Pancreatic CancerPhase 3MAPKeeper 301NCT07562152
Atebimetinib + GnP as a First Line Treatment in Patients With Metastatic Pancreatic Adenocarcinoma
A Phase 3 study testing Atebimetinib, GnP and mGnP in people with Pancreatic Cancer and Pancreatic Cancer Metastatic, run by Immuneering Corporation at 76 sites in 9 countries.
Trial 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 more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreatic Cancer, Pancreatic Cancer Metastatic, PDAC
- What is being tested?
- Atebimetinib, GnP and mGnP
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 570 participants
- Where
- 76 sitesin 9 countries
- Study dates
- 5 Jun 2026to Feb 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must be ≥18 years of age
- Must have confirmed diagnosis according to AJCC staging as follows:
- Metastatic pancreatic adenocarcinoma within 12 weeks prior to screening
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Participants must be treatment naive as follows:
- First-line PDAC participants will have received no previous systemic anti-cancer therapy
- Must have evidence of measurable disease (at least one target lesion) per RECIST v1.1 criteria
- Adequate organ function, hepatic function, coagulation studies and protocol determined clinical laboratory values
Who cannot join
- 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) metastases
Trial locations and contacts
76 sites in 9 countries. Contact the study team or a site near you to ask about taking part.
76 sites in 9 countries
United States47 sites, 47 recruiting
- Recruiting
Texas Oncology - West Texas
Abilene, Texas, 79606
Michole Logan, michole.logan@usoncology.com
- Recruiting
Illinois Cancer Specialists
Arlington Heights, Illinois, 60005
Study Team, aearles@illinoiscancercare.com
- Recruiting
Piedmont Cancer Institute
Atlanta, Georgia, 30318
Katie Adams, KAdams@piedmontcancerinstitute.com
- Recruiting
Piedmont Healthcare
Atlanta, Georgia, 30318
Study Team, ORRTeam@piedmont.org
- Recruiting
Texas Oncology - Austin
Austin, Texas, 78705
Marian Heaven, marian.heaven@usoncology.com
- Recruiting
Regional Cancer Care
Belleville, New Jersey, 07109
Denise Johnstone, denise.johnstone@regionalcancercare.org
- Recruiting
Blue Ridge Cancer Care
Blacksburg, Virginia, 24060
Natasha Holt, natasha.holt@usoncology.com
- Recruiting
City of Hope
Chicago, Illinois, 60099
Jalene Tangen, jtangen@coh.org
- Recruiting
University of Cincinnati Cancer Center
Cincinnati, Ohio, 45219
Study Team, cancer@UChealth.com
- Recruiting
Maryland Oncology
Columbia, Maryland, 21044
Corilynn Hughes, corilynn.hughes@usoncology.com
- Recruiting
Missouri Cancer Associates
Columbia, Missouri, 65201
Crystal Johnson, crystal.johnson@usoncology.com
- Recruiting
City of Hope
Duarte, California, 91010
Jalene Tangen, jtangen@coh.org
- Recruiting
Astera Cancer Care
East Brunswick, New Jersey, 08816
Study Team, clinical.trial@asterahealthcare.org
- Recruiting
Willamette Valley Cancer Institute
Eugene, Oregon, 97401
Jeanne Schaffer, jeanne.schaffer@usoncology.com
- Recruiting
Virginia Cancer Specialists
Fairfax, Virginia, 22031
Study Team, VCSResearchReferrals@usoncology.com
- Recruiting
University of Kansas Cancer Center
Fairway, Kansas, 66205
Study Team, CTNurseNav@kumc.edu
- Recruiting
Poudre Valley Health Care, Inc
Fort Collins, Colorado, 80528
Study Team, OncResearch.North@uchealth.org
- Recruiting
West Cancer Center
Germantown, Tennessee, 38138
Robin Patterson, rpatterson@westclinic.com
- Recruiting
Prisma Health
Greenville, South Carolina, 29605
Kim Williams, kim.williams3@prismahealth.org
- Recruiting
Clearview Cancer Institute
Huntsville, Alabama, 35805
Lisa Chapuran, lchapuran@ccihsv.com
- Recruiting
Comprehensive Cancer Centers
Las Vegas, Nevada, 89169
Lindsay Kondo, lindsay.kondo@usoncology.com
- Recruiting
Rocky Mountain Cancer Centers
Lone Tree, Colorado, 80124
Jennifer Hege, jennifer.hege@usoncology.com
- Recruiting
