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AB680

Phase 1

Advanced Pancreatic Cancer | Small molecule | Oncology |Arcus Biosciences, Inc.|Trials Updated: Sep 9, 2026

Development status

Highest phase Phase 1
Registered trials 4 across 1 sponsor since Sep 2018

Target and mechanism

Molecular targetCD73
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials4
Total Enrollment519

FDA Designations

No designations recorded

Clinical trial landscape

AB680 · 4 trials · 3 indications

Phase 1 4
NCT04660812An Open Label Study Evaluating the Efficacy and Safety of Etrumadenant (AB928) Based Treatment Combinations in Participants With Metastatic Colorectal Cancer.Metastatic Colorectal Cancer
COMPLETED227 Analytics
NCT04575311A Study to Investigate the Pharmacokinetic Profile of Oral AB680 in Healthy VolunteersHealthy Volunteers
COMPLETED32 Analytics
NCT04104672A Study to Evaluate the Safety and Tolerability of AB680 in Participants With Gastrointestinal MalignanciesAdvanced Pancreatic Cancer
COMPLETED196 Analytics
NCT03677973A Study to Investigate the Safety of AB680 in Healthy VolunteersHealthy Volunteers
COMPLETED64 Analytics
PHASE1COMPLETED
An Open Label Study Evaluating the Efficacy and Safety of Etrumadenant (AB928) Based Treatment Combinations in Participants With Metastatic Colorectal Cancer.
Metastatic Colorectal CancerUnlock trial analytics
PHASE1COMPLETED
A Study to Investigate the Pharmacokinetic Profile of Oral AB680 in Healthy Volunteers
Healthy VolunteersUnlock trial analytics
PHASE1COMPLETED
A Study to Evaluate the Safety and Tolerability of AB680 in Participants With Gastrointestinal Malignancies
Advanced Pancreatic CancerUnlock trial analytics
PHASE1COMPLETED
A Study to Investigate the Safety of AB680 in Healthy Volunteers
Healthy VolunteersUnlock trial analytics

Study Endpoints

Primary Endpoints

Cohort A and B - Progression-free Survival (PFS)
From randomization until death from any cause (up to approximately 3-7 years)

PFS according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, as assessed by the Investigator

Cohort C - Objective Response Rate (ORR)
From randomization until death from any cause (up to approximately 3-7 years)

ORR according to RECIST v1.1, as assessed by the Investigator

Number of Participants With Treatment-emergent Adverse Events
Up to approximately 10 Months
AB680 Peak Plasma Concentration (Cmax)
Pre-dose; from First Dose Date to 15 Days After the Last Dose of AB680

Cmax as measured by the Area Under Concentration-Time Curve from Plasma Collection and Analysis.

AB680 Time of Peak Concentration (Tmax)
Pre-dose; from First Dose Date to 15 Days After the Last Dose of AB680

Tmax as measured by the Time to Maximum Concentration-Time Curve from Plasma Collection and Analysis

Area under the plasma concentration-time curve from time zero to t hours (AUC 0-t) of AB680
Pre-dose; from First Dose Date to 15 Days After the Last Dose of AB680
Number of participants with Treatment Emergent Adverse Events (TEAEs)
From first dose date to 90 days after the last dose (approximately 1 year)

Safety will be assessed by monitoring adverse events and clinically relevant changes in 12 lead Electrocardiogram (ECG) and Physical examination findings

Number of Participants With Dose Limiting Toxicities
From First dose to day 28
Number of Participants with Treatment Emergent Adverse Events (TEAEs).
From First Dose Date to 15 Days After the Last Dose of AB680.

Number of Participants with TEAEs as Assessed by CTCAE v5.0.

