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NCT03576131

GEN1029 (HexaBody®-DR5/DR5) Safety Trial in Patients With Malignant Solid Tumors

Terminated Phase 1, PHASE2 Results posted Last updated 1 August 2023
What this trial tests

Phase 1, PHASE2 trial testing GEN1029 (HexaBody®-DR5/DR5) in Colorectal Cancer in 48 participants. Terminated before completion.

Timeline
30 April 2018
Primary endpoint
12 October 2021
12 October 2021

Quick facts

Lead sponsorGenmab
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment48
Start date30 April 2018
Primary completion12 October 2021
Estimated completion12 October 2021
Sites6 locations across United Kingdom, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Genmab — full company profile →

Who can join

18 and older, any sex, with Colorectal Cancer or Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose Limiting Toxicities (DLTs) Primary · From Day 1 to 28 days after the first dose of study drug

DLT criteria in the dose escalation phase of this trial are defined as hematologic toxicity including Grade (G) 4 neutropenia/thrombocytopenia for minimal duration of 7 days, G3/4 febrile neutropenia, \>=G3 thrombocytopenia with bleeding, or G4 anemia; and non-hematologic toxicity including G4 infusion-related reactions (IRR) or anaphylaxis, G3 IRR did not resolve to =\<G1 within 24 hours, \>=G3 diarrhea/vomiting (did not respond to optimal treatment within 2 days), G3 nausea (did not respond to optimal treatment within 7days), or Hy's law or protocol-specified toxicities related to liver func

GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0
Biweekly Regimen (GEN1029 0.2 mg/kg)1
Biweekly Regimen (GEN1029 0.3 mg/kg)0
Biweekly Regimen (GEN1029 1.0 mg/kg)3
Biweekly Regimen (GEN1029 2.0 mg/kg)3
Biweekly Regimen (GEN1029 3.0 mg/kg)2
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) Primary · Day 1 through Day 565 (corresponding to maximum observed duration)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is defined as an AE that meets one of the following criteria: fatal or life-threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; medically significant (an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above \[medical and scientific judgment must be exercised in deciding whether an AE is 'medica

Any TEAE
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)8
Biweekly Regimen (GEN1029 0.2 mg/kg)7
Biweekly Regimen (GEN1029 0.3 mg/kg)4
Biweekly Regimen (GEN1029 1.0 mg/kg)11
Biweekly Regimen (GEN1029 2.0 mg/kg)7
Biweekly Regimen (GEN1029 3.0 mg/kg)7
Any TESAE
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)3
Biweekly Regimen (GEN1029 0.2 mg/kg)3
Biweekly Regimen (GEN1029 0.3 mg/kg)2
Biweekly Regimen (GEN1029 1.0 mg/kg)9
Biweekly Regimen (GEN1029 2.0 mg/kg)6
Biweekly Regimen (GEN1029 3.0 mg/kg)4
Number of Participants With >= Grade 3 Laboratory Results Primary · Day 1 through Day 565 (corresponding to maximum observed duration)

Number of participants with laboratory measurements of Grade \>= 3 by NCI-CTCAE v4.03 are reported. The NCI-CTCAE is a descriptive terminology is used for AE reporting. The NCI-CTCAE v4.03 displays Grades 1 through 5 with unique clinical descriptions of severity for each AE. Based on this general guideline: Grade 1 as mild AE, Grade 2 as moderate AE, Grade 3 as severe AE, Grade 4 as life-threatening or disabling AE, and Grade 5 as death. In case a participant reported multiple severity grades for an AE, only the maximum grade was used.