University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, 53792
Study Team, cancerconnect@uwhealth.org
- Recruiting
Taylor Cancer Research Center
Maumee, Ohio, 43537
Stephanie Ambrose, sambrose@tcrcpt.org
- Recruiting
Miami Cancer Institute
Miami, Florida, 33176
Study Team
- Recruiting
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Study Team, SCRI.ResearchReferrals@scresearch.net
- Recruiting
Tennessee Oncology
Nashville, Tennessee, 37203
Catt Pecknold, cpecknold@tnonc.com
- Recruiting
NYU Langone Health
New York, New York, 10016
Study Team, ct.gov@nyulangone.org
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Eileen O'Reilly, MD
- Recruiting
Medical Oncology Hematology Consultants
Newark, Delaware, 19713
Elizabeth MacWade, elizabeth.macwade@usoncology.com
- Recruiting
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Mahdi Hassan, mhassan@unmc.edu
- Recruiting
OSF Medical Center
Peoria, Illinois, 61603
Peyton Swearingen, peyton.o.swearingen@osfhealthcare.org
- Recruiting
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Study Team, OncTrialNow@Jefferson.edu
- Recruiting
City of Hope
Phoenix, Arizona, 85338
Study Team, phxresearch@coh.org
- Recruiting
FirstHealth of the Carolinas
Pinehurst, North Carolina, 28374
Heather Martin, hmartin@firsthealth.org
- Recruiting
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, 34952
Christine Gerdes, cgerdes@hemoncfl.com
- Recruiting
Oregon Health and Science University
Portland, Oregon, 97201
Study Team, trials@ohsu.edu
- Recruiting
Texas Oncology - San Antonio
San Antonio, Texas, 78240
Shannon Syring, shannon.syring@usoncology.com
- Recruiting
University of California San Diego
San Diego, California, 92037
Study Team, CancerCTO@health.ucsd.edu
- Recruiting
Florida Cancer Specialists - South
Sarasota, Florida, 34239
Study Team, clinicaltrials@flcancer.com
- Recruiting
Virginia Mason Medical Center
Seattle, Washington, 98101
Study Team, crp@benaroyaresearch.org
- Recruiting
University of Washington Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Study Team, GIResearch@fredhutch.org
- Recruiting
Avera Cancer Institute Research
Sioux Falls, South Dakota, 57105
Study Coordinator, MedOncResearch@avera.org
- Recruiting
Florida Cancer Specialists - North
St. Petersburg, Florida, 33701
Study Team, clinicaltrials@flcancer.com
- Recruiting
Northwest Cancer Specialists
Vancouver, Washington, 98684
Susan Papenfuse, susan.papenfuse@usoncology.com
- Recruiting
Texas Oncology Gulf Coast
Webster, Texas, 77598
Tara Gray, tara.gray@usoncology.com
- Recruiting
Florida Cancer Specialists - East
West Palm Beach, Florida, 33401
Study Team, clinicaltrials@flcancer.com
Australia9 sites, 9 recruiting
- Recruiting
Cancer Research South Australia
Adelaide, South Australia, 5000
Vineet Kwatra, MD, vkwatra@crsa.au
- Recruiting
Icon Cancer Centre - Chermside
Chermside, Queensland, 4032
Jesse Peet, +61 07 3737 4539, researchchermside@icon.team
- Recruiting
Bayside Health
Frankston East, Victoria, 3199
Sally Heath, sallyheath@phcn.vic.gov.au
- Recruiting
Nepean Cancer Care Centre
Kingswood, New South Wales, 2747
Study Team
- Recruiting
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Study Team
- Recruiting
One Clinical Research
Nedlands, Western Australia, 6009
Study Team
- Recruiting
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Kerrie Cornall, +61 04 0144 3282, kerrie.cornall@health.nsw.gov.au
- Recruiting
Genesiscare
Waratah, New South Wales, 2298
Kim Bloomfield, +61 02 4632 5500, kim.bloomfield@genesicare.com.au
- Recruiting
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Ann-Marie Forsyth, ann-marie.forsyth@healthqld.gov.au
United Kingdom5 sites, 5 recruiting
- Recruiting
University Hospitals Coventry and Warwickshire NHS Trust
Coventry, COV, CV2 2DX
Study Team, research.enquiries@uhcw.nhs.uk
- Recruiting
University College London Hospitals
London, LND, NW1 2BU
Study Team
- Recruiting
