Upper Gastrointestinal cancers, often referred to as upper GI cancers, are a significant concern for public health. Traditional treatments like surgery, chemotherapy, and radiotherapy frequently do not provide the best results for patients dealing with upper GI cancers, leading to a high risk of mortality. Our group is led by Dr. Teresa Macarulla (MD, PhD), an expert in pancreaticobiliary cancer and a medical oncologist. Our group works closely together, combining the expertise of clinical oncologists with the innovative approach of the preclinical and translational team led by Dr. Tian Tian (MD, PhD). Our goal is to pioneer new and effective ways to treat upper GI cancers and identify key factors that can predict patient outcomes.
Central to our strategy is the combination of breakthroughs in biomarker research with cutting-edge studies on the effectiveness of drugs. This approach allows us to tailor treatment options specifically for patients with upper GI cancers. Our clinical team has played a crucial role in developing molecular therapies that target the abnormal signaling pathways in cancers like pancreatic, gastric, and bile duct cancers (cholangiocarcinoma). We have actively participated in multiple clinical trials (phases I-III) aimed at exploring innovative anti-cancer strategies for upper GI cancers. Notably, the molecules we’ve tested have received approval from both the U.S. Food and Drug Administration and the European Medicines Agency, providing hope for improved treatments. Moreover, our preclinical researchers are conducting in-depth investigations into the genetic and epigenetic features of these cancers using patient-derived models. This research holds promise for enhancing the diagnosis and treatment of gastric, pancreatic, and bile duct cancers, guiding us toward a brighter future in the care of upper GI cancers.
If you are interested in pursuing a clinical fellowship (medical oncology), Ph.D., or postdoctoral fellowship, please get in touch with Dr. Macarulla or Dr. Tian.
- Clinical development of novel therapeutic targets for upper GI cancers.
- Discovery and validation of novel prognostic biomarkers for upper GI cancers.
- Development and application of liquid biopsy protocols to monitor upper GI cancer progression and drug response.
- Design and development of investigator-initiated clinical trials, including Basket studies and participation in multidisciplinary/multinational consortia and collaborative research programs of excellence.
- Development of relevant in vivo and ex vivo preclinical upper GI cancers models.
- Study the molecular features of GI cancers (cholangiocarcinoma and PDAC) using multi-omic approaches.
- Identification of transcriptional and epigenetic features in upper GI cancer diagnosis and treatment.
Group Leader
Teresa Macarulla, MD PhD
Preclinical team leader
Tian Tian, MD PhD
Medical Oncologists
Florian Castet, MD
Daniel López-Valbuena, MD
Anthony Turpin, MD PhD (ESMO Fellow)
Lab Manager
Jessica Querol
PhD fellows:
Carmen Escudero MSc
Mariana Yáñez MSc
Francheska Cadacio (FI SO Fellow)
Natalia Tissera, MD (La Pedrera MD PhD fellow)
Research Assistants
Sofía Llorente, MSc
Joel Castro, MSc
- Castet F, Fabregat-Franco C, Castillo G, Navarro V, Sierra A, Acosta DA, Lopez-Valbuena D, Dienstmann R, Tabernero J, Vivancos A, Tian TV, Macarulla T. Clinical and genomic characterisation of early-onset pancreatic cancer. Eur J Cancer. 2023;194:113338. Epub 2023/10/04.
- Serra-Camprubi Q, Verdaguer H, Oliveros W, Lupion-Garcia N, Llop-Guevara A, Molina C, Vila-Casadesus M, Turpin A, Neuzillet C, Frigola J, Querol J, Yanez-Bartolome M, Castet F, Fabregat-Franco C, Escudero-Iriarte C, Escorihuela M, Arenas EJ, Bernado-Morales C, Haro N, Giles FJ, Pozo OJ, Miquel JM, Nuciforo PG, Vivancos A, Mele M, Serra V, Arribas J, Tabernero J, Peiro S, Macarulla T, Tian TV. Human Metastatic Cholangiocarcinoma Patient-Derived Xenografts and Tumoroids for Preclinical Drug Evaluation. Clin Cancer Res. 2023;29(2):432-45.
- Verdaguer H, Sauri T, Acosta DA, Guardiola M, Sierra A, Hernando J, Nuciforo P, Miquel JM, Molero C, Peiro S, Serra-Camprubi Q, Villacampa G, Aguilar S, Vivancos A, Tabernero J, Dienstmann R, Macarulla T. ESMO Scale for Clinical Actionability of Molecular Targets Driving Targeted Treatment in Patients with Cholangiocarcinoma. Clin Cancer Res. 2022;28(8):1662-71.
- Zhu AX, Macarulla T, Javle MM, Kelley RK, Lubner SJ, Adeva J, Cleary JM, Catenacci DVT, Borad MJ, Bridgewater JA, Harris WP, Murphy AG, Oh DY, Whisenant JR, Lowery MA, Goyal L, Shroff RT, El-Khoueiry AB, Chamberlain CX, Aguado-Fraile E, Choe S, Wu B, Liu H, Gliser C, Pandya SS, Valle JW, Abou-Alfa GK. Final Overall Survival Efficacy Results of Ivosidenib for Patients With Advanced Cholangiocarcinoma With IDH1 Mutation: The Phase 3 Randomized Clinical ClarIDHy Trial. JAMA Oncol. 2021;7(11):1669-77.
