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OncoMatch/Clinical Trials/NCT05821556

Valproic Acid/Simvastatin Plus Gemcitabine/Nab-paclitaxel Based Regimens in Untreated Metastatic Pancreatic Adenocarcinoma Patients

Is NCT05821556 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for adenocarcinoma of the pancreas.

Phase 2RecruitingNational Cancer Institute, NaplesNCT05821556Data as of May 2026

Treatment: Valproic acid · Simvastatin 20mg · Gemcitabine 1000 mg · Nab paclitaxel · Cisplatin · CapecitabineThis is a proof-of-concept, Open label, randomized, multicentric, superiority phase-2 study.

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Extracted eligibility criteria

Cancer type

Pancreatic Cancer

Biomarker criteria

Required: DPYD activity known

Known dihydropyrimidine dehydrogenase (DPD) activity is mandatory for patients enrolled in PAXG scheme

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: chemotherapy

Exception: previous adjuvant chemotherapy is allowed if terminated > 6 months previously

No prior treatments (chemotherapy, radiation or surgery) for PDAC; Prior chemotherapy or any other medical treatment for metastatic PDAC (previous adjuvant chemotherapy is allowed if terminated > 6 months previously)

Cannot have received: HDAC inhibitor (valproic acid)

Patients who have had prior treatment with an HDAC inhibitor and patients who have received compounds with HDAC inhibitor-like activity, such as valproic acid

Lab requirements

Blood counts

ANC ≥ 1.5 x 10^9/L AND platelet count ≥ 100 x 10^9/L AND haemoglobin ≥ 9 g/dL

Kidney function

serum creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 60 mL/min in males and ≥50 mL/min in females (Cockroft-Gault)

Liver function

total bilirubin ≤ 1.5 x ULN or ≤ 2 in case of biliary stent; AST/ALT ≤ 5 X ULN

Adequate bone marrow haematological function: absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L AND platelet count ≥ 100 x 10^9/L AND haemoglobin ≥ 9 g/dL. Adequate liver function: total bilirubin ≤ 1.5 x ULN or ≤ 2 in case of biliary stent) and aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ≤ 5 X ULN. Adequate renal function: serum creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 60 mL/min in males and ≥50 mL/min in females (calculated according to Cockroft-Gault formula).

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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