The immediate aim is to identify which trial options should be checked with the specialist and research team before treatment begins.
Treatment being considered[Enter treatment being considered]
Main timing issueSome trials may require screening before treatment starts
Main objectiveCheck availability and eligibility with the specialist and research team
Key questions
Ticks save automatically as the discussion progresses.
🔬 Priority order
37 trials, grouped in the same order as the accompanying PDF
First priority:10 trials without standard chemotherapy
Second priority:5 trials with chemotherapy included
Later / conditional:14 trials to keep in reserve or check against tumour features
Lower priority:8 trials retained so potentially useful information is not lost
How to use the list
Start with the first two groups. Then use the later and lower-priority groups if the higher-priority options are not suitable or become relevant later.
Important: The priority order is a research and appointment-preparation tool. It does not establish eligibility, predict benefit or replace the specialist's assessment.
Want to explore the full list? Go to Trials to search, filter and open all 37 trial records.
Guiding Principles
Ask about everything plausible, don't ask for everything to be done. The specialist and research team filter the options using the full medical picture.
Check trial options before treatment begins where possible. Starting treatment can affect eligibility for some studies, so timing is worth discussing promptly.
Do not assume a targeted treatment will have fewer side effects. The likely benefits, risks and side-effect profile need to be discussed with the specialist.
Keep later options visible. A trial that is not suitable now may become relevant after treatment or if tumour testing identifies a useful feature.
Use the live registry tools to re-check the current position. Recruitment, locations and eligibility can change.
Specialist nurses can help with questions about diagnosis, treatment, clinical trials and support. Open Monday, Tuesday, Thursday and Friday 9am–4pm; Wednesday 10am–4pm, excluding bank holidays.
Opening the call
Opening
“I have [diagnosis], and I'd like a second opinion and to understand if I'm eligible for any clinical trials before treatment starts.”
Timing
“Given my planned treatment start date, can you see me urgently, within the week if possible?”
“If I wait for a second opinion, does that put my current treatment start date at risk, or can they run in parallel?”
Biomarkers
“Has my tumour had molecular testing — KRAS, BRCA, others — and if not, can you arrange the quickly using my existing biopsy tissue?”
“Do you offer a liquid biopsy blood test that could be faster than a new tissue sample?”
Trials
“Based on my diagnosis and staging, what trials would I realistically be eligible for, here or elsewhere in the UK?”
“Does starting chemo now rule any trials out later, or can they run alongside it?”
NHS liaison
“Can you liaise directly with my current oncology team for my scans, pathology and notes?”
Cost
“What's the likely cost for an urgent consultation, and separately for biomarker testing if needed?”
Prioritised review: 37 trials matching the accompanying PDF. The list is grouped into First Priority (1–10), Second Priority (11–15), Later or Conditional (16–29), and Lower Priority (30–37). The numbered order is the discussion order from the accompanying PDF.
How to use this list
Open a trial card to see why it may be worth discussing and what to ask.
Use the official trial link to check the latest eligibility and research-team details.
Take the trial to the specialist or research team. You don't usually apply directly — they check eligibility and tell you how to proceed.
†Conditional means that eligibility may depend on a biomarker, tumour biology, disease pattern, treatment history or timing, or another trial-specific requirement that cannot be confirmed here and needs confirmation from the specialist or research team.
The main list is ordered by the priority groups in the accompanying PDF. The filter buttons below sort by trial type, not by eligibility or medical recommendation.
Potential cancer treatment — an interventional treatment study where the intervention is intended to treat the existing cancer.Cancer treatment — specific circumstances — a treatment study that may be relevant, but the card identifies a material circumstance that needs specialist checking (for example tumour subtype, biomarker, treatment timing or disease pattern).Not a cancer-treatment trial — the study itself is not intended to treat the existing cancer, even if it is interventional.
Showing all 37 trials
“Other treatment approaches (including alternatives to chemo)” bring together trials currently categorised under targeted therapy, immunotherapy, combination therapy, or precision medicine / genomic approaches. Some combination trials may still involve chemotherapy.
