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Metastatic Pancreatic Ductal AdenocarcinomaPhase 2/3NCT07490301

A Study to Assess Intravenous (IV) Telisotuzumab Adizutecan in Combination With Fluorouracil, Folinic Acid, and Oxaliplatin (FOLFOX) Compared to Standard of Care in Adult Participants With First-Line Metastatic Pancreatic Ductal Adenocarcinoma

A Phase 2/3 study testing Telisotuzumab adizutecan, Fluorouracil and Folinic acid/ Leucovorina in people with Metastatic Pancreatic Ductal Adenocarcinoma and PDAC, run by AbbVie at 22 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

Cancer is a condition where cells in a specific part of the body grow and reproduce uncontrollably. The pancreas is a gland behind the stomach that produces a digestive fluid that is emptied into the intestines through tube shaped ducts. Pancreatic cancer often starts in these ducts. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Telisotuzumab adizutecan, Fluorouracil and Folinic acid/ Leucovorina
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
900 participants
Where
22 sitesin 8 countries
Study dates
30 Apr 2026to Jun 2031
Phase
Phase 2/3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have unresectable, metastatic histologically- or cytologically-confirmed adenocarcinoma of the pancreas
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
  • Must consent to provide archived or recently obtained tumor tissue during Screening
  • Have measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Who cannot join

  • Have prior systemic therapy, surgery, or radiation (except palliative radiation) in the unresectable, locally advanced or metastatic setting
  • Prior c-MET targeting therapy
  • History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, or any evidence of active ILD/pneumonitis on screening chest computed tomography (CT) scan, including a history of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
  • Prior bone marrow transplant, solid organ transplant, or previous clinical diagnosis of tuberculosis.

Trial locations and contacts

22 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

22 sites in 8 countries

United States9 sites, 9 recruiting
  • University of Chicago Medical Center /ID# 279460

    Chicago, Illinois, 60637

    Recruiting
  • UH Seidman Cancer Center /ID# 279602

    Cleveland, Ohio, 44106

    Recruiting
  • Virginia Cancer Specialists - Fairfax /ID# 280415

    Fairfax, Virginia, 22031

    Recruiting
  • Cancer And Hematology Centers Of Western Michigan - Grand Rapids /ID# 279853

    Grand Rapids, Michigan, 49503

    Recruiting
  • Smilow Cancer Center At Yale-New Haven /ID# 279780

    New Haven, Connecticut, 06511

    Recruiting
  • University of Pennsylvania - Perelman Center for Advanced Medicine /ID# 280038

    Philadelphia, Pennsylvania, 19104

    Recruiting
  • Washington University /ID# 279890

    St Louis, Missouri, 63110

    Recruiting
  • Texas Oncology - Northeast Texas /ID# 280417

    Tyler, Texas, 75702

    Recruiting
  • City Of Hope - Chicago /ID# 279814

    Zion, Illinois, 60099

    Recruiting

Other trials in United States

Israel4 sites, 4 recruiting
  • Rambam Health Care Campus- Haifa /ID# 279409

    Haifa, 3109601

    Recruiting
  • Hadassah Medical Center-Hebrew University /ID# 279411

    Jerusalem, 91120

    Recruiting
  • The Chaim Sheba Medical Center /ID# 279408

    Ramat Gan, Tel Aviv, 5265601

    Recruiting
  • Tel Aviv Sourasky Medical Center /ID# 279414

    Tel Aviv, Tel Aviv, 6423906

    Recruiting

Other trials in Israel

Taiwan3 sites, 3 recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 279735

    Kaohsiung City, 807

    Recruiting
  • China Medical University Hospital /ID# 279725

    Taichung, 40447

    Recruiting
  • Taipei Veterans General Hospital /ID# 279726

    Taipei, 112

    Recruiting

Other trials in Taiwan

Portugal2 sites, 2 recruiting
  • Fundacao Champalimaud /ID# 279881

    Lisbon, Lisbon District, 1400-038

    Recruiting
  • Unidade Local de Saude de Santa Maria /ID# 279884

    Lisbon, 1649-035

    Recruiting

Other trials in Portugal

Australia1 site, 1 recruiting
  • Austin Hospital /ID# 280283

    Melbourne, Victoria, 3084

    Recruiting

Other trials in Australia

Japan1 site, 1 recruiting
  • The Cancer Institute Hospital Of Japanese Foundation for Cancer Research /ID# 280140

    Koto-ku, Tokyo, 135-8550

    Recruiting

Other trials in Japan

South Korea1 site, 1 recruiting
  • Seoul National University Hospital /ID# 280191

    Seoul, Seoul Teugbyeolsi, 03080

    Recruiting

Other trials in South Korea

United Kingdom1 site, 1 recruiting
  • Oxford University Hospital NHS Trust /ID# 279764

    Oxford, Oxfordshire, OX3 7LE

    Recruiting

Other trials in United Kingdom

About this study

Official title: Phase 2/3 Open Label Randomized Study of Telisotuzumab Adizutecan in Combination With FOLFOX Compared to Standard of Care in Subjects With First-Line Metastatic Pancreatic Ductal Adenocarcinoma - AndroMETa-PDAC-288

Cancer is a condition where cells in a specific part of the body grow and reproduce uncontrollably. The pancreas is a gland behind the stomach that produces a digestive fluid that is emptied into the intestines through tube shaped ducts. Pancreatic cancer often starts in these ducts. The purpose of this study is to assess adverse events and change in disease activity of telisotuzumab adizutecan when given in combination with fluorouracil, folinic acid, and oxaliplatin (FOLFOX) to treat adult participants with pancreatic ductal cancer.

