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Actuate Therapeutics To Collaborate with Incyte Corporation and the University of Pittsburgh on Clinical Trial of Elraglusib in Combination with Retifanlimab and mFOLFIRINOX in Patients with Advanced Pancreatic Cancer

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Actuate Therapeutics (NASDAQ: ACTU) has announced the initiation of a Phase 1b trial studying the combination of its drug elraglusib with Incyte's PD-1 inhibitor retifanlimab and mFOLFIRINOX as a frontline therapy for advanced pancreatic cancer. The trial, named RiLEY (NCT06896188), will be conducted at UPMC Hillman Cancer Center.

The study will initially enroll up to 12 patients with advanced pancreatic adenocarcinoma, with potential for expansion based on interim results. In a recent Phase 2 study, elraglusib combined with gemcitabine/nab-paclitaxel showed promising results, including a 37% reduction in death risk and doubled 12-month survival rate in metastatic pancreatic cancer patients.

The collaboration between Actuate, UPMC Hillman Cancer Center, and Incyte aims to explore synergistic opportunities in treatment-naïve patients, building on elraglusib's demonstrated immune-modulating properties.

Actuate Therapeutics (NASDAQ: ACTU) ha annunciato l'avvio di uno studio di Fase 1b che valuta la combinazione del suo farmaco elraglusib con l'inibitore PD-1 retifanlimab di Incyte e mFOLFIRINOX come terapia di prima linea per il cancro pancreatico avanzato. Lo studio, denominato RiLEY (NCT06896188), sarà condotto presso l'UPMC Hillman Cancer Center.

Lo studio arruolerà inizialmente fino a 12 pazienti con adenocarcinoma pancreatico avanzato, con possibilità di espansione in base ai risultati intermedi. In un recente studio di Fase 2, la combinazione di elraglusib con gemcitabina/nab-paclitaxel ha mostrato risultati promettenti, includendo una riduzione del 37% del rischio di morte e un raddoppio del tasso di sopravvivenza a 12 mesi nei pazienti con cancro pancreatico metastatico.

La collaborazione tra Actuate, UPMC Hillman Cancer Center e Incyte mira a esplorare opportunità sinergiche nei pazienti non trattati, basandosi sulle proprietà immunomodulanti dimostrate di elraglusib.

Actuate Therapeutics (NASDAQ: ACTU) ha anunciado el inicio de un ensayo de Fase 1b que estudia la combinación de su medicamento elraglusib con el inhibidor PD-1 retifanlimab de Incyte y mFOLFIRINOX como terapia de primera línea para el cáncer pancreático avanzado. El ensayo, llamado RiLEY (NCT06896188), se llevará a cabo en el UPMC Hillman Cancer Center.

El estudio inscribirá inicialmente a hasta 12 pacientes con adenocarcinoma pancreático avanzado, con posibilidad de expansión según los resultados intermedios. En un reciente estudio de Fase 2, la combinación de elraglusib con gemcitabina/nab-paclitaxel mostró resultados prometedores, incluyendo una reducción del 37% en el riesgo de muerte y una duplicación de la tasa de supervivencia a 12 meses en pacientes con cáncer pancreático metastásico.

La colaboración entre Actuate, UPMC Hillman Cancer Center e Incyte busca explorar oportunidades sinérgicas en pacientes no tratados previamente, basándose en las propiedades inmunomoduladoras demostradas de elraglusib.

Actuate Therapeutics (NASDAQ: ACTU)� 자사� 약물 elraglusib� Incyte� PD-1 억제� retifanlimab, 그리� mFOLFIRINOX� 병용하여 진행� 췌장� 1� 치료제로 연구하는 1b� 임상시험� 시작했다� 발표했습니다. � 임상시험은 RiLEY (NCT06896188)라는 이름으로 UPMC Hillman Cancer Center에서 진행됩니�.

� 연구� 초기에는 진행� 췌장선암 환자 최대 12�� 등록하며, 중간 결과� 따라 확장 가능성� 있습니다. 최근 2� 연구에서 elraglusib� gemcitabine/nab-paclitaxel 병용은 전이� 췌장� 환자에서 사망 위험 37% 감소와 12개월 생존� 2� 증가라는 유망� 결과� 보였습니�.

Actuate, UPMC Hillman Cancer Center, Incyte 간의 협력은 elraglusib� 면역 조절 특성� 바탕으로 치료 경험� 없는 환자에서 시너지 효과� 탐구하는 것을 목표� 합니�.

