Blocking cancer cell recycling in KRAS-mutant pancreatic cancer

Project 1: Targeting autophagy for the treatment of KRAS-mutant PDAC

NIH-funded research Univ of North Carolina Chapel Hill · NIH-11196737

This project is trying to combine drugs that block cancer growth signals with hydroxychloroquine to help people with KRAS-mutant pancreatic cancer respond better to treatment.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionUniv of North Carolina Chapel Hill NIH-funded
Lab location1 site (Chapel Hill, United States)
Project IDNIH-11196737 on NIH RePORTER

What this research studies

Researchers found that when KRAS-driven pancreatic tumors are treated with drugs that block the RAF-MEK-ERK growth pathway, the cancer cells increase a recycling process called autophagy to survive. The team is combining ERK/MEK inhibitors with the autophagy blocker hydroxychloroquine to try to cut off that escape route. They have launched clinical trials testing combinations such as trametinib or binimetinib plus hydroxychloroquine and a phase II trial of an ERK inhibitor (LY3214996) plus hydroxychloroquine. The work will follow patients for safety, tumor response, and biological changes in tumor metabolism and autophagy.

Who could benefit from this research

Good fit: Ideal candidates are people with pancreatic ductal adenocarcinoma whose tumors carry KRAS mutations and who meet standard clinical trial eligibility regarding fitness and organ function.

Not a fit: People with cancers that lack KRAS mutations, those with other tumor types, or patients who are too frail or have medical conditions making the drugs unsafe may not benefit or be eligible.

Why it matters

Potential benefit: If successful, this approach could make treatments work better against KRAS-mutant pancreatic cancer, potentially shrinking tumors or extending survival.

How similar studies have performed: Preclinical studies and independent labs support the idea that blocking ERK/MEK makes tumors dependent on autophagy, but hydroxychloroquine alone showed limited benefit in pancreatic cancer and the combined treatment approach is still being tested in clinical trials.

Where this research is happening

Chapel Hill, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.