LIVE REGISTRY TOOLSSearch ClinicalTrials.gov
Search the live registry using the same kind of free-text terms you would use on ClinicalTrials.gov — drug names, trial codes, biomarkers, cancer types, NCT numbers or combinations of terms.
Tip: try the exact drug/code first, then broader combinations if you get no useful results. ClinicalTrials.gov supports Boolean searches such as KRAS AND pancreatic.
🛡️ Audit the trials already in this guideRefresh the linked registry records and check their NCT identity mappings again. This is a warning system for human review — it does not determine eligibility.
1. FIRST PRIORITY (10)
More targeted or personalised treatment, potentially available to start soon, without standard chemotherapy. Whether the side-effect profile is preferable needs to be discussed with the specialist.
Registry name: PemOla — pembrolizumab + olaparib
Alternatives to ChemoTargeted therapyImmunotherapyCombination therapy
What to ask: Ask whether I am eligible now and whether starting my planned treatment would affect eligibility.
Live locations: Loading current ClinicalTrials.gov site data…
2. SECOND PRIORITY (5)
The same priority as above, but with chemotherapy included. This includes ASPIRE, which uses gemcitabine + nab-paclitaxel alongside an experimental drug.
Alternatives to ChemoTargeted therapyCombination therapy
What to ask: Could I be eligible for RASolute 303, and would starting my planned gemcitabine + nab-paclitaxel treatment affect that?
Type: Advanced/metastatic Phase: Phase 3
Source: Identified separately from the Pancreatic Cancer UK finder. This is not a Pancreatic Cancer UK endorsement. The current official record lists recruiting sites in the US and Japan, so UK availability needs to be checked separately.
This is a working, local feature — it does not use AI. It compares the information you enter with the structured trial information already in this guide and ranks the trials that share the most relevant signals.
Works locallyNo health information is sent anywhere by Smart Match. The current matcher runs in this page using the trial data already stored in the guide. It is a relevance-ranking tool, not an eligibility checker.
How the current matching works
The matcher looks at several answers together — cancer type, current situation, treatment history and biomarker/genomic information — rather than treating one matching word as enough. It gives more weight to stronger signals and shows the specific signals that contributed to each result.
Important: a stronger match does not mean a person is eligible. Trial criteria can include details that are not represented in this simple local matcher, and the official record and research team remain the source of truth.
Local result
Trials worth checking
These are research prompts, not eligibility decisions. Location is a practical signal only; site recruitment and eligibility must be checked on the official record. The ranking explains why a trial surfaced; it does not estimate the probability of being accepted onto it.
📌 Pinned trials
Pinned trials stay on this device, even after you refresh the page. They are a shortlist, not a statement of eligibility.
A useful next step: make the matching smarter, not more complicated.
The local matcher can keep improving by using the structured information already in the guide: weighting multiple answers together, distinguishing strong signals from missing information, and explaining exactly why a trial appeared. That keeps it instant, private and dependable without needing an AI service.
✨ Smart Match AI
Search smarter with AI
Use the local matcher first, then ask AI to help you make sense of the search. You can describe the situation in ordinary language, ask what information is missing, or ask which of the surfaced trials are most worth discussing with the research team.
Optional and user-triggered: nothing is sent to AI until you press Ask AI. The AI does not determine eligibility, and it does not replace the official trial record or research team.
This is the detailed research behind the things worth discussing with a specialist. You do not need to read every card.
Research last checked: 14 August 2026
CONFIRM ASK ABOUT RESEARCH
Why this comes firstBefore looking at individual trials or treatments, I need to know exactly what type of pancreatic tumour I have. My pathology, where the cancer is, how far it has spread and my molecular/genetic results can all affect which options are relevant.
In simple terms: “pancreatic cancer” is not one single disease. Most pancreatic cancers are exocrine cancers, such as pancreatic ductal adenocarcinoma. Pancreatic neuroendocrine tumours are a different type and can have different treatments.
Why this matters: before spending time on a particular trial or treatment, I need to know exactly what my pathology report says. This is one of the most useful things for the specialist to confirm.
What I can ask: “Can you confirm exactly what type of pancreatic cancer I have, and whether the pathology has been reviewed by a specialist?”
