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A phase 3 study comparing Acelarin (NUC-1031) with Gemcitabine for pancreatic cancer that has spread (ACELARATE)

Full title: A Phase III, open label, multicentre randomised clinical study comparing Acelarin (NUC-1031) with Gemcitabine in patients with metastatic pancreatic carcinoma

Why is this trial being carried out?

Pancreatic cancer that has spread to another part of the body is called metastatic or advanced pancreatic cancer. The chemotherapy drug gemcitabine is often used to treat advanced cancer. Sometimes the cancer can develop a resistance to the drug, meaning it no longer works.

The ACELARATE trial is comparing a new drug called Acelarin (NUC-1031) with gemcitabine to see which works better in fighting pancreatic cancer, and to compare the side effects of each.  Acelarin is a more developed form of gemcitabine that aims to delay the cancer becoming resistant to treatment. Over time, some chemotherapy can stop working so well.

The ACLELARATE trial is randomised, which means that you will be randomly selected by a computer to have either Acelarin or gemcitabine treatment. Both treatments will involve having treatment once a week for three weeks, then no treatment on the fourth week. You may also be asked to give blood and tissue samples at the start and end of the trial so researchers can see how well the treatments are working.

Researchers want to find out which of the two treatments is more effective by:

  • seeing if Acelarin is better than gemcitabine at controlling the cancer
  • learning more about the side effects of each treatment
  • seeing which treatment is better in improving the quality of someone’s daily life.

Who is the trial suitable for?

The ACELARATE trial may be suitable for you if you:

  • have a type of pancreatic cancer called adenocarcinoma
  • are not able to have surgery – although you may be able to take part if you have had surgery and the cancer has come back
  • are not able to have a combination of radiotherapy and chemotherapy to treat your cancer
  • have satisfactory blood test results – the trial team will discuss this with you.

It may not suitable for you if you:

  • have already had chemotherapy, unless it was after surgery and more than 12 months ago
  • have had radiotherapy in the last four weeks  
  • have any other serious medical conditions that might prevent you from taking part in the trial – the trial team will discuss this with you
  • have had any other cancer in the past five years – this does not include being successfully treated for stage 1 pancreatic cancer
  • are allergic to gemcitabine or Acelarin (NUC-1031).

There may be other reasons for not being able to take part in a trial. It is important to speak to your consultant about whether this trial might be suitable for you.

Recruitment start date: December 2015

Recruitment end date: December 2020

  • Trial centres

    The ACELARATE trial is being carried out at:

    • The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool
    • Hammersmith Hospital, London
    • The Royal Marsden NHS Foundation Trust, Chelsea, London
    • The Royal Marsden NHS Foundation Trust, Sutton, Surrey
    • Royal Surrey County Hospital, Guildford, Surrey
    • Peterborough City Hospital, Peterborough
    • The Beatson Cancer Centre, Glasgow
    • Pilgrim Hospital, Lincolnshire
    • Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN
    • Addenbrookes Hospital, Hills Road, Cambridge CB2 2QQ
    • Bristol Haematology and Oncology Centre, Horfield Road, Bristol BS2 8ED
    • Churchill Hospital, Old Road, Oxford OX3 7LJ
    • Guys Hospital, Great Maze Pond, London SE1 9RT
    • Ipswich Hospital, Heath Road, Ipswich IP4 5PD
    • Kent Oncology Centre, Hermitage Lane, Maidstone ME16 9QQ
    • Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY
    • Manor Hospital, Moat Road, Walsall SW2 9PS
    • Mount Vernon Cancer Centre, Rickmansworth Road, Northwood HA6 2RN
    • Musgrove Park Hospital, Taunton TA1 5DA
    • Norfolk and Norwich Hospital, Colney Lane, Norwich NR4 7UY
    • Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB
    • Queen Elizabeth Medical Centre, Edgbaston, Birmingham B15 2TH
    • Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 5DW
    • Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG
    • St Bartholomews’ Hospital, West Smithfield, London EC1A 7BE
    • The Christie Hospital, Wilmslow Road, Manchester M20 4BX
    • Torbay Hospital, Lawes Bridge, Torquay TQ2 7AA
    • University College Hospital, Euston Road, London NW1 2BU
    • Weston General Hospital, Grange Road, Uphill, Weston-Super-Mare BS23 4TQ
    • Weston Park Hospital, Whitam Road, Sheffield S10 2SJ
    • Royal Blackburn Hospital, Haslingden Road, Blackburn, BB2 3HH
    • Royal Bournemouth Hospital, Castle Lane East, Dorset, BH7 7DW
    • Leicester Royal Infirmary, Leicester, LE2 7LG
    • Lister Hospital Stevenage, Stevenage, Hertfordshire, SG1 4AB


    Trial lead

    Professor Daniel Palmer, University of Liverpool

    Contact information

    You can contact the ACELARATE trial co-ordinator:

    Rachael Baxter, Cancer Research UK Liverpool Cancer Trials Unit, University of Liverpool

    Telephone: 0151 794 8284

    Email: acelarate@liverpool.ac.uk

  • How to join a trial

    Please speak to your consultant about whether this trial is suitable for you.

    If you have any questions about pancreatic cancer you can speak to one of our specialist nurses on our Support Line.

    How to find out more

    For further information about this trial please visit the Liverpool Cancer Trials Unit website.

    For references used to develop this information please email us.

Information Standard

Updated February 2018

Review date February 2021