First-In-Human, Open-Label, Dose Escalation and Expansion Trial to Evaluate the Safety, Pharmacokinetics and Efficacy of GEN1106 in Participants With Solid Tumors

INTRODUCTION

  • Org Study ID: GCT1106-01
  • Secondary ID: N/A
  • NCT ID: NCT07416123
  • Sponsor: Genmab

BRIEF SUMMARY

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.

DETAILED DESCRIPTION

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.

  • Overall Status
    Recruiting
  • Start Date
    April 14, 2026
  • Phase
    Phase 1
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Part 1 Dose Escalation: Number of Participants with Dose Limiting Toxicities (DLTs)

Primary Outcome 1 - Timeframe: 21 days

Primary Outcome 2 - Measure: Part 1 Dose Escalation: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

Primary Outcome 2 - Timeframe: Up to approximately 16 months

Primary Outcome 3 - Measure: Part 2 Dose Refinement: Number of Participants with AEs and SAEs

Primary Outcome 3 - Timeframe: Up to approximately 16 months

Primary Outcome 4 - Measure: Part 3 Expansion: Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

Primary Outcome 4 - Timeframe: Up to approximately 16 months

CONDITION

  • Solid Tumors
  • Urothelial Carcinoma

ELIGIBILITY

Key Inclusion Criteria:
* Have progressed on or after standard of care (SoC) therapy, which should include chemotherapy, anti-programmed cell death protein 1 (PD-1)/programmed cell death ligand 1 (PD-L1) therapies, and enfortumab vedotin (EV), if applicable for the tumor type, or for whom there is no available standard therapy likely to provide clinical benefit, and for whom experimental therapy with GEN1106 may be beneficial, in the opinion of the investigator.

- * Have measurable disease according to RECIST v1.1.

- * Have Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 to 1 at screening.

- * Part 1: Have histologically or cytologically confirmed diagnosis of cancer as specified per protocol.

- * Parts 2 and 3: Have histologically or cytologically confirmed diagnosis of metastatic urothelial carcinoma (mUC).
Key Exclusion Criteria:
* Prior treatment with topoisomerase 1 inhibitor-based antibody-drug conjugate (ADC) therapy.

- * Treatment with an anticancer agent within 4 weeks or for systemic therapies within 5 half-lives of the drug, whichever is shorter, prior to trial treatment administration.

- * Has clinically significant toxicities from previous anticancer therapies that have not resolved to baseline levels or to grade 1 or lower, except for alopecia, anorexia, vitiligo, fatigue, hyperthyroidism, hypothyroidism, and peripheral neuropathy. Anorexia, hyperthyroidism, hypothyroidism, and peripheral neuropathy must have recovered to grade 2.
Note: Other protocol-defined Inclusion and Exclusion criteria may apply.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Study Official

Role: Study Director

Affiliation: Genmab

Overall Contact

Name: Genmab Trial Information

Phone: +4570202728

Email: [email protected]

LOCATION

Facility Status Contact
Facility: START New York Long Island LLC
Lake Success, New York 11042
United States
Status: Recruiting Contact: N/A
Facility: Carolina Urologic Research Center
Myrtle Beach, South Carolina 29572
United States
Status: Recruiting Contact: N/A
Facility: South Texas Accelerated Research Therapeutics
San Antonio, Texas 78229
United States
Status: Recruiting Contact: N/A