- Bockorny B, Semenisty V, Macarulla T, Borazanci E, Wolpin BM, Stemmer SM, Golan T, Geva R, Borad MJ, Pedersen KS, Park JO, Ramirez RA, Abad DG, Feliu J, Munoz A, Ponz-Sarvise M, Peled A, Lustig TM, Bohana-Kashtan O, Shaw SM, Sorani E, Chaney M, Kadosh S, Vainstein Haras A, Von Hoff DD, Hidalgo M. BL-8040, a CXCR4 antagonist, in combination with pembrolizumab and chemotherapy for pancreatic cancer: the COMBAT trial. Nat Med. 2020;26(6):878-85.
- Stik G, Vidal E, Barrero M, Cuartero S, Vila-Casadesus M, Mendieta-Esteban J, Tian TV, Choi J, Berenguer C, Abad A, Borsari B, le Dily F, Cramer P, Marti-Renom MA, Stadhouders R, Graf T. CTCF is dispensable for immune cell transdifferentiation but facilitates an acute inflammatory response. Nat Genet. 2020;52(7):655-61.14.
- Macarulla T, Pazo-Cid R, Guillen-Ponce C, Lopez R, Vera R, Reboredo M, Munoz Martin A, Rivera F, Diaz Beveridge R, La Casta A, Martin Valades J, Martinez-Galan J, Ales I, Sastre J, Perea S, Hidalgo M. Phase I/II Trial to Evaluate the Efficacy and Safety of Nanoparticle Albumin-Bound Paclitaxel in Combination With Gemcitabine in Patients With Pancreatic Cancer and an ECOG Performance Status of 2. J Clin Oncol. 2019;37(3):230-8.
- Golan T, Hammel P, Reni M, Van Cutsem E, Macarulla T, Hall MJ, Park JO, Hochhauser D, Arnold D, Oh DY, Reinacher-Schick A, Tortora G, Algul H, O’Reilly EM, McGuinness D, Cui KY, Schlienger K, Locker GY, Kindler HL. Maintenance Olaparib for Germline BRCA-Mutated Metastatic Pancreatic Cancer. N Engl J Med. 2019;381(4):317-27.
- Tian TV, Di Stefano B, Stik G, Vila-Casadesus M, Sardina JL, Vidal E, Dasti A, Segura-Morales C, De Andres-Aguayo L, Gomez A, Goldmann J, Jaenisch R, Graf T. Whsc1 links pluripotency exit with mesendoderm specification. Nat Cell Biol. 2019;21(7):824-34.
- Sardina JL*, Collombet S*, Tian TV, Gomez A, Di Stefano B, Berenguer C, Brumbaugh J, Stadhouders R, Segura-Morales C, Gut M, Gut IG, Heath S, Aranda S, Di Croce L, Hochedlinger K, Thieffry D, Graf T. Transcription Factors Drive Tet2-Mediated Enhancer Demethylation to Reprogram Cell Fate. Cell Stem Cell. 2018;23(5):727-41 e9.
- Delliaux C*, Tian TV*, Bouchet M, Fradet A, Vanpouille N, Flourens A, Deplus R, Villers A, Leroy X, Clezardin P, de Launoit Y, Bonnelye E, Duterque-Coquillaud M. TMPRSS2:ERG gene fusion expression regulates bone markers and enhances the osteoblastic phenotype of prostate cancer bone metastases. Cancer Lett. 2018;438:32-43.
Competitive fundings:
- Systemic immunological determinants of tumor evolution and therapy response in BRCA-mutated pancreatic cancer Coordinator: Teresa Macarulla, EU TRANSCAN-3, 2023-2026
- Immune4all, PI: Teresa Macarulla, Personalized Medicine, ISCIII, 2023-2026
- Deciphering epigenetic features hidden in the plasma of cholangiocarcinoma patients, PI: Tian Tian, FERO Foundation, 2023-2025
- Ramón y Cajal contract. IP: Tian Tian, Ministerio de Ciencia e Innovación 2022-2027
- Epigenomic characterization of cholangiocarcinoma. IP: Teresa Macarulla Fundació Marató TV3. 2020–2023
- Proteínas de fusión BRD-NUT en el carcinoma de línea media NUT: del diagnóstico al tratamiento. IP: Tian Tian, Plan Estatal de I+D+i Orientada a los Retos de la Sociedad, Ministerio de Ciencia e Innovación. 2020-2023
- Pancreatic cancer and alterations in DNA damage response genes: analysis of predictive biomarkers and mechanisms of resistance to platinum-based chemotherapy and PARP inhibitors. IP: Teresa Macarulla, FIS 2020, ISCIII, 2020-2024
Public-private collaborations:
- AstraZeneca Partner of Choice, IP: Teresa Macarulla, 2023-2026
- Alentis Research Grant, IP: Tian Tian 2023-2024
- Incyte Research Grant, IP: Teresa Macarulla, Tian Tian 2023-2025
- Loxo Oncology Research Grant, IP: Teresa Macarulla, Tian Tian 2022-2024