ClinicalTrials.gg
RecruitingNCT07562152MAPKeeper 301Updated Nov 6, 2026

Atebimetinib + GnP as a First Line Treatment in Patients With Metastatic Pancreatic Adenocarcinoma

A Phase 3 interventional study of Atebimetinib and GnP in Pancreatic Cancer, Pancreatic Cancer Metastatic and PDAC, sponsored by Immuneering Corporation. Recruiting at 76 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

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

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Updated Nov 6, 2026First sites in 6 new countriesEnrollment updated+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
570
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of atebimetinib in combination with modified GnP compared with SOC GnP alone.

Read the detailed description

This is a global, randomized, open-label, Phase 3 study designed to evaluate whether treatment with atebimetinib plus a modified schedule of gemcitabine and nab-paclitaxel will improve overall survival compared with standard gemcitabine and nab-paclitaxel when given as first-line treatment in patients with metastatic pancreatic adenocarcinoma.

Patients will be randomized to one of two arms: Arm A with atebimetinib + gemcitabine and nab-paclitaxel (modified dosing schedule) or Arm B with gemcitabine and nab-paclitaxel.

02

Conditions studied

  • Pancreatic Cancer
  • Pancreatic Cancer Metastatic
  • PDAC
  • PDAC - Pancreatic Ductal Adenocarcinoma
  • Pancreatic Ductal Adenocarcinoma
  • Pancreatic Adenocarcinoma Metastatic
  • Pancreatic Ductal Adenocarcinoma (PDAC)
  • Pancreatic Adenocarcinoma

Keywords

  • mitogen-activated protein kinase (MAPK)
  • MAPK
  • MEK
  • metastatic cancer
  • gemcitabine
  • nab-paclitaxel
  • nab-p
  • atebimetinib
  • KRAS
  • pan-RAS
03

In context

Pancreatic Neoplasms

3,896 studies on the registry are indexed under Pancreatic Neoplasms; 1,007 are open to participants now.

This study's planned enrollment of 570 is above the median of 47 across 2,932 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Immuneering Corporation is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Must be ≥18 years of age
  • Must have confirmed diagnosis according to AJCC staging as follows:

    • pancreatic adenocarcinoma within 12 weeks prior to screening
  • (ECOG) performance status of 0 or 1
  • Participants must be treatment naive as follows:

    • PDAC participants will have received no previous systemic anti-cancer therapy
  • Must have evidence of (at least one target lesion) per v1.1 criteria
  • Adequate organ function, hepatic function, coagulation studies and protocol determined clinical laboratory values

Exclusion criteria

Exclusion Criteria:

  • Inability to swallow oral medications
  • Participant has squamous, adenosquamous, neuroendocrine (carcinoid, islet cell) or acinar pancreatic carcinoma
  • Participants with only locally advanced disease
  • Symptomatic, untreated, or actively progressing known central nervous system (CNS)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
570 participants (estimated)

Study arms

  • Experimental
    Atebimetinib + mGnP

    Atebimetinib in combination with modified gemcitabine and nab-paclitaxel for first line pancreatic adenocarcinoma

    Drug: Atebimetinib · Drug: mGnP

  • Active comparator
    GnP

    Standard of care gemcitabine and nab-paclitaxel for first line pancreatic adenocarcinoma

    Drug: GnP

Interventions

  • DrugAtebimetinib

    Once daily oral tablets

  • DrugGnP

    Drug pages: Gemcitabine · Albumin-Bound Paclitaxel

    Standard of care regimen for intravenous infusions of gemcitabine and nab-paclitaxel weekly for three weeks followed by one week without an infusion

  • DrugmGnP

    Biweekly intravenous infusions of chemotherapy (gemcitabine and nab-paclitaxel)

06

What researchers measure

Primary outcomes

  1. Overall Survival

    The OS of participants with atebimetinib in combination with mGnP versus GnP

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. Progression Free Survival (PFS)

    The PFS of participants with atebimetinib in combination with mGnP versus GnP

    Time frame: Up to approximately 2 years

  2. Overall Response Rate (ORR)

    The ORR of participants with atebimetinib in combination with mGnP versus GnP

    Time frame: Up to approximately 2 years

  3. Disease Control Rate (DCR)

    The DCR in participants with atebimetinib in combination with mGnP versus GnP

    Time frame: Up to approximately 2 years

  4. Incidence of Adverse Events (AEs)

    The safety and tolerability of atebimetinib in combination with mGnP versus GnP assessed by percentage of participants with AEs based on Common Terminology Criteria for Adverse Events (CTCAE) v6

    Time frame: Up to approximately 2 years

  5. Quality of Life (QOL) with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)

    EORTC QLQ-C30 is a 30-item cancer-specific instrument consisting of 5 functional scales (physical, role, cognitive, emotional, and social), 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnea, appetite loss, insomnia, constipation/diarrhea, and financial difficulties), and an overall scale for global health status. Change from baseline in EORTC QLQ-C30 global health status will be assessed, with higher scores reflecting better functioning.

