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GNS561 + Trametinib

Phase 1

Cholangiocarcinoma | Small molecule | Oncology |Genfit SA Sponsored ADR|Last Updated: May 14, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment74
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05874414Combination of GNS561 and Trametinib in Patients With Advanced KRAS Mutated CholangiocarcinomaPHASE1 RECRUITING 74Aug 21, 2023Oct 1, 2026May 14, 202611 United States, Puerto Rico
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Study Endpoints
Primary Endpoints
Incidence of dose limiting toxicity (DLT) of GNS561 with trametinib (Phase 1b)
At the end of Cycle 1 (each Cycle is 21 days)

Defined as Treatment Emergent Adverse Event (TEAE) being at least possibly related to study drug: With Grade ≥ 3 (using NCI CTCAE Version 5.0 or higher as applicable) such as specified in the protocol

Objective response rate (ORR) of the combination of GNS561 with trametinib (Phase 2a)
Up to 11 months (estimated)

Defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR) using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)

Secondary Endpoints
Duration of response (DoR)
Up to 11 months (estimated)
Progression-free survival (PFS)
Up to 11 months (estimated)
Time To Progression (TTP)
Up to 11 months (estimated)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GNS561+TrametinibEXPERIMENTALPhase 1b Dose Finding Patients will receive GNS561 (50mg QD; 100mg QD; 150mg; 200mg QD) and trametinib (2mg QD; 1.5mg QD; 1mg QD) in a dose escalation/de-escalation design to determine the maximum tolerated dose (MTD) of the combination. Experimental: Phase 2a Patients will receive GNS561 and trametinib at the recommended dose of the combination determined during Phase 1b
Interventions
NameTypeDescription
GNS561 + TrametinibDRUGGNS561: 50mg, 100mg, 150mg, 200mg and trametinib: 1mg, 1.5mg and 2mg
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion criteria: 1. Histologically confirmed intrahepatic CCA with a documented KRAS mutation. 2. Patients greater than or equal to 18 years of age. 3. Patients must have disease progression that is not amenable to potentially curative treatment. 4. Patients must have received one or two lines o...

Countries:United StatesPuerto Rico
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Competitive Landscape -Cholangiocarcinoma 58 trials
CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN11PHASE3Rilvegostomig, Capecitabine, Gemcitabine/Cisplatin, S-1, Durvalumab
Jazz Pharmaceuticals Public Limited CompanyJAZZ1PHASE3Zanidatamab, Cisplatin, Gemcitabine, Pembrolizumab, Durvalumab
Eli Lilly and CompanyLLY4PHASE2Ramucirumab, Merestinib, Cisplatin, Gemcitabine, LY3410738
Tango Therapeutics, Inc.TNGX4PHASE3Ivosidenib
Zymeworks Inc.ZYME1PHASE3Futibatinib, Ivosidenib, Zanidatamab, Trastuzumab, Neratinib
Merck & Co., Inc.MRK2PHASE2pembrolizumab, Sacituzumab tirumotecan, Fluorouracil, Leucovorin or levoleucovorin, Cisplatin
Pfizer Inc.PFE2PHASE2tucatinib, trastuzumab, fulvestrant, oxaliplatin, leucovorin
HUTCHMED (China) Limited Sponsored ADRHCM1PHASE2/PHASE3HMPL-453
Compass Therapeutics, Inc.CMPX1PHASE2CTX-009, Paclitaxel
Replimune Group, Inc.REPL1PHASE2RP2, Bevacizumab, Atezolizumab, Durvalumab
Gilead Sciences, Inc.GILD1PHASE2Gemcitabine, Cisplatin, Zimberelimab, Quemliclustat
Incyte CorporationINCY1PHASE2Pemigatinib, Durvalumab
Cogent Biosciences, Inc.COGT1PHASE1CGT4859
Tyra Bioscience, IncTYRA1PHASE1Phase 1 Part A - dose escalation TYRA-200 taken once daily by mouth in 28-day cycles, Phase 1 Part B - dose expansion TYRA-200 taken once daily by mouth in 28-day cycles
Molecular Partners AG Sponsored ADRMOLN1PHASE2MP0317 + Gemcitabine + Cisplatine + Durvalumab, Gemcitabine + Cisplatin + Durvalumab
Context Therapeutics, Inc.CNTX1PHASE1CT-95
MacroGenics, Inc.MGNX1PHASE1MGC028
Summit Therapeutics IncSMMT1PHASE2Ivonescimab, FOLFOX regimen
NextCure, Inc.NXTC1PHASE1LNCB74
Precision BioSciences, Inc.DTIL3PHASE1CEA-targeted CAR-T cells, CEA CAR-T cells
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05874414primaryCompletionDate: changed
LOWMay 24, 2026NCT05874414studyFirstPostDate: changed