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Pancreatic CancerDecember 2023Summary reviewed July 2026

A Drug Plus Radiation Shrank Pancreatic Cancer in 89-100% of Patients

Researchers tested avasopasem, a drug designed to protect healthy tissue, combined with high-dose radiation in people with pancreatic cancer that had not spread. The combination showed promising results, with 89-100% of patients responding well at the tested doses.

What the trial was testing

The trial enrolled 42 patients with pancreatic cancer. The study was sponsored by Galera Therapeutics, Inc. and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was an early-stage trial — researchers are still confirming safety and getting an early look at how well the treatment works. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

89-100% of patients treated with avasopasem plus radiation showed a positive response.

The Lancet. Oncology · 2023 · NCT03340974

These findings — that patients receiving avasopasem with radiation showed strong responses at both tested radiation doses. — were published in the The Lancet. Oncology and represent the headline result of the study.

Researchers tracked outcomes across 42 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with pancreatic cancer, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

This was an early-stage study and the treatment is not yet FDA-approved. The study tested whether adding avasopasem to radiation could improve outcomes and reduce side effects in pancreatic cancer. A larger trial is now underway to confirm these findings. Ask your doctor about open trials or related approved options.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open pancreatic cancer trials

RecruitingSafety & dosing

Perioperative Fostamatinib With Gemcitabine and Nab-paclitaxel in Resectable Pancreatic Cancer

This is a Phase 1b trial evaluating the combination of Fostamatinib, a Syk kinase inhibitor currently FDA-approved for chronic idiopathic thrombocytopenia purpura (ITP), with the standard of care chemotherapy agents gemcitabine and nab-paclitaxel, for the perioperative treatment of resectable non metastatic pancreatic ductal adenocarcinoma (PDAC).

La Jolla, California, United States
RecruitingObservational study

Compliance With ERAS Protocol in Pancreatic Surgery, Stress Response and Outcomes

The purpose of this study is to evaluate the impact of compliance with enhanced recovery after surgery (ERAS) program on patient reported outcomes (PROs), surgery-specific outcomes and stress response after pancreatic surgery. This prospective observational study will include all consecutive patients undergoing pancreatic surgery over a period of three years (2022 - 2025) at two sites, namely University General Hospital of Larissa and IASO Thessalias, in Greece. Patients will be prospectively enrolled after written informed consent. Data will be collected on patient characteristics, surgical and anaesthetic techniques, complications, and length of stay. Quality of life questionnaires will be administered to patients preoperatively, on the fith postoperative day, first follow-up after discharge, one month and six months after the operation. The stress response will be assessed by measuring the Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio (NLR and PLR) preoperatively, and on the first five postoperative days. Data will be collected on pancreatic surgery-specific complications such as delayed gastric emptying (DGE), post-pancreatectomy haemorrhage (PPH) and postoperative pancreatic fistula (POPF) formation. Anonymised data will be uploaded by the principal investigator on a protected excel spreadsheet for analysis.

Larissa, Greece