Actively Recruiting

Early Phase 1
Age: 18Years +
All Genders
NCT07268053

A Phase 0/1 Clinical Trial With an Expansion Phase of GSK5764227, a B7-H3-Targeted Antibody-Drug Conjugate (ADC), in Patients With Recurrent Grade 4 Glioma and Patients With Brain Metastases

Led by Nader Sanai · Updated on 2026-03-06

15

Participants Needed

1

Research Sites

176 weeks

Total Duration

On this page

Sponsors

N

Nader Sanai

Lead Sponsor

G

GlaxoSmithKline

Collaborating Sponsor

AI-Summary

What this Trial Is About

This will be an open-label Phase 0/1 study that will enroll approximately 15 participants, 9 participants with recurrent WHO Grade 4 glioma (rGBM) and 6 participants with brain metastases, who will receive the investigational drug risvutatug rezetecan (GSK5764227), a B7-H3-targeted antibody-drug conjugate (ADC) with the GSK5757810 payload. The trial will consist of a Phase 0 component (subdivided into Arms A and B) and an Expansion Phase 1 component. Participants with tumors demonstrating a positive pharmacokinetic (PK) response in the Phase 0 component will be eligible to enroll in the Expansion Phase to receive therapeutic dosing of risvutatug rezetecan.

CONDITIONS

Official Title

A Phase 0/1 Clinical Trial With an Expansion Phase of GSK5764227, a B7-H3-Targeted Antibody-Drug Conjugate (ADC), in Patients With Recurrent Grade 4 Glioma and Patients With Brain Metastases

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with recurrent Grade 4 glioma per 2021 WHO criteria or brain metastasis needing surgical resection with well-controlled systemic disease
  • Have available archival or biopsy brain tumor tissue
  • Have measurable disease with at least one contrast-enhancing lesion of 1 cm or larger preoperatively
  • Age 18 years or older at time of consent
  • Performance status of 2 or less on the ECOG scale
  • Adequate bone marrow, liver, kidney, metabolic, and coagulation function per specified laboratory values
  • For females of childbearing potential: negative pregnancy test before treatment and agree to use effective contraception during and for 8 months after treatment, no breastfeeding, and no egg donation
  • For females not of childbearing potential: no longer able to have children due to menopause or surgery
  • For males: agree to refrain from sperm donation and use contraception or abstain from heterosexual intercourse during and for 5 months after treatment
  • Agree to follow lifestyle considerations during the study
  • Able and willing to comply with study visits, treatments, and tests
  • Understand and voluntarily sign informed consent
Not Eligible

You will not qualify if you...

  • Evidence of leptomeningeal metastasis or spinal cord compression
  • Unable to undergo brain MRI with contrast
  • Active systemic bacterial, fungal, or viral infection needing treatment or fever above 38.5°C at treatment start
  • Serious infections within 4 weeks before treatment initiation
  • Severe psychiatric or uncontrolled medical conditions posing safety risks or affecting compliance
  • Unresolved toxicities greater than Grade 1 from prior therapy (with some exceptions)
  • Prior treatment with certain B7-H3 targeted agents, investigational drugs within 4 weeks, or chemotherapy, monoclonal antibodies, immunosuppressives within specified timeframes
  • Use of strong/moderate inhibitors of certain enzymes within 7 days before treatment
  • Blood transfusions or colony-stimulating factors within 14 days prior to enrollment
  • Major surgery within 4 weeks before treatment posing safety risks
  • Significant bleeding within 1 month before treatment
  • Allergies or severe hypersensitivity to the study drug or its components
  • History of bone marrow or solid organ transplant
  • Current or history of interstitial lung disease or pneumonitis requiring high-dose steroids
  • Moderate to severe lung disease
  • Serious or uncontrolled cardiovascular disorders or abnormal heart test results
  • Active infectious diseases requiring treatment or known HIV
  • Positive hepatitis B or C tests unless resolved
  • Cirrhosis or unstable liver/biliary disease
  • Autoimmune disease requiring systemic treatment in past 2 years
  • Active significant kidney conditions
  • Unable to adhere to study schedule and procedures
  • Vaccination or hypersensitivity within 4 weeks before treatment
  • Received live vaccine within 30 days before treatment
  • Pregnant or breastfeeding
  • Blood donation over 500 mL within 1 month before treatment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States, 85013

Actively Recruiting

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Research Team

P

Phase 0 Navigator

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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