CClinicalTrials.gg
RecruitingNCT07522073DAWN-303Updated Sep 22, 2026

A Study to Evaluate Chemotherapy With or Without INCB161734 in Previously Untreated, KRAS G12D-Mutated Metastatic Pancreatic Ductal Adenocarcinoma

A Phase 3 interventional study of INCB161734 and Placebo in Solid Tumors, sponsored by Incyte Corporation. Recruiting at 228 sites in 22 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Incyte Corporation · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
588
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of standard chemotherapy with or without INCB161734 in participants with metastatic pancreatic ductal adenocarcinoma (PDAC).

02

Conditions studied

  • Solid Tumors

Keywords

  • INCB161734
  • KRASG12D Mutation
  • pancreatic ductal adenocarcinoma (PDAC)
  • KRAS G12D inhibitor
  • KRAS inhibitor
  • KRAS mutation
  • pancreatic cancer
  • metastatic pancreatic cancer
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

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.

04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
588 participants (estimated)

Study arms

  • Experimental
    INCB161734 plus chemotherapy

    INCB161734 at the protocol-defined dose with investigator's choice of chemotherapy (mFOLFIRINOX or GemNabP) in accordance with the protocol-defined requirements.

    Drug: INCB161734 · Drug: Investigator's choice of chemotherapy

  • Experimental
    Placebo plus chemotherapy

    Placebo at the protocol-defined dose with investigator's choice of chemotherapy (mFOLFIRINOX or GemNabP) in accordance with the protocol-defined requirements.

    Drug: Placebo · Drug: Investigator's choice of chemotherapy

Interventions

  • DrugINCB161734

    Oral; tablet

  • DrugPlacebo

    Oral; tablet

  • DrugInvestigator's choice of chemotherapy

    The investigator will select the chemotherapy in accordance with the protocol-defined requirements. The possible choices as defined by the protocol:

    Also known as: mFOLFIRINOX, GemNabP

05

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Defined as the time from the date of randomization to the date of death due to any cause.

    Time frame: Up to approximately 3 years

  2. Progression-free survival (PFS) by BICR

    Defined as the time from the date of randomization to the date of the first documented progression as determined by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or death due to any cause.

    Time frame: Up to approximately 2 years

  3. Objective Response by BICR

    Defined as complete response (CR) or partial response (PR) as determined by BICR per RECIST v1.1.

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. Duration of Response (DOR) by BICR

    Defined as the time from the earliest date of documented response until the earliest date of disease progression as determined by BICR per RECIST v1.1 or death from any cause.

    Time frame: Up to approximately 2 years

  2. Disease control by BICR

    Defined as having CR, PR, or stable disease (SD) as the best response determined by BICR per RECIST v1.1.

    Time frame: Up to approximately 2 years

  3. Progression-Free Survival (PFS) by investigator assessment

    Defined as the time from the date of randomization to the date of the first documented progression as determined by the investigator per RECIST v1.1 or death due to any cause.

    Time frame: Up to approximately 2 years

  4. Objective response by investigator assessment

    Defined as CR or PR as determined by the investigator per RECIST v1.1.

    Time frame: Up to approximately 2 years

  5. DOR by investigator assessment

    Defined as the time from the earliest date of documented response until earliest date of disease progression as determined by the investigator per RECIST v1.1 or death from any cause.

    Time frame: Up to approximately 2 years

  6. Disease control by investigator assessment

    Defined as having CR, PR, or SD as the best response as determined by the investigator per RECIST v1.1.

    Time frame: Up to approximately 2 years

  7. Treatment Emergent Adverse Events (TEAEs)

    Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug until 30 days after the last dose of study drug or the start of new anticancer therapy, whichever occurs first.

    Time frame: Up to approximately 2 years and 30 days

  8. TEAEs leading to dose interruptions, dose reductions or discontinuation of study treatment

    TEAEs leading to dose interruptions, dose reductions or discontinuation of study treatment.

    Time frame: Up to approximately 2 years and 30 days

  9. Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-Core 30 (C30) at each postbaseline visit

    The EORTC QLQ-C30 is a validated, self-administered questionnaire developed to assess the quality of life in cancer patients. It consists of 30 questions divided into several subscales, including 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, nausea and vomiting, and pain), a global health status/QoL scale, and a number of single-item measures that assess additional symptoms such as dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties.

    Time frame: Up to approximately 2 years

  10. Change from baseline in EORTC QLQ-PAN26 score at each postbaseline visit

    The EORTC QLQ-PAN26 consists of 26 questions that assess 9 pancreatic cancer-related and treatment-related symptoms (pain, eating-related items, cachexia, hepatic symptoms, side effects, altered bowel habits, ascites, indigestion, and flatulence) and 5 emotional domains specific to pancreatic cancer (body image, healthcare satisfaction, sexuality, fear of future health, and ability to plan for the future). The QLQ-PAN26 is scored on a 4-point scale that ranges from not at all to very much.