Activated partial thromboplastin time prolonged
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0
Biweekly Regimen (GEN1029 0.2 mg/kg)1
Biweekly Regimen (GEN1029 0.3 mg/kg)0
Biweekly Regimen (GEN1029 1.0 mg/kg)0
Biweekly Regimen (GEN1029 2.0 mg/kg)0
Biweekly Regimen (GEN1029 3.0 mg/kg)0
Alanine aminotransferase increased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)1
Biweekly Regimen (GEN1029 0.2 mg/kg)1
Biweekly Regimen (GEN1029 0.3 mg/kg)2
Biweekly Regimen (GEN1029 1.0 mg/kg)3
Biweekly Regimen (GEN1029 2.0 mg/kg)1
Biweekly Regimen (GEN1029 3.0 mg/kg)2
Alkaline phosphatase increased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0
Biweekly Regimen (GEN1029 0.2 mg/kg)0
Biweekly Regimen (GEN1029 0.3 mg/kg)1
Biweekly Regimen (GEN1029 1.0 mg/kg)0
Biweekly Regimen (GEN1029 2.0 mg/kg)1
Biweekly Regimen (GEN1029 3.0 mg/kg)0
Amylase increased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0
Biweekly Regimen (GEN1029 0.2 mg/kg)1
Biweekly Regimen (GEN1029 0.3 mg/kg)1
Biweekly Regimen (GEN1029 1.0 mg/kg)0
Biweekly Regimen (GEN1029 2.0 mg/kg)0
Biweekly Regimen (GEN1029 3.0 mg/kg)0
Asparate aminotransferase increased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)1
Biweekly Regimen (GEN1029 0.2 mg/kg)2
Biweekly Regimen (GEN1029 0.3 mg/kg)0
Biweekly Regimen (GEN1029 1.0 mg/kg)0
Biweekly Regimen (GEN1029 2.0 mg/kg)0
Biweekly Regimen (GEN1029 3.0 mg/kg)2
Bilirubin increased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0
Biweekly Regimen (GEN1029 0.2 mg/kg)0
Biweekly Regimen (GEN1029 0.3 mg/kg)0
Biweekly Regimen (GEN1029 1.0 mg/kg)1
Biweekly Regimen (GEN1029 2.0 mg/kg)0
Biweekly Regimen (GEN1029 3.0 mg/kg)0
Calcium decreased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0
Biweekly Regimen (GEN1029 0.2 mg/kg)1
Biweekly Regimen (GEN1029 0.3 mg/kg)0
Biweekly Regimen (GEN1029 1.0 mg/kg)0
Biweekly Regimen (GEN1029 2.0 mg/kg)0
Biweekly Regimen (GEN1029 3.0 mg/kg)0
Creatinine increased
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)1
Biweekly Regimen (GEN1029 0.2 mg/kg)0
Biweekly Regimen (GEN1029 0.3 mg/kg)0
Biweekly Regimen (GEN1029 1.0 mg/kg)0
Biweekly Regimen (GEN1029 2.0 mg/kg)0
Biweekly Regimen (GEN1029 3.0 mg/kg)0
Maximum Observed Plasma Concentration (Cmax) of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The Cmax of Hx-DR5-01 and Hx-DR5-05 are reported.

Cmax Hx-DR5-01 Cycle 1 (Day 1)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.86± 36.8
Biweekly Regimen (GEN1029 0.2 mg/kg)1.90± 38.0
Biweekly Regimen (GEN1029 0.3 mg/kg)2.81± 28.9
Biweekly Regimen (GEN1029 1.0 mg/kg)9.79± 20.9
Biweekly Regimen (GEN1029 2.0 mg/kg)21.31± 24.6
Biweekly Regimen (GEN1029 3.0 mg/kg)29.75± 24.9
Cmax Hx-DR5-01 Cycle 2 (Day 1)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.79± 42.9
Biweekly Regimen (GEN1029 0.2 mg/kg)2.11± 18.3
Biweekly Regimen (GEN1029 0.3 mg/kg)1.12± 59.9
Biweekly Regimen (GEN1029 1.0 mg/kg)8.36± 22.7
Biweekly Regimen (GEN1029 2.0 mg/kg)13.13± 156.3
Biweekly Regimen (GEN1029 3.0 mg/kg)29.56± 7.7
Cmax Hx-DR5-01 Cycle 3 (Day 1)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.89± 16.6
Biweekly Regimen (GEN1029 0.2 mg/kg)1.82± 53.9
Biweekly Regimen (GEN1029 0.3 mg/kg)0.89± 146.4
Biweekly Regimen (GEN1029 1.0 mg/kg)7.20± 11.2
Biweekly Regimen (GEN1029 2.0 mg/kg)20.35± 24.7
Biweekly Regimen (GEN1029 3.0 mg/kg)28.80± NA
Cmax Hx-DR5-05 Cycle 1 (Day 1)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.87± 45.2
Biweekly Regimen (GEN1029 0.2 mg/kg)1.81± 35.7
Biweekly Regimen (GEN1029 0.3 mg/kg)2.82± 31.8
Biweekly Regimen (GEN1029 1.0 mg/kg)9.72± 17.0
Biweekly Regimen (GEN1029 2.0 mg/kg)20.90± 21.9
Biweekly Regimen (GEN1029 3.0 mg/kg)29.44± 27.9
Cmax Hx-DR5-05 Cycle 2 (Day 1)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.79± 25.9
Biweekly Regimen (GEN1029 0.2 mg/kg)2.00± 18.3
Biweekly Regimen (GEN1029 0.3 mg/kg)1.11± 76.2
Biweekly Regimen (GEN1029 1.0 mg/kg)7.75± 25.8
Biweekly Regimen (GEN1029 2.0 mg/kg)20.37± 14.3
Biweekly Regimen (GEN1029 3.0 mg/kg)30.52± 5.8
Cmax Hx-DR5-05 Cycle 3 (Day 1)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.87± 26.6
Biweekly Regimen (GEN1029 0.2 mg/kg)1.28± 93.8
Biweekly Regimen (GEN1029 0.3 mg/kg)1.62± 108.2
Biweekly Regimen (GEN1029 1.0 mg/kg)6.77± 20.6
Biweekly Regimen (GEN1029 2.0 mg/kg)5.27± 577.8
Biweekly Regimen (GEN1029 3.0 mg/kg)28.50± NA
Area Under Plasma Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The AUC(0-inf) of Hx-DR5-01 and Hx-DR5-05 are reported.

