Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 75

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

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment42 (estimated)
SponsorShandong Cancer Hospital and Institute
Academic / other
Drugs / interventionschemotherapy, Radiation
Locations1 site (Jinan, Shandong)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedOctober 1, 2028
Study endsDecember 31, 2028
Registry record updatedOctober 13, 2026
Trial IDNCT07173387 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

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.