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.
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
- Conditions the study is for
- Metastatic Pancreatic Ductal Adenocarcinoma, PDAC
- 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
- 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
Israel4 sites, 4 recruiting
- 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
Taiwan3 sites, 3 recruiting
- 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
Portugal2 sites, 2 recruiting
- Recruiting
Fundacao Champalimaud /ID# 279881
Lisbon, Lisbon District, 1400-038
- Recruiting
Unidade Local de Saude de Santa Maria /ID# 279884
Lisbon, 1649-035
Australia1 site, 1 recruiting
- Recruiting
Austin Hospital /ID# 280283
Melbourne, Victoria, 3084
Japan1 site, 1 recruiting
- Recruiting
The Cancer Institute Hospital Of Japanese Foundation for Cancer Research /ID# 280140
Koto-ku, Tokyo, 135-8550
South Korea1 site, 1 recruiting
- Recruiting
Seoul National University Hospital /ID# 280191
Seoul, Seoul Teugbyeolsi, 03080
United Kingdom1 site, 1 recruiting
- Recruiting
Oxford University Hospital NHS Trust /ID# 279764
Oxford, Oxfordshire, OX3 7LE
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.
- Conditions
- Metastatic Pancreatic Ductal Adenocarcinoma, PDAC
- 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 group | Role | What they receive |
|---|---|---|
| Ph 2: Dose Escalation Telisotuzumab Adizutecan + FOLFOX | Experimental | Participants 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 A | Experimental | Participants 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 B | Experimental | Participants 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) mFOLFIRINOX | Active comparator | Participants 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 + FOLFOX | Experimental | Participants 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 mFOLFIRINOX | Active comparator | Participants 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.
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
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)
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
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
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
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
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
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
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
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
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
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
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.
- First posted24 Mar 2026
- Study start30 Apr 2026
- Primary completionJun 2031 (estimated)
- Study completionJun 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Pancreatic Ductal AdenocarcinomaStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
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.