Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 18 and up

Implantable iontophoresis device to deliver gemcitabine directly to pancreatic tumors

Official title: A First-in-Human, Phase 1b Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of ACT Implantable Iontophoresis Chemotherapy Delivery Device With Gemcitabine (ACT-IOP-003) Once Weekly or Twice Weekly Following First-Line Systemic Chemotherapy in Participants With Nonresectable Pancreatic Cancer

Run by Continuity Biosciences, LLC · NCT07481383 · Data updated 2026-11-12

This trial will try an implantable iontophoresis device to deliver gemcitabine directly to the pancreas in people with locally advanced, nonresectable pancreatic cancer to see if it is safe and tolerable.

More Pancreatic Cancer Non-resectable trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment12 (estimated)
SponsorContinuity Biosciences, LLC
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations2 sites (Ann Arbor, Michigan and 1 other locations)
StatusRecruiting
StartedMarch 11, 2026
Main results expectedAugust 1, 2027
Study endsNovember 1, 2027
Registry record updatedJuly 6, 2026
Trial IDNCT07481383 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are people with nonmetastatic, locally advanced, nonresectable pancreatic adenocarcinoma, ECOG performance status ≤1, confirmed nonresectable at exploratory surgery, and prior neoadjuvant chemotherapy such as FOLFIRINOX or gemcitabine/nab‑paclitaxel.

Probably not a fit

Patients with metastatic disease, prior radiation for this cancer, severe or critical pancreatitis, significant cardiovascular disease, or poor performance status are unlikely to benefit or be eligible.

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

What this trial studies

This first-in-human, phase 1 trial tests an implantable iontophoresis device (ACT-IOP-003) that is surgically placed on the pancreas to deliver gemcitabine once or twice weekly. Participants complete 4 weeks of screening, 8 weeks of treatment, and 12 weeks of follow-up, with serial blood, urine, and stool sampling and at least three CT scans to monitor safety, drug levels, and tumor response. The primary focus is safety, tolerability, and pharmacokinetics (gemcitabine concentrations before and after treatment), with secondary interest in tumor response and whether systemic side effects are reduced compared with intravenous delivery. Enrollment targets people with nonmetastatic, locally advanced, nonresectable pancreatic adenocarcinoma who have previously received standard neoadjuvant chemotherapy.

Why it matters

Potential benefit: If successful, this approach could deliver higher drug concentrations to the tumor while reducing systemic chemotherapy side effects.

How similar studies have gone: This is a first-in-human application of an implantable iontophoresis device for pancreatic cancer, so comparable human data are limited and the approach is largely novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
* Diagnosis of nonmetastatic, nonresectable pancreatic adenocarcinoma as evident on initial study. screening computed tomography (CT) or magnetic resonance imaging (MRI) or previous scan within the last 12 weeks.
* Initial diagnosis of borderline or locally advanced pancreatic adenocarcinoma confirmed as being nonresectable at the time of exploratory laparoscopic and/ or open surgery.
* Previously received prior standard of care/neoadjuvant chemotherapy of FOLFIRINOX or GEM Abraxane for their current diagnosis of pancreatic cancer.

Exclusion Criteria:

* Current pancreatitis classified as severe or critical.
* Prior radiation treatment as part of standard of care/neoadjuvant treatment for pancreatic cancer.
* Evidence of metastatic pancreatic cancer or any other type of cancer upon screening of through CT/MRI.
* Any medical history of past or present cardiovascular disease related to heart function.
* Any metal implants.

Note: Other inclusion/exclusion criteria apply.

Where it's running

  • University of Michigan Health
    Ann Arbor, Michigan, United States
    Recruiting
  • West Virginia University
    Morgantown, West Virginia, United States
    Recruiting

Study contacts

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.