Secondary Endpoints

Cohorts A and B - Objective Response Rate (ORR)
From randomization until death from any cause (up to approximately 3-7 years)
Cohorts A, B, and C- Duration of Disease Response (DoR)
From randomization until death from any cause (up to approximately 3-7 years)
Cohorts A, B, and C- Disease Control Rate (DCR)
From randomization until death from any cause (up to approximately 3-7 years)
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Etrumadenant + Zimberelimab + mFOLFOX-6 +/- BevacizumabEXPERIMENTALParticipants will receive oral etrumadenant in combination with zimberelimab +mFOLFOX-6 +/-bevacizumab by IV infusion.
mFOLFOX-6 +/- BevacizumabACTIVE_COMPARATORParticipants will receive mFOLFOX-6 +/- bevacizumab by IV infusion.
RegorafenibACTIVE_COMPARATORParticipants will receive oral regorafenib
AB680 + Etrumadenant + ZimberelimabEXPERIMENTALParticipants will receive oral etrumadenant in combination with AB680 + zimberelimab by IV infusion.
Active: Dose EscalationACTIVE_COMPARATORParticipants will receive a single oral dose of AB680 at one of two ascending dose levels. Assignment to receive AB680 will be random.
Placebo: Dose EscalationPLACEBO_COMPARATORParticipants will receive matching placebo as a single oral dose. Assignment to receive matching placebo will be random.
Dose EscalationEXPERIMENTALDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period. The dose expansion dose level will be determined in this part with escalating doses of AB680 in combination with zimberelimab at the recommended phase 2 dose (RP2D) and the standard nab-paclitaxel and gemcitabine chemotherapy regimen in participants with advanced pancreatic cancer.
Dose Expansion (AB680+zimberelimab+ NP/Gem): Cohort A (front-line/1L)EXPERIMENTALParticipants with advanced pancreatic cancer, naïve to any prior treatment will receive AB680 (at the RP2D identified during dose escalation) combined with zimberelimab and the standard nab-paclitaxel (NP) and gemcitabine (Gem) (NP/Gem) chemotherapy regimen
Dose Expansion (AB680+zimberelimab+NP/Gem):Cohort A1 (front-line/1L)EXPERIMENTALParticipants with advanced pancreatic cancer, naïve to any prior treatment will receive AB680 (at the RP2D identified during dose escalation) combined with zimberelimab and the standard nab-paclitaxel (NP) and gemcitabine (Gem) (NP/Gem) chemotherapy regimen
Dose Expansion (AB680 + NP/Gem): Cohort A2 (front-line/1L)EXPERIMENTALParticipants with advanced pancreatic cancer who are naïve to any prior treatment will receive AB680 (at the RP2D identified during dose escalation) and the standard NP/Gem chemotherapy regimen.
Dose Expansion (AB680 + zimberelimab + NP/Gem): Cohort B (second-line/2L)EXPERIMENTALParticipants with advance pancreatic cancer who have received 1 prior line of treatment will receive AB680 (at the RP2D identified during dose escalation) combined with zimberelimab and NP-Gem chemotherapy regimen.
Dose Expansion (AB680 + zimberelimab + NP/Gem): Cohort C (front-line/1L)EXPERIMENTALParticipants with advanced pancreatic cancer naïve to any prior treatment will receive AB680 combined with zimberelimab and NP-Gem chemotherapy regimen.
Dose Expansion (AB680 + NP/Gem): Cohort D (front-line/1L)EXPERIMENTALParticipants with advanced pancreatic cancer naïve to any prior treatment will receive AB680 combined with NP-Gem chemotherapy regimen.

Interventions

NameTypeDescription
AB680DRUGAB680 is a cluster of differentiated CD73 Inhibitor
EtrumadenantDRUGEtrumadenant is a dual adenosine receptor (A2aR and A2bR) antagonist
ZimberelimabDRUGZimberelimab is a fully human anti-PD-1 monoclonal antibody
BevacizumabDRUGBevacizumab is administered as part of standard chemotherapy regimen
m-FOLFOX-6 regimenDRUGmFOLFOX-6 regimen is administered as part of standard chemotherapy regimen
RegorafenibDRUGRegorafenib is administered as part of standard chemotherapy regimen
PlaceboOTHERMatching Placebo
Nab-paclitaxelDRUGNab-paclitaxel is a chemotherapy agent. Chemotherapy agents are medicines that kill cancer cells.
GemcitabineDRUGGemcitabine is a chemotherapy agent. Chemotherapy agents are medicines that kill cancer cells.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites44

Inclusion Criteria: * Male and female participants ≥ 18 years of age * Histologically confirmed metastatic colorectal adenocarcinoma * Must have at least 1 measurable lesion per RECIST v1.1 * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Life expectancy at least 3 months ...

Countries:United StatesFranceItalySouth KoreaSpainUnited KingdomAustralia
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Competitive Landscape -Pancreatic Cancer 177 trials (matched to "Advanced Pancreatic Cancer")

Recent Changes (Last 90 Days)

HIGHSep 9, 2026NCT04104672Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 9, 2026NCT04104672Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about AB680

What is AB680?

AB680 is an investigational small molecule developed by Arcus Biosciences, Inc. (ticker RCUS) as a CD73 inhibitor. It is being studied in oncology, including advanced pancreatic cancer and metastatic colorectal cancer, and has also been evaluated in healthy volunteers. It remains in Phase 1 clinical development.

What does AB680 target?

AB680 targets CD73, a protein enzyme. By inhibiting CD73, the drug is designed to act on the adenosine pathway within the tumor microenvironment. This CD73-directed mechanism is the basis for its study in oncology indications such as advanced pancreatic cancer and metastatic colorectal cancer.

Who makes AB680?

AB680 is developed by Arcus Biosciences, Inc., which trades under the ticker RCUS. The company is the sponsor of the clinical studies evaluating AB680 in oncology and in healthy volunteer populations.

What phase is AB680 in?

AB680 is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA. The completed Phase 1 studies have evaluated the drug in participants with gastrointestinal malignancies and healthy volunteers.

What clinical trials is AB680 in?

AB680 has been studied in Phase 1 trials including NCT04104672 in participants with gastrointestinal malignancies such as advanced pancreatic cancer, NCT04575311 and NCT03677973 in healthy volunteers, and NCT04660812, which evaluated etrumadenant (AB928) based treatment combinations in metastatic colorectal cancer.

Is AB680 the same as AB928?

No. AB680 and AB928 are different compounds. AB928 is also known as etrumadenant, and it was evaluated in a metastatic colorectal cancer study, NCT04660812. AB680 is a separate CD73-targeted small molecule developed by Arcus Biosciences.