AUC(0-inf) Hx-DR5-01 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)39.44± 50.2
Biweekly Regimen (GEN1029 0.2 mg/kg)91.20± 66.0
Biweekly Regimen (GEN1029 0.3 mg/kg)85.80± 56.7
Biweekly Regimen (GEN1029 1.0 mg/kg)523.66± 47.5
Biweekly Regimen (GEN1029 2.0 mg/kg)1298.0± 22.7
Biweekly Regimen (GEN1029 3.0 mg/kg)1497.7± 58.7
AUC(0-inf) Hx-DR5-01 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)46.37± 61.5
Biweekly Regimen (GEN1029 0.2 mg/kg)105.32± 55.8
Biweekly Regimen (GEN1029 0.3 mg/kg)35.24± 30.5
Biweekly Regimen (GEN1029 1.0 mg/kg)530.48± 24.8
Biweekly Regimen (GEN1029 2.0 mg/kg)1071.5± 30.7
Biweekly Regimen (GEN1029 3.0 mg/kg)2488.5± 10.7
AUC(0-inf) Hx-DR5-01 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)37.43± 74.0
Biweekly Regimen (GEN1029 0.2 mg/kg)53.24± 133.3
Biweekly Regimen (GEN1029 0.3 mg/kg)41.41± 84.9
Biweekly Regimen (GEN1029 1.0 mg/kg)422.32± 26.8
Biweekly Regimen (GEN1029 2.0 mg/kg)1097.8± 36.6
Biweekly Regimen (GEN1029 3.0 mg/kg)2653.5± NA
AUC(0-inf) Hx-DR5-05 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)32.97± 55.4
Biweekly Regimen (GEN1029 0.2 mg/kg)71.21± 66.9
Biweekly Regimen (GEN1029 0.3 mg/kg)83.37± 51.7
Biweekly Regimen (GEN1029 1.0 mg/kg)508.76± 33.0
Biweekly Regimen (GEN1029 2.0 mg/kg)1052.1± 24.7
Biweekly Regimen (GEN1029 3.0 mg/kg)1270.0± 60.1
AUC(0-inf) Hx-DR5-05 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)39.31± 65.9
Biweekly Regimen (GEN1029 0.2 mg/kg)93.11± 66.6
Biweekly Regimen (GEN1029 0.3 mg/kg)44.76± 184.4
Biweekly Regimen (GEN1029 1.0 mg/kg)414.90± 24.1
Biweekly Regimen (GEN1029 2.0 mg/kg)609.90± 55.2
Biweekly Regimen (GEN1029 3.0 mg/kg)2273.6± 9.0
AUC(0-inf) Hx-DR5-05 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)25.87± 57.3
Biweekly Regimen (GEN1029 0.2 mg/kg)51.36± 161.6
Biweekly Regimen (GEN1029 0.3 mg/kg)67.23± 200.5
Biweekly Regimen (GEN1029 1.0 mg/kg)231.49± 53.2
Biweekly Regimen (GEN1029 2.0 mg/kg)412.87± 64.1
Biweekly Regimen (GEN1029 3.0 mg/kg)2398.5± NA
Area Under Plasma Concentration-time Curve From Time Zero to the Time of Last Nonzero Concentration (AUC[0-Clast]) of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The AUC(0-Clast) of Hx-DR5-01 and Hx-DR5-05 are reported.