Actuate Therapeutics (NASDAQ : ACTU) a annoncé le lancement d'un essai de phase 1b étudiant la combinaison de son médicament elraglusib avec l'inhibiteur PD-1 retifanlimab d'Incyte et le mFOLFIRINOX en traitement de première ligne pour le cancer du pancréas avancé. L'essai, nommé RiLEY (NCT06896188), sera mené au UPMC Hillman Cancer Center.

L'étude recrutera initialement jusqu'à 12 patients atteints d'adénocarcinome pancréatique avancé, avec une possibilité d'extension selon les résultats intermédiaires. Dans une récente étude de phase 2, la combinaison d'elraglusib avec gemcitabine/nab-paclitaxel a montré des résultats prometteurs, incluant une réduction de 37 % du risque de décès et un doublement du taux de survie à 12 mois chez les patients atteints d'un cancer du pancréas métastatique.

La collaboration entre Actuate, l'UPMC Hillman Cancer Center et Incyte vise à explorer des opportunités synergiques chez des patients non traités, en s'appuyant sur les propriétés immunomodulatrices démontrées d'elraglusib.

Actuate Therapeutics (NASDAQ: ACTU) hat den Beginn einer Phase-1b-Studie bekannt gegeben, die die Kombination seines Medikaments elraglusib mit dem PD-1-Inhibitor Retifanlimab von Incyte und mFOLFIRINOX als Erstlinientherapie bei fortgeschrittenem Bauchspeicheldrüsenkrebs untersucht. Die Studie mit dem Namen RiLEY (NCT06896188) wird am UPMC Hillman Cancer Center durchgeführt.

Die Studie wird zunächst bis zu 12 Patienten mit fortgeschrittenem Pankreasadenokarzinom einschließen, mit der Möglichkeit einer Erweiterung basierend auf Zwischenergebnissen. In einer kürzlich durchgeführten Phase-2-Studie zeigte die Kombination von elraglusib mit Gemcitabin/nab-Paclitaxel vielversprechende Ergebnisse, darunter eine 37%ige Reduktion des Sterberisikos und eine Verdopplung der 12-Monats-Überlebensrate bei Patienten mit metastasiertem Bauchspeicheldrüsenkrebs.

Die Zusammenarbeit zwischen Actuate, dem UPMC Hillman Cancer Center und Incyte zielt darauf ab, synergetische Möglichkeiten bei unbehandelten Patienten zu erforschen, basierend auf den nachgewiesenen immunmodulierenden Eigenschaften von elraglusib.

Positive
  • Previous Phase 2 study showed 37% reduction in death risk with elraglusib combination therapy
  • Demonstrated doubled 12-month survival rate in previous metastatic pancreatic cancer trial
  • Initial data from separate Phase 2 trial showed deep, durable responses in patients with extensive liver metastases
Negative
  • Early-stage Phase 1b trial requiring further validation of safety and efficacy
  • Small initial patient enrollment of only 12 patients

Insights

Actuate's new triple-combination trial for pancreatic cancer builds on promising survival data, potentially expanding treatment options for this deadly disease.

This Phase 1b trial represents a strategic extension of Actuate's clinical program for elraglusib in pancreatic cancer. The study will evaluate elraglusib combined with Incyte's PD-1 inhibitor (retifanlimab) and modified FOLFIRINOX chemotherapy as frontline therapy for advanced pancreatic adenocarcinoma.

What makes this approach particularly notable is its multi-mechanistic rationale. Elraglusib inhibits GSK-3β, which has demonstrated immune-modulating effects including stimulating NK/T-cell functions, enhancing antigen presentation, and reducing immunosuppressive cells in the tumor microenvironment. The prior Phase 2 data mentioned showed elraglusib plus chemotherapy produced a 37% reduction in death risk and doubled the 12-month survival rate in metastatic pancreatic cancer patients.

Pancreatic cancer has been notoriously resistant to immunotherapy approaches alone. This triple combination represents a sophisticated attempt to overcome this resistance by simultaneously targeting multiple aspects of tumor biology: direct cytotoxicity (mFOLFIRINOX), immune checkpoint inhibition (retifanlimab), and immune microenvironment modulation (elraglusib).

The trial's design � starting with up to 12 patients and expanding based on interim efficacy � allows for rapid assessment and potential acceleration if promising signals emerge. The involvement of UPMC Hillman Cancer Center provides access to substantial clinical expertise in pancreatic cancer treatment.

This builds on another ongoing trial combining elraglusib with FOLFIRINOX and losartan, which has already shown deep, durable responses in patients with extensive liver metastases � typically a population with dismal prognosis. The company's multi-trial strategy creates multiple potential paths to demonstrate clinical utility.