Imperial College Healthcare NHS
London, LND, W12 0HS
Michela Cicchetti, michela.cicchetti@nhs.net
- Recruiting
Scri Uk, Ltd
London, LND, W1G 6AF
Study Team
- Recruiting
The Christie NHS Foundation
Manchester, MAN, M20 4BX
Jessica Jones, jessica.jones136@nhs.net
Hungary4 sites, 4 recruiting
- Recruiting
BKVMK
Budapest, BD, 6000
Study Team
- Recruiting
Pankreasz Betegsegek Intezete, Semmelweis University
Budapest, BU, 1083
Study Team
- Recruiting
Orszagos Onkologiai Intezet
Budapest, BU, 1122
Study Team
- Recruiting
University of Debrecen
Debrecen, H-4032
Study Team
Georgia3 sites, 3 recruiting
- Recruiting
Institute of Clinical Oncology
Tbilisi, TB, 0159
Study Team
- Recruiting
Caucasus Medical Centre
Tbilisi, TB, 0160
Nino Khunashvili, ninokhunashvili.2@gmail.com
- Recruiting
LTD "Multiprofile Clinic Consilium Medulla"
Tbilisi, TB, 0186
Tamta Makharadze, MD, tamta.makharadze@gmail.com
Germany2 sites, 2 recruiting
- Recruiting
SLK-Kliniken Heilbronn GMBH
Heilbronn, Baden-Wurttemberg, 74078
Josef Huber, MD, josef.huber@slk-kliniken.ed
- Recruiting
Elblandklinikum Riesa
Riesa, Saxony, 01589
Study Team
Poland2 sites, 2 recruiting
- Recruiting
Pratia Poznan
Poznan, 60-192
Study Team
- Recruiting
Pratia S.A.
Wroclaw, 50-019
Study Team
Romania2 sites, 2 recruiting
- Recruiting
FutureMeds SRL - Galati
Galati, GL, 800183
Mihai Mutică, mihai.mutica@futuremeds.com
- Recruiting
SC Sigmedical S.R.L
Suceava, 720214
Study Team
Spain2 sites, 2 recruiting
- Recruiting
Clinica Universidad de Navarra
Pamplona, 31008
Study Team, ensayoscun@unav.es
- Recruiting
Instituto de Investigacion Sanitaria de Aragon (IIS-A)
Zaragoza, 50009
Study Team
About this study
Official title: A Phase 3 Randomized, Open-Label Study of Atebimetinib in Combination With the Modified Gemcitabine and Nab-Paclitaxel Regimen Versus the Standard Gemcitabine and Nab-Paclitaxel Regimen for the Treatment of Patients With Metastatic Pancreatic Ductal Pancreatic Adenocarcinoma Cancer (MAPKeeper 301)
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.
- Conditions
- Pancreatic Cancer, Pancreatic Cancer Metastatic, PDAC, PDAC - Pancreatic Ductal Adenocarcinoma, Pancreatic Ductal Adenocarcinoma, Pancreatic Adenocarcinoma Metastatic
- Being tested
- Atebimetinib, GnP, mGnP
- Keywords
- mitogen-activated protein kinase (MAPK), MAPK, MEK, metastatic cancer, gemcitabine, nab-paclitaxel, nab-p, atebimetinib, KRAS, pan-RAS
- Medical subject headings
- Pancreatic Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AtebimetinibDrug
Once daily oral tablets
GnPDrug
Standard of care regimen for intravenous infusions of gemcitabine and nab-paclitaxel weekly for three weeks followed by one week without an infusion
mGnPDrug
Biweekly intravenous infusions of chemotherapy (gemcitabine and nab-paclitaxel)
| Study group | Role | What they receive |
|---|---|---|
| Atebimetinib + mGnP | Experimental | Atebimetinib in combination with modified gemcitabine and nab-paclitaxel for first line pancreatic adenocarcinoma Receives: Drug: Atebimetinib; Drug: mGnP |
| GnP | Active comparator | Standard of care gemcitabine and nab-paclitaxel for first line pancreatic adenocarcinoma Receives: Drug: GnP |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
The OS of participants with atebimetinib in combination with mGnP versus GnP
Measured: Up to approximately 2 years
Secondary outcomes (5)
Progression Free Survival (PFS)
The PFS of participants with atebimetinib in combination with mGnP versus GnP
Measured: Up to approximately 2 years
Overall Response Rate (ORR)
The ORR of participants with atebimetinib in combination with mGnP versus GnP
Measured: Up to approximately 2 years
Disease Control Rate (DCR)
The DCR in participants with atebimetinib in combination with mGnP versus GnP
Measured: Up to approximately 2 years
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
Measured: Up to approximately 2 years
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.
