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Neoplasms, LungPhase 1/2NCT07602855

A Study of Risvutatug Rezetecan in Combination With Ivonescimab in Participants With Advanced Solid Tumors (EMBOLD PanTumour-103)

A Phase 1/2 study testing Risvutatug rezetecan and Ivonescimab in people with Neoplasms, Lung, run by GlaxoSmithKline at 4 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is an early-phase clinical study investigating a new combination treatment, Risvutatug rezetecan (Ris-Rez) given with ivonescimab for adults with advanced solid cancers. The study aims to determine: What dose(s) of Ris-Rez given with ivonescimab is safe and what are the side effects? How does the body handle the… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasms, Lung
What is being tested?
Risvutatug rezetecan and Ivonescimab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
184 participants
Where
4 sitesin 2 countries
Study dates
9 Sep 2026to 24 Dec 2029
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants are eligible to be included in the study only if all the following criteria apply:
  • Male or female participants at least 18 years of age (≥18 years) at the time of signing the informed consent form (ICF).
  • Participants with histologically confirmed advanced/metastatic solid tumors, irrespective of mutational status, as defined per cohort, as follows:
  • ES-SCLC
  • Histologically or cytologically confirmed SCLC (prior pathological diagnosis of complex SCLC [such as mixed SCLC and NSCLC] or transformed SCLC [NSCLC to SCLC] is not allowed)
  • ES-SCLC [per Veterans Administration Lung Study Group (VALG) criteria] at study entry Squamous NSCLC or non-squamous NSCLC
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  • Histologically or cytologically confirmed Squamous or Non-squamous NSCLC.
  • Metastatic NSCLC (Stage IV), according to American Joint Committee on Cancer (AJCC) 8th edition,
  • Has at least 1 target lesion per RECIST 1.1, as determined by the investigator. Measurable lesions that have been previously irradiated and have been shown to be progressing following irradiation may be considered as TLs.
  • Has an ECOG performance status of 0 or 1, with no deterioration in the 2 weeks before first dose.
  • Has a life expectancy of ≥ 3 months with ability to complete at least 4 cycles of study intervention.
  • Has adequate organ function
  • Is willing to use adequate contraception (contraceptive use by male and female participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies).
  • For dose expansion only: Tumor tissue (archival tumor tissue or a fresh biopsy) is required for all participants at screening. Tissue from a newly obtained fresh biopsy is preferred. If it is not feasible to obtain a fresh biopsy at screening, archival tumor tissue, (from the most recent biopsy (within 1 year), Formalin Fixation and Paraffin Embedding FFPE) block (preferred), or freshly cut slides is acceptable. If archival tissue is unavailable and it is not medically feasible to obtain fresh tissue, the medical monitor should be informed and exemption to the tissue requirement may be granted on a case-by-case basis. Tumor tissue is necessary for retrospective detection of B7 homolog 3 protein (B7-H3) expression and other biomarker analysis

