New antibody combo aims to supercharge immune system against Hard-to-Treat cancers
NCT ID NCT04198766
First seen Jun 26, 2026 · Last updated Jul 30, 2026 · Updated 3 times
Summary
This early-phase trial is testing an experimental drug called INBRX-106, alone or combined with the immunotherapy Keytruda, in people with advanced solid tumors (including lung, head and neck, melanoma, and others) that have stopped responding to standard treatments. The main goals are to check safety, find the best dose, and see if the combination can shrink tumors. About 296 adults are taking part across multiple sites.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- INBRX-106 (an experimental antibody that targets OX40 receptors on immune cells) and pembrolizumab (Keytruda, an immunotherapy drug)
- What this could lead to
- If successful, this could lead to a new treatment option for people with advanced solid tumors that have not responded to standard therapies.
- What could go wrong
- This is an early Phase 1/2 trial, so safety and effectiveness are not yet proven. The drug may cause side effects or fail to shrink tumors. 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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 340 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2019
- Expected to finish
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Jul 2033
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.
Select Inclusion Criteria: * Males or females aged ≥18 years. * Parts 1 and 3 (escalation cohorts): Subjects with locally advanced or metastatic non resectable solid tumors, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy exists. * Part 2 (single-agent expansion cohort): Subjects with NSCLC, melanoma, HNSCC, G/GEA, RCC, or TCC, with histologically confirmed, locally advanced or metastatic, non-resectable disease, which has progressed despite all standard therapies including CPI or for whom no standard or clinically acceptable therapy exists. * Part 4 (expansion cohorts in combination with pembrolizumab, with or without chemotherapy): Subjects with melanoma (all types), HNSCC, G/GEA, RCC, TCC, NSCLC, or MSI-high, TMB-high, MMR-deficient tumors, with histologically confirmed, locally advanced or metastatic, non resectable disease, which is either CPI-naive (melanoma, HNSCC, NPC) or progressed despite all standard therapies including CPI (NSCLC, RCC, TCC, uveal melanoma, MSI-high, TMB-high, or MMR-deficient solid tumors) or for whom no standard or clinically acceptable therapy exists. * For Cohort F3 (NSCLC), subjects may have progressed on no more than 2 lines of standard therapy that must include at least one PD-1/L1 regimen. * For Cohort F4 (HNSCC and NPC), subjects may be previously treated with no more than 1 prior chemotherapy regimen in metastatic setting. Prior PD-1/L1 in curative (neo-adjuvant/adjuvant) setting is allowed only if completed \>/= 6 months prior to progression to local recurrence or metastatic disease. * For Cohort F8, subjects must have previously untreated, histologically confirmed Stage II, IIIA or IIIB (T3-4N2) NSCLC. Lymph node disease requires histologic confirmation, while T3 disease requires only radiographic documentation. Subjects need to be able to undergo planned surgery. * All subjects with non-squamous NSCLC must have documentation of absence of tumor activating EGFR mutations and absence of ALK gene rearrangements. * PD-L1 by IHC (22C3): Parts 1 and 3: IHC optional. Part 2: IHC result mandatory but any score allowed. Combined Positive Score (CPS) ≥ 1% (or Tumor Proportion Score ≥50% for NSCLC; for TMB-high tumors, any TPS% is allowed). Part 4: Combined Positive Score (CPS) ≥ 1% (or Tumor Proportion Score ≥50% for NSCLC; for TMB-high tumors, any TPS% is allowed). For Cohort F8, any TPS (including 0%) is acceptable. * Adequate hematologic, coagulation, hepatic and renal function and ECOG score as defined per protocol. Select Exclusion Criteria: * Prior exposure to OX40 agonists. Exposure to anti-PD-1 and/or anti PD-L2 CPIs or an agent targeting other co-stimulatory T-cell receptor pathways. * Receipt of any investigational product or any approved anticancer drug(s) or biological product(s) within 4 weeks prior to the first dose of study drug with certain exceptions. * Hematologic malignancies (e.g., ALL, AML, MDS, CLL, CML, NHL, Hodgkin's lymphoma and multiple myeloma) * Prior or concurrent malignancies. Exception: Subjects with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessments of INBRX-106. * Grade ≥ 3 immune-related adverse events (irAEs) or irAE that lead to discontinuation of prior immunotherapy. Some exceptions as defined per protocol apply. * Active autoimmune disease or documented history of autoimmune disease that required systemic steroids or other immunosuppressive medications. Certain exceptions as defined in protocol apply. * Diagnosis of immunodeficiency or treatment with systemic immunosuppressive medications within 7 days prior to the first dose of study drug. Certain exceptions as defined in protocol apply. * History of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection. Exceptions as defined in protocol apply. * Active interstitial lung disease (ILD) or pneumonitis or a history of ILD or pneumonitis requiring treatment with steroids or other immunosuppressive medications. * Clinically significant cardiac condition, including myocardial infarction, uncontrolled angina, viral myocarditis, cerebrovascular accident, or other acute uncontrolled heart disease \< 3 months prior to enrollment on this trial; left ventricular ejection fraction (LVEF) \< 50%; New York Heart Association (NYHA) Class III or IV congestive heart failure; or uncontrolled hypertension; or oxygen saturation \<92% on room air. * Active, hemodynamically significant pulmonary embolism within 12 weeks prior to enrollment on this trial. * Major surgery within 4 weeks prior to enrollment on this trial. * Anti-infectious drug treatments (i.e., antibiotics) within 4 weeks prior to the first dose of study drug. * Prior organ allograft transplantations or allogeneic peripheral blood stem cell (PBSC) or bone marrow (BM) transplantation. * Additional in- and exclusion criteria per protocol.
