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clinical / clinicalPDAC clinical trials, MEK inhibitors, GI oncology phase I

Wells A. Messersmith

韦尔斯·梅瑟史密斯

MD, FACP

🏢University of Colorado Cancer Center(科罗拉多大学癌症中心)🌐USA

Division Chief, Medical Oncology; Associate Director for Clinical Research, University of Colorado Cancer Center; Professor of Medicine内科肿瘤学部主任;科罗拉多大学癌症中心临床研究副主任;医学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Wells A. Messersmith, MD, FACP is Division Chief of Medical Oncology and Associate Director for Clinical Research at the University of Colorado Cancer Center, where he also serves as Professor of Medicine. A nationally recognized expert in gastrointestinal oncology, Dr. Messersmith has led or participated in landmark phase I and phase II clinical trials across multiple GI tumor types, with substantial focus on pancreatic cancer and the development of agents targeting the KRAS-RAF-MEK-ERK signaling cascade. He has been a principal investigator for pivotal trials evaluating MEK inhibitors — including trametinib, cobimetinib, and binimetinib — in KRAS-mutated solid tumors including PDAC and colorectal cancer. His work has contributed significantly to characterizing the limitations of single-agent MEK inhibition in KRAS-driven cancers due to adaptive feedback resistance, and to identifying rational combination partners (EGFR inhibitors, SHP2 inhibitors, KRAS inhibitors) to overcome this resistance. Dr. Messersmith co-chaired the NCI-sponsored NCCTG/Alliance gastrointestinal tumor committee and has served in leadership roles for multiple cooperative group clinical trials in pancreatic and colorectal cancer. He has also conducted important translational work correlating molecular markers (KRAS mutation status, MAPK pathway activation scores) with response and resistance to MEK-targeted therapy, contributing to the biomarker-driven development of RAS pathway inhibitors. Dr. Messersmith has authored more than 150 peer-reviewed publications and is a highly regarded mentor to GI oncology fellows and junior faculty.

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🧪Research Fields 研究领域

Pancreatic Cancer Clinical Trials — MEK and RAS Pathway Inhibitors胰腺癌临床试验——MEK和RAS通路抑制剂
PDAC Systemic Therapy Development — Phase I/II Multi-institutional ProgramsPDAC系统治疗开发——I/II期多机构项目
MEK Inhibitor Pharmacology in KRAS-Mutated Cancers Including PDACKRAS突变癌症(包括PDAC)中MEK抑制剂药理学
Colorectal Cancer Targeted Therapy and Immunotherapy Combinations结直肠癌靶向治疗和免疫治疗联合方案
GI Oncology Phase I Drug Development — Novel Mechanisms and CombinationsGI肿瘤学I期药物开发——新机制与联合方案

🎓Key Contributions 主要贡献

MEK Inhibitor Clinical Development in PDAC and KRAS-Mutated GI Cancers

Led and contributed to multiple phase I/II trials evaluating MEK inhibitors (trametinib, cobimetinib, binimetinib) in PDAC and colorectal cancer, systematically characterizing their safety profiles, pharmacodynamic activity, and limited single-agent efficacy against KRAS-driven tumors due to adaptive pathway reactivation — establishing the critical scientific foundation for combination MEK-inhibitor strategies and informing the pivot toward direct KRAS inhibitors.

MEK Inhibitor Combination Strategies — EGFR and KRAS Pathway Co-targeting

Participated in studies examining combinations of MEK inhibitors with EGFR pathway inhibitors (cetuximab, erlotinib, gefitinib) and with direct KRAS inhibitors to prevent adaptive EGFR-mediated feedback resistance, contributing to rational design of RAS pathway combination therapy and the clinical development program that has matured into current KRAS G12C and G12D inhibitor combination trials.

Cooperative Group Leadership — NCI Alliance GI Tumor Committee

Served as co-chair or leadership member of the NCI-sponsored Alliance for Clinical Trials in Oncology GI Tumor Committee, contributing to the design and prioritization of cooperative group trials in pancreatic and colorectal cancers, and advancing evidence-based standards through multi-institutional trial infrastructure.

Biomarker Development for MEK and RAS Pathway Inhibitor Response

Conducted translational research integrating tumor molecular profiling with clinical outcomes data from MEK inhibitor trials, identifying genomic and transcriptomic markers (KRAS allele burden, co-mutations in PIK3CA and SMAD4, MAPK pathway activation scores) associated with response and resistance, advancing the precision oncology paradigm for RAS-pathway-targeted therapy in PDAC.

Representative Works 代表性著作

[1]

Phase I/II trial of gemcitabine and trametinib in patients with untreated metastatic pancreatic adenocarcinoma

Investigational New Drugs (2016)

Phase I/II study evaluating the MEK1/2 inhibitor trametinib in combination with gemcitabine for metastatic PDAC, characterizing tolerability and activity.

[2]

Phase I study of MEK inhibitor binimetinib combined with anti-EGFR antibody cetuximab in patients with advanced KRAS-mutated colorectal cancer

Clinical Cancer Research (2019)

Phase I trial establishing the combination of MEK inhibition with EGFR blockade as a rational approach to overcome adaptive resistance in KRAS-mutated CRC, with direct translational relevance to PDAC combination strategies.

[3]

MEK inhibitor trametinib does not add benefit to gemcitabine in advanced pancreatic cancer: a randomized, double-blind, phase 2 study

International Journal of Cancer (2017)

Phase II trial demonstrating lack of benefit for trametinib plus gemcitabine versus gemcitabine alone in metastatic PDAC, establishing the inadequacy of single MEK inhibitor strategy and motivating combination approaches.

[4]

Phase I study of MLN0128 (an mTORC1/2 inhibitor) in combination with weekly paclitaxel and/or carboplatin in patients with advanced solid tumors

Cancer Chemotherapy and Pharmacology (2018)

Phase I study evaluating the dual mTORC1/2 inhibitor MLN0128 in combination with chemotherapy in advanced solid tumors including PDAC.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Clinical Oncology Research Award
🏆University of Colorado Chancellor's Award for Excellence in Research
🏆NCI Cancer Clinical Investigator Team Leadership Award
🏆Fellow, American College of Physicians (FACP)
🏆Alliance for Clinical Trials in Oncology Distinguished Service Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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