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NCT03750669

Sequential Use of AG and mFOLFIRINOX as Neoadjuvant Chemotherapy for Resectable Pancreatic Cancer

Completed Phase 3 Last updated 13 May 2025
What this trial tests

Phase 3 trial testing AG regimen in Pancreatic Adenocarcinoma Resectable in 324 participants. Completed in 1 March 2025.

Timeline
20 October 2018
Primary endpoint
1 November 2024
1 March 2025

Quick facts

Lead sponsorSecond Affiliated Hospital, School of Medicine, Zhejiang University
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment324
Start date20 October 2018
Primary completion1 November 2024
Estimated completion1 March 2025
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University

Who can join

Adults 18 to 75, any sex, with Pancreatic Adenocarcinoma Resectable or Neoadjuvant Chemotherapy. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The prognosis of pancreatic cancer is extremely poor. Current guidelines recommend Nab-paclitaxel, Gemcitabine and modified Folfirinox as the first-line chemotherapeutic regimen. Studies have shown that sequential chemotherapeutic regimen can effectively delay the drug resistance and improve the effect of chemotherapy. Here investigators intend to assess the effect of sequential treatment with Nab-paclitaxel plus Gemcitabine and modified Folfirinox as neoadjuvant chemotherapy for resectable pancreatic adenocarcinoma.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Treatment of pancreatic cancer-neoadjuvant treatment in resectable pancreatic cancer (PDAC).
    Seufferlein T, Ettrich TJ. · · 2019 · cited 35× · PMID 30976724 · DOI 10.21037/tgh.2019.03.05
  2. Immunological combination treatment holds the key to improving survival in pancreatic cancer.
    Sodergren MH, Mangal N, Wasan H, Sadanandam A, et al · · 2020 · cited 20× · PMID 32748119 · DOI 10.1007/s00432-020-03332-5
  3. Evidence and Future Perspectives for Neoadjuvant Therapy for Resectable and Borderline Resectable Pancreatic Cancer: A Scoping Review.
    Endo Y, Kitago M, Kitagawa Y. · · 2024 · cited 10× · PMID 38730584 · DOI 10.3390/cancers16091632
  4. Neoadjuvant nab-paclitaxel plus gemcitabine followed by modified FOLFIRINOX for resectable pancreatic cancer: A randomized phase 3 trial.
    Bai X, Li X, Chen Y, Qiao G, et al · · 2025 · cited 5× · PMID 41072417 · DOI 10.1016/j.ccell.2025.09.009
  5. Predictive Biomarkers for a Personalized Approach in Resectable Pancreatic Cancer.
    Merz V, Mangiameli D, Zecchetto C, Quinzii A, et al · · 2022 · cited 5× · PMID 35599791 · DOI 10.3389/fsurg.2022.866173
  6. Neoadjuvant therapy in resectable pancreatic cancer: A promising curative method to improve prognosis.
    Zhang HQ, Li J, Tan CL, Chen YH, et al · · 2022 · cited 4× · PMID 36310705 · DOI 10.4251/wjgo.v14.i10.1903
  7. Neoadjuvant treatment of localized pancreatic adenocarcinoma.
    Leal AD, Messersmith WA, Lieu CH. · · 2021 · cited 1× · PMID 34790407 · DOI 10.21037/jgo-20-250

Verify or expand the search:

Other trials of AG regimen

Trials testing the same drug.

Other recruiting trials for Pancreatic Adenocarcinoma Resectable

Currently open trials in the same condition.

Other Second Affiliated Hospital, School of Medicine, Zhejiang University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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