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A phase 2 trial looking at chemotherapy and radiotherapy in locally advanced pancreatic cancer (SCALOP-2)

Full title: A multi-centre randomised study of induction chemotherapy followed by capecitabine ( /- nelfinavir) with high or standard dose radiotherapy for locally advanced non-metastatic pancreatic cancer

Why is this trial being carried out?

Pancreatic cancer that has started growing into organs or blood vessels around the pancreas, meaning it is not possible to remove the cancer with surgery, is called locally advanced pancreatic cancer. People with this type of cancer are usually treated with chemotherapy. Some people are offered chemoradiotherapy, which is a combination chemotherapy and radiotherapy. The aim of chemoradiotherapy is for the chemotherapy drugs to make the cancer cells more sensitive to the radiotherapy, so that it is more effective. This treatment may help to control the cancer and slow down its growth.

SCALOP-2 aims to learn more about combining nelfinavir, capecitabine and radiotherapy, and to see which combination benefits patients most. Nelfinavir is an antiretroviral drug commonly used in the treatment of HIV. Research has shown that it can also boost the effects of radiotherapy. 

This is a two-part trial. Researchers have already completed stage 1 of this trial, which aimed to find out a safe dose of nelfinavir to give alongside chemoradiotherapy.

Researchers are now recruiting for the second stage of the trial. They will test whether increasing the dose of radiotherapy, adding nelfinavir, or a combination of the two will make the chemoradiotherapy more effective.

Who is the trial suitable for?

The SCALOP-2 trial may be suitable for you if you have:

  • locally advanced, inoperable cancer that hasn’t spread to other parts of the body
  • a tumour that measures 6 cm or less
  • had another cancer that has been successfully treated, and has not come back in the last three years
  • had tests that show you are fit enough to take part in this trial – the trial centre will provide information on this.

It is not suitable for you if you have:

  • pancreatic cancer that can be removed by surgery (operable cancer)
  • cancer that has spread from the pancreas to other parts of the body (advanced or metastatic pancreatic cancer)
  • had other serious health conditions – speak to the trial team about this
  • any other medical condition that might affect your safety during the trial
  • had previous radiotherapy to your upper abdomen (tummy area)
  • had previous pancreatic cancer that has come back after surgery.

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 for Stage 2: Currently suspended

Recruitment end date for Stage 2: Currently suspended

  • Trial centres

    Stage 2 of the SCALOP-2 trial is being carried out at:

    • Aberdeen Royal Infirmary
    • Addenbrookes, Cambridge
    • Belfast City Hospital, Northern Ireland
    • Bristol Haematology and Oncology Centre
    • Castle Hill Cancer Centre, Hull
    • Churchill Hospital, Oxford
    • City Hospital, Nottingham
    • Clatterbridge Cancer Centre, Wirral
    • Colchester Hospital 
    • Derriford Hospital, Plymouth
    • Hammersmith Hospital, London
    • Lincoln County Hospital
    • Milton Keynes Hospital
    • Norfolk and Norwich University Hospitals
    • North Middlesex Hospital
    • Royal Free Hospital, London
    • Royal Surrey Hospital, Guilford
    • St James University Hospital, Leeds
    • The Christie Hospital, Manchester
    • University College London, London
    • University Hospital, Coventry
    • Velindre Cancer Centre, Cardiff
    • Weston Park Hospital, Sheffield

    Trial lead

    Professor Somnath Mukherjee

    Contact information

    You can contact the SCALOP-2 Trial Manager:

    Oncology Clinical Trials Office, University of Oxford.

    Telephone: 01865 617 078

    Email: octo-SCALOP-2@oncology.ox.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 ClinicalTrials.gov website here.

    For references used to develop this information please email us.

Information Standard

Updated May 2018

Review date May 2020