AUC(0-Clast) Hx-DR5-01 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)24.36± 73.2
Biweekly Regimen (GEN1029 0.2 mg/kg)72.25± 70.6
Biweekly Regimen (GEN1029 0.3 mg/kg)60.78± 35.8
Biweekly Regimen (GEN1029 1.0 mg/kg)460.37± 43.5
Biweekly Regimen (GEN1029 2.0 mg/kg)1173.7± 15.6
Biweekly Regimen (GEN1029 3.0 mg/kg)1058.9± 88.6
AUC(0-Clast) Hx-DR5-01 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)17.34± 141.3
Biweekly Regimen (GEN1029 0.2 mg/kg)70.33± 66.4
Biweekly Regimen (GEN1029 0.3 mg/kg)21.85± 36.0
Biweekly Regimen (GEN1029 1.0 mg/kg)308.74± 66.8
Biweekly Regimen (GEN1029 2.0 mg/kg)582.57± 84.8
Biweekly Regimen (GEN1029 3.0 mg/kg)2291.4± 18.1
AUC(0-Clast) Hx-DR5-01 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)22.34± 85.9
Biweekly Regimen (GEN1029 0.2 mg/kg)35.31± 151.4
Biweekly Regimen (GEN1029 0.3 mg/kg)6.85± 995.0
Biweekly Regimen (GEN1029 1.0 mg/kg)385.54± 23.7
Biweekly Regimen (GEN1029 2.0 mg/kg)986.38± 30.1
Biweekly Regimen (GEN1029 3.0 mg/kg)2444.7± NA
AUC(0-Clast) Hx-DR5-05 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)25.41± 120.7
Biweekly Regimen (GEN1029 0.2 mg/kg)53.76± 77.0
Biweekly Regimen (GEN1029 0.3 mg/kg)53.80± 50.8
Biweekly Regimen (GEN1029 1.0 mg/kg)432.18± 24.5
Biweekly Regimen (GEN1029 2.0 mg/kg)956.02± 18.8
Biweekly Regimen (GEN1029 3.0 mg/kg)964.48± 91.1
AUC(0-Clast) Hx-DR5-05 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)24.85± 119.4
Biweekly Regimen (GEN1029 0.2 mg/kg)60.75± 76.0
Biweekly Regimen (GEN1029 0.3 mg/kg)29.17± 165.1
Biweekly Regimen (GEN1029 1.0 mg/kg)258.67± 60.5
Biweekly Regimen (GEN1029 2.0 mg/kg)395.50± 62.3
Biweekly Regimen (GEN1029 3.0 mg/kg)2176.0± 11.7
AUC(0-Clast) Hx-DR5-05 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)20.12± 168.7
Biweekly Regimen (GEN1029 0.2 mg/kg)16.95± 539.4
Biweekly Regimen (GEN1029 0.3 mg/kg)43.56± 405.4
Biweekly Regimen (GEN1029 1.0 mg/kg)158.98± 76.4
Biweekly Regimen (GEN1029 2.0 mg/kg)52.16± 22162.5
Biweekly Regimen (GEN1029 3.0 mg/kg)2248.1± NA
Total Clearance (CL) of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The CL of Hx-DR5-01 and Hx-DR5-05 are reported.

