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NCT06551142PHASE1Recruiting

A Study of GSK5764227 in Participants With Advanced Solid Tumors (EMBOLD)

GlaxoSmithKline

Start Date

9/30/2024

Completion Date

6/8/2029

Summary

The goal of this study is to assess the safety, tolerability, clinical activity and pharmacokinetics of Risvutatug rezetecan (Ris-Rez), also known as GSK5764227. The study will also see how the levels of Ris-Rez will change over time at different dose amounts when administered alone and in combination with other medicines like carboplatin, cisplatin, atezolizumab, pembrolizumab, durvalumab, bevacizumab, cetuximab, tarlatamab, dostarlimab

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion criteria * Male or female participants at least 18 years of age (≥18 years) * Participants with histologically confirmed advanced/metastatic solid tumors, as defined per study phase and cohort, as follows: Phase 1a: 1. Participants with advanced/metastatic solid tumors. 2. For monotherapy dose escalation: participants must have progressed on or become intolerant to all available SOC therapies. 3. For combination dose escalation: participants must have received 3 or fewer prior lines of systemic anticancer therapy in the advanced/metastatic setting * Has at least 1 target lesion per RECIST 1.1, as determined by the investigator. * Has an ECOG performance status of 0 or 1, with no deterioration in the 2 weeks before first dose. * Has adequate organ function. * Where available, participants should provide a formalin fixed and paraffin embedded (FFPE) tumor sample from the most recent biopsy of primary cancer or from a metastatic site for central testing. Exclusion criteria * Has ongoing adverse reaction(s) from prior therapy that has(have) not recovered to ≤Grade 1 or to the baseline status preceding prior therapy. * Prior treatment with orlotamab, enoblituzumab, I-Dxd, or other B7-H3 targeted agents. * Primary brain tumor or evidence of brain metastasis (unless meeting the following criteria at the same time: asymptomatic; medically stable for at least 4 weeks prior to initial dosing; no steroid treatment required for at least 4 weeks prior to initial dosing; and no midline shift due to herniation); or untreated progression due to brain metastasis or primary brain tumor during or after the last treatment prior to screening; or evidence of meningeal/brainstem involvement; or evidence of spinal cord compression (detected by radiographic examination, symptomatic or not). * Any of the following cardiac examination abnormality: 1. Has QT interval, corrected for heart rate (QTc) \>450 msec or QTc \>480 msec for participants with bundle branch block. 2. Evidence of current clinically significant arrhythmias or ECG abnormalities (e.g., complete left bundle branch block, third-degree atrioventricular \[AV\] block, second-degree AV block, PR interval \>250 msec). 3. Risk factors of prolonged QTc or arrhythmia events, such as heart failure, refractory hypokalemia, congenital long QT syndrome, family history of long QT syndrome, or unexplained sudden death of any direct relative under 40 years old or any concomitant medications that prolong the QT interval. 4. Left ventricular ejection fraction (LVEF) \<50%. * Has severe, uncontrolled or active CV disorders, serious or poorly controlled hypertension, clinically significant bleeding symptoms or serious arteriovenous thromboembolic events * Participants with evidence of current ILD/non-infectious pneumonitis OR a prior history of ILD/non-infectious pneumonitis requiring high-dose glucocorticoids OR suspected ILD/non-infectious pneumonitis that cannot be ruled out by imaging. * Has a history of autoimmune disease that has required systemic treatments in the 2 years prior to screening. Participants with prior history of autoimmune disease must be discussed with the medical monitor. Replacement therapy is not considered a form of systemic therapy (e.g., thyroid hormone for autoimmune thyroiditis or insulin is not exclusionary). * Has any history of prior allogenic or autologous bone marrow transplant or other solid organ transplant. * Has received prior anticancer therapy within 28 days of the first dose of study intervention or having to continue these medications during the study.