In simple terms: pembrolizumab is a medicine that helps the immune system recognise and attack cancer. Olaparib is a targeted medicine that blocks a repair process that some cancer cells rely on. The trial is testing the two medicines together.
Why it is on this list: ClinicalTrials.gov currently lists the PemOla study as recruiting. The UK sites listed as recruiting include the Royal Free Hospital and The Christie.
Who it is aimed at: people with metastatic pancreatic adenocarcinoma whose tumour has a high level of certain genetic changes. The study has specific rules about previous treatment, general health and other factors.
What I can ask: “Could I be eligible for PemOla, and can you check urgently?”
In simple terms: this Phase 3 trial is studying daraxonrasib, alone or alongside gemcitabine + nab-paclitaxel, for people starting first-line treatment for metastatic pancreatic adenocarcinoma.
Why it is here: this trial was identified separately from the Pancreatic Cancer UK finder. It is not an endorsement by Pancreatic Cancer UK. It is included because it is particularly relevant to ask about when gemcitabine + nab-paclitaxel is already being considered.
What I can ask: “Could I be eligible for RASolute 303, and would starting my planned gemcitabine + nab-paclitaxel treatment affect that?”
Important: This is promising research, but it does not mean it will work for me or that I can receive it now. A specialist needs to check whether there is a suitable trial or treatment route.
In simple terms: daraxonrasib is a medicine designed to block a KRAS signal that can help cancer cells grow. It is being developed as a treatment for pancreatic cancer and is still being studied.
What the research found: in a phase 3 study of people whose metastatic pancreatic cancer had already been treated, the people receiving daraxonrasib lived for a median of 13.2 months compared with 6.7 months for people receiving chemotherapy. A median is the middle point in the results — it does not predict how long one individual will live.
What that means for me: this is promising research, but it does not mean the medicine is available to me in the UK now. The specialist would need to check current trials or any legitimate access route and whether my cancer has the right KRAS change.
What I can ask: “Is there a current daraxonrasib trial or access route that I could realistically qualify for?”
In simple terms: histotripsy uses very focused sound waves to break up targeted tissue without making a surgical cut.
What is known in the UK: a real NHS route exists for selected liver cancer patients through an early-access pathway. That does not mean it is an established treatment for pancreatic cancer that has spread to the liver.
Why ask about it: if my scans show a particular pattern of liver disease, a specialist can tell me whether histotripsy has any realistic role for me.
In simple terms: tiny radioactive particles are put into blood vessels feeding a liver tumour. The aim is to deliver a high dose of radiation mainly to the tumour area.
Why it might be relevant: it is an established treatment for some liver cancers and selected liver disease, but whether it has a useful role when pancreatic cancer has spread to the liver depends on the exact scan findings and specialist opinion.
What I can ask: “Is my liver disease suitable for any liver-directed treatment such as Y-90/SIRT?”
In simple terms: radiotherapy uses high-energy radiation to damage cancer cells. SBRT is a more focused form that gives a small number of higher-dose treatments to a carefully targeted area.
Why ask about it: whether it could help depends heavily on where the cancer is, how much there is and what other treatment I am having. It is not automatically suitable just because a tumour is visible on a scan.
What I can ask: “Could radiotherapy or SBRT help with any particular area of my cancer?”
In simple terms: IRE, sometimes called NanoKnife, uses short electrical pulses to create tiny openings in cancer cells, with the aim of damaging a tumour.
Important: this is not a treatment I should assume is proven or routinely available for pancreatic cancer. NICE says the evidence is not yet strong enough for routine use and recommends it only in the context of research.
What I can ask: “Is IRE relevant to my particular cancer, and if so, is there a legitimate research route?”
In simple terms: these medicines are sometimes promoted online as cancer treatments, but laboratory or animal findings are not the same as showing that a treatment helps people with pancreatic cancer.
Bottom line: there is not good clinical evidence here to treat these as established pancreatic-cancer treatments. They should not replace proven cancer treatment. If I am considering one, I can ask the oncologist about it rather than relying on social-media claims.