CL Hx-DR5-01 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)95.98± 53.8
Biweekly Regimen (GEN1029 0.2 mg/kg)91.27± 51.4
Biweekly Regimen (GEN1029 0.3 mg/kg)123.75± 69.9
Biweekly Regimen (GEN1029 1.0 mg/kg)65.36± 56.5
Biweekly Regimen (GEN1029 2.0 mg/kg)59.07± 31.4
Biweekly Regimen (GEN1029 3.0 mg/kg)69.50± 51.0
CL Hx-DR5-01 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)77.36± 70.2
Biweekly Regimen (GEN1029 0.2 mg/kg)79.97± 51.8
Biweekly Regimen (GEN1029 0.3 mg/kg)155.76± 72.6
Biweekly Regimen (GEN1029 1.0 mg/kg)58.07± 31.8
Biweekly Regimen (GEN1029 2.0 mg/kg)73.43± 28.0
Biweekly Regimen (GEN1029 3.0 mg/kg)36.92± 2.0
CL Hx-DR5-01 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)99.53± 57.1
Biweekly Regimen (GEN1029 0.2 mg/kg)131.46± 76.0
Biweekly Regimen (GEN1029 0.3 mg/kg)111.33± 12.9
Biweekly Regimen (GEN1029 1.0 mg/kg)62.90± 42.5
Biweekly Regimen (GEN1029 2.0 mg/kg)62.64± 26.1
Biweekly Regimen (GEN1029 3.0 mg/kg)37.87± NA
CL Hx-DR5-05 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)111.10± 62.5
Biweekly Regimen (GEN1029 0.2 mg/kg)116.89± 51.3
Biweekly Regimen (GEN1029 0.3 mg/kg)127.35± 69.3
Biweekly Regimen (GEN1029 1.0 mg/kg)67.28± 37.4
Biweekly Regimen (GEN1029 2.0 mg/kg)69.39± 29.2
Biweekly Regimen (GEN1029 3.0 mg/kg)81.96± 53.9
CL Hx-DR5-05 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)90.18± 69.4
Biweekly Regimen (GEN1029 0.2 mg/kg)90.45± 67.1
Biweekly Regimen (GEN1029 0.3 mg/kg)131.51± 240.7
Biweekly Regimen (GEN1029 1.0 mg/kg)79.72± 28.8
Biweekly Regimen (GEN1029 2.0 mg/kg)134.11± 51.9
Biweekly Regimen (GEN1029 3.0 mg/kg)40.41± 3.7
CL Hx-DR5-05 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)143.09± 50.5
Biweekly Regimen (GEN1029 0.2 mg/kg)140.38± 77.3
Biweekly Regimen (GEN1029 0.3 mg/kg)68.57± 42.2
Biweekly Regimen (GEN1029 1.0 mg/kg)114.74± 59.8
Biweekly Regimen (GEN1029 2.0 mg/kg)172.66± 78.9
Biweekly Regimen (GEN1029 3.0 mg/kg)41.90± NA
Volume of Distribution (Vss) at Steady State of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The Vss of Hx-DR5-01 and Hx-DR5-05 are reported.

Vss Hx-DR5-01 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)5366.8± 35.0
Biweekly Regimen (GEN1029 0.2 mg/kg)4788.6± 5.0
Biweekly Regimen (GEN1029 0.3 mg/kg)3666.8± 49.4
Biweekly Regimen (GEN1029 1.0 mg/kg)3834.6± 34.3
Biweekly Regimen (GEN1029 2.0 mg/kg)4885.9± 18.8
Biweekly Regimen (GEN1029 3.0 mg/kg)4127.3± 19.2
Vss Hx-DR5-01 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)4720.0± 34.9
Biweekly Regimen (GEN1029 0.2 mg/kg)4287.5± 10.5
Biweekly Regimen (GEN1029 0.3 mg/kg)5283.0± 62.0
Biweekly Regimen (GEN1029 1.0 mg/kg)3998.1± 24.0
Biweekly Regimen (GEN1029 2.0 mg/kg)4185.8± 17.3
Biweekly Regimen (GEN1029 3.0 mg/kg)3427.5± 25.1
Vss Hx-DR5-01 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)4622.7± 31.1
Biweekly Regimen (GEN1029 0.2 mg/kg)4531.9± 6.7
Biweekly Regimen (GEN1029 0.3 mg/kg)3243.6± 14.3
Biweekly Regimen (GEN1029 1.0 mg/kg)4075.3± 26.2
Biweekly Regimen (GEN1029 2.0 mg/kg)4227.1± 8.7
Biweekly Regimen (GEN1029 3.0 mg/kg)4118.5± NA
Vss Hx-DR5-05 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)4722.7± 55.6
Biweekly Regimen (GEN1029 0.2 mg/kg)5242.9± 15.8
Biweekly Regimen (GEN1029 0.3 mg/kg)3942.4± 63.6
Biweekly Regimen (GEN1029 1.0 mg/kg)3611.0± 26.5
Biweekly Regimen (GEN1029 2.0 mg/kg)4291.6± 9.8
Biweekly Regimen (GEN1029 3.0 mg/kg)4142.9± 21.0
Vss Hx-DR5-05 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)4899.3± 22.7
Biweekly Regimen (GEN1029 0.2 mg/kg)4701.6± 15.0
Biweekly Regimen (GEN1029 0.3 mg/kg)5177.9± 100.6
Biweekly Regimen (GEN1029 1.0 mg/kg)4054.4± 16.4
Biweekly Regimen (GEN1029 2.0 mg/kg)4334.9± 14.9
Biweekly Regimen (GEN1029 3.0 mg/kg)3187.8± 41.0
Vss Hx-DR5-05 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)4812.5± 31.9
Biweekly Regimen (GEN1029 0.2 mg/kg)5077.6± 24.1
Biweekly Regimen (GEN1029 0.3 mg/kg)3577.1± 15.7
Biweekly Regimen (GEN1029 1.0 mg/kg)4951.2± 42.4
Biweekly Regimen (GEN1029 2.0 mg/kg)5130.8± 5.6
Biweekly Regimen (GEN1029 3.0 mg/kg)4173.9± NA
Half-life Lambda-z (t1/2) of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The t1/2 of Hx-DR5-01 and Hx-DR5-05 are reported.

