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FOLFIRNINOX

Phase 2

Pancreatic Adenocarcinoma | Small molecule | Oncology |Actuate Therapeutics, Inc.|Last Updated: Apr 13, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials1
Total Enrollment70

FDA Designations

No designations recorded

Clinical trial landscape

FOLFIRNINOX · 1 trial · 2 indications

Phase 2 1
NCT05077800FOLFIRINOX + Elraglusib + Losartan In Pancreatic CancerPancreatic Adenocarcinoma
ACTIVE NOT_RECRUITING70 Analytics
PHASE2ACTIVE NOT_RECRUITING
FOLFIRINOX + Elraglusib + Losartan In Pancreatic Cancer
Pancreatic AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free survival (PFS)
Date of study entry to the earliest date of progressive disease up to 30 months

Defined from the date of study entry to the earliest date of progressive disease while receiving complete therapy with FOLFIRINOX-based therapy or death due to any cause. PFS will be censored at the date of last follow-up for patients alive without documented progression. PFS curves will be estimated by the Kaplan-Meier method and compared to historical controls treated with FOLFIRINOX alone using the one-sample log-rank test.

Secondary Endpoints

Overall survival (OS)
Up to 30 months
Median time of maintenance therapy (mMT):
Up to 30 months
Objective Response Rate
Up to 30 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Safety Run-In: FOLFIRINOX + Elraglusib + LosartanEXPERIMENTALThe study will begin with a Safety Run-In phase to establish the side effects from the study treatment to its safety before beginning the main part of the study, six (6) participants will receive 1-2 cycles (each study cycle is 14 days +/- 3 days) of: * FOLFIRINOX * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each study cycle * Irinotecan portion of FOLFIRINOX on Day 1 of each study cycle * Oxaliplatin portion of FOLFIRINOX on Day 1 of each study cycle * Leucovorin portion of FOLFIRINOX on Day 1 of each study cycle The FOLFIRINOX treatment regimen will be given every 14 days +/- 3 days at physician discretion. * Elraglusib on days on days 1, 3, 8, and 11 of every 14-day cycle * Losartan daily of every 14-day cycle.
FOLFIRNINOXEXPERIMENTALThe study will be conducted in three parts depending on participant disease progression: Complete Therapy, Maintenance Therapy and Complete Therapy Round 2. For initial complete therapy, participants will receive FOLFIRINOX as follows (each study cycle is 14 days +/- 3 days, FOLFIRINOX can be given +/- 3 days): * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each study cycle up to 12 cycles (24 weeks) * Irinotecan portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Oxaliplatin portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Leucovorin portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) For Maintenance therapy, participants will receive FOLFIRINOX as follows: * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each 14 day study cycle until disease progression For Complete Therapy Round 2, participants will repeat initial complete therapy of FOLFIRINOX until further disease progression
FOLFIRINOX + LosartanEXPERIMENTALThe study will be conducted in three parts depending on participant disease progression: Complete Therapy, Maintenance Therapy and Complete Therapy Round 2. For initial complete therapy (each study cycle is 14 days +/- 3 days): * FOLFIRINOX (+/- 3 days) * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each study cycle up to 12 cycles (24 weeks) * Irinotecan portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Oxaliplatin portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Leucovorin portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Losartan daily up to 12 cycles (24 weeks) For Maintenance therapy: * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each 14 day study cycle until disease progression * Losartan daily until disease progression For Complete Therapy Round 2, participants will repeat initial complete therapy of FOLFIRINOX + Losartan until further disease progression
FOLFIRINOX + ElraglusibEXPERIMENTALThe study conducted in 3 parts depending on disease progression: Complete Therapy, Maintenance Therapy and Complete Therapy Round 2 For initial complete therapy (each study cycle is 14 days +/- 3 days): * FOLFIRINOX (+/- 3 days) * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each study cycle up to 12 cycles (24 weeks) * Irinotecan portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Oxaliplatin portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Leucovorin portion of FOLFIRINOX on Day 1 of each study cycle up to 12 cycles (24 weeks) * Elraglusib on days 1, 3, 8, and 11 of every study cycle up to 12 cycles (24 weeks) For Maintenance therapy: * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each study cycle until disease progression * Elraglusib on days 1, 3, 8, and 11 of every study cycle until disease progression For Complete Therapy Round 2, repeat of initial complete therapy until further disease progression
FOLFIRINOX + Elraglusib + LosartanEXPERIMENTALThe study conducted in 3 parts depending on disease progression: Complete Therapy, Maintenance Therapy and Complete Therapy Round 2. For initial complete therapy (each study cycle is 14 days +/- 3 days): * FOLFIRINOX (+/- 3 days) * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each study cycle * Irinotecan portion of FOLFIRINOX on Day 1 of each study cycle * Oxaliplatin portion of FOLFIRINOX on Day 1 of each study cycle * Leucovorin portion of FOLFIRINOX on Day 1 of each study cycle * Elraglusib on days 1, 3, 8, and 11 of every 14-day cycle * Losartan daily For Maintenance therapy: * 5Fluorouracil portion of FOLFIRINOX on Days 1-3 of each 14 day study cycle until disease progression * Elraglusib on days 1, 3, 8, and 11 of every 14-day cycle until disease progression * Losartan daily until disease progression For Complete Therapy Round 2, participants will repeat initial complete therapy of FOLFIRINOX + Elraglusib + Losartan until further disease progression

Interventions

NameTypeDescription
FOLFIRNINOXDRUGCombination of 4 different drugs (5-Fluorouracil (5-FU), Oxaliplatin, Irinotecan and Leucovorin) administered by intravenous infusion
LosartanDRUGTaken Orally
9-ING-41DRUGAdministered by intravenous infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Histologically confirmed metastatic pancreatic adenocarcinoma without prior therapy for pancreatic adenocarcinoma. * Participants must have measurable disease as defined by RECIST 1.1 * Age ≥18 years. * ECOG performance status ≤1 (Karnofsky ≥ 70%, see Appendix A). * Participan...

Countries:United States
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Frequently asked questions about FOLFIRNINOX

What is FOLFIRINOX used for in pancreatic adenocarcinoma?

FOLFIRINOX is a chemotherapy regimen used for pancreatic adenocarcinoma, including metastatic pancreatic adenocarcinoma. It is being studied in combination with elraglusib and losartan in a Phase 2 clinical trial for this indication.

Who makes FOLFIRINOX?

FOLFIRINOX is being developed by Actuate Therapeutics, Inc., a company traded under the ticker ACTU. The company is sponsoring a Phase 2 clinical trial evaluating FOLFIRINOX in combination with elraglusib and losartan for pancreatic cancer.

What phase is FOLFIRINOX in?

FOLFIRINOX is in Phase 2 clinical development for pancreatic adenocarcinoma. It is an investigational regimen and has not been approved by the FDA for this use. The Phase 2 trial is active but not recruiting participants.

What clinical trials is FOLFIRINOX in?

FOLFIRINOX is being studied in a Phase 2 trial with the identifier NCT05077800, titled 'FOLFIRINOX + Elraglusib + Losartan In Pancreatic Cancer'. This randomized, controlled trial has an enrollment of 70 participants and is being conducted in the United States.

Is FOLFIRINOX the same as elraglusib or losartan?

No, FOLFIRINOX is a chemotherapy regimen, while elraglusib and losartan are separate drugs being tested in combination with it. The Phase 2 trial NCT05077800 evaluates the combination of FOLFIRINOX, elraglusib, and losartan in patients with pancreatic adenocarcinoma.