Chemotherapy with or without INCB161734 for untreated KRAS G12D metastatic pancreatic cancer
Official title: A Randomized, Double-Blind, Phase 3 Study of Chemotherapy With or Without INCB161734 in Previously Untreated, KRAS G12D-Mutated Metastatic Pancreatic Ductal Adenocarcinoma (DAWN-303)
Run by Incyte Corporation · NCT07522073 · Data updated 2026-11-12
This will test whether adding the KRAS G12D blocker INCB161734 to standard chemotherapy helps people with newly diagnosed metastatic pancreatic cancer that has a KRAS G12D mutation.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 588 (estimated) |
| Sponsor | Incyte Corporation Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 230 sites (Birmingham, Alabama and 229 other locations) |
| Status | Recruiting |
| Started | April 9, 2026 |
| Main results expected | September 15, 2028 |
| Study ends | March 19, 2029 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT07522073 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with histologically confirmed metastatic pancreatic ductal adenocarcinoma carrying a KRAS G12D mutation who have not received prior systemic therapy for metastatic disease, have ECOG 0–1, and adequate organ function.
✕Probably not a fit
Patients without a KRAS G12D mutation, those previously treated with a KRAS inhibitor, people with active CNS metastases, uncontrolled infection, or poor performance status are unlikely to be eligible or to benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized phase 3 study compares standard investigator‑choice chemotherapy given with either the oral KRAS G12D inhibitor INCB161734 or matching placebo in participants with metastatic pancreatic ductal adenocarcinoma harboring a KRAS G12D mutation. Eligible patients must be systemic treatment–naïve in the metastatic setting, have ECOG performance status 0–1, and meet organ function requirements. Participants are assigned to one of the two arms and followed for safety, tumor response, and survival outcomes. The protocol excludes prior KRAS inhibitor exposure and active central nervous system metastases.
Why it matters
Potential benefit: If successful, adding INCB161734 to chemotherapy could improve tumor control and extend survival for people with KRAS G12D‑mutated metastatic pancreatic cancer.
How similar studies have gone: Targeting KRAS G12D is a relatively new and promising approach but has limited clinical evidence so far and no definitive phase 3 successes for KRAS G12D inhibitors have been published.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histologically or cytologically confirmed metastatic PDAC with a KRAS G12D mutation * No prior systemic treatment in the metastatic setting * ECOG Performance status 0-1 * Adequate organ function Exclusion Criteria: * Prior treatment with any KRAS inhibitor * Chronic or current active infection requiring systemic treatment within 1 week prior to the first dose of study drug * Known active CNS metastases Other protocol-defined Inclusion/Exclusion Criteria may apply.
Where it's running
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Investigative Site US016
Anchorage, Alaska, United States Recruiting -
Investigative Site US026
Chandler, Arizona, United States Recruiting -
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Duarte, California, United States Recruiting -
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Los Angeles, California, United States Recruiting
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Lake Success, New York, United States Recruiting -
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Chapel Hill, North Carolina, United States Recruiting -
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Cleveland, Ohio, United States Recruiting -
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Nashville, Tennessee, United States Recruiting -
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Dallas, Texas, United States Recruiting -
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Denison, Texas, United States Recruiting -
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Houston, Texas, United States Recruiting -
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San Antonio, Texas, United States Recruiting -
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Salt Lake City, Utah, United States Recruiting -
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Fairfax, Virginia, United States Recruiting -
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Salem, Virginia, United States Recruiting -
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Olympia, Washington, United States Recruiting -
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Seattle, Washington, United States Recruiting -
Investigative Site US044
Madison, Wisconsin, United States Recruiting
+180 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Incyte Corporation Call Center (US)
- Email: medinfo@incyte.com
- Phone: 1.855.463.3463
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.