T1/2 Hx-DR5-01 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)41.6920.7 – 61.1
Biweekly Regimen (GEN1029 0.2 mg/kg)41.3116.6 – 60.3
Biweekly Regimen (GEN1029 0.3 mg/kg)18.1011.4 – 40.5
Biweekly Regimen (GEN1029 1.0 mg/kg)40.275.1 – 66.8
Biweekly Regimen (GEN1029 2.0 mg/kg)70.9050.5 – 86.2
Biweekly Regimen (GEN1029 3.0 mg/kg)42.4517.9 – 80.5
T1/2 Hx-DR5-01 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)37.7529.1 – 72.3
Biweekly Regimen (GEN1029 0.2 mg/kg)39.5721.7 – 62.5
Biweekly Regimen (GEN1029 0.3 mg/kg)24.4716.9 – 29.7
Biweekly Regimen (GEN1029 1.0 mg/kg)49.6436.2 – 71.5
Biweekly Regimen (GEN1029 2.0 mg/kg)33.6229.0 – 88.2
Biweekly Regimen (GEN1029 3.0 mg/kg)65.8554.6 – 77.1
T1/2 Hx-DR5-01 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)27.6416.2 – 84.1
Biweekly Regimen (GEN1029 0.2 mg/kg)19.9313.1 – 66.9
Biweekly Regimen (GEN1029 0.3 mg/kg)20.1616.2 – 24.1
Biweekly Regimen (GEN1029 1.0 mg/kg)47.8630.8 – 60.0
Biweekly Regimen (GEN1029 2.0 mg/kg)44.5140.1 – 64.0
Biweekly Regimen (GEN1029 3.0 mg/kg)77.0077.00 – 77.00
T1/2 Hx-DR5-05 Cycle 1 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)35.5512.5 – 46.5
Biweekly Regimen (GEN1029 0.2 mg/kg)34.5015.6 – 52.5
Biweekly Regimen (GEN1029 0.3 mg/kg)19.1014.6 – 44.0
Biweekly Regimen (GEN1029 1.0 mg/kg)36.3326.4 – 70.6
Biweekly Regimen (GEN1029 2.0 mg/kg)42.6835.3 – 68.8
Biweekly Regimen (GEN1029 3.0 mg/kg)37.7116.6 – 69.6
T1/2 Hx-DR5-05 Cycle 2 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)32.4619.3 – 71.4
Biweekly Regimen (GEN1029 0.2 mg/kg)37.7117.3 – 80.7
Biweekly Regimen (GEN1029 0.3 mg/kg)25.4313.9 – 62.3
Biweekly Regimen (GEN1029 1.0 mg/kg)37.6928.4 – 43.5
Biweekly Regimen (GEN1029 2.0 mg/kg)26.6813.1 – 29.4
Biweekly Regimen (GEN1029 3.0 mg/kg)51.9730.8 – 73.1
T1/2 Hx-DR5-05 Cycle 3 Day 1
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)25.3012.0 – 39.6
Biweekly Regimen (GEN1029 0.2 mg/kg)18.7515.4 – 57.4
Biweekly Regimen (GEN1029 0.3 mg/kg)41.2624.3 – 58.2
Biweekly Regimen (GEN1029 1.0 mg/kg)33.9014.2 – 62.1
Biweekly Regimen (GEN1029 2.0 mg/kg)22.8313.2 – 32.5
Biweekly Regimen (GEN1029 3.0 mg/kg)70.970.9 – 70.9
Time to Reach Maximum Observed Concentration (Tmax) of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The Tmax of Hx-DR5-01 and Hx-DR5-05 are reported.

