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RecruitingNCT07895498Updated Oct 26, 2026

A Study of Standard of Care Drugs With or Without Ivermectin for Daraxonrasib-Induced Skin Toxicity in People With Pancreatic Cancer

A Phase 2 interventional study of Minocycline and Hypochlorous Acid in Pancreatic Cancer and Skin Toxicities, sponsored by Memorial Sloan Kettering Cancer Center. Recruiting at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Memorial Sloan Kettering Cancer Center · Phase 2, Interventional, and Treatment

Updated Oct 26, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
122
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The researchers are doing this study to find out whether the combination of ivermectin and standard of care prophylaxis (SOCP; drugs given to prevent the development of a disease or condition) is an effective treatment approach for people with skin side effects caused by daraxonrasib treatment (daraxonrasib-induced skin toxicity). The researchers will compare the combination of ivermectin and SOCP with SOCP alone to see which treatment approach is more effective. The researchers will also look at how the study treatments impact participants' quality of life. The researchers will measure quality of life by having participants complete questionnaires.

02

Conditions studied

  • Pancreatic Cancer
  • Skin Toxicities

Keywords

  • Ivermectin
  • Daraxonrasib
  • 26-384
03

In context

Pancreatic Neoplasms

3,311 studies on the registry are indexed under Pancreatic Neoplasms; 910 are open to participants now.

This study's planned enrollment of 122 is above the median of 46 across 2,480 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Memorial Sloan Kettering Cancer Center is the lead sponsor of 1,959 studies on the registry; 325 are open to participants now.

Of its 132 completed or terminated interventional studies of FDA-regulated products, 68 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients must have advanced pancreatic ductal adenocarcinoma with intent to daraxonrasib as standard of care monotherapy
  • Female or male aged 18 years and older at the time of enrollment.
  • Not pregnant and not nursing.
  • No active infection requiring parenteral antibiotic(s).
  • Patients have no intent to receive other anti-cancer therapy beyond daraxonrasib
  • No history of allergic reaction to the study agent(s), compounds of similar chemical or biologic composition to the study agent(s) (or any of its excipients).
  • Patients who are able to understand and willing to sign the written informed consent form or patients who have impaired decision-making capacity but have a legally authorized representative who can consent on their behalf are eligible. A signed informed consent form must be appropriately obtained prior to the conduct of any trial-specific procedure.

Exclusion criteria

Exclusion Criteria:

  • Concurrent use of another investigational drug or device for the daraxonrasib-induced skin toxicity (i.e., outside of study treatment) during, or within 4 weeks of study treatment.
  • Patients receiving prednisone 10 mg/day or higher (or equivalent) at the time of randomization for indications other than daraxonrasib skin toxicity management.
  • Patients receiving tetracyclines, ivermectin or other systemic medication that could mask daraxonrasib rash development.
  • Pregnancy or planned pregnancy during the study period.
  • Documented allergy to oral ivermectin and / or minocycline
  • Any condition which, in the investigator's opinion, makes the patient unsuitable for trial participation.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
122 participants (estimated)

Study arms

  • Active comparator
    SOCP alone

    Minocycline Face: Hypochlorous acid solution Face: Hydrocortisone Trunk: Triamcinolone Scalp: Clobetasol propionate Photoprotection: Broad-spectrum sunscreen

    Drug: Minocycline · Drug: Hypochlorous Acid · Drug: Hydrocortison cream · Drug: Triamcinolone (TAC) 0.1% cream · Drug: Clobetasol · Other: Photoprotection

  • Experimental
    Ivermectin 200 mcg/kg orally weekly plus SOCP

    Ivermectin 200mcg/kg orally weekly PLUS SOCP above as in Arm A

    Drug: Minocycline · Drug: Hypochlorous Acid · Drug: Hydrocortison cream · Drug: Triamcinolone (TAC) 0.1% cream · Drug: Clobetasol · Other: Photoprotection · Drug: Ivermectin

Interventions

  • Minocycline 100mg PO twice daily (or doxycycline alternative)

  • Face: Hypochlorous acid solution applied every morning

  • DrugHydrocortison cream

    Face: Hydrocortisone 2.5% cream (or equivalent) applied twice daily

  • Trunk: Triamcinolone 0.1% cream (or equivalent) applied twice daily

  • Scalp: Clobetasol propionate 0.05% solution (or equivalent) applied twice daily

  • OtherPhotoprotection

    Broad-spectrum sunscreen (SPF 30 or higher) applied daily to sun- exposed areas

  • Ivermectin 200mcg/kg orally weekly PLUS

06

What researchers measure

Primary outcomes

  1. pustular drug eruption assessed

    using the Common Terminology Criteria for Adverse Events (CTCAE) version 6.0. Rash severity will be categorized into four ordered levels (grade 0, grade 1, grade 2, and grade 3), where lower grades indicate less severe disease involvement.

    Time frame: Day 56 ± 3 days

07

Study locations

7 of 7 sites recruiting
  • Memorial Sloan Kettering Basking Ridge (All Protocol Activities)
    Basking Ridge, New Jersey 07920, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
  • Memorial Sloan Kettering Monmouth (Consent Only)
    Middletown, New Jersey 07748, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
  • Memorial Sloan Kettering Bergen (Consent Only)
    Montvale, New Jersey 07645, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
  • Memorial Sloan Kettering Suffolk-Commack (Consent Only)
    Commack, New York 11725, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
  • Memorial Sloan Kettering Westchester (All Protocol Activities)
    Harrison, New York 10604, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
  • Memorial Sloan Kettering Cancer Center (All Protocol Activities)
    New York, New York 10065, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
  • Memorial Sloan Kettering Nassau (Consent Only)
    Uniondale, New York 11553, United States
    • Allison Gordon, MD · Contact · 646-608-2339
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Memorial Sloan Kettering Cancer Center supports the international committee of medical journal editors (ICMJE) and the ethical obligation of responsible sharing of data from clinical trials. The protocol summary, a statistical summary, and informed consent form will be made available on clinicaltrials.gov when required as a condition of Federal awards, other agreements supporting the research and/or as otherwise required. Requests for deidentified individual participant data can be made beginning 12 months after publication and for up to 36 months post publication. Deidentified individual participant data reported in the manuscript will be shared under the terms of a Data Use Agreement and may only be used for approved proposals. Requests may be made to: crdatashare@mskcc.org.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Oct 2028, 24 months after the start.

Of 297 non-industry phase 2 interventional studies under Pancreatic Neoplasms, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 36 and three quarters within 80. This study's planned 24 months is below that.

Counting every sponsor, half of 364 studies reached it within 57 months; a quarter within 34 and three quarters within 80.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 19, 2026
First posted
Oct 26, 2026
StartActual
Oct 16, 2026
Primary completionEst.
Oct 16, 2028
CompletionEst.
Oct 16, 2028
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07895498
Responsible party
Sponsor
First posted
Oct 26, 2026
Start date
Oct 16, 2026
Primary completion
Oct 16, 2028 (estimated)
Completion
Oct 16, 2028 (estimated)
Last update
Oct 26, 2026

Study contacts

Allison Gordon, MD
Contact
gordona3@mskcc.org
646-608-2339
Eileen O'Reilly, MD
Contact
646-888-4182
Allison Gordon, MD
principal investigator · Memorial Sloan Kettering Cancer Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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