PanCuRx
PanCuRx Summary
PanCuRx
Inquiries

Julie Wilson
Director, PanCuRx
JWilson@oicr.on.ca

PanCuRx studies pancreatic cancer to support more personalized treatment for one of the deadliest forms of cancer.

What we do

By combining science with clinical research, the program aims to match patients with treatment options that give them a better chance at living longer, healthier lives. PanCuRx engages in:

  • Molecular profiling for biomarker discovery
  • Precision oncology clinical trials
  • Organoid and functional modelling
  • Computational integration of data
  • Patient partnership

Why we do it

Pancreatic cancer is one of the hardest cancers to treat. It spreads quickly, often without symptoms, and patients often have few effective options. PanCuRx is working to change that by helping researchers and clinicians better understand each tumour so that care can be tailored to each patient’s unique biology.

How we do it

PanCuRx combines laboratory research, clinical studies and data analysis to understand how pancreatic cancers develop and respond to treatment, helping move discoveries more quickly into patient care.

The program brings together expertise in genomics, pathology, bioinformatics, computational biology, medical oncology and clinical trials research. Patient partners also help shape PanCuRx through research planning, communications, governance, and knowledge-sharing, keeping the work grounded in patient needs and priorities.

PanCuRx Leadership Team
  • Faiyaz Notta – Scientific Co-Lead
  • Robert Grant – Clinical Co-Lead
  • Julie Wilson – Director
  • Steven Gallinger – Program Lead Emeritus and Consultant
Working Together

PanCuRx works closely with teams across OICR and with partner institutions to accelerate discovery and improve care, including the Wallace McCain Centre for Pancreatic Cancer at Princess Margaret Cancer Centre and other hospitals, cancer centres and research institutions across Ontario.

Key collaborators:

  • Jennifer Knox, Princess Margaret Cancer Centre
  • Erica Tsang, Princess Margaret Cancer Centre
  • Anna Dodd, Princess Margaret Cancer Centre
  • Hartland Jackson, Lunenfeld-Tanenbaum Research Institute, OICR Investigator
  • Christopher Pin, London Health Sciences Centre

Collaborating institutions:

  • BC Cancer Agency (Vancouver, BC)
  • Centre hospitalier de l’Université de Montréal (CHUM)
  • Cold Spring Harbor Laboratory (Cold Spring Harbor, NY)
  • Dana-Farber Cancer Institute (Boston, MA)
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center (Baltimore, MD)
  • Kingston Health Sciences Centre (Kingston, ON)
  • London Health Sciences Centre (London, ON)
  • McGill University Health Centre (Montreal, QC)
  • Memorial Sloan Kettering Cancer Center (New York, NY)
  • Northwell Health Cancer Institute (New Hyde Park, NY)
  • Ottawa Hospital Research Institute (Ottawa, ON)
  • Princess Margaret Cancer Centre, University Health Network (UHN) (Toronto, ON)
Clinical Trials

PanCuRx works closely with the Princess Margaret Cancer Centre’s Wallace McCain Centre for Pancreatic Cancer to lead innovative clinical trials that combine patient care with advanced translational research. This close partnership helps bring laboratory discoveries into the clinic more quickly, supporting the development of new therapies and improving outcomes for patients with pancreatic cancer.

Ongoing Trials

An international trial evaluating MRI-guided radiation therapy for locally advanced pancreatic cancer, integrated with tumour sequencing and molecular analyses. ABLATE combines precision radiation with genomic research to support more personalized treatment to improve outcomes for patients with pancreatic cancer.

  • ADOPT (2025 – ongoing)

A precision medicine study using patient-derived organoids and genomic profiling to test drugs and identify therapies most effective for each individual patient. ADOPT enables rapid, individualized drug testing to expand personalized therapy options and improve treatment response.

Completed Trials

A Canadian multicentre study using whole genome and RNA sequencing to better understand advanced pancreatic cancer biology and inform treatment selection. COMPASS established molecular subtypes and predictive biomarkers that underpin current precision oncology approaches and trials. 

Conducted in collaboration with UHN and six institutions across North America, this international Phase II clinical trial compared standard chemotherapies for advanced pancreatic cancer while integrating genomic profiling and patient-derived organoid to study differences in tumour response. PASS-01 helped researchers better understand why patients respond differently to treatment, supporting more personalized and effective care.

A Canadian multicentre Phase II trial studying chemotherapy before and after surgery for pancreatic cancer. The trial also looked at a tumour marker called GATA6 to help identify which patients may benefit most from treatment. NeoPancONE showed that stratifying patients with biomarkers is feasible in resectable pancreatic cancer and that RNA transcriptional subtyping can meaningfully predict treatment response and survival outcomes. This can enable more precise selection of patients for perioperative chemotherapy and identify those who may benefit from alternative therapeutic strategies.

A multicentre study using whole genome and transcriptome sequencing, methylation profiling, and patient-derived organoids to better understand each person’s tumour and help guide treatment choices. Conducted with Ontario centres including UHN, London Health Sciences Centre, and The Ottawa Hospital, the study aims to expand access to more personalized care for people with pancreatic cancer.

Scientific impact
  • 160+ peer-reviewed publications since 2015: Reflecting a decade of high-impact scientific contributions
  • World-leading pancreatic cancer dataset: Built the largest collection of pancreatic tumours analyzed using whole genome and transcriptome sequencing
  • Discovery of new disease subtypes: Identified clinically relevant molecular subtypes that inform precision treatment strategies
  • Global data sharing and collaboration: Enabled broad access through 75+ Data and Material Transfer Agreements and 135+ Data Access Agreements via the European Genome-Phenome Archive, supporting basic, translational, and clinical research worldwide
Clinical impact
  • Advancing precision medicine: Identified key molecular subtypes and biomarkers that help guide more personalized treatment decisions
  • Enabling individualized therapy: Combined genomic profiling with patient-derived organoids to match patients with the most effective treatments
  • Understanding treatment response: Revealed why patients respond differently to therapies, supporting more tailored care
  • Expanding tumour profiling: Brought whole genome, transcriptome and epigenomic analyses into clinical research
  • Accelerating drug testing: Enabled rapid laboratory testing of therapies to prioritize the most promising options for patients
  • National leadership in molecular oncology: Established Canada’s first molecular tumour board for pancreatic cancer
  • Integrated genomic testing into clinical care: Partnered with Ontario Health to incorporate DNA testing into the standard of care for pancreatic cancer diagnosis, enabling more informed and personalized treatment decisions
  • Accelerated clinically actionable insights: Piloted a rapid workflow to return whole genome and transcriptome sequencing reports within 19 days, enabling results to inform first-line treatment decisions
Publications
  1. Knox, et al., 2025. PASS-01: Randomized Phase II Trial of Modified FOLFIRINOX Versus Gemcitabine/Nab-Paclitaxel and Molecular Correlatives for Previously Untreated Metastatic Pancreatic Cancer. J Clin Oncol43, 3355-3368. DOI:1200/JCO-25-00436
  2. Knox, et al., 2025. Whole genome and transcriptome profiling in advanced pancreatic cancer patients on the COMPASS trial. Nat Commun. 2025 Jul 1;16(1):5919. DOI: 10.1038/s41467-025-60808-z. PMID: 40593593; PMCID: PMC12219293. https://www.nature.com/articles/s41467-025-60808-z
  3. Farooq AR, et al., 2025. The tandem duplicator phenotype may be a novel targetable subgroup in pancreatic cancer. NPJ Precis Oncol. 2025 Apr 4;9(1):100. doi: 10.1038/s41698-025-00888-8. PMID: 40185871; PMCID: PMC11971333. https://www.nature.com/articles/s41698-025-00888-8
  4. Welch ML, et al., 2026. A practical framework for operationalising responsible and equitable artificial intelligence in health care: tackling bias, inequity, and implementation challenges. The Lancet Digital Health, Volume 8: Issue 3. https://www.sciencedirect.com/science/article/pii/S2589750025001396
  5. Grant RC*, Duan K*, Jackson R, Greenhalf W, Costello-Goldring E, Ghaneh P, Halloran C, Palmer D, Hackert T, Buchler M, Hutchinson S, Ramotar S, Dodd A, Wilson J, Notta F, O’Kane G, Knox JJ, Neoptolemos J, Gallinger S, Fischer SE. GATA6 immunohistochemistry and prognosis after surgical resection of pancreatic adenocarcinoma: Results from the ESPAC-4 trial. ESMO Gastrointestinal Oncology. 2025;8:100138. https://www.sciencedirect.com/science/article/pii/S294981982500007X 
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