    Time frame: Up to approximately 2 years

07

Study locations

76 of 76 sites recruiting
08

Timeline

9 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for Jun 2028, 24 months after the start.

Of 84 phase 3 interventional studies under Pancreatic Neoplasms, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 36 and three quarters within 77. This study's planned 24 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 20, 2026
First posted
May 1, 2026
StartActual
Jun 5, 2026
Primary completionEst.
Jun 2028
CompletionEst.
Feb 2029
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
30 sites added, 2 sites removed — first sites in United Kingdom, Germany, Hungary, Romania, Poland and 1 more
All 6 countries

United Kingdom, Germany, Hungary, Romania, Poland, Spain

Show 30 added (8 United States, 5 United Kingdom, 5 Hungary, 3 Australia, 2 Germany, 2 Romania, 2 Poland, 2 Spain, 1 Georgia)
  • Oregon Health and Science University · Portland, United States
  • Nepean Cancer Care Centre · Kingswood, Australia
  • Imperial College Healthcare NHS · London, United Kingdom
  • Miami Cancer Institute · Miami, United States
  • Astera Cancer Care · East Brunswick, United States
  • Prisma Health · Greenville, United States
  • Fiona Stanley Hospital · Murdoch, Australia
  • Institute of Clinical Oncology · Tbilisi, Georgia
  • The Christie NHS Foundation · Manchester, United Kingdom
  • University of Cincinnati Cancer Center · Cincinnati, United States
  • SLK-Kliniken Heilbronn GMBH · Heilbronn, Germany
  • University College London Hospitals · London, United Kingdom
  • University of Nebraska Medical Center · Omaha, United States
  • Pankreasz Betegsegek Intezete, SEMMELWEIS UNIVERSITY · Budapest, Hungary
  • University of Debrecen · Debrecen, Hungary
  • SC Sigmedical S.R.L · Suceava, Romania
  • Virginia Mason Medical Center · Seattle, United States
  • One Clinical Research · Nedlands, Australia
  • Pankreasz Betegsegek Intezete, Semmelweis University · Budapest, Hungary
  • Orszagos Onkologiai Intezet · Budapest, Hungary
  • Pratia Poznan · Poznan, Poland
  • FutureMeds SRL - Galati · Galati, Romania
  • Clinica Universidad de Navarra · Pamplona, Spain
  • University Hospitals Coventry and Warwickshire NHS Trust · Coventry, United Kingdom
  • Miami Cancer Institute · Miami, United States
  • Instituto de Investigacion Sanitaria de Aragon (IIS-A) · Zaragoza, Spain
  • Elblandklinikum Riesa · Riesa, Germany
  • BKVMK · Budapest, Hungary
  • Pratia S.A. · Wroclaw, Poland
  • Scri Uk, Ltd · London, United Kingdom
Show 2 removed
  • Miami Cancer Institute · Miami, United States
  • Pankreasz Betegsegek Intezete, SEMMELWEIS UNIVERSITY · Budapest, Hungary
across 8 updates, Sep 25, 2026 – Nov 6, 2026
Enrollment
510→570
Nov 2, 2026
Site contacts
Changed at 10 sites. See the sites
Show 10 sites
  • Caucasus Medical Centre · Tbilisi, GeorgiaContact none listed→n•••@gmail.com
  • LTD "Multiprofile Clinic Consilium Medulla" · Tbilisi, GeorgiaContact none listed→t•••@gmail.com
  • Clearview Cancer Institute · Huntsville, United StatesContact none listed→l•••@ccihsv.com
  • University of California San Diego · San Diego, United StatesContact none listed→C•••@health.ucsd.edu
  • Astera Cancer Care · East Brunswick, United StatesContact none listed→c•••@asterahealthcare.org
  • Prisma Health · Greenville, United StatesContact none listed→k•••@prismahealth.org
  • SLK-Kliniken Heilbronn GMBH · Heilbronn, GermanyContact none listed→j•••@slk-kliniken.ed
  • University Hospitals Coventry and Warwickshire NHS Trust · Coventry, United KingdomContact none listed→r•••@uhcw.nhs.uk
  • Imperial College Healthcare NHS · London, United KingdomContact none listed→m•••@nhs.net
  • The Christie NHS Foundation · Manchester, United KingdomContact none listed→j•••@nhs.net
across 3 updates, Sep 25, 2026 – Nov 6, 2026
Show all 9 updates
  1. Nov 6, 2026
    4 sites added
    Show 4 added (1 Germany, 1 Hungary, 1 Poland, 1 United Kingdom)
    • Elblandklinikum Riesa · Riesa, Germany
    • BKVMK · Budapest, Hungary
    • Pratia S.A. · Wroclaw, Poland
    • Scri Uk, Ltd · London, United Kingdom
    Site contacts Changed at 4 sites. See the sites
    Show 4 sites
