Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive malignancies. TGF-β is strongly expressed in both the epithelial and stromal compartments of PDAC, and dysregulation of TGF-β signalling is a frequent molecular disturbance in PDAC progression and metastasis. In this study, we investigated whether blockade of TGF-β signalling synergizes with nal-IRI/5-FU/LV, a chemotherapy regimen for malignant pancreatic cancer, in an orthotopic pancreatic tumour mouse model. Compared to nal-IRI/5-FU/LV treatment, combining nal-IRI/5-FU/LV with vactosertib, a TGF-β signalling inhibitor, significantly improved long-term survival rates and effectively suppressed invasion to surrounding tissues. Through RNA-sequencing analysis, we identified that the combination treatment results in robust abrogation of tumour-promoting gene signatures and positive enrichment of tumoursuppressing and apoptotic gene signatures. Particularly, the expression of tumour-suppressing gene Ccdc80 was induced by vactosertib and further induced by vactosertib in combination with nal-IRI/5-FU/ LV. Ectopic expression of CCDC80 suppressed migration and colony formation concomitant with decreased expression of epithelial-to-mesenchymal transition (EMT) markers in pancreatic cancer cells. Collectively, these results indicate that combination treatment of vactosertib with nal-IRI/5-FU/LV improves overall survival rates in a mouse model of pancreatic cancer by suppressing invasion through CCDC80. Therefore, combination therapy of nal-IRI/5-FU/LV with vactosertib could provide clinical benefits to pancreatic cancer patients.Pancreatic cancer is one of the leading causes of cancer-related mortality in the world. The 5-year relative survival rate of pancreatic ductal adenocarcinoma (PDAC) patients was only 8% for all stages combined data in 2018 1 . Although 5-year relative survival rates in other cancer types have steadily increased over the years, improvement in pancreatic cancer is very slow because patients with pancreatic cancer are often diagnosed at advanced stages due to absence of noticeable symptoms in the early stages 2,3 . Moreover, control of pancreatic cancer is difficult owing to its aggressiveness, distal metastasis, resistance to most common treatments, and genetic and epigenetic alterations 4-6 .The pancreatic cancer treatment paradigm has improved in the last 20 years. In clinical trials in the 1970s, 5-fluorouracil (5-FU) was used after resection 7 . Nowadays, the combination treatments such as FOLFIRINOX (oxaliplatin, irinotecan, fluorouracil (5-FU), and leucovorin (LV)) and gemcitabine plus nab-paclitaxel are the novel chemotherapy regimens used for patients with metastatic pancreatic adenocarcinoma (mPAC), displaying significantly better patient outcomes compared to the commonly used gemcitabine and providing the chance for salvage chemotherapy [8][9][10] . Nanoliposomal irinotecan (nal-IRI) has different pharmacokinetic properties from irinotecan owing to the outer PEGylated liposomes encapsulating the irinotecan sucrosofate ...