ClinicalTrials.gg
RecruitingNCT07640295Updated Aug 27, 2026

Study of JAB-23E73 in Combination With Chemotherapy in Participants With Metastatic PDAC Harboring KRAS Gene Alterations

A Phase 1/2 interventional study of JAB-23E73 tablet,nab-paclitaxel,gemcitabine in Metastatic Pancreatic Ductal Adenocarcinoma, sponsored by Jacobio Pharmaceuticals Co., Ltd.. Recruiting at 13 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by Jacobio Pharmaceuticals Co., Ltd. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.

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Phase
Phase 1/2
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the safety and efficacy of pan KRAS inhibitor JAB-23E73 in combination with nab-paclitaxel and gemcitabine in participants with metastatic PDAC harboring KRAS gene alterations.

Read the detailed description

This is a phase Ib/III, multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK) and preliminary antineoplastic activity of pan-KRAS inhibitor JAB-23E73 in combination with nab-paclitaxel and gemcitabine in treatment-naive participants with metastatic PDAC.

Phase Ib study:an open-label study, including dose escalation and backfill cohorts, with approximately 40-80 participants planned to be enrolled (including approximately 20-50 participants in the backfill cohort),Aiming to determine the recommended phase III dose [RP3D] within investigated patient population groups.

Phase III: Following confirmation of the efficacy and safety of JAB-23E73 in combination with the AG regimen in Phase Ib, a Phase III trial will be initiated to evaluate the efficacy and safety of JAB-23E73 plus AG versus AG alone for the treatment of metastatic PDAC.

02

Conditions studied

  • Metastatic Pancreatic Ductal Adenocarcinoma

Keywords

  • KRAS
  • KRAS mutation
  • KRAS G12C, KRAS G12D, KRAS G12V, KRAS G12S, KRAS G12A,
  • Pan-KRAS
  • Pancreatic ductal adenocarcinoma
  • KRAS-mutant tumor
  • Targeted Therapy
  • JAB-23E73
03

In context

Lead sponsor

Jacobio Pharmaceuticals Co., Ltd. is the lead sponsor of 14 studies on the registry; 7 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

1.Written signed by the participant or the participant's legally authorized representative must be obtained prior to performing any study-related procedures. 2. or cytologically confirmed PDAC.

3. No prior systemic antitumor therapy for advanced disease (treatment-naïve). 4. Presence of KRAS gene alterations: be enrolled upon approval by the sponsor).

5. performance status score of 0 or 1. 6. Adequate organ function.

Exclusion criteria

Exclusion Criteria:

  1. Inability to swallow oral medications or the presence of gastrointestinal dysfunction or disease that may significantly alter drug absorption.
  2. A history of another within 2 years prior to the first dose, histologically distinct from the cancer under study, except for carcinoma in situ of the cervix, superficial non-invasive bladder cancer, or adequately treated stage I non-melanoma skin cancer.
  3. Prior treatment with KRAS G12C inhibitors, KRAS G12D inhibitors, pan-KRAS/pan RAS inhibitors, or other agents of the same class.
  4. Women who are pregnant or breast-feeding.
  5. Participants who have progressive disease or recurrence during or adjuvant treatment, or within 6 months after the last dose of medication.
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Dose escalation/backfill

    Drug: JAB-23E73 tablet,nab-paclitaxel,gemcitabine

Interventions

  • DrugJAB-23E73 tablet,nab-paclitaxel,gemcitabine

    Orally, intravenous (IV) infusion

06

What researchers measure

Primary outcomes

  1. Dose limiting toxicities (DLT)

    The number and proportion of participants who experienced dose-limiting toxicities (DLT).

    Time frame: Up to 28 days

  2. Adverse events.safety evaluation

    The types, incidence, severity, and outcomes of adverse events and serious adverse events evaluated using the Common Terminology Criteria for Adverse Events (CTCAE) version 6.0.

    Time frame: Up to approximately 3 years

Secondary outcomes

  1. ORR

    Objective response rate, ORR is defined as the proportion of participants with confirmed complete response or partial response

    Time frame: Up to approximately 3 years

  2. DOR

    Duration of response, DOR is defined as the time from the first documented CR or PR to the first occurrence of disease progression or death from any cause, whichever occurs first

    Time frame: Up to approximately 3 years

  3. TTR

    Time to Response, TTR is defined as the time from the first dose of study treatment to the first documented CR or PR.

    Time frame: Up to approximately 3 years

  4. PFS

    Progression-Free Survival , PFS is defined as the time from the first dose of study treatment to the first documented disease progression or death from any cause, whichever occurs first.

    Time frame: Up to approximately 3 years

  5. DCR

    Disease Control Rate, DCR is defined as the proportion of participants whose best overall response is CR, PR, or SD..

    Time frame: Up to approximately 3 years

  6. OS

    Overall Survival , OS is defined as the time from the first dose of study treatment to death from any cause.

    Time frame: Up to approximately 3 years

  7. PK

    maximum plasma concentration (Cmax)

    Time frame: Up to approximately 3 years

  8. PK

    area under the plasma concentration-time curve (AUC)

    Time frame: Up to approximately 3 years

  9. PK

    trough plasma concentration (Ctrough)

    Time frame: Up to approximately 3 years

07

Study locations

6 of 13 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2026 (actual). Primary completion is estimated for Dec 2029, 41 months after the start.

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

Registered
Jun 4, 2026
First posted
Jun 10, 2026
StartActual
Jul 16, 2026
Primary completionEst.
Dec 31, 2029
CompletionEst.
Dec 31, 2030
Last update
Aug 27, 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.
No changes since tracking began. The registry record was last updated on Aug 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07640295
Lead sponsor
Jacobio Pharmaceuticals Co., Ltd.
Responsible party
Sponsor
First posted
Jun 10, 2026
Start date
Jul 16, 2026
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Aug 27, 2026

Study contacts

Jacobio Pharmaceuticals
Contact
clinicaltrials@jacobiopharma.com
86 10 56315466
Jacobio Pharmaceuticals
study director · Jacobio Pharmaceuticals

Oversight

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

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