Pancreatic cancer, a leading cause of cancer deaths worldwide, affects older adults more frequently and has a poor prognosis. 2024 guidelines recommend tailored FOLFIRINOX and gemcitabine-based therapies. Over 2,000 trials since 2019, led by North America, Asia-Pacific, and Europe, are advancing treatments. Novotech, a global CRO, supports oncology trials, highlighting progress in chemotherapy, RAS-targeted therapies, and personalized medicine.