Tmax Hx-DR5-01 Cycle 1 Day 1
GroupValue95% CI
1. Biweekly Regimen (GEN1029 0.1 mg/kg)1.581.1 – 5.8
2. Biweekly Regimen (GEN1029 0.2 mg/kg)1.891.4 – 5.0
3. Biweekly Regimen (GEN1029 0.3 mg/kg)1.231.2 – 1.4
4. Biweekly Regimen (GEN1029 1.0 mg/kg)2.000.1 – 4.7
5. Biweekly Regimen (GEN1029 2.0 mg/kg)1.301.1 – 3.6
6. Biweekly Regimen (GEN1029 3.0 mg/kg)1.461.0 – 3.1
Tmax Hx-DR5-01 Cycle 2 Day 1
GroupValue95% CI
1. Biweekly Regimen (GEN1029 0.1 mg/kg)1.251.0 – 3.2
2. Biweekly Regimen (GEN1029 0.2 mg/kg)3.033.0 – 5.2
3. Biweekly Regimen (GEN1029 0.3 mg/kg)1.301.1 – 3.2
4. Biweekly Regimen (GEN1029 1.0 mg/kg)3.061.1 – 5.1
5. Biweekly Regimen (GEN1029 2.0 mg/kg)3.251.1 – 163.7
6. Biweekly Regimen (GEN1029 3.0 mg/kg)1.111.0 – 1.2
Tmax Hx-DR5-01 Cycle 3 Day 1
GroupValue95% CI
1. Biweekly Regimen (GEN1029 0.1 mg/kg)1.080.0 – 3.4
2. Biweekly Regimen (GEN1029 0.2 mg/kg)1.481.0 – 2.1
3. Biweekly Regimen (GEN1029 0.3 mg/kg)1.131.1 – 1.3
4. Biweekly Regimen (GEN1029 1.0 mg/kg)3.081.4 – 3.5
5. Biweekly Regimen (GEN1029 2.0 mg/kg)1.821.1 – 3.2
6. Biweekly Regimen (GEN1029 3.0 mg/kg)3.13.1 – 3.1
Tmax Hx-DR5-05 Cycle 1 Day 1
GroupValue95% CI
1. Biweekly Regimen (GEN1029 0.1 mg/kg)1.751.1 – 5.4
2. Biweekly Regimen (GEN1029 0.2 mg/kg)2.531.0 – 4.8
3. Biweekly Regimen (GEN1029 0.3 mg/kg)2.361.2 – 5.5
4. Biweekly Regimen (GEN1029 1.0 mg/kg)1.600.1 – 4.7
5. Biweekly Regimen (GEN1029 2.0 mg/kg)1.351.1 – 3.0
6. Biweekly Regimen (GEN1029 3.0 mg/kg)1.461.0 – 3.1
Tmax Hx-DR5-05 Cycle 2 Day 1
GroupValue95% CI
1. Biweekly Regimen (GEN1029 0.1 mg/kg)3.121.1 – 5.1
2. Biweekly Regimen (GEN1029 0.2 mg/kg)2.191.0 – 3.5
3. Biweekly Regimen (GEN1029 0.3 mg/kg)1.191.0 – 1.4
4. Biweekly Regimen (GEN1029 1.0 mg/kg)2.261.2 – 5.1
5. Biweekly Regimen (GEN1029 2.0 mg/kg)2.311.1 – 3.3
6. Biweekly Regimen (GEN1029 3.0 mg/kg)2.211.2 – 3.2
Tmax Hx-DR5-05 Cycle 3 Day 1
GroupValue95% CI
1. Biweekly Regimen (GEN1029 0.1 mg/kg)1.080.0 – 1.5
2. Biweekly Regimen (GEN1029 0.2 mg/kg)1.831.0 – 3.3
3. Biweekly Regimen (GEN1029 0.3 mg/kg)1.181.1 – 1.3
4. Biweekly Regimen (GEN1029 1.0 mg/kg)1.421.1 – 3.0
5. Biweekly Regimen (GEN1029 2.0 mg/kg)1.131.0 – 1.8
6. Biweekly Regimen (GEN1029 3.0 mg/kg)3.13.1 – 3.1
Plasma Concentration of Hx-DR5-01 and Hx-DR5-05 Secondary · Predose, end of infusion, 2, 4, 24, 48, 168 and 336 hours after end of infusion on Day 1 of Cycles 1, 2, 3

The plasma concentration of Hx-DR5-01 and Hx-DR5-05 are reported.

