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
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
845
Ris-Rez will be administered
Cisplatin will be administered
Carboplatin will be administered
Phase 1a: Number of participants with Adverse Events (AEs)
Time frame: Up to approximately 28 months
Phase 1a: Number of participants with Dose Limiting Toxicities (DLTs)
Time frame: Up to 21 days
Phase 1a: Number of participants with AEs, serious adverse events (SAEs) and adverse events of special interest (AESIs) by severity
Time frame: Up to approximately 30 months
Phase 1a: Number of participants with AEs leading to dose modifications
Time frame: Up to approximately 28 months
Phase 1a: Number of participants with changes in vital signs, body weight, laboratory tests, electrocardiogram (ECG) and Eastern Cooperative Oncology Group (ECOG) performance status
Time frame: Up to approximately 28 months
Phase 1b: Confirmed Objective Response Rate (cORR)
cORR is defined as the proportion of participants who have confirmed Complete response (CR) or Partial response (PR), assessed by the investigator according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST V1.1) criteria or other imaging criteria for defined tumor types.
Time frame: Up to approximately 27 months
Phase 1a and Phase 1b: Maximum concentration (Cmax) of Ris-Rez
Time frame: Up to approximately 28 months
Phase 1a and Phase 1b: Time to reach maximum concentration (Tmax) of Ris-Rez
Time frame: Up to approximately 28 months
Phase 1a and Phase 1b: Area under the curve (AUC) of Ris-Rez
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Atezolizumab will be administered
Pembrolizumab will be administered
Durvalumab will be administered
Cetuximab will be administered
Bevacizumab will be administered
Tarlatamab will be administered
Dostarlimab will be administered
GSK Investigational Site
Stanford, California, United States
RECRUITINGGSK Investigational Site
Denver, Colorado, United States
RECRUITINGGSK Investigational Site
New Haven, Connecticut, United States
RECRUITINGGSK Investigational Site
Fort Wayne, Indiana, United States
RECRUITINGGSK Investigational Site
Boston, Massachusetts, United States
RECRUITINGGSK Investigational Site
Detroit, Michigan, United States
RECRUITINGGSK Investigational Site
New Brunswick, New Jersey, United States
RECRUITINGGSK Investigational Site
Myrtle Beach, South Carolina, United States
RECRUITINGGSK Investigational Site
Nashville, Tennessee, United States
RECRUITINGGSK Investigational Site
Austin, Texas, United States
RECRUITING...and 57 more locations
Time frame: Up to approximately 28 months
Phase 1a and Phase 1b: Trough concentration (Ctrough) of Ris-Rez (conjugated antibody)
Time frame: Up to approximately 28 months
Phase 1a and Phase 1b: Trough concentration (Ctrough) of Ris-Rez (total antibody)
Time frame: Up to approximately 28 months
Phase 1a and Phase 1b: Trough concentration (Ctrough) of GSK5757810 (small-molecule toxin)
Time frame: Up to approximately 28 months
Phase 1a: Confirmed Objective Response Rate (cORR)
cORR is defined as the proportion of participants who have confirmed CR or PR, per RECIST V1.1 by investigator
Time frame: Up to approximately 33 months
Phase 1a: Disease control rate at 12 weeks (DCR12)
DCR is defined as the proportion of participants who have achieved CR, PR or Stable disease (SD) ≥11 weeks per RECIST v1.1 by investigator assessment
Time frame: At 12 weeks
Phase 1b: Disease control rate at 12 weeks (DCR12)
DCR defined as the proportion of participants who have achieved CR, PR or SD ≥11 weeks per RECIST 1.1 or other imaging criteria for defined tumor types by investigator.
Time frame: At 12 weeks
Phase 1a: Duration of Response (DoR)
DoR is defined as the date of first documented objective response (CR/PR) until per RECIST 1.1 by investigator assessment to the date of first documented PD or death due to any cause, whichever comes first.
Time frame: Up to approximately 33 months
Phase 1b: Duration of Response (DoR)
DoR defined as the time from the date of first documented objective response (CR/PR) per RECIST 1.1 or other imaging criteria for defined tumor types by investigator assessment to the date of first documented PD or death due to any cause, whichever comes first.
Time frame: Up to approximately 33 months
Phase 1b: Proportion of Participants with Tumour antigen Decrease From Baseline >=50% response rate
Tumour antigen response rate is defined as a proportion of participants with ≥50% decrease from baseline in the tumour antigen during the study. Any observed ≥50% decrease will be confirmed by repeat assessment after approximately 3 weeks
Time frame: Up to approximately 33 months
Phase 1a and Phase 1b: Number of participants with Antidrug antibody (ADA) or Neutralizing Antibody (NAb)
Time frame: Up to approximately 30 months
Phase 1a and Phase 1b: Titers of ADA against Ris-Rez
Time frame: Up to approximately 30 months
Phase 1b: Number of participants with AEs, SAEs and AESI by severity
Time frame: Up to approximately 30 months
Phase 1b: Number of participants with AEs leading to dose modifications
Time frame: Up to approximately 27 months
Phase 1b: Number of participants with changes in vital signs, body weight, laboratory tests, ECG, ECHO and ECOG performance status
Time frame: Up to approximately 28 months
Phase 1b: Progression-Free Survival (PFS)
PFS is defined as the time from randomization (dose optimization), or time from first dose where there is no randomization (dose expansion) until the earliest date of documented disease progression (investigator-assessed according to RECIST 1.1 or other imaging criteria for defined tumor types) or death due to any cause.
Time frame: Up to approximately 33 months