Telisotuzumab adizutecan is an investigational drug being developed for the treatment of pancreatic ductal adenocarcinoma (PDAC). This study will be divided into two phases, with the first phase (Phase 2) treating participants with increasing doses of telisotuzumab adizutecan with FOLFOX. Participants will then be randomized into 3 groups called treatment arms. Two groups will receive telisotuzumab adizutecan with FOLFOX with different optimized doses. One group will receive standard of care (SOC) - fluorouracil, leucovorin, oxaliplatin, and irinotecan. In the second phase (Phase 3), participants will be randomized into 2 arms to receive either the optimal dose of telisotuzumab adizutecan (from the previous phase) with FOLFOLX, or SOC. Approximately 900 participants with PDAC will be enrolled in this study in approximately 200 sites worldwide.

Read more

Phase 2 includes a dose escalation stage and a dose optimization stage. In the dose escalation stage, participants will receive escalating doses of Intravenous (IV) telisotuzumab adizutecan + FOLFOX. In the dose optimization stage, participants will receive 1 of 2 doses of IV telisotuzumab adizutecan with FOLFOX or SOC. At the start of Phase 3, participants will receive the optimal dose of IV telisotuzumab adizutecan with FOLFOX or SOC. The study will run for a duration of approximately 6 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Being tested
Telisotuzumab adizutecan, Fluorouracil, Folinic acid/ Leucovorina, Oxaliplatin, Irinotecan
Keywords
Metastatic Pancreatic Ductal Adenocarcinoma, PDAC, Telisotuzumab adizutecan

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Telisotuzumab adizutecanDrug

    Intravenous (IV) Infusion

  • FluorouracilDrug

    IV Infusion

  • Folinic acid/ LeucovorinaDrug

    IV Infusion

  • OxaliplatinDrug

    IV Infusion

  • IrinotecanDrug

    IV Infusion

Study groups in NCT07490301
Study groupRoleWhat they receive
Ph 2: Dose Escalation Telisotuzumab Adizutecan + FOLFOXExperimentalParticipants will receive Telisotuzumab Adizutecan + fluorouracil, folinic acid, and oxaliplatin (FOLFOX) until doses for optimization are determined, as part of an approximately 2 year study period.
Receives: Drug: Telisotuzumab adizutecan; Drug: Fluorouracil; Drug: Folinic acid/ Leucovorina; Drug: Oxaliplatin
Ph 2: Dose Optimization Telisotuzumab Adizutecan+FOLFOX Dose AExperimentalParticipants will receive Telisotuzumab Adizutecan+FOLFOX Dose A as part of the approximately 2 year study duration.
Receives: Drug: Telisotuzumab adizutecan; Drug: Fluorouracil; Drug: Folinic acid/ Leucovorina; Drug: Oxaliplatin
Ph 2: Dose Optimization Telisotuzumab Adizutecan+FOLFOX Dose BExperimentalParticipants will receive Telisotuzumab Adizutecan+FOLFOX Dose B as part of the approximately 2 year study duration.
Receives: Drug: Telisotuzumab adizutecan; Drug: Fluorouracil; Drug: Folinic acid/ Leucovorina; Drug: Oxaliplatin
Ph 2: Dose Optimization Standard of Care (SOC) mFOLFIRINOXActive comparatorParticipants will receive SOC (fluorouracil, leucovorin, oxaliplatin, and irinotecan) as part of the approximately 2 year study duration.
Receives: Drug: Fluorouracil; Drug: Folinic acid/ Leucovorina; Drug: Oxaliplatin; Drug: Irinotecan
Ph 3: Telisotuzumab Adizutecan RP3D + FOLFOXExperimentalParticipants will receive Telisotuzumab Adizutecan recommended Phase 3 dose (RP3D) + FOLFOX as part of an approximately 2 year study period.
Receives: Drug: Telisotuzumab adizutecan; Drug: Fluorouracil; Drug: Folinic acid/ Leucovorina; Drug: Oxaliplatin
Ph 3: SOC mFOLFIRINOXActive comparatorParticipants will receive SOC (fluorouracil, leucovorin, oxaliplatin, and irinotecan) as part of the approximately 2 year study duration.
Receives: Drug: Fluorouracil; Drug: Folinic acid/ Leucovorina; Drug: Oxaliplatin; Drug: Irinotecan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 2 and Phase 3: Overall Response (OR) Assessed by Blinded Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    OR is defined as participants achieving a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) assessed by BICR per RECIST v1.1.

