A method of treating pancreatic
adenocarcinoma in an individual is disclosed. The method involves administering to the individual a therapeutically effective amount of a therapeutic agent comprising recombinant
acid sphingomyelinase. In one embodiment, the therapeutic agent further includes one or more compositions selected from the group consisting of modified enzymes, fusion proteins and
constitutively active mutants. In another embodiment, the therapeutic agent further includes a pharmaceutically acceptable
excipient.