Phase 2a data for Immuneering (NASDAQ: IMRX) show 64% 12-month OS
Rhea-AI Filing Summary
Immuneering Corporation reported updated interim results from its ongoing Phase 2a trial of atebimetinib, an oral MEK inhibitor, combined with modified gemcitabine/nab-paclitaxel (mGnP) in first-line pancreatic cancer. In the initial intent-to-treat group of 34 patients treated at 320 mg once daily, 12‑month overall survival was 64% as of a December 15, 2025 cutoff, compared with 35% reported for standard of care in the MPACT trial. Median overall survival has not yet been reached, and median progression-free survival was 8.5 months.
Six‑ and nine‑month overall survival in this group was 94% and 83%, respectively, versus 67% at six months and an estimated ~47% at nine months for standard of care, based on MPACT data and company extrapolations. The combination was generally well tolerated, with Grade ≥3 treatment-emergent adverse events of anemia and neutropenia each in 18% of patients, no Grade 5 events, and no new safety signals. Immuneering outlined plans in 2026 to present additional circulating tumor DNA data, provide updated survival data from over 50 first-line pancreatic cancer patients, start a pivotal Phase 3 trial in first-line pancreatic cancer, and begin a trial with atebimetinib plus Libtayo in non-small cell lung cancer.
Positive
- Encouraging survival signals: In 34 first-line pancreatic cancer patients at 320 mg, atebimetinib plus mGnP showed 64% 12‑month overall survival versus 35% reported for standard of care in the MPACT trial, with median overall survival not yet reached and median progression-free survival of 8.5 months.
- Manageable safety profile: The combination remained generally well tolerated, with Grade ≥3 anemia and neutropenia each in 18% of patients, no Grade 5 events, and no new safety signals identified.
- Clear clinical development path: The company plans in 2026 to present additional biomarker data, expand survival data to over 50 first-line pancreatic cancer patients, initiate a pivotal Phase 3 trial in first-line pancreatic cancer, and start a trial with atebimetinib plus Libtayo in non-small cell lung cancer.
Negative
- None.
Insights
Early pancreatic cancer data look encouraging and are driving pivotal trial plans for atebimetinib.
The disclosure centers on interim Phase 2a data for atebimetinib plus mGnP in first-line pancreatic cancer. In 34 patients at the 320 mg dose, the regimen showed a
Tolerability appears manageable, with Grade ≥3 anemia and neutropenia each in
Strategically, the company lays out a clear 2026 roadmap: presenting additional circulating tumor DNA data in
FAQ
What clinical results did Immuneering (IMRX) report for atebimetinib in pancreatic cancer?
Immuneering reported updated interim Phase 2a data for atebimetinib plus modified gemcitabine/nab-paclitaxel in first-line pancreatic cancer. In 34 patients at 320 mg once daily, 12‑month overall survival was 64%, median overall survival had not been reached, and median progression-free survival was 8.5 months as of the December 15, 2025 cutoff.
How do atebimetinib survival rates compare to standard of care in the MPACT trial for IMRX?
Immuneering compared its results to gemcitabine/nab-paclitaxel data from the MPACT trial. Standard of care reported 35% overall survival at 12 months and 67% at six months, with the company estimating about 47% at nine months. The 320 mg intent-to-treat group showed 64% at 12 months, 94% at six months, and 83% at nine months, noting that these are cross-trial comparisons and should be interpreted with caution.
What safety profile was reported for atebimetinib plus mGnP in the IMRX trial?
The combination of atebimetinib and mGnP was described as generally well tolerated. Grade ≥3 treatment-emergent adverse events in at least 10% of patients were anemia and neutropenia, each occurring in 18% of the 34 patients. Less frequent Grade ≥3 events included fatigue, leukopenia, vomiting, febrile neutropenia, hypokalemia, and nausea, and no Grade 5 events or new safety signals were observed.
What near-term clinical milestones did Immuneering (IMRX) outline for atebimetinib?
Immuneering plans several milestones in 2026 for atebimetinib: presenting additional circulating tumor DNA data from treated cancer patients at a major scientific meeting in the second quarter, sharing updated survival data from over 50 first-line pancreatic cancer patients in the first half of the year, dosing the first patient in a pivotal Phase 3 pancreatic cancer trial in mid‑2026, and starting a trial in non-small cell lung cancer with atebimetinib plus Libtayo in the second half of 2026.
Does Immuneerings atebimetinib trial include a head-to-head comparison against another treatment?
No. The Phase 1/2a clinical trial of atebimetinib does not include a head-to-head comparison against other agents. The company states that its standard-of-care benchmarks are drawn from, or extrapolated from, publicly available MPACT trial data, and advises that caution should be exercised when comparing results across different trials.
What indications is Immuneering (IMRX) pursuing with atebimetinib based on this update?
Based on the current program, Immuneering is pursuing first-line pancreatic cancer using atebimetinib in combination with mGnP, with plans to initiate a pivotal Phase 3 trial, and is also preparing a trial of atebimetinib combined with Libtayo in non-small cell lung cancer in the second half of 2026.