Measured: Up to approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 May 2026
- Study start5 Jun 2026
- Primary completionJun 2028 (estimated)
- Study completionFeb 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pancreatic CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 570 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Immuneering Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07562152
- Sponsor's protocol ID
- IMM1104-301
- Acronym
- MAPKeeper 301
- Status last verified
- Nov 2026
- First submitted
- 20 Apr 2026
- Last updated
- 6 Nov 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Open-Label Study of Atebimetinib in Combination With the Modified Gemcitabine and Nab-Paclitaxel Regimen Versus the Standard Gemcitabine and Nab-Paclitaxel Regimen for the Treatment of Patients With Metastatic Pancreatic Ductal Pancreatic Adenocarcinoma Cancer (MAPKeeper 301)
- ClinicalTrials.gov ID
- NCT07562152
- Acronym / sponsor ID
- MAPKeeper 301 / IMM1104-301
- Conditions
- Pancreatic Cancer, Pancreatic Cancer Metastatic, PDAC, PDAC - Pancreatic Ductal Adenocarcinoma, Pancreatic Ductal Adenocarcinoma, Pancreatic Adenocarcinoma Metastatic
- Keywords
- mitogen-activated protein kinase (MAPK), MAPK, MEK, metastatic cancer, gemcitabine, nab-paclitaxel, nab-p, atebimetinib
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 570 participants (estimated)
- Lead sponsor
- Immuneering CorporationIndustry (pharma, biotech, devices)
- Study start
- 5 Jun 2026 (actual)
- Primary completion
- Jun 2028 (estimated)
- Study completion
- Feb 2029 (estimated)
- First posted
- 1 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety and efficacy of atebimetinib in combination with modified GnP compared with SOC GnP alone.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Atebimetinib + mGnP | Experimental | Drug: Atebimetinib, Drug: mGnPAtebimetinib in combination with modified gemcitabine and nab-paclitaxel for first line pancreatic adenocarcinoma |
| GnP | Active comparator | Drug: GnPStandard of care gemcitabine and nab-paclitaxel for first line pancreatic adenocarcinoma |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Must be ≥18 years of age
- Must have confirmed diagnosis according to AJCC staging as follows:
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Participants must be treatment naive as follows:
- Must have evidence of measurable disease (at least one target lesion) per RECIST v1.1 criteria
Key exclusion criteria (4 listed)
- 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) metastases
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AtebimetinibOnce daily oral tablets | Drug | Atebimetinib + mGnP |
| GnPStandard of care regimen for intravenous infusions of gemcitabine and nab-paclitaxel weekly for three weeks followed by one week without an infusion | Drug | GnP |
| mGnPBiweekly intravenous infusions of chemotherapy (gemcitabine and nab-paclitaxel) | Drug | Atebimetinib + mGnP |
Primary outcome
Overall Survival
Time frame: Up to approximately 2 years
The OS of participants with atebimetinib in combination with mGnP versus GnP
5 secondary outcomes
Progression Free Survival (PFS)
Time frame: Up to approximately 2 years
Overall Response Rate (ORR)
Time frame: Up to approximately 2 years
Disease Control Rate (DCR)
Time frame: Up to approximately 2 years
Incidence of Adverse Events (AEs)
Time frame: Up to approximately 2 years
Quality of Life (QOL) with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
Time frame: Up to approximately 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
76 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atebimetinib, GnP and mGnP in people with Pancreatic Cancer and Pancreatic Cancer Metastatic, run by Immuneering Corporation at 76 sites in 9 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 76 sites in United States, Australia, United Kingdom, Hungary, Georgia and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Immuneering Study Team (860-321-1302, clinicaltrials@immuneering.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: Up to approximately 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2026.