    • SLK-Kliniken Heilbronn GMBH · Heilbronn, GermanyContact none listed→j•••@slk-kliniken.ed
    • University Hospitals Coventry and Warwickshire NHS Trust · Coventry, United KingdomContact none listed→r•••@uhcw.nhs.uk
    • Imperial College Healthcare NHS · London, United KingdomContact none listed→m•••@nhs.net
    • The Christie NHS Foundation · Manchester, United KingdomContact none listed→j•••@nhs.net
    + 1 other change: verification date
  2. Nov 2, 2026
    Enrollment 510→570
  3. Oct 30, 2026
    2 sites added
    Show 2 added (1 United States, 1 Spain)
    • Miami Cancer Institute · Miami, United States
    • Instituto de Investigacion Sanitaria de Aragon (IIS-A) · Zaragoza, Spain
  4. Oct 23, 2026
    8 sites added, 1 site removed — first sites in Poland and Spain
    Show 8 added (2 Hungary, 1 United States, 1 Australia, 1 Poland, 1 Romania, 1 Spain, 1 United Kingdom)
    • Virginia Mason Medical Center · Seattle, United States
    • One Clinical Research · Nedlands, Australia
    • Pankreasz Betegsegek Intezete, Semmelweis University · Budapest, Hungary
    • Orszagos Onkologiai Intezet · Budapest, Hungary
    • Pratia Poznan · Poznan, Poland
    • FutureMeds SRL - Galati · Galati, Romania
    • Clinica Universidad de Navarra · Pamplona, Spain
    • University Hospitals Coventry and Warwickshire NHS Trust · Coventry, United Kingdom
    Show 1 removed
    • Pankreasz Betegsegek Intezete, SEMMELWEIS UNIVERSITY · Budapest, Hungary
  5. Oct 16, 2026
    4 sites added — first sites in Hungary and Romania
    Show 4 added (2 Hungary, 1 United States, 1 Romania)
    • University of Nebraska Medical Center · Omaha, United States
    • Pankreasz Betegsegek Intezete, SEMMELWEIS UNIVERSITY · Budapest, Hungary
    • University of Debrecen · Debrecen, Hungary
    • SC Sigmedical S.R.L · Suceava, Romania
    Site contacts Changed at 4 sites. See the sites
    Show 4 sites
    • Clearview Cancer Institute · Huntsville, United StatesContact none listed→l•••@ccihsv.com
    • University of California San Diego · San Diego, United StatesContact none listed→C•••@health.ucsd.edu
    • Astera Cancer Care · East Brunswick, United StatesContact none listed→c•••@asterahealthcare.org
    • Prisma Health · Greenville, United StatesContact none listed→k•••@prismahealth.org
  6. Oct 9, 2026
    2 sites added — first site in Germany
    Show 2 added (1 Germany, 1 United Kingdom)
    • SLK-Kliniken Heilbronn GMBH · Heilbronn, Germany
    • University College London Hospitals · London, United Kingdom
  7. Oct 5, 2026
    1 site added, 1 site removed
    Show site
    • University of Cincinnati Cancer Center · Cincinnati, United States
    Show 1 removed
    • Miami Cancer Institute · Miami, United States
  8. Oct 2, 2026
    6 sites added
    Show 6 added (3 United States, 1 Australia, 1 Georgia, 1 United Kingdom)
    • Miami Cancer Institute · Miami, United States
    • Astera Cancer Care · East Brunswick, United States
    • Prisma Health · Greenville, United States
    • Fiona Stanley Hospital · Murdoch, Australia
    • Institute of Clinical Oncology · Tbilisi, Georgia
    • The Christie NHS Foundation · Manchester, United Kingdom
    + 1 other change: verification date
  9. Sep 25, 2026
    3 sites added — first site in United Kingdom
    Show 3 added (1 United States, 1 Australia, 1 United Kingdom)
    • Oregon Health and Science University · Portland, United States
    • Nepean Cancer Care Centre · Kingswood, Australia
    • Imperial College Healthcare NHS · London, United Kingdom
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Caucasus Medical Centre · Tbilisi, GeorgiaContact none listed→n•••@gmail.com
    • LTD "Multiprofile Clinic Consilium Medulla" · Tbilisi, GeorgiaContact none listed→t•••@gmail.com

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07562152
Lead sponsor
Immuneering Corporation
Responsible party
Sponsor
First posted
May 1, 2026
Start date
Jun 5, 2026
Primary completion
Jun 2028 (estimated)
Completion
Feb 2029 (estimated)
Last update
Nov 6, 2026

Study contacts

Immuneering Study Team
Contact
clinicaltrials@immuneering.com
860-321-1302

Oversight

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

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