Clinical trial Recruiting at 131 sites Phase 3 Interventional Ages 18 and up

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.

More Solid Tumors trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment588 (estimated)
SponsorIncyte Corporation
Industry-sponsored
Drugs / interventionschemotherapy
Locations230 sites (Birmingham, Alabama and 229 other locations)
StatusRecruiting
StartedApril 9, 2026
Main results expectedSeptember 15, 2028
Study endsMarch 19, 2029
Registry record updatedOctober 30, 2026
Trial IDNCT07522073 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

  • Investigative Site US016
    Anchorage, Alaska, United States
    Recruiting
  • Investigative Site US026
    Chandler, Arizona, United States
    Recruiting
  • Investigative Site US051
    Duarte, California, United States
    Recruiting
  • Investigative Site US027
    Los Angeles, California, United States
    Recruiting
  • Investigative Site US036
    Los Angeles, California, United States
    Recruiting
  • Investigative Site US048
    Los Angeles, California, United States
    Recruiting
Show 44 more locations
  • Investigative Site US049
    Orange, California, United States
    Recruiting
  • Investigative Site US034
    San Francisco, California, United States
    Recruiting
  • Investigative Site US001
    Santa Monica, California, United States
    Recruiting
  • Investigative Site US071
    Denver, Colorado, United States
    Recruiting
  • Investigative Site US072
    Fort Myers, Florida, United States
    Recruiting
  • Investigative Site US075
    Miami, Florida, United States
    Recruiting
  • Investigative Site US074
    St. Petersburg, Florida, United States
    Recruiting
  • Investigative Site US073
    West Palm Beach, Florida, United States
    Recruiting
  • Investigative Site US023
    Atlanta, Georgia, United States
    Recruiting
  • Investigative Site US030
    Evanston, Illinois, United States
    Recruiting
  • Investigative Site US005
    Naperville, Illinois, United States
    Recruiting
  • Investigative Site US009
    Springfield, Illinois, United States
    Recruiting
  • Investigative Site US007
    New Orleans, Louisiana, United States
    Recruiting
  • Investigative Site US022
    Boston, Massachusetts, United States
    Recruiting
  • Investigative Site US010
    Detroit, Michigan, United States
    Recruiting
  • Investigative Site US078
    Grand Rapids, Michigan, United States
    Recruiting
  • Investigative Site US066
    Maple Grove, Minnesota, United States
    Recruiting
  • Investigative Site US077
    Hackensack, New Jersey, United States
    Recruiting
  • Investigative Site US017
    Morristown, New Jersey, United States
    Recruiting
  • Investigative Site US059
    Lake Success, New York, United States
    Recruiting
  • Investigative Site US031
    New York, New York, United States
    Recruiting
  • Investigative Site US003
    New York, New York, United States
    Recruiting
  • Investigative Site US041
    New York, New York, United States
    Recruiting
  • Investigative Site US029
    The Bronx, New York, United States
    Recruiting
  • Investigative Site US035
    Chapel Hill, North Carolina, United States
    Recruiting
  • Investigative Site US050
    Cleveland, Ohio, United States
    Recruiting
  • Investigative Site US020
    Cleveland, Ohio, United States
    Recruiting
  • Investigative Site US008
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Investigative Site US043
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Investigative Site US056
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • Investigative Site US055
    Sioux Falls, South Dakota, United States
    Recruiting
  • Investigative Site US039
    Nashville, Tennessee, United States
    Recruiting
  • Investigative Site US060
    Nashville, Tennessee, United States
    Recruiting
  • Investigative Site US070
    Nashville, Tennessee, United States
    Recruiting
  • Investigative Site US067
    Dallas, Texas, United States
    Recruiting
  • Investigative Site US062
    Denison, Texas, United States
    Recruiting
  • Investigative Site US011
    Houston, Texas, United States
    Recruiting
  • Investigative Site US063
    San Antonio, Texas, United States
    Recruiting
  • Investigative Site US053
    Salt Lake City, Utah, United States
    Recruiting
  • Investigative Site US065
    Fairfax, Virginia, United States
    Recruiting
  • Investigative Site US064
    Salem, Virginia, United States
    Recruiting
  • Investigative Site US081
    Olympia, Washington, United States
    Recruiting
  • Investigative Site US032
    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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • BA1203 in advanced solid tumors: safety and early signs of activity

    This early-phase trial tests BA1203 in adults with advanced solid tumors to see if it is safe, tolerable, how the drug behaves in the body, and whether it shows any early signs of effectiveness.

    Recruiting Phase 1 Shandong Boan Biotechnology Co., Ltd · Beijing · NCT07876609

  • BL-M08D treatment in melanoma and other solid tumors

    A phase Ib/II study tests BL-M08D1 injections in adults with locally advanced or metastatic melanoma and other solid tumors to see if it is safe and helpful.

    Recruiting Phase 1/2 Sichuan Baili Pharmaceutical Co., Ltd. · Beijing, Beijing Municipality · NCT07841925

  • REC-7735 for PIK3CA-H1047R-mutant solid tumors

    This study tests REC-7735 in people with unresectable, locally advanced, or metastatic solid tumors that carry the PIK3CA-H1047R mutation.

    Recruiting at 3 sites Phase 1/2 Recursion Pharmaceuticals Inc. · Grand Rapids, Michigan and 2 other locations · NCT07819136

  • Preferences of physicians and patients for cell therapies in advanced solid tumors

    This study tests how doctors and patients weigh the benefits, risks, and burdens of CAR-T, TIL, TCR-T, and NK cell therapies in advanced solid cancers.

    Recruiting Zhejiang University · Hangzhou, Zhejiang · NCT07813000

  • HP007 monotherapy for relapsed or advanced solid tumors

    This study tests HP007 as a standalone treatment in adults with hard-to-treat solid tumors to see if it is safe and tolerable and to look for early signs of activity.

    Recruiting Phase 1 Parr Biotechnology (Hebei) Co., Ltd. · Changchun, Jilin · NCT07800936

  • ONO-7429 in advanced or recurrent solid tumors

    This small early-phase study tests whether ONO-7429 is tolerable and safe in adults with unresectable advanced or recurrent solid tumors who have tried other treatments.

    Recruiting at 10 sites Phase 1 Ono Pharmaceutical Co., Ltd. · Kashiwa, Chiba and 9 other locations · NCT07787208

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.