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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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
13 sites. 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
Show contact details
Enter your email to view the contact information for this study.
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Asan Medical Center
ACTIVE_NOT_RECRUITINGSeoul, South Korea
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Barbara Ann Karmanos Cancer Institute
COMPLETEDDetroit, Michigan, 48201, United States
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California Research Institute
RECRUITINGLos Angeles, California, 90027, United States
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Changhua Christian Hospital (CCH)
ACTIVE_NOT_RECRUITINGChanghua, Taiwan
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City of Hope
RECRUITINGDuarte, California, 91010, United States
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Clermont Oncology Center
RECRUITINGClermont, Florida, 34711, United States
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Cleveland Clinic
ACTIVE_NOT_RECRUITINGCleveland, Ohio, 44195, United States
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Curie Oncology
COMPLETEDSingapore, Singapore
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E-Da Cancer Hospital
ACTIVE_NOT_RECRUITINGKaohsiung City, Taiwan
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Froedtert Hospital and the Medical College of Wisconsin
ACTIVE_NOT_RECRUITINGMilwaukee, Wisconsin, 53226, United States
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HealthPartners Cancer Research Center
ACTIVE_NOT_RECRUITINGSaint Louis Park, Minnesota, 55426, United States
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HealthPartners Cancer Research Center (Regions Hospital)
COMPLETEDSaint Paul, Minnesota, 55101, United States
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Henry Ford Cancer Institute
RECRUITINGDetroit, Michigan, 48202, United States
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Icon Cancer Centre Farrer Park
COMPLETEDSingapore, Singapore
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Icon Cancer Centre Mount Alvernia
COMPLETEDSingapore, Singapore
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Intermountain Health Cancer Centers of Montana
COMPLETEDBillings, Montana, 59102, United States
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Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)
ACTIVE_NOT_RECRUITINGKaohsiung City, Taiwan
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Los Angeles Cancer Network
RECRUITINGGlendale, California, 91204, United States
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Mid Florida Hematology and Oncology Center
RECRUITINGOrange City, Florida, 32763, United States
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Montefiore Medical Center
ACTIVE_NOT_RECRUITINGThe Bronx, New York, 10467, United States
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NEXT Oncology
COMPLETEDSan Antonio, Texas, 78229, United States
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National Cheng Kung University Hospital
ACTIVE_NOT_RECRUITINGTainan, Taiwan
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Nebraska Cancer Specialists
RECRUITINGOmaha, Nebraska, 68130, United States
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Norton Cancer Institute
RECRUITINGLouisville, Kentucky, 40202, United States
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Providence Medical Foundation
RECRUITINGSanta Rosa, California, 95403, United States
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Providence Portland Medical Center
ACTIVE_NOT_RECRUITINGPortland, Oregon, 97213, United States
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Renovatio Clinical
COMPLETEDThe Woodlands, Texas, 77380, United States
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Renovatio Clinical - El Paso
COMPLETEDEl Paso, Texas, 79915, United States
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START Midwest
ACTIVE_NOT_RECRUITINGGrand Rapids, Michigan, 49546, United States
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Sarah Cannon Research Institute at Mary Crowley
COMPLETEDDallas, Texas, 75230, United States
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Severance Hospital, Yonsei University Health System
ACTIVE_NOT_RECRUITINGSeoul, South Korea
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Taipei Veterans General Hospital
COMPLETEDTaipei, Taiwan
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The Catholic University of Korea Seoul St. Mary's Hospital,
ACTIVE_NOT_RECRUITINGSeoul, South Korea
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The Catholic University of Korea, St. Vincent's Hospital
ACTIVE_NOT_RECRUITINGGyeonggi-do, South Korea
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The University of Chicago Medical Center
ACTIVE_NOT_RECRUITINGChicago, Illinois, 60637, United States
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The University of Texas Health Science Center at Tyler
RECRUITINGTyler, Texas, 75701, United States
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University of Iowa
ACTIVE_NOT_RECRUITINGIowa City, Iowa, 52242, United States
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Valkyrie Clinical Trials
RECRUITINGLos Angeles, California, 90069, United States
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Valkyrie Clinical Trials
RECRUITINGMurrieta, California, 92562, United States
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Vanderbilt University School of Medicine
ACTIVE_NOT_RECRUITINGNashville, Tennessee, 37204, United States
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Virginia Cancer Specialists
COMPLETEDFairfax, Virginia, 22031, United States
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Winship Cancer Institute - Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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