  • Clinical Trial Study to be Conducted at UPMC Hillman Cancer to Evaluate Novel Combination as Frontline Therapy

CHICAGO and FORT WORTH, Texas, Aug. 06, 2025 (GLOBE NEWSWIRE) -- Actuate Therapeutics, Inc. (NASDAQ: ACTU) (“Actuate� or the “Company�), a clinical-stage biopharmaceutical company focused on developing therapies for the treatment of high-impact, difficult-to-treat cancers through the inhibition of glycogen synthase kinase-3 beta (GSK-3β), today announced the initiation of the Phase 1b trial of elraglusib in combination with Incyte’s PD-1 inhibitor, retifanlimab, and modified FOLFIRINOX (mFOLFIRINOX) as frontline therapy in advanced pancreatic adenocarcinoma. The trial is being conducted in collaboration with UPMC Hillman Cancer Center and Incyte Corporation.

The Investigator-Initiated Phase 1b open-label, single-arm RiLEY () trial, led by Anwaar Saeed, MD, Associate Professor of Medicine, and Chief of the Gastrointestinal Medical Oncology at UPMC Hillman Cancer Center, will initially enroll up to 12 patients with advanced pancreatic adenocarcinoma with an expansion plan based on interim efficacy results. The primary objective of the trial is to determine the recommended phase 2 dose (RP2D) for the combination regimen, while the secondary objectives include evaluation of overall response rate (ORR), disease control rate (DCR), median progression-free survival (mPFS), overall survival (OS), and assessment of safety and tolerability.

“We are very excited to launch this study of elraglusib combined with retifanlimab and mFOLFIRINOX as a potentially synergistic, immune-modulatory approach for patients with advanced pancreatic cancer,� said Anwaar Saeed, MD, study principal investigator. “While the first generation of immune checkpoint (PD-1, PDL-1, CTLA-4) inhibitors, including retifanlimab, has been transformative by targeting key immune pathways and restoring anti-cancer effector cells activity, this study explores complementary mechanisms - particularly those evoked by elraglusib - that may modulate additional checkpoints and work synergistically with existing inhibitors to deepen and broaden anti-tumor responses. A growing body of preclinical and clinical data suggests that elraglusib can stimulate NK/T-cell anticancer effector functions, enhance antigen presentation, and reduce myeloid-derived suppressor cells in the tumor. These effects have been observed in the context of emerging clinical activity in metastatic pancreatic cancer.�

In a recent Phase 2 study, elraglusib in combination with gemcitabine/nab-paclitaxel (GnP) in first-line metastatic pancreatic adenocarcinoma (mPDAC) , showing a significant increase in median overall survival, a 37% reduction in the risk of death, and a doubling of the 12-month survival rate. In addition, increased CD8-positive and granzyme B-positive T cells, increased NK cells, and decreased myeloid-derived suppressor cells were observed in tumor biopsies only from elraglusib-treated patients, demonstrating elraglusib’s proposed immune modulating mechanism of action in patients with mPDAC.

“We believe the combination of elraglusib with retifanlimab and mFOLFIRINOX represents a novel and mechanistically compelling strategy to address unmet needs in advanced pancreatic adenocarcinoma,� said Daniel Schmitt, President & Chief Executive Officer of Actuate. “The collaboration with UPMC Hillman Cancer Center and Incyte enables us to explore new synergistic opportunities for patients who have not yet received systemic therapy and builds on the momentum of our ongoing clinical programs. The study further allows us to assess ways to optimize elraglusib’s potential through a complementary multi-agent approach designed to enhance both efficacy and durability of response.” �

In addition, elraglusib is being studied in a separate investigator initiated Phase 2 (NCT05077800) trial in combination with FOLFIRINOX and losartan in treatment-naïve mPDAC patients. Initial data from this Phase 2 trial, which were presented at the American Association for Cancer Research (“AACR�) Special Conference on Advances in Pancreatic Cancer Research last September, showed patients with extensive liver metastases experienced deep, durable responses to the novel combination treatment. Additional results from that study are expected in 2026.

About Actuate Therapeutics, Inc.
Actuate is a clinical-stage biopharmaceutical company focused on developing therapies for the treatment of high-impact, difficult-to-treat cancers. Actuate’s lead investigational drug, elraglusib (a novel GSK-3β inhibitor), targets molecular pathways in cancer that are involved in promoting tumor growth and resistance to conventional cancer drugs such as chemotherapy through the inhibition of nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) and DNA Damage Response (DDR). Elraglusib may also mediate anti-tumor immunity through the regulation of multiple immune checkpoints and immune cell function. For additional information, please visit the Company’s website at http://www.actuatetherapeutics.com.

