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Alpha Tau Successfully Treats First Pancreatic Cancer Patient in Europe with Alpha DaRT® in French Multicenter ACAPELLA Clinical Trial

  • Alpha Tau Medical announced the successful treatment of the first patient in the ACAPELLA European multicenter clinical trial for inoperable locally advanced pancreatic ductal adenocarcinoma (LAPC).
  • The procedure was performed at CHU Grenoble Alpes by Principal Investigator Pr. Gaël Roth, marking the first use of Alpha DaRT for pancreatic cancer in Europe.
  • ACAPELLA evaluates Alpha DaRT alpha-emitter radiotherapeutics combined with capecitabine for patients who have completed first-line mFOLFIRINOX chemotherapy, a population lacking standard consolidation therapy.
  • Approximately 30% of the 140,000 Europeans diagnosed with pancreatic cancer annually present with locally advanced, inoperable, non-metastatic disease.
  • The trial is a key pillar of Alpha Tau's global clinical expansion strategy in Europe, running concurrently with the IMPACT trial in the United States.
  • Patient enrollment in ACAPELLA targets up to 40 participants with histologically confirmed inoperable LAPC who have stable disease or tumor response after 8 to 12 cycles of mFOLFIRINOX.
  • The treatment protocol involves direct intratumoral delivery of Alpha DaRT sources under real-time endoscopic ultrasound guidance, followed by two months of oral capecitabine initiated three days post-procedure.
  • The primary endpoint of the trial is the safety of the combination therapy, measured by the incidence of device-related serious adverse events graded per CTCAE v5.0 criteria.
  • Secondary endpoints include objective tumor response rate at 2, 4, and 6 months, overall survival, progression-free survival at 12 months, and the rate of conversion to surgical resectability.
  • The trial will be conducted across multiple centers in France with follow-up extending to 12 months after the Alpha DaRT procedure.
  • First patient treatment occurred ahead of Digestive Disease Week (DDW) 2026 in Chicago, where Alpha Tau will highlight its pancreatic cancer program.
  • Alpha DaRT technology utilizes radium-224 impregnated sources to deliver high-energy alpha particles that destroy tumor cells while sparing surrounding healthy tissue.
  • The study includes an embedded immune biomarker program to evaluate how intrapancreatic alpha-emitter therapy reshapes the tumor immune microenvironment.