Evidence map›Paper›PMID 42185478›Full record

Trial reportNature cancer2026

Gemcitabine and nab-paclitaxel with or without the VDR agonist paricalcitol for metastatic pancreatic cancer: a randomized, multiarm, run-in phase trial.

Kimberly J Perez, Andressa Dias Costa, Alexander Jordan, Thomas B Karasic, Dalia Elganainy, Suryun Kim, Chen Yuan, Dan Y Gui, Runzi Tan, Sung Chul Hong and 36 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

46 authors.

Kimberly J Perez *Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. kimberly_perez@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-5745-2994
Andressa Dias Costa *Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1046-4899
Alexander JordanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Thomas B KarasicDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-9157-5392
Dalia ElganainyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4427-986X
Suryun KimDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Chen YuanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Dan Y GuiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Runzi TanDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0009-0002-3680-7642
Sung Chul HongDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Xi WangDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2497-9439
Simona CristeaDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0009-0003-1276-186X
Emma ColemanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0009-0000-6010-9970
Morgan TruittSalk Institute for Biological Studies, La Jolla, CA, USA.
Tae Gyu OhSalk Institute for Biological Studies, La Jolla, CA, USA.
Hui ZhengMassachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6725-1910
C Sloane FurnissDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Lauren BraisDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Alexandra BirdDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Josh RemlandDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0009-0004-5655-0762
Vasilena GochevaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jennifer S ThalappillilDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4860-3033
Mark AndersonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
James M ClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Andrea EnzingerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Marios GiannakisDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9012-6982
Kimmie NgDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0631-1494
Douglas A RubinsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5337-5231
Benjamin SchlechterDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1529-3278
Rishi SuranaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Harshabad SinghDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6295-2013
Thomas AbramsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ursina TeitelbaumDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Natallia IzgurDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Eliezer AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0201-4444
Peter S WinterBroad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA, USA.
Srivatsan RaghavanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5374-9918
Jen Jen YehUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Daniel Von HoffTranslational Genomics Research Institute, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0003-4723-7681
Christopher LiddleStorr Liver Centre, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Michael DownesSalk Institute for Biological Studies, La Jolla, CA, USA.
Ronald M EvansSalk Institute for Biological Studies, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-9986-5965
Peter O'DwyerDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-9302-4073
Andrew AguirreDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0701-6203
Jonathan A NowakDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. janowak@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-0943-7407
Brian M WolpinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. brian_wolpin@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-0455-1032

Funding

Viral Vector Core (VVC)P30CA014195 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI Alan Saghatelian · 1985 to 2026
$82.8M
Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI SHIVDASANI, RAMESH A · 2007 to 2023
$33.2M
Project 3: The AMPK Autophagy Pathway as a Metabolic Liability in Pancratic Ductal AdenocarcinomaP01CA265762 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI Susan M Kaech · 2023 to 2026
$14.6M
Circulating Biomarker Consortium for Pancreatic Cancer Early DetectionU01CA210171 · NCI · DANA-FARBER CANCER INST · PI Michael H. Rosenthal, Brian Matthew Wolpin · 2016 to 2026
$8.7M
Regulation and targeting of tumor cell states and plasticity in pancreatic cancerK08CA260442 · NCI · DANA-FARBER CANCER INST · PI Srivatsan Raghavan · 2022 to 2026
$1.5M
NCI NIH HHS K08 CA260442NCI NIH HHS P01 CA265762NCI NIH HHS P30 CA014195NCI NIH HHS P50 CA127003NCI NIH HHS U01 CA210171
6 · The paper itself

Abstract

Vitamin D receptor (VDR) agonists promote quiescence of cancer-associated fibroblasts and improve efficacy of chemotherapy in preclinical models of pancreatic cancer. We conducted a run-in phase trial with primary endpoint of safety when the VDR agonist paricalcitol is given with first-line gemcitabine and albumin-bound paclitaxel (GA) in patients with metastatic pancreatic cancer. Secondary endpoints included pharmacodynamic analyses. Thirty-six patients were randomized to GA plus placebo, GA plus intravenous paricalcitol or GA plus oral paricalcitol with pretreatment and on-treatment tumor biopsies. Paricalcitol was safely administered with GA, although five patients (42%) receiving oral paricalcitol had grade 2-4 hypercalcemia and required dose reduction. Nuclear VDR protein expression was heterogeneous across patients, and VDR was expressed in tumor, immune and stromal cells. Compared to pretreatment specimens, on-treatment biopsies had decreased proportion of αSMA

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsPancreatic NeoplasmsReceptors, CalcitriolAgedAlbuminsDeoxycytidineErgocalciferolsFemaleGemcitabineHumansMaleMiddle AgedPaclitaxel130-nm albumin-bound paclitaxelAlbuminsDeoxycytidineErgocalciferolsGemcitabinePaclitaxelparicalcitolReceptors, CalcitriolVDR protein, human

Identifiers

PMID42185478
PMCPMC13462977

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.