigates the complex interplay of genetic, stromal, and immunological factors in patients with unresectable pancreatic ductal adenocarcinoma (PDAC). By analyzing tissue samples obtained through endoscopic ultrasound fine needle biopsy (EUS-FNB), the study aims to identify prognostic factors and understand how genetic heterogeneity affects treatment response and chemotherapy resistance. The findings could provide insights into personalized medicine approaches for managing this challenging cancer type.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 to 80 with a histological diagnosis of unresectable pancreatic ductal adenocarcinoma who are fit for chemotherapy.

Not a fit: Patients with histological diagnoses other than pancreatic ductal adenocarcinoma or those who are pregnant or lactating may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved prognostic assessments and tailored treatment strategies for patients with advanced pancreatic cancer.

How similar studies have performed: While the study's approach is innovative, similar studies focusing on genetic and immunological factors in pancreatic cancer have shown promise in understanding treatment responses.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients referred to EUS with FNB for suspected pancreatic cancer unresectable or metastatic based on imaging findings
* Availability of biopsies obtained during EUS-FNB
* Histological diagnosis of pancreatic ductal adenocarcinoma of any stage
* Patients must be fit for chemotherapy administration
* They have to express their willingness to be followed up at our pancreatic high volume centers
* Age \>18 and \<80 years
* Able to sign informed consent

Exclusion Criteria:

* Histological diagnoses other than pancreatic ductal adenocarcinoma
* Pregnancy or lactation

Where this trial is running

Rome, Lazio

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 Pancreas Cancerpancreatic cancerendoscopic ultrasoundpersonalized medicine
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.