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NCT Number: NCT07522073

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

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).

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Investigative Site AU007, Liverpool, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

INCB161734

Drug

Oral; tablet

Placebo

Drug

Oral; tablet

Investigator's choice of chemotherapy

Drug

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

Other names: mFOLFIRINOX, GemNabP

Primary outcomes

  1. Overall Survival (OS)

    Time frame: Up to approximately 3 years

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

  2. Progression-free survival (PFS) by BICR

    Time frame: Up to approximately 2 years

    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.

  3. Objective Response by BICR

    Time frame: Up to approximately 2 years

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

Secondary outcomes

  1. Duration of Response (DOR) by BICR

    Time frame: Up to approximately 2 years

    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.

  2. Disease control by BICR

    Time frame: Up to approximately 2 years

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

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

    Time frame: Up to approximately 2 years

    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.

  4. Objective response by investigator assessment

    Time frame: Up to approximately 2 years

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

  5. DOR by investigator assessment

    Time frame: Up to approximately 2 years

    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.

  6. Disease control by investigator assessment

    Time frame: Up to approximately 2 years

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

  7. Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to approximately 2 years and 30 days

    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.

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

    Time frame: Up to approximately 2 years and 30 days

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

  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

    Time frame: Up to approximately 2 years

    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.

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

    Time frame: Up to approximately 2 years

    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.

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

    Time frame: Up to approximately 2 years

    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).

Study contacts

Contact information is provided by the study sponsor or research team.

Incyte Corporation Call Center (US)

CONTACT

[email protected]

1.855.463.3463

Incyte Corporation Call Center (ex-US)

CONTACT

[email protected]

+800 00027423

Sponsors and collaborators

Lead sponsor

Incyte Corporation

Industry

Collaborators

  • Qiagen Manchester Ltd

Registry information

Official study 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)

Acronym: DAWN-303

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Apr 13, 2026
Registry last updated
Jul 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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