Interventions

BIOLOGICAL

Ris-Rez

DRUG

Cisplatin

DRUG

Carboplatin

BIOLOGICAL

Atezolizumab

BIOLOGICAL

Pembrolizumab

BIOLOGICAL

Durvalumab

BIOLOGICAL

Cetuximab

BIOLOGICAL

Bevacizumab

BIOLOGICAL

Tarlatamab

BIOLOGICAL

Dostarlimab

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Conditions

Neoplasms

Locations

GSK Investigational Site

Stanford, California 94063

United States

GSK Investigational Site

Denver, Colorado 80218

United States

GSK Investigational Site

New Haven, Connecticut 06511

United States

GSK Investigational Site

Fort Wayne, Indiana 46804

United States

GSK Investigational Site

Boston, Massachusetts 02114

United States

GSK Investigational Site

Detroit, Michigan 48201

United States

GSK Investigational Site

New Brunswick, New Jersey 08903

United States

GSK Investigational Site

Myrtle Beach, South Carolina 29572

United States

GSK Investigational Site

Nashville, Tennessee 37203

United States

GSK Investigational Site

Austin, Texas 78705

United States

GSK Investigational Site

Dallas, Texas 75230

United States

GSK Investigational Site

San Antonio, Texas 78229

United States

GSK Investigational Site

Tyler, Texas 75702

United States

GSK Investigational Site

West Valley City, Utah 84119

United States

GSK Investigational Site

Norfolk, Virginia 23502

United States

GSK Investigational Site

Rosario, S2002

Argentina

GSK Investigational Site

Viedma, R8500ACE

Argentina

GSK Investigational Site

Hamilton, Ontario L8V 5C2

Canada

GSK Investigational Site

Ottawa, Ontario K1H 8L6

Canada

GSK Investigational Site

Toronto, Ontario M5G 1X6

Canada

GSK Investigational Site

Montreal, Quebec H4A 3J1

Canada

GSK Investigational Site

Sherbrooke, Quebec J1H 5N4

Canada

GSK Investigational Site

Bordeaux, 33076

France

GSK Investigational Site

Lyon, 69373

France

GSK Investigational Site

Villejuif, 94805

France

GSK Investigational Site

Pokfulam,

Hong Kong

GSK Investigational Site

Shatin,

Hong Kong

GSK Investigational Site

Jerusalem, 91031

Israel

GSK Investigational Site

Jerusalem, 9112001

Israel

GSK Investigational Site

Ramat Gan, 5266202

Israel

GSK Investigational Site

Tel Aviv, 64239

Israel

GSK Investigational Site

Milan, 20141

Italy

GSK Investigational Site

Naples, 80131

Italy

GSK Investigational Site

Roma, 00168

Italy

GSK Investigational Site

Verona, 37134

Italy

GSK Investigational Site

Aichi, 464-8681

Japan

GSK Investigational Site

Chiba, 277-8577

Japan

GSK Investigational Site

Shizuoka, 411-8777

Japan

GSK Investigational Site

Tokyo, 104-0045

Japan

GSK Investigational Site

Tokyo, 135-8550

Japan

GSK Investigational Site

Panama City,

Panama

GSK Investigational Site

Panama City,

Panama

GSK Investigational Site

Gyeonggi-do, 10408

South Korea

GSK Investigational Site

Seoul, 03080

South Korea

GSK Investigational Site

Seoul, 03722

South Korea

GSK Investigational Site

Seoul, 135-710

South Korea

GSK Investigational Site

Badajoz, 06080

Spain

GSK Investigational Site

Barcelona, 08035

Spain

GSK Investigational Site

Barcelona, 08036

Spain

GSK Investigational Site

Madrid, 28034

Spain

GSK Investigational Site

Madrid, 28040

Spain

GSK Investigational Site

Madrid, 28041

Spain

GSK Investigational Site

Málaga, 29010

Spain

GSK Investigational Site

Valencia, 46026

Spain

GSK Investigational Site

Zaragoza, 50009

Spain

GSK Investigational Site

Changhua, 500

Taiwan

GSK Investigational Site

Kaohsiung City, 83301

Taiwan

GSK Investigational Site

Taichung, 40447

Taiwan

GSK Investigational Site

Tainan, 704

Taiwan

GSK Investigational Site

Taipei, 10002

Taiwan

GSK Investigational Site

Taipei, 11217

Taiwan

GSK Investigational Site

Edinburgh, EH4 2XU

United Kingdom

GSK Investigational Site

Glasgow, G12 0YN

United Kingdom

GSK Investigational Site

London, W1G 6AD

United Kingdom

GSK Investigational Site

London, WC1E 6AG

United Kingdom

GSK Investigational Site

Manchester, M20 4BX

United Kingdom

GSK Investigational Site

Newcastle upon Tyne, NE7 7DN

United Kingdom