Pancreatic Cancer Research

Clinical trialPhase 2Terminated

MR-Guided Adaptive SBRT of Primary Tumor for Pain Control in Metastatic PDAC

MR-Guided Adaptive Stereotactic Body Radiotherapy (SBRT) of Primary Tumor for Pain Control in Metastatic Pancreatic Ductal Adenocarcinoma (mPDAC) - a Randomized, Controlled Clinical Study

Outcome
Stopped earlyLow accrual, close out in November 2025 (Enrollment)
Phase
Phase 2
Status
Terminated
Study type
Interventional
Start
15 December 2021
Expected end
11 November 2025
Enrollment
9 participants
Sites
3
Primary outcomes
Mean cumulative pain index
Sponsor
Other
Results posted
No
Last update
5 December 2025

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Brief summary public domain (ClinicalTrials.gov)

The MASPAC trial investigates the added benefit of MR-guided adaptive SBRT of the primary tumor embedded between standard chemotherapy cycles for pain control and prevention of pain in patients with metastatic PDAC (mPDAC).

Detailed description public domain (ClinicalTrials.gov)

Patients not progressing after 8 weeks of standard of care systemic therapy (SoC-CT: minimum doublet chemotherapy) will be included and randomized between arm A, receiving MR-guided adaptive SBRT of the primary tumor combined with continuation of SoC-CT, and arm B, continuing SoC-CT without SBRT. Arm A: The primary tumor is treated with SBRT (6.6 Gy x 5) on a MR-LINAC in breath-hold technique. This scheme was shown to have a reasonable toxicity profile on a conventional LINAC. A low toxicity profile is even more important in patients with metastatic and therefore definitively incurable cancer. Therefore, treatment is performed on a MR-LINAC to deliver high doses to the tumor while keeping the toxicity profile as low as possible. For this purpose, daily adaptive planning is performed aiming to maintain stringent dose constraints for organs at risk (duodenum / stomach / bowel / kidney). Chemotherapy will be continued after SBRT. Arm B: Continuing SoC-CT (according to clinical routine appr. 2 weeks after the previous cycle) without SBRT.