Forward-Looking Statements
This press release contains forward-looking statements about us, including our and other parties� clinical trials and development plans, and our industry. The words “anticipate,� “believe,� “continue,� “could,� “estimate,� “expect,� “intend,� “may,� “might,� “ongoing,� “plan,� “potential,� “predict,� “project,� “should,� “target,� “will,� “would,� or the negative of these terms or other comparable terminology are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. All statements, other than statements related to present facts or current conditions or of historical facts, contained in this press release are forward-looking statements. Accordingly, these statements involve estimates, assumptions, substantial risks and uncertainties which could cause actual results to differ materially from those expressed in them, including but not limited to that preliminary and unpublished data may be subject to change and further interpretation following the availability of more data or following a more comprehensive review of the data and should not be relied upon as a final analysis; clinical and preclinical drug development involves a lengthy and expensive process with uncertain timelines and outcomes, results of prior preclinical studies, early clinical trials and sub-group studies are not necessarily predictive of future results and may not correlate with improved responses, and elraglusib may not achieve positive clinical results or favorable preclinical results or receive regulatory approval on a timely basis, if at all; that we may not successfully enroll additional patients or establish or advance plans for further development, including through conversations with the FDA or EMA and the standards such bodies may impose for such development; that elraglusib could be associated with side effects, adverse events or other properties or safety risks, which could delay or preclude regulatory approval, cause us to suspend or discontinue clinical trials or result in other negative consequences; our reliance on third parties to conduct our non-clinical studies and our clinical trials; our reliance on third-party licensors and ability to preserve and protect our intellectual property rights; that we face significant competition from other biotechnology and pharmaceutical companies; our ability to fund development activities, including because our financial condition raises substantial doubt as to our ability to continue as a going concern and we require additional capital to finance our operations beyond the second quarter of fiscal year 2025, and a failure to obtain this necessary capital in the near term on acceptable terms, or at all, could force us to delay, limit, reduce or terminate our development programs, commercialization efforts or other operations. In addition, any forward-looking statements are qualified in their entirety by reference to the factors discussed under the heading “Item 1A. Risk Factors� in our Annual Report on Form 10-K for the year ended December 31, 2024, filed with the SEC on March 13, 2025, and our Quarterly Report on Form 10-Q for the quarter ended March 31, 2025, filed with the SEC on May 15, 2025, and other filings with the SEC. Because the risk factors referred to above could cause actual results or outcomes to differ materially from those expressed in any forward-looking statements made by us or on our behalf, you should not place undue reliance on any forward-looking statements. Further, any forward-looking statement speaks only as of the date on which it is made. New factors emerge from time to time, and it is not possible for us to predict which factors will arise. In addition, we cannot assess the impact of each factor on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Unless legally required, we do not undertake any obligation to release publicly any revisions to such forward-looking statements to reflect events or circumstances after the date of this press release or to reflect the occurrence of unanticipated events.

Investor Contact
Mike Moyer
Managing Director
LifeSci Advisors, LLC
[email protected]

Media Contact
Ignacio Guerrero-Ros, Ph.D., or David Schull
Russo Partners, LLC
[email protected]
[email protected]
(858) 717-2310 or (646) 942-5604


FAQ

What is the purpose of Actuate Therapeutics' new Phase 1b RiLEY trial for pancreatic cancer?

The trial aims to evaluate the combination of elraglusib with retifanlimab and mFOLFIRINOX as a frontline therapy for advanced pancreatic cancer, determining the recommended Phase 2 dose and assessing response rates, survival metrics, and safety.

What were the results of elraglusib's previous Phase 2 study in pancreatic cancer?

The previous Phase 2 study showed a 37% reduction in death risk and doubled 12-month survival rate when elraglusib was combined with gemcitabine/nab-paclitaxel in first-line metastatic pancreatic cancer.

How many patients will be enrolled in ACTU's RiLEY trial?

The trial will initially enroll up to 12 patients with advanced pancreatic adenocarcinoma, with potential for expansion based on interim efficacy results.

What is elraglusib's mechanism of action in cancer treatment?

Elraglusib works by inhibiting GSK-3β and has shown ability to stimulate NK/T-cell anticancer functions, enhance antigen presentation, and reduce myeloid-derived suppressor cells in tumors.

When will additional results from Actuate's separate Phase 2 pancreatic cancer trial be available?

Additional results from the separate Phase 2 trial combining elraglusib with FOLFIRINOX and losartan are expected in 2026.
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