New drug cocktail aims to tackle Hard-to-Treat cancers
NCT ID NCT06551142
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-stage trial is testing a new drug called Risvutatug rezetecan (Ris-Rez) in people with advanced solid tumors that have spread or cannot be removed. The study will give Ris-Rez alone or combined with other cancer drugs like chemotherapy or immunotherapy. Researchers want to see if it is safe, how the body processes it, and whether it can shrink tumors. About 845 adults with various solid tumors are being recruited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Risvutatug rezetecan (Ris-Rez), also known as GSK5764227
- What this could lead to
- If successful, this could point toward a new treatment option for people with advanced solid tumors that have stopped responding to standard therapies.
- What could go wrong
- This is an early phase 1 trial, so the main goal is safety, not effectiveness. The drug may not shrink tumors or could cause side effects. Results may not apply to all cancer types.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 845 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
66 sites in 13 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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GSK Investigational Site
RECRUITINGStanford, California, 94063, United States
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GSK Investigational Site
RECRUITINGDenver, Colorado, 80218, United States
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GSK Investigational Site
RECRUITINGNew Haven, Connecticut, 06511, United States
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GSK Investigational Site
RECRUITINGFort Wayne, Indiana, 46804, United States
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GSK Investigational Site
RECRUITINGBoston, Massachusetts, 02114, United States
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GSK Investigational Site
RECRUITINGDetroit, Michigan, 48201, United States
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GSK Investigational Site
RECRUITINGNew Brunswick, New Jersey, 08903, United States
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GSK Investigational Site
RECRUITINGMyrtle Beach, South Carolina, 29572, United States
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GSK Investigational Site
RECRUITINGNashville, Tennessee, 37203, United States
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GSK Investigational Site
RECRUITINGAustin, Texas, 78705, United States
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GSK Investigational Site
RECRUITINGDallas, Texas, 75230, United States
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GSK Investigational Site
RECRUITINGSan Antonio, Texas, 78229, United States
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GSK Investigational Site
RECRUITINGTyler, Texas, 75702, United States
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GSK Investigational Site
RECRUITINGWest Valley City, Utah, 84119, United States
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GSK Investigational Site
RECRUITINGNorfolk, Virginia, 23502, United States
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GSK Investigational Site
COMPLETEDRosario, S2002, Argentina
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GSK Investigational Site
RECRUITINGViedma, R8500ACE, Argentina
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GSK Investigational Site
RECRUITINGHamilton, Ontario, L8V 5C2, Canada
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GSK Investigational Site
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
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GSK Investigational Site
RECRUITINGToronto, Ontario, M5G 1X6, Canada
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GSK Investigational Site
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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GSK Investigational Site
RECRUITINGSherbrooke, Quebec, J1H 5N4, Canada
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GSK Investigational Site
RECRUITINGBordeaux, 33076, France
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GSK Investigational Site
RECRUITINGLyon, 69373, France
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GSK Investigational Site
RECRUITINGVillejuif, 94805, France
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GSK Investigational Site
RECRUITINGPokfulam, Hong Kong
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GSK Investigational Site
RECRUITINGShatin, Hong Kong
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GSK Investigational Site
RECRUITINGJerusalem, 91031, Israel
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GSK Investigational Site
RECRUITINGJerusalem, 9112001, Israel
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GSK Investigational Site
RECRUITINGRamat Gan, 5266202, Israel
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GSK Investigational Site
RECRUITINGTel Aviv, 64239, Israel
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GSK Investigational Site
RECRUITINGMilan, 20141, Italy
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GSK Investigational Site
RECRUITINGNaples, 80131, Italy
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GSK Investigational Site
RECRUITINGRoma, 00168, Italy
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GSK Investigational Site
RECRUITINGVerona, 37134, Italy
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GSK Investigational Site
RECRUITINGAichi, 464-8681, Japan
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GSK Investigational Site
RECRUITINGChiba, 277-8577, Japan
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GSK Investigational Site
RECRUITINGShizuoka, 411-8777, Japan
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GSK Investigational Site
RECRUITINGTokyo, 104-0045, Japan
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GSK Investigational Site
RECRUITINGTokyo, 135-8550, Japan
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GSK Investigational Site
RECRUITINGPanama City, Panama
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GSK Investigational Site
RECRUITINGPanama City, Panama
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GSK Investigational Site
RECRUITINGGyeonggi-do, 10408, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 03080, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 03722, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 135-710, South Korea
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GSK Investigational Site
RECRUITINGBadajoz, 06080, Spain
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GSK Investigational Site
RECRUITINGBarcelona, 08035, Spain
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GSK Investigational Site
RECRUITINGBarcelona, 08036, Spain
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GSK Investigational Site
RECRUITINGMadrid, 28034, Spain
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GSK Investigational Site
RECRUITINGMadrid, 28040, Spain
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GSK Investigational Site
RECRUITINGMadrid, 28041, Spain
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GSK Investigational Site
RECRUITINGMálaga, 29010, Spain
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GSK Investigational Site
RECRUITINGValencia, 46026, Spain
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GSK Investigational Site
RECRUITINGZaragoza, 50009, Spain
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GSK Investigational Site
RECRUITINGChanghua, 500, Taiwan
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GSK Investigational Site
RECRUITINGKaohsiung City, 83301, Taiwan
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GSK Investigational Site
RECRUITINGTaichung, 40447, Taiwan
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GSK Investigational Site
RECRUITINGTainan, 704, Taiwan
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GSK Investigational Site
RECRUITINGTaipei, 10002, Taiwan
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GSK Investigational Site
RECRUITINGTaipei, 11217, Taiwan
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GSK Investigational Site
RECRUITINGEdinburgh, EH4 2XU, United Kingdom
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GSK Investigational Site
RECRUITINGGlasgow, G12 0YN, United Kingdom
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GSK Investigational Site
RECRUITINGLondon, W1G 6AD, United Kingdom
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GSK Investigational Site
RECRUITINGLondon, WC1E 6AG, United Kingdom
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GSK Investigational Site
RECRUITINGManchester, M20 4BX, United Kingdom
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GSK Investigational Site
RECRUITINGNewcastle upon Tyne, NE7 7DN, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- When cancer blocks the airway, doctors lack a playbook. experts aim to write one.
- Families rate dignity and support in final days of cancer care
- Can a Nine-Week group program help blood cancer patients grow through trauma?
- Can connecting the body to the earth help cancer patients sleep?
- Can engineered immune cells tackle resistant blood cancers?
- Can radiation plus two immunotherapies shrink Hard-to-Treat tumors?