About this trial
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
This trial does not accept healthy volunteersQualifiers
Male or female participants at least 18 years of age (≥18 years)
Participants with advanced/metastatic solid tumors.
For monotherapy dose escalation: participants must have progressed on or become intolerant to all available SOC therapies.
For combination dose escalation: participants must have received 3 or fewer prior lines of systemic anticancer therapy in the advanced/metastatic setting
Disqualifiers
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).
Has QT interval, corrected for heart rate (QTc) >450 msec or QTc >480 msec for participants with bundle branch block.
Trial design
Sequential
Treatments tested in this trial
Ris-Rez
Biological/VaccineRis-Rez will be administered
Cisplatin
DrugCisplatin will be administered
Carboplatin
DrugCarboplatin will be administered
Atezolizumab
Biological/VaccineAtezolizumab will be administered
Pembrolizumab
Biological/VaccinePembrolizumab will be administered
Durvalumab
Biological/VaccineDurvalumab will be administered
Cetuximab
Biological/VaccineCetuximab will be administered
Bevacizumab
Biological/VaccineBevacizumab will be administered
Tarlatamab
Biological/VaccineTarlatamab will be administered
Dostarlimab
Biological/VaccineDostarlimab will be administered
Treatment groups
6
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Phase 1a: Number of participants with Adverse Events (AEs)
Phase 1a: Number of participants with Dose Limiting Toxicities (DLTs)
Phase 1a: Number of participants with AEs, serious adverse events (SAEs) and adverse events of special interest (AESIs) by severity
Phase 1a: Number of participants with AEs leading to dose modifications
Secondary outcomes
Phase 1a and Phase 1b: Maximum concentration (Cmax) of Ris-Rez
Phase 1a and Phase 1b: Time to reach maximum concentration (Tmax) of Ris-Rez
Phase 1a and Phase 1b: Area under the curve (AUC) of Ris-Rez
Phase 1a and Phase 1b: Trough concentration (Ctrough) of Ris-Rez (conjugated antibody)
Sponsors and contacts
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