A Study to Learn About the Medicine Ponsegromab in Adults With Cancer of the Pancreas Which Has Spread and Caused Significant Body Weight Loss and Fatigue
Recruiting now Phase 2/3 NCT06989437
Run by Pfizer · for 18 and older · All sexes
What this study is about
Study to investigate the efficacy, safety and tolerability of systemic chemotherapy plus ponsegromab versus systemic chemotherapy plus placebo for the first-line treatment in adult participants with cachexia and metastatic pancreatic ductal adenocardinoma.
Who can join (things the study team will check)
✅ You may be able to join if…
- Signed Informed Consent Document
- Documented active diagnosis of metastatic pancreatic ductal adenocarcinoma
- Cachexia defined by Fearon criteria of weight loss
- Completed 1 x 28-day cycle of first-line systemic nab-paclitaxel and gemcitabine chemotherapy or 2 x 14-day cycles of FOLFIRINOX chemotherapy and prior to receiving Cycle 2 chemotherapy
- ECOG PS ≤1 with life expectancy of at least 4 months
🚫 You may not be able to join if…
- Current active reversible causes of decreased food intake
- Cachexia caused by other reasons
- Any prior or current clinical diagnosis of heart failure, irrespective of left ventricular ejection fraction or New York Heart Association classification
- Left ventricular ejection fraction <50%
- Receiving tube feedings or parenteral nutrition at the time of Screening or Randomization
- History of allergic or anaphylactic reaction to any therapeutic or diagnostic monoclonal antibody
- History of allergy or hypersensitivity to any of the chemotherapeutics or any of their excipients
- Neuroendocrine (carcinoid, islet cell) or acinar pancreatic carcinoma, symptomatic brain metastasis, leptomeningeal disease or other active CNS metastases
- Inadequate liver function
- Renal disease requiring dialysis or eGFR <30 mL/min/1.73m2
Where this trial is running
- The Kirklin Clinic of UAB Hospital, Birmingham, Alabama, United States
- The University of Alabama at Birmingham, Birmingham, Alabama, United States
- Mayo Clinic Hospital, Phoenix, Arizona, United States
- Central Arkansas Radiation Therapy Institute, dba CARTI, Bryant, Arkansas, United States
- Central Arkansas Radiation Therapy Institute, dba CARTI, Conway, Arkansas, United States
- CARTI Cancer Center, Little Rock, Arkansas, United States
- Central Arkansas Radiation Therapy Institute, dba CARTI, North Little Rock, Arkansas, United States
- Central Arkansas Radiation Therapy Institute, dba CARTI, Pine Bluff, Arkansas, United States
- UC San Diego Medical Center - Encinitas, Encinitas, California, United States
- Chao Family Comprehensive Cancer Center and Ambulatory Care, Irvine, California, United States
- UCI Health - Irvine, Irvine, California, United States
- UC San Diego Koman Family Outpatient Pavilion, La Jolla, California, United States
+ 202 more sites.
Who to contact
Pfizer CT.gov Call Center · 1-800-718-1021 · ClinicalTrials.gov_Inquiries@pfizer.com
It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT06989437.
Verify everything on the official ClinicalTrials.gov record. Page updated July 2026.
Beacon is an information tool, not medical advice. Whether a trial is right for you is a decision for you, your doctor, and the study team. Trial details come from the official registry, ClinicalTrials.gov, and may change — always confirm with the study team. Beacon collects no data about you: this page has no cookies, no accounts, and no tracking.