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INCB186748 + mFOLFIRINOX is an investigational combination regimen evaluated in clinical trials for patients with advanced or metastatic solid tumors—particularly pancreatic ductal adenocarcinoma (PDAC)—that harbor the KRAS G12D mutation. - **INCB186748** is a small molecule oral inhibitor designed to selectively target the KRAS G12D mutated protein, thereby inhibiting cellular pathways that drive tumor growth in KRAS G12D-mutant cancers[6]. - **mFOLFIRINOX** (modified FOLFIRINOX) is a cytotoxic chemotherapy regimen comprised of fluorouracil (5FU), leucovorin (folinic acid), irinotecan, and oxaliplatin, frequently used as first-line treatment in metastatic pancreatic cancer. It works by interfering with DNA synthesis and cell division in rapidly dividing tumor cells[1][3][5]. The regimen is currently studied in clinical trials as a combination therapy in PDAC and solid tumors with specified genetic alterations, with the aim of improving efficacy over chemotherapy alone[4][2].
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