    Time frame: Up to approximately 2 years

  11. Change from baseline in EQ-5D-5L score at each postbaseline visit

    The EQ-5D-5L is a validated, self-reported instrument for assessing HRQoL across 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 response levels of severity, ranging from no problems to extreme problems. The questionnaire also includes a visual analog scale for self-rated overall health on a scale from 0 (worst imaginable health) to 100 (best imaginable health).

    Time frame: Up to approximately 2 years

06

Study locations

60 of 228 sites recruiting
  • Investigative Site US058
    Birmingham, Alabama 35233, United States
    Not yet recruiting
  • Investigative Site US016
    Anchorage, Alaska 99508, United States
    Recruiting
  • Investigative Site US026
    Chandler, Arizona 85224, United States
    Recruiting
  • Investigative Site US045
    Tucson, Arizona 85719, United States
    Not yet recruiting
  • Investigative Site US051
    Duarte, California 91010, United States
    Not yet recruiting
  • Investigative Site US085
    Fullerton, California 92835, United States
    Not yet recruiting
  • Investigative Site US054
    La Jolla, California 92093, United States
    Not yet recruiting
  • Investigative Site US086
    Long Beach, California 90806-1650, United States
    Not yet recruiting
  • Investigative Site US027
    Los Angeles, California 90027, United States
    Recruiting
  • Investigative Site US036
    Los Angeles, California 90089, United States
    Recruiting
  • Investigative Site US048
    Los Angeles, California 91204-3640, United States
    Recruiting
  • Investigative Site US049
    Orange, California 92868, United States
    Not yet recruiting
  • Investigative Site US034
    San Francisco, California 94143, United States
    Not yet recruiting
  • Investigative Site US001
    Santa Monica, California 90404, United States
    Recruiting
  • Investigative Site US071
    Denver, Colorado 80218, United States
    Recruiting
  • Investigative Site US013
    Washington D.C., District of Columbia 20007, United States
    Not yet recruiting
  • Investigative Site US046
    Washington D.C., District of Columbia 20016, United States
    Not yet recruiting
  • Investigative Site US072
    Fort Myers, Florida 33901, United States
    Recruiting
  • Investigative Site US083
    Jacksonville, Florida 32207, United States
    Not yet recruiting
  • Investigative Site US075
    Miami, Florida 33136, United States
    Recruiting
  • Investigative Site US074
    St. Petersburg, Florida 33701-4553, United States
    Recruiting
  • Investigative Site US073
    West Palm Beach, Florida 33401, United States
    Recruiting
  • Investigative Site US023
    Atlanta, Georgia 30322, United States
    Not yet recruiting
  • Investigative Site US079
    Chicago, Illinois 60637, United States
    Not yet recruiting
  • Investigative Site US030
    Evanston, Illinois 60201, United States
    Not yet recruiting
  • Investigative Site US005
    Naperville, Illinois 60540, United States
    Recruiting
  • Investigative Site US009
    Springfield, Illinois 62702, United States
    Recruiting
  • Investigative Site US021
    Indianapolis, Indiana 46250, United States
    Not yet recruiting
  • Investigative Site US007
    New Orleans, Louisiana 70121, United States
    Not yet recruiting
  • Investigative Site US022
    Boston, Massachusetts 02215, United States
    Recruiting
  • Investigative Site US006
    Ann Arbor, Michigan 48109, United States
    Not yet recruiting
  • Investigative Site US010
    Detroit, Michigan 48201, United States
    Recruiting
  • Investigative Site US078
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • Investigative Site US012
    Ypsilanti, Michigan 48197, United States
    Not yet recruiting
  • Investigative Site US066
    Maple Grove, Minnesota 55369, United States
    Recruiting
  • Investigative Site US047
    Hattiesburg, Mississippi 39401, United States
    Not yet recruiting
  • Investigative Site US084
    Reno, Nevada 89502, United States
    Not yet recruiting
  • Investigative Site US077
    Hackensack, New Jersey 07601, United States
    Recruiting
  • Investigative Site US017
    Morristown, New Jersey 07960, United States
    Recruiting
  • Investigative Site US059
    Lake Success, New York 11042, United States
    Recruiting
  • Investigative Site US031
    New York, New York 10016, United States
    Recruiting
  • Investigative Site US003
    New York, New York 10065, United States
    Recruiting
  • Investigative Site US041
    New York, New York 10128, United States
    Recruiting
  • Investigative Site US029
    The Bronx, New York 10461, United States
    Recruiting
  • Investigative Site US035
    Chapel Hill, North Carolina 27514, United States
    Recruiting
  • Investigative Site US050
    Cleveland, Ohio 44106, United States
    Recruiting
  • Investigative Site US020
    Cleveland, Ohio 44195, United States
    Recruiting
  • Investigative Site US033
    Columbus, Ohio 43210, United States
    Not yet recruiting
  • Investigative Site US042
    Portland, Oregon 97239, United States
    Not yet recruiting
  • Investigative Site US008