    Measured: through study completion, approximately 6 years

  2. Phase 3: Overall Survival (OS)

    OS is defined as the time from date of randomization to the death from any cause.

    Measured: through study completion, approximately 6 years

Secondary outcomes (11)
  1. Phase 2 and Phase 3: Progression-Free Survival (PFS) assessed by BICR per RECIST v1.1

    PFS is defined as the time from the date of randomization or date of first dose of study treatment to the first occurrence of radiographic progression assessed by BICR per RECIST v1.1 or death from any cause, whichever occurs first.

    Measured: through study completion, approximately 6 years

  2. Phase 2 and Phase 3: Duration Of Response (DoR) assessed by BICR per RECIST v1.1

    DoR is defined as time from the initial response of Complete Response or Partial Response assessed by BICR per RECIST v1.1 to the first occurrence of radiographic progression assessed by BICR per RECIST v1.1 or death from any cause, whichever occurs first.

    Measured: through study completion, approximately 6 years

  3. Phase 2 and Phase 3: Clinical Benefit (CB) assessed by BICR per RECIST v1.1

    CB is defined as a participant achieving best overall response of confirmed CR or confirmed PR, or SD (with a minimum duration of 24 weeks) assessed by BICR per RECIST v1.1.

    Measured: through study completion, approximately 6 years

  4. Phase 2 : Overall Survival

    OS is defined as the time from the date of randomization or date of first dose of study treatment to the event of death from any cause

    Measured: through study completion, approximately 6 years

  5. Phase 3: Change from baseline and time to deterioration in scale of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire - Core 30-item (EORTC QLQ-C30)

    The EORTC QLQ-C30 is a 30-item patient-reported questionnaire composed of both multi-item and single scales including 5 functional scales, 3 symptom scales, a global health status/QoL scale, and 6 single items. Participants rate items on a 4-point scale ranging from 1 (not at all) to 4 (very much).

    Measured: through study completion, approximately 6 years

  6. Phase 3: Change from baseline and time to deterioration in scale of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire - Pancreatic Cancer Module (EORTC QLQ-PAN26)

    The EORTC QLQ-PAN is a PDAC-specific module and consists of 26 questions assessing pancreatic cancer- and treatment-related symptoms and impact, including 7 scales, and 10 single items, All questions employ a one week recall period, and each item is assessed on a Likert scale from 1 (not at all) to 4 (very much).

    Measured: through study completion, approximately 6 years

  7. Phase 3: Change in Selected items of the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE)

    The PRO-CTCAE is a patient-reported outcome measurement system developed to assess symptomatic toxicity in patients participating in cancer clinical trials. PRO-CTCAE includes 124 items representing 78 symptomatic toxicities drawn from the Common Terminology Criteria for Adverse Events (CTCAE). PRO-CTCAE items evaluate the symptom attributes of frequency, severity, interference, amount, presence/absence. All questions employ a 7-day recall period and are scored from 0 to 4 (or 0/1 for absent/present).

    Measured: through study completion, approximately 6 years

  8. Phase 3: Change in GP5 item of the Functional Assessment of Cancer Therapy-General (FACT-G)

    The FACT GP5 item ("I am bothered by side effects of treatment") is used to assess overall treatment tolerability in patients by assessing the overall side effect impact on patients. This item is rated on a 5- point Likert scale from 0="not at all" to 4="very much."

    Measured: through study completion, approximately 6 years

  9. Phase 3: Change in Selected items of Patient Global Impression of Severity (PGIS)

    The PGIS scale asks the participant to assess the severity of their PDAC symptoms over the past 7 days and employs a 5-point response scale ranging from "None" to "Very Severe".

    Measured: through study completion, approximately 6 years

  10. Phase 3: Change in Selected items of Patient Global Impression of Change (PGIC)

    The PGIC scale assesses patients' perceptions of change in their PDAC symptoms since the start of treatment in the study and employs a 7-point response scale ranging from "Much Better" to "Much worse".

    Measured: through study completion, approximately 6 years

  11. Phase 3: Change from baseline in European Quality of Life 5 Dimensions (EQ-5D-5L)

    The EQ-5D-5L is a generic preference instrument that has been validated in numerous cancer populations. The EQ-5D-5L consists of 2 components: the EQ-5D descriptive system and the EQ VAS. The EQ-5D descriptive system comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems). The EQ VAS records the participant's self-rated health on a vertical VAS where 100 represents "The best health you can imagine" and 0 represents "The worst health you can imagine."

    Measured: through study completion, approximately 6 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Mar 2026
  2. Study start30 Apr 2026
  3. Primary completionJun 2031 (estimated)
  4. Study completionJun 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
900 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07490301
Sponsor's protocol ID
M25-288
Other IDs
2025-522563-15-00, 2025
Status last verified
Oct 2026
First submitted
13 Mar 2026
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

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