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NIS793

Phase 3

Metastatic Pancreatic Ductal Adenocarcinoma | Small molecule | Oncology |Novartis AG|Last Updated: May 19, 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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment511
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04935359Study of Efficacy and Safety of NIS793 in Combination With Standard of Care (SOC) Chemotherapy in First-line Metastatic Pancreatic Ductal Adenocarcinoma (mPDAC) - daNIS-2PHASE3 COMPLETED 511Sep 30, 2021Aug 13, 2024May 19, 2026113 United States, Australia +25
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Study Endpoints
Primary Endpoints
Safety run-in Part: Percentage of Participants With Dose Limiting Toxicities (DLTs) During the First Cycle (4 Weeks) of Treatment.
Up to 4 weeks

A dose-limiting toxicity (DLT) was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurred within the first cycle (i.e., 28 days or 4 weeks) of the treatment with NIS793 in combination with gemcitabine/nab-paclitaxel. The National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 5 was used for all grading.

Randomized Part: Overall Survival (OS)
From randomization up to death, assessed up to approximately 34 months

Overall Survival (OS) was defined as the time from date of randomization/start of treatment to date of death due to any cause. If a patient was not known to have died, survival was censored at the date of last known date patient alive.

Secondary Endpoints
Percentage of Participants With Adverse Events (AEs)
Up to approximately 32 months
Percentage of Participants With Dose Interruptions and Dose Reductions of NIS793 in Combination With Gemcitabine and Nab-paclitaxel
Up to approximately 32 months
Dose Intensity of NIS793 in Combination With Gemcitabine and Nab-paclitaxel
Up to approximately 32 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Safety run-in part: NIS793 plus (Gemcitabine and Nab-paclitaxel)EXPERIMENTALParticipants received a combination of NIS793, Gemcitabine and Nab-paclitaxel : * NIS793 at 2100 mg (Days 1 and 15) * Gemcitabine at 1000 mg/m² (Days 1, 8 and 15) * Nab-paclitaxel at 125 mg/m² (Days 1, 8 and 15) Note: As of 7-Jul-2023, treatment with NIS793/placebo was stopped. Study participants were allowed to continue with standard of care (SoC) chemotherapy (gemcitabine+ nab-paclitaxel) per investigator assessment.
Randomized part (Arm A): NIS793 plus (Gemcitabine and Nab-paclitaxel)EXPERIMENTALParticipants received a combination of NIS793, gemcitabine and nab-paclitaxel: * NIS793 at 2100 mg (Days 1 and 15) assuming this was the confirmed RP3D in the safety run-in part or NIS793 at 2100 mg on Day 1 if dose level -1 was the confirmed RP3D in the safety run-in * Gemcitabine at 1000 mg/m² (Days 1, 8 and 15) * Nab-paclitaxel at 125 mg/m² (Days 1, 8 and 15) Note: As of 7-Jul-2023, treatment with NIS793/placebo was stopped. Study participants were allowed to continue with standard of care (SoC) chemotherapy (gemcitabine+ nab-paclitaxel) per investigator assessment.
Randomized part (Arm B): Placebo plus (Gemcitabine and Nab-paclitaxel)PLACEBO_COMPARATORParticipants received a combination of placebo, gemcitabine and nab-paclitaxel: * Placebo for NIS793 (Days 1 and 15) * Gemcitabine at 1000 mg/m² (Days 1, 8 and 15) * Nab-paclitaxel at 125 mg/m² (Days 1, 8 and 15) Note: As of 7-Jul-2023, treatment with NIS793/placebo was stopped. Study participants were allowed to continue with standard of care (SoC) chemotherapy (gemcitabine+ nab-paclitaxel) per investigator assessment.
Interventions
NameTypeDescription
NIS793DRUGConcentrate for solution infusion (Liquid in Vial)
Nab-paclitaxelDRUGPer locally approved formulation
GemcitabineDRUGPer locally approved formulation
PlaceboDRUGDextrose 5% in water (D5W) solution for infusion
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites113

Key Inclusion Criteria: Applicable for both Safety run-in and Randomized part * Participants aged ≥18 years with histologically or cytologically confirmed (based on local assessment and per local guidelines) mPDAC eligible for treatment in the first line setting and not amenable for potentially cu...

Countries:United StatesAustraliaBelgiumBrazilCanadaChinaCzechiaFinlandFranceGermanyGreeceHungaryIsraelItalyJapanNetherlandsNorwayRussiaSingaporeSlovakiaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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