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Investigative Site US043
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Investigative Site US056
    Pittsburgh, Pennsylvania 15212, United States
    Not yet recruiting
  • Investigative Site US082
    Charleston, South Carolina 29425, United States
    Not yet recruiting
  • Investigative Site US055
    Sioux Falls, South Dakota 57105-2140, United States
    Recruiting
  • Investigative Site US039
    Nashville, Tennessee 37203, United States
    Not yet recruiting
  • Investigative Site US060
    Nashville, Tennessee 37203, United States
    Recruiting
  • Investigative Site US070
    Nashville, Tennessee 37232-6309, United States
    Not yet recruiting
  • Investigative Site US067
    Dallas, Texas 75246, United States
    Recruiting
  • Investigative Site US062
    Denison, Texas 75020, United States
    Recruiting
  • Investigative Site US011
    Houston, Texas 77030, United States
    Recruiting
  • Investigative Site US080
    San Antonio, Texas 78229, United States
    Not yet recruiting
  • Investigative Site US063
    San Antonio, Texas 78240, United States
    Recruiting
  • Investigative Site US053
    Salt Lake City, Utah 84112, United States
    Recruiting
  • Investigative Site US057
    Fairfax, Virginia 22031, United States
    Not yet recruiting
  • Investigative Site US065
    Fairfax, Virginia 22031, United States
    Recruiting
  • Investigative Site US064
    Salem, Virginia 24153, United States
    Recruiting
  • Investigative Site US081
    Olympia, Washington 98506, United States
    Recruiting
  • Investigative Site US032
    Seattle, Washington 98104, United States
    Not yet recruiting
  • Investigative Site US044
    Madison, Wisconsin 53792, United States
    Recruiting
  • Investigative Site AU011
    Macquarie Park, New South Wales 02109, Australia
    Not yet recruiting
  • Investigative Site AU010
    Chermside, Queensland 04032, Australia
    Not yet recruiting
  • Investigative Site AU009
    Townsville, Queensland 04814, Australia
    Recruiting
  • Investigative Site AU006
    Woodville South, South Australia 05011, Australia
    Not yet recruiting
  • Investigative Site AU004
    Melbourne, Victoria 03000, Australia
    Recruiting
  • Investigative Site AU001
    Melbourne, Victoria 03004, Australia
    Recruiting
  • Investigative Site AU005
    Richmond, Victoria 03121, Australia
    Recruiting
  • Investigative Site AU002
    Canberra, 02605, Australia
    Not yet recruiting
  • Investigative Site AU008
    Perth, 06009, Australia
    Recruiting
  • Investigative Site AT002
    Innsbruck, 06020, Austria
    Not yet recruiting
  • Investigative Site AT004
    Linz, 04010, Austria
    Not yet recruiting
  • Investigative Site AT003
    Salzburg, 05020, Austria
    Not yet recruiting
  • Investigative Site BE008
    Anderlecht, 01070, Belgium
    Not yet recruiting
  • Investigative Site BE003
    Brussels, 01090, Belgium
    Not yet recruiting
  • Investigative Site BE009
    Brussels, 01200, Belgium
    Not yet recruiting
  • Investigative Site BE001
    Edegem, 02650, Belgium
    Recruiting
  • Investigative Site BE005
    Ghent, 09000, Belgium
    Recruiting
  • Investigative Site BE007
    Gilly, 06060, Belgium
    Not yet recruiting
  • Investigative Site BE004
    Leuven, 03000, Belgium
    Not yet recruiting
  • Investigative Site BE006
    Liège, 04000, Belgium
    Not yet recruiting
  • Investigative Site BE002
    Yvoir, 05530, Belgium
    Not yet recruiting
  • Investigative Site CA007
    Hamilton, Ontario L8V5C2, Canada
    Not yet recruiting
  • Investigative Site CA008
    Kingston, Ontario K7L 5P9, Canada
    Not yet recruiting
  • Investigative Site CA001
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • Investigative Site CA006
    Montreal, Quebec H4A 3J1, Canada
    Not yet recruiting
  • Investigative Site CA004
    Québec, Quebec G1J 1Z4, Canada
    Not yet recruiting
  • Investigative Site DK006
    Aalborg, 09000, Denmark
    Not yet recruiting
  • Investigative Site DK005
    Århus N, 08200, Denmark
    Not yet recruiting
  • Investigative Site DK001
    Herlev, 02730, Denmark
    Not yet recruiting
  • Investigative Site DK003
    Køge, 04600, Denmark
    Not yet recruiting
  • Investigative Site DK004
    Odense C, 05000, Denmark
    Not yet recruiting

Showing the first 100 of 228 sites across 22 countries.

07

References and documents

Individual participant data

Plan to share: Yes — Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency

Supporting information: Study protocol, Sap

08

Registry details

Key details

Study ID
NCT07522073
Lead sponsor
Incyte Corporation
Collaborators
Qiagen Manchester Ltd
Responsible party
Sponsor
First posted
Apr 13, 2026
Start date
Apr 9, 2026
Primary completion
Sep 15, 2028 (estimated)
Completion
Mar 19, 2029 (estimated)
Last update
Sep 22, 2026

Study contacts

Incyte Corporation Call Center (US)
Contact
medinfo@incyte.com
1.855.463.3463
Incyte Corporation Call Center (ex-US)
Contact
eumedinfo@incyte.com
+800 00027423
Incyte Medical Monitor
study director · Incyte Corporation

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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