NALIRIFOX with SBRT for locally advanced pancreatic cancer
Official title: Stereotactic Body Radiotherapy and NALIRIFOX for Locally Advanced Pancreatic Cancer: A Prospective Clinical Trial
Run by Shandong Cancer Hospital and Institute · NCT07173387 · Data updated 2026-11-12
This study tests whether combining NALIRIFOX chemotherapy with SBRT is safe and effective for people with locally advanced unresectable pancreatic cancer.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 42 (estimated) |
| Sponsor | Shandong Cancer Hospital and Institute Academic / other |
| Drugs / interventions | chemotherapy, Radiation |
| Locations | 1 site (Jinan, Shandong) |
| Status | Recruiting |
| Started | October 1, 2025 |
| Main results expected | October 1, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT07173387 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–75 years with histologically confirmed locally advanced unresectable pancreatic cancer, good performance status (ECOG 0–1), and no prior pancreatic cancer chemotherapy or radiotherapy.
✕Probably not a fit
Patients with poor organ function, uncontrolled conditions, or contraindications to SBRT or liposomal irinotecan may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, multicenter Phase 2 trial enrolling about 42 adults with locally advanced unresectable pancreatic cancer. Participants receive the NALIRIFOX chemotherapy regimen, followed by stereotactic body radiotherapy (SBRT) either early or late in the treatment course. The primary endpoint is progression-free survival, with secondary endpoints including objective response rate, disease control rate, overall survival, and safety. The trial will monitor adverse events and aim for a minimum 24-month follow-up to assess durability of responses.
Why it matters
Potential benefit: If successful, the approach could offer improved disease control and survival for patients with this challenging cancer.
How similar studies have gone: Previous studies in similar multimodal approaches have shown potential, but this combination is being explored for novelty and efficacy in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Adults aged 18-75 years, both male and female. Histologically or cytologically confirmed locally advanced unresectable pancreatic cancer. No prior chemotherapy or radiatiotherapy for pancreatic cancer. ECOG performance status of 0-1. Adequate organ function as defined by the following criteria: Absolute neutrophil count (ANC) ≥ 1,500/μL Platelet count ≥ 100,000/μL Hemoglobin ≥ 9 g/dL Total bilirubin ≤ 1.5 times the upper limit of normal (ULN) Serum creatinine ≤ 1.5 times the ULN AST/ALT ≤ 2.5 times the ULN Ability to provide written informed consent. Exclusion Criteria: Prior history of other malignancies (except for curatively treated non-melanoma skin cancer or other cancers with a 5-year disease-free survival). Active infections or severe medical conditions that would interfere with the study. Pregnancy or breastfeeding. Known hypersensitivity to any of the study drugs. History of severe allergic reactions to liposomal formulations. Uncontrolled comorbid conditions (e.g., heart failure, chronic kidney disease, or uncontrolled diabetes). Participation in other clinical trials involving investigational treatments within 30 days of enrollment.
Where it's running
-
Shandong Cancer Hospital and Institute
Jinan, Shandong, China Recruiting
Study contacts
- Principal investigator: Jinbo Yue, Doctor — Shandong Cancer Hospital and Institute
- Study coordinator: Jinbo Yue, Doctor
- Email: jbyue@sdfmu.edu.cn
- Phone: 0531-67626442
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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.