The purpose of this trial is to learn about the safety and effectiveness of GEN1106 when it is used for the treatment of participants with certain types of cancer. The trial has multiple parts. The first part of the trial tests different doses of GEN1106 to find out if it is safe and determine what are the best doses to use. The second and third parts continues to test the safety of and how well GEN1106 works in additional participants with a specific cancer type and at doses chosen based on results from the first part of the trial. For each participant, the trial will last approximately 17 months but will vary for each person. This includes up to 21 days for screening prior to receiving trial treatment, approximately 5 months of treatment (the duration of treatment may vary for each participant), and approximately 11 months of follow up after trial treatment ends (the duration of follow up may vary for each participant). Participation in the trial will require visits to the site, with more frequent visits during the first 6 weeks of treatment and then less frequent visits afterwards. At site visits, there will be various tests (such as blood draws) and procedures (such as recording of heart activity, computed tomography \[CT\] scans) to monitor whether the treatment is safe and effective. All participants will receive active drug; no one will be given placebo.
This is a first-in-human (FIH), open-label, multicenter, dose escalation and expansion trial in participants with urothelial and other cancers who have metastatic disease to evaluate the safety, pharmacokinetics (PK), pharmacodynamics, and anti-tumor activity of GEN1106.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
103
Intravenous (IV) infusion.
Yale Cancer Center
New Haven, Connecticut, United States
RECRUITINGSTART New York Long Island LLC
Lake Success, New York, United States
RECRUITINGCarolina Urologic Research Center
Myrtle Beach, South Carolina, United States
RECRUITINGWest Cancer Center and Research Institute
Germantown, Tennessee, United States
NOT_YET_RECRUITINGSouth Texas Accelerated Research Therapeutics
San Antonio, Texas, United States
RECRUITINGNational Cancer Center Hospital
Chuo Ku, Tokyo, Japan
RECRUITINGHospital HM Nou Delfos
Barcelona, Spain
RECRUITINGSTART Madrid - Hospital Universitario Fundacion Jimenez Diaz
Madrid, Spain
RECRUITINGSTART Madrid - Centro Integral Oncologico Clara Campal
Madrid, Spain
RECRUITINGHospital Universitario Quironsalud Madrid
Madrid, Spain
RECRUITINGPart 1 Dose Escalation: Number of Participants with Dose Limiting Toxicities (DLTs)
Time frame: 21 days
Part 1 Dose Escalation: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Up to approximately 16 months
Part 2 Dose Refinement: Number of Participants with AEs and SAEs
Time frame: Up to approximately 16 months
Part 3 Expansion: Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time frame: Up to approximately 16 months
Part 1 Dose Escalation and Part 2 Dose Refinement: ORR per RECIST v1.1
Time frame: Up to approximately 16 months
Part 3 Expansion: Number of Participants with AEs and SAEs
Time frame: Up to approximately 16 months
Part 1 Dose Escalation and Part 2 Dose Refinement: Number of Participants with Antidrug Antibodies (ADA) to GEN1106
Time frame: Up to approximately 5 months
Part 3 Expansion: Number of Participants with ADA to GEN1106
Time frame: Up to approximately 5 months
Part 1 Dose Escalation and Part 2 Dose Refinement: Plasma Concentrations of GEN1106-related Analytes
Time frame: Up to approximately 5 months
Part 3 Expansion: Plasma Concentrations of GEN1106-related Analytes
Time frame: Up to approximately 5 months
Part 1 Dose Escalation and Part 2 Dose Refinement: Disease Control Rate (DCR) per RECIST v1.1
Time frame: Up to approximately 16 months
Part 3 Expansion: DCR per RECIST v1.1
Time frame: Up to approximately 16 months
Part 1 Dose Escalation and Part 2 Dose Refinement: Duration of Response (DOR) per RECIST v1.1
Time frame: Up to approximately 16 months
Part 3 Expansion: DOR per RECIST v1.1
Time frame: Up to approximately 16 months
Part 1 Dose Escalation and Part 2 Dose Refinement: Time to Response (TTR) per RECIST v1.1
Time frame: Up to approximately 16 months
Part 3 Expansion: TTR per RECIST v1.1
Time frame: Up to approximately 16 months
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