Bethanechol with Chemotherapy for Pancreatic Cancer

This study is testing if adding bethanechol to standard chemotherapy (gemcitabine and nab-paclitaxel) can improve the removal of pancreatic cancer during surgery. Researchers want to see if bethanechol, which has shown promise in animal studies, can help shrink tumors and make surgery more successful. You may be able to join if you have pancreatic ductal adenocarcinoma, are planning to receive chemotherapy before surgery, and can take oral medications. The main goal is to see how many patients have all their cancer removed (R0 resection rate) after 36 months. The study is also looking at the safety of bethanechol when combined with these chemotherapy drugs. The current status of this study is unclear, and it plans to enroll 37 participants.

Study design
This study is an interventional trial with an unclear phase, planning to enroll 37 participants. It is testing bethanechol in combination with gemcitabine and nab-paclitaxel.
What's involved
You would take bethanechol tablets twice daily, one hour before morning and evening meals. Chemotherapy with gemcitabine and nab-paclitaxel would be given on days 1, 8, and 15 of each cycle.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome, R0 resection rate, will be measured at 36 months, suggesting a follow-up period of at least that long.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05241249

Stimulation With Bethanechol in Combination With Gemcitabine and Nab-paclitaxel in Pancreatic Adenocarcinoma

Recruiting
PHASE2Ages 18+Interventional
Susan E. Bates
~37 participants
Updated 2025-06-05 on ClinicalTrials.gov
What's tested:BethanecholGemcitabinenab-paclitaxel

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
R0 resection rate
Measured over 36 months
Pancreas Cancer

NCT05241249

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Columbia University Medical Center

    New York, New Yorkno site contact published

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Susan E Bates, MD · PRINCIPAL_INVESTIGATOR · Columbia University

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Eligibility criteria

Inclusion

Pancreatic Ductal Adenocarcinoma
Plan for neoadjuvant chemotherapy
Available diagnostic tissue adequate for biomarker analysis
Ability to tolerate PO meds and comply with study procedures

Exclusion

Metastatic disease
Evidence of GI obstruction
Baseline bradycardia (HR\<55) or hypotension (systolic blood pressure\<90)
Use of acetylcholinesterase inhibitors
Medical conditions including: hyperthyroidism, active/symptomatic coronary artery disease, seizure disorder, peptic ulcer disease.
  • R0 resection rate36 months

    This rate will be analyzed in patients treated with bethanechol in combination with gemcitabine and nab-paclitaxel compared to historical R0 resection rates.