Who cannot join

  • Participants are excluded from the study if any of the following criteria apply:
  • Has ongoing adverse reaction(s) from prior therapy that has (have) not recovered to ≤Grade 1 or to baseline status preceding prior therapy (excluding alopecia, hearing loss, vitiligo, endocrinopathy managed with replacement therapy, and Grade 1 neuropathy).
  • Has had major surgical procedures or serious trauma within 4 weeks prior to first dose, or plans for major surgical procedures within 4 weeks after the first dose (as determined by the investigator), or minor local procedures (excluding central venous catheterization and port implantation) within 3 days prior to first dose.
  • Has symptomatic Central Nervous System (CNS) metastases, CNS metastases with hemorrhagic features, CNS metastasis ≥ 1.5 cm, CNS radiation within 7 days prior to first dose, potential need for CNS radiation within the first cycle, or leptomeningeal disease. Patients must have stopped corticosteroids or be on physiologic corticosteroid replacement therapy (prednisone ≤ 10 mg daily or equivalent).
  • Has any of the following:
  • QTc >450 msec or QTc >480 msec for participants with bundle branch block.
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  • Evidence of current clinically significant arrhythmias or ECG abnormalities (e.g., complete left bundle branch block, third-degree atrioventricular block, second-degree atrioventricular block, PR interval >250 msec).
  • 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.
  • Left Ventricular Ejection Fraction (LVEF) <50%.
  • Has severe, uncontrolled or active CV disorders
  • Serious or poorly controlled hypertension; adjustment of antihypertensive medications due to poor blood pressure control within 2 weeks prior to the first dose; recurrent systolic blood pressure ≥150 mmHg or diastolic blood pressure ≥100 mmHg during screening period.
  • History of bleeding tendencies or coagulopathy and/or clinically significant bleeding symptoms or risk within 4 weeks prior to first dose, including but not limited to:
  • Hemoptysis (defined as coughing up ≥ 1 teaspoon of fresh blood or small blood clots)
  • Transient hemoptysis associated with diagnostic bronchoscopy is allowed.
  • Nasal bleeding/epistaxis (bloody nasal discharge is allowed)
  • Current use of prophylactic or full-dose anticoagulants or anti-platelet agents for therapeutic purposes that is not stable prior to first dose is not allowed.
  • Participants with a history of esophageal or gastric varicose vein, severe ulcer, unhealed wound, gastrointestinal perforation, abdominal fistula, gastrointestinal obstruction, intra-abdominal abscess, or acute gastrointestinal hemorrhage within 6 months prior to first dose.
  • History of any grade arterial thromboembolic event, Grade 3 and above venous thromboembolic event, as specified in National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) 6.0, hypertensive crisis, or hypertensive encephalopathy, within 12 months prior to the first dose.
  • Serious infections within 4 weeks prior to the first dose, including but not limited to infectious complications, bacteremia, severe pneumonia treated with IV antibiotics for ≥ 2 weeks; active infections with therapeutic IV antibiotics within 2 weeks prior to the first dose or oral antibiotics within 1 week prior to the first dose. Participants who are receiving or have received prophylactic antibiotics (e.g., prophylaxis against urinary infections) are allowed.
  • Any evidence of current Interstitial Lung Disease (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. Examples of suspected ILD/pneumonitis by imaging include the presence of lung parenchymal fibrosis, such as combined pulmonary fibrosis and emphysema (CPFE) and any radiographic features consistent with interstitial lung abnormalities, including but not limited to, extensive ground glass opacities, reticular opacities, traction bronchiectasis, and honeycombing.
  • Participants with moderate to severe pulmonary disease or current clinically significant pulmonary compromise that, in the investigator's judgment, could jeopardize safety or study conduct. Examples include severe/poorly controlled asthma or Chronic Obstructive Pulmonary Disease (COPD) (including acute exacerbation of COPD within 4 weeks before first dose), restrictive lung disease, significant pleural effusion (clinically significant pleural effusion on Study Day 1. Baseline oxygen saturation < 90% on room air.) or structural lung abnormalities, pulmonary involvement from autoimmune/connective tissue disorders (e.g., rheumatoid arthritis, Sjögren's, sarcoidosis), or any condition requiring continuous supplemental oxygen or causing marked respiratory impairment (e.g., dyspnea at rest, greatly reduced exercise tolerance, or significantly decreased lung function). Treatment of pleural effusions to meet eligibility is permitted.
  • History of allergy or hypersensitivity to Ris-Rez (antibody-drug conjugate (ADC), antibody, payload [GSK5757810]). History of severe allergies (e.g., anaphylactic shock), or severe infusion-related reactions (IRRs), or idiosyncrasy to recombinant humanized or mouse proteins.
  • Has received prior anticancer therapy within 14 days of the first dose of study intervention or having to continue these medications during the study. Participants that had any macromolecular anticancer drug (including immunotherapies such as monoclonal antibodies and bispecific antibodies) within 28 days prior to the first dose of study intervention are excluded.
  • History of local radiotherapy within 2 weeks prior to the first dose of study intervention; more than 30% of bone marrow irradiation or extensive radiotherapy within 4 weeks before the first dose of study intervention
  • Has received any transfusion of blood products (including platelets or red blood cells) or administration of colony-stimulating factors (including granulocyte colony-stimulating factor (G-CSF), granulocyte macrophage colony-stimulating factor (GM-CSF), or recombinant erythropoietin) within 14 days before enrollment. G-CSF prophylaxis prior to administration of Ris-Rez is permitted.
  • Has received immunosuppressive agents within 30 days prior to first dose of study treatment (or requires long-term (30 days or longer) glucocorticoid therapy). Low-dose corticosteroids (prednisone ≤10 mg/day or equivalent) may be administered. Use of inhaled or topical steroids and prophylactic corticosteroids for procedures and pre-infusion prophylaxis are permitted.
  • Participant with history of nephrotic syndrome or Grade 3 proteinuria or protein urine >1+ on dipstick or 24-h urine protein quantitation ≥ 1.0 g at Screening.
  • History of abdominal or gastrointestinal fistula, tracheoesophageal fistula or any Grade 4 fistula, gastrointestinal perforation, or intra-abdominal abscess.
  • Has any active renal condition (e.g., requirement for dialysis, or any other significant renal condition that could affect the participant's safety). Renal obstruction successfully managed by stenting is permitted.

Trial locations and contacts

4 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

US GSK Clinical Trials Call Center contact

877-379-3718

GSKClinicalSupportHD@gsk.com

EU GSK Clinical Trials Call Center contact

+44 (0) 20 89904466

GSKClinicalSupportHD@gsk.com

4 sites in 2 countries

United States3 sites, 3 recruiting
  • GSK Investigational Site

    Canton, Ohio, 44718

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting
  • GSK Investigational Site

    Los Angeles, California, 90027

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting
  • GSK Investigational Site

    Wilson, North Carolina, 27893-3484

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting

Other trials in United States

Japan1 site, 1 recruiting
  • GSK Investigational Site

    Osaka, 573-1191

    US GSK Clinical Trials Call Center, 877-379-3718, GSKClinicalSupportHD@gsk.com

    EU GSK Clinical Trials Call Centre, +44 (0) 20 8990 4466, GSKClinicalSupportHD@gsk.com

    Recruiting

Other trials in Japan

About this study

Official title: A Phase 1/2 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Clinical Activity of Risvutatug Rezetecan in Combination With Ivonescimab in Participants With Advanced Solid Tumors

This is an early-phase clinical study investigating a new combination treatment, Risvutatug rezetecan (Ris-Rez) given with ivonescimab for adults with advanced solid cancers. The study aims to determine:

  • What dose(s) of Ris-Rez given with ivonescimab is safe and what are the side effects?
  • How does the body handle the drug(s)?
  • What dose of Ris-Rez given with ivonescimab may work best and can improve the treatment of cancer?
Conditions
Neoplasms, Lung
Being tested
Risvutatug rezetecan, Ivonescimab
Keywords
Risvutatug rezetecan, Ris-Rez, Ivonescimab, EMBOLD, Neoplasms, Lung
Medical subject headings
Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Risvutatug rezetecanBiological

    Risvutatug rezetecan will be administered

  • IvonescimabBiological

    Ivonescimab will be administered

Study groups in NCT07602855
Study groupRoleWhat they receive
Phase 1: Dose escalationExperimentalNot described
Receives: Biological: Risvutatug rezetecan; Biological: Ivonescimab
Phase 2: Dose expansionExperimentalNot described
Receives: Biological: Risvutatug rezetecan; Biological: Ivonescimab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1 and Phase 2 Number of participants with Adverse events (AEs), Serious Adverse Events (SAEs) and Adverse events of special interest (AESIs)

    Measured: Up to approximately 143 weeks

  2. Phase 1 and Phase 2: Number of participants with AEs leading to dose modifications including study intervention discontinuation

    Measured: Up to approximately 130 weeks

  3. Phase 2: Number of participants with AEs leading to dose modifications or study intervention discontinuation

    Measured: Up to approximately 130 weeks

  4. Phase 1 and Phase 2: Number of participants with changes in safety parameters

    Measured: Up to approximately 143 weeks

  5. Phase 1: Number of participants with Dose Limiting Toxicities (DLT)

    Measured: Up to 21 days

  6. Phase 1 and Phase 2: Number of participants with a change from baseline in vital signs

    Number of participants will be assessed

    Measured: Baseline (Day -1) and up to approximately 143 weeks

  7. Phase 1 and Phase 2: Number of participants with a change from baseline in body weight

    Number of participants will be assessed

    Measured: Baseline (Day -1) and up to approximately 143 weeks

  8. Phase 1 and Phase 2: Number of participants with a change from baseline in laboratory parameters (hematology, clinical chemistry and urinalysis)

    Number of participants will be assessed

    Measured: Baseline (Day -1) and up to approximately 143 weeks

  9. Phase 1 and Phase 2: Number of participants with a change from baseline in cardiac function [Electrocardiogram (ECG) and Echocardiogram (ECHO)]

    Number of participants will be assessed

    Measured: Baseline (Day -1) and up to approximately 143 weeks

  10. Phase 1 and Phase 2: Number of participants with a change from baseline in Eastern Cooperative Oncology Group (ECOG) performance status

    Number of participants will be assessed

    Measured: Baseline (Day -1) and up to approximately 143 weeks

  11. Phase 2:Confirmed Objective Response Rate (cORR)

    cORR is defined as the proportion of participants who have confirmed Complete Response (CR) or Partial Response (PR), assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1

    Measured: Up to approximately 143 weeks

Secondary outcomes (12)
  1. Phase 1: Maximum observed plasma concentration (Cmax) of Ris-Rez, rezetecan and ivonescimab

    Measured: Up to approximately 169 weeks

  2. Phase 1: Time to reach maximum concentration (Tmax) of Ris-Rez, GSK5757810 and ivonescimab

    Measured: Up to approximately 169 weeks

  3. Phase 1: Area under the curve (AUC) of Ris-Rez, GSK5757810 and ivonescimab

    Measured: Up to approximately 169 weeks

  4. Phase 1: Trough concentration (Ctrough) of Ris-Rez, GSK5757810 and ivonescimab

    Measured: Up to approximately 169 weeks

  5. Phase 1: Confirmed Objective Response Rate (cORR)

    cORR is defined as the proportion of participants who have confirmed Complete Response (CR) or Partial Response (PR), assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1

    Measured: Up to approximately 143 weeks

  6. Phase 1 and Phase 2:Disease control rate at 12 weeks (DCR12)

    DCR12 is as the proportion of participants who have achieved CR or PR, or stable disease (SD) for a duration of at least 11 weeks, per RECIST 1.1 by investigator assessment

    Measured: At week 12

  7. Phase 1and Phase 2: Duration of Response (DoR)

    DoR is defined as the time from the date of first documented objective response (CR/PR) per RECIST 1.1 by investigator assessment to the date of first documented PD or death due to any cause, whichever comes first

    Measured: Up to approximately 169 weeks

  8. Phase 2: Progression-free survival (PFS)

    PFS is defined as the time from the date of first dose until the earliest date of documented disease progression according to RECIST 1.1 per investigator assessment

    Measured: Up to approximately 169 weeks

  9. Phase 1 and Phase 2: Overall Survival (OS)

    OS is defined as the time from first dose to death from any cause

    Measured: Up to approximately 169 weeks

  10. Phase 2: Observed plasma concentration of Ris-Rez, GSK5757810 and ivonescimab

    Measured: Up to approximately 169 weeks

  11. Phase 2: Number of participants with Anti-drug antibodies (ADA) and Neutralizing antibody (NAb) for Ris-Rez and ivonescimab

    Measured: Up to approximately 169 weeks

  12. Phase 2: Titers of ADA to Ris-Rez and ivonescimab

    Measured: Up to approximately 169 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2026
  2. Study start9 Sep 2026
  3. Primary completion22 Jun 2029 (estimated)
  4. Study completion24 Dec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
184 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07602855
Sponsor's protocol ID
307890
Other IDs
2026-525721-20
Status last verified
Sep 2026
First submitted
15 May 2026
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Risvutatug rezetecan and Ivonescimab in people with Neoplasms, Lung, run by GlaxoSmithKline at 4 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 23 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact US GSK Clinical Trials Call Center (877-379-3718, GSKClinicalSupportHD@gsk.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1 and Phase 2 Number of participants with Adverse events (AEs), Serious Adverse Events (SAEs) and Adverse events of special interest (AESIs) (time frame: Up to approximately 143 weeks). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Sep 2026.

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