This clinical trial is focused on studying a type of cancer called Metastatic Pancreatic Ductal Adenocarcinoma, which is a form of pancreatic cancer that has spread to other parts of the body. The study is testing a new treatment combination to see if it can help patients live longer. The treatment involves a new drug called SBP-101, which is a small molecule that affects the metabolism of certain compounds in the body. This drug is being tested in combination with two other cancer medications, nab-paclitaxel and gemcitabine. Some participants will receive these medications along with SBP-101, while others will receive a placebo instead of SBP-101.
The purpose of the study is to compare the overall survival of patients who receive the combination of SBP-101, nab-paclitaxel, and gemcitabine with those who receive only nab-paclitaxel and gemcitabine. Participants will be randomly assigned to one of the two groups, and neither the participants nor the researchers will know who is receiving SBP-101 or the placebo. The study will involve regular visits to the clinic for treatment and monitoring, and participants will receive the medications through injections or infusions.
The study will continue for a period of time, during which the health and progress of the participants will be closely monitored. The main goal is to see if the addition of SBP-101 can improve the length of time patients live with this type of cancer. The study will also look at other factors, such as how long it takes for the cancer to progress and the overall response to the treatment. Participants will be asked to complete questionnaires about their quality of life during the study.



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