Plasma concentration Hx-DR5-01 Cycle 1 Day 1 (predose)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.085± 38.5
Biweekly Regimen (GEN1029 0.2 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 0.3 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 1.0 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 2.0 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 3.0 mg/kg)0.075± 0.0
Plasma concentration Hx-DR5-01 Cycle 2 Day 1 (predose)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.091± 61.0
Biweekly Regimen (GEN1029 0.2 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 0.3 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 1.0 mg/kg)0.084± 34.0
Biweekly Regimen (GEN1029 2.0 mg/kg)0.230± 77.8
Biweekly Regimen (GEN1029 3.0 mg/kg)0.283± 576.2
Plasma concentration Hx-DR5-01 Cycle 3 Day 1 (predose)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 0.2 mg/kg)0.125± 164.3
Biweekly Regimen (GEN1029 0.3 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 1.0 mg/kg)0.090± 46.4
Biweekly Regimen (GEN1029 2.0 mg/kg)0.224± 156.9
Biweekly Regimen (GEN1029 3.0 mg/kg)0.739± NA
Plasma concentration Hx-DR5-05 Cycle 1 Day 1 (predose)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.094± 77.6
Biweekly Regimen (GEN1029 0.2 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 0.3 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 1.0 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 2.0 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 3.0 mg/kg)0.075± 0.0
Plasma concentration Hx-DR5-05 Cycle 2 Day 1 (predose)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.097± 83.6
Biweekly Regimen (GEN1029 0.2 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 0.3 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 1.0 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 2.0 mg/kg)0.155± 161.5
Biweekly Regimen (GEN1029 3.0 mg/kg)0.240± 372.5
Plasma concentration Hx-DR5-05 Cycle 3 Day 1 (predose)
GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)0.101± 94.6
Biweekly Regimen (GEN1029 0.2 mg/kg)0.119± 138.5
Biweekly Regimen (GEN1029 0.3 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 1.0 mg/kg)0.094± 58.8
Biweekly Regimen (GEN1029 2.0 mg/kg)0.075± 0.0
Biweekly Regimen (GEN1029 3.0 mg/kg)0.568± NA
Number of Participants With Antidrug Antibodies (ADAs) Positive to GEN1029 Secondary · From Screening (Day -21 to -1) through Day 478 (corresponding to maximum observed duration)

From positive ADA samples titer values and neutralizing antibody scores (positive or negative) were determined and reported. A participant was considered positive if negative at baseline (screening) and had at least one positive post-baseline result, or positive at baseline and had at least one positive post-baseline result with a titer higher than baseline. Number of participants with ADA positive to GEN1029 are reported.

GroupValue95% CI
Biweekly Regimen (GEN1029 0.1 mg/kg)5
Biweekly Regimen (GEN1029 0.2 mg/kg)5
Biweekly Regimen (GEN1029 0.3 mg/kg)4
Biweekly Regimen (GEN1029 1.0 mg/kg)7
Biweekly Regimen (GEN1029 2.0 mg/kg)5
Biweekly Regimen (GEN1029 3.0 mg/kg)0

Adverse events — posted to ClinicalTrials.gov

Time frame: For AEs: Day 1 through Day 565 (corresponding to maximum observed duration); and for All-cause mortality: From date of informed consent through Day 565 (corresponding to maximum observed duration). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Biweekly Regimen (GEN1029 0.1 mg/kg)
Serious: 3/10 (30%)
Deaths: 3/10
Biweekly Regimen (GEN1029 0.2 mg/kg)
Serious: 3/7 (43%)
Deaths: 3/7
Biweekly Regimen (GEN1029 0.3 mg/kg)
Serious: 2/4 (50%)
Deaths: 1/4
Biweekly Regimen (GEN1029 1.0 mg/kg)
Serious: 9/11 (82%)
Deaths: 5/11
Biweekly Regimen (GEN1029 2.0 mg/kg)
Serious: 6/7 (86%)
Deaths: 4/7
Biweekly Regimen (GEN1029 3.0 mg/kg)
Serious: 4/7 (57%)
Deaths: 1/7
Priming Regimen (GEN1029 0.1 mg/kg)
Serious: 0/1 (0%)
Deaths: 0/1
Intensified Regimen (GEN1029 1.0 mg/kg)
Serious: 1/1 (100%)
Deaths: 1/1

Serious adverse events (32 terms)

ReactionSystemBiweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Priming Regimen (GEN1029 0…Intensified Regimen (GEN10…
DiarrhoeaGastrointestinal disorders
Alanine Aminotransferase IncreasedInvestigations
Malignant Neoplasm ProgressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PyrexiaGeneral disorders
Aspartate Aminotransferase IncreasedInvestigations
