Who recommended the monthly shot, and what is in it?
I recommend getting a second opinion. The Pancreatic Cancer Action Network pancan.org keeps a database of doctors who have experience with these cancers, and might be able to point your friend in the right direction. If it's pancreatic adenocarcinoma, stage 4, this has been called the deadliest cancer. As far as waiting for a better treatment to come along for that, it doesn't appear that this is possible without any treatment. So I'm curious what the shot is? Or is it a different form of pancreatic cancer?