Clinical trial Recruiting at 1 site Observational Ages 18 and up

Metabolic and Microenvironment Patterns in Metastatic Pancreatic Cancer

Official title: Metabolic Reprogramming and Microenvironment in Pancreatic Adenocarcinoma: Identification of New Therapeutic Targets

Run by Institut Paoli-Calmettes · NCT07664891 · Data updated 2026-11-12

Researchers are testing how metabolism and surrounding cells in pancreatic cancer relate to treatment responses, using biopsies and blood samples from patients with metastatic disease.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment64 (estimated)
SponsorInstitut Paoli-Calmettes
Academic / other
Drugs / interventionschemotherapy, immunotherapy
Locations1 site (Marseille)
StatusRecruiting
StartedSeptember 11, 2025
Main results expectedSeptember 1, 2028
Study endsSeptember 1, 2028
Registry record updatedJune 24, 2026
Trial IDNCT07664891 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with metastatic pancreatic adenocarcinoma requiring biopsy as part of routine care and able to undergo biopsy, treated or followed at Institut Paoli-Calmettes, with ECOG 0-1 and able to consent.

Probably not a fit

Patients whose tumors do not reveal actionable biomarkers or those unable to undergo biopsy may not benefit from study findings.

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

What this trial studies

This observational study examines how metabolic processes and the tumor microenvironment in pancreatic ductal adenocarcinoma interact in primary tumors and metastatic sites, as well as in circulating biomarkers. It collects tissue biopsies and blood samples to identify biomarkers and potential targets linked to treatment outcomes. The goal is to uncover vulnerabilities that could help predict how well therapies work or guide future treatment choices. The study centers on stromal cell prevalence and metabolic reprogramming as key features of PDAC. It is conducted at Institut Paoli-Calmettes with adults eligible for chemotherapy.

Why it matters

Potential benefit: If successful, findings could improve prediction of treatment response and point to new therapeutic targets for metastatic PDAC.

How similar studies have gone: Similar biomarker-focused observational studies in PDAC have yielded informative insights, though direct clinical impact varies by biomarker.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age \> 18 years
2. Signed written informed consent specific to the PROMETAP study
3. Affiliation with a social security system
4. Treatment and follow-up performed at the Institut Paoli-Calmettes
5. Metastatic PDAC requiring biopsy as part of routine care (group1 and 2)
6. Prior treatment:

   * No previous chemotherapy for the "initial" group
   * No prior chemotherapy in the metastatic setting for the "Metastatic Relapse" group
7. Eligible for chemotherapy (ECOG \< 2)

Non-Inclusion Criteria:

1. Contraindication to biopsy of the pancreatic tumor or a hepatic or pulmonary metastasis (group 1 and 2)
2. Absence of a metastasis accessible to biopsy (group1 and 2)
3. Concurrent treatment for another active cancer
4. Pregnant or breastfeeding women
5. Patients in emergency situations

5\. Adult individuals under legal protection (guardianship, trusteeship, judicial protection) or unable to provide informed consent

Where it's running

  • Institut Paoli-Calmettes
    Marseille, France
    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.