I. To show that endoscopic ultrasound (EUS)-guided photodynamic therapy (PDT) to the pancreas is effective at direct ablation of advanced or locally advanced and small volume metastatic pancreatic tumors in a multicenter setting.
I. To evaluate the predictability of tumor necrosis as a function of delivered energy, based on pre-PDT contrast computed tomography (CT) scans.
I. Evaluate the safety of chemotherapy given two days after PDT.
I. Demonstrate that cancer biomarkers in pre- versus (vs.) post-PDT are surrogate markers of response.
Patients receive verteporfin intravenously (IV) and after 60 minutes undergo EUS-guided PDT.
After completion of study treatment, patients are followed up at 14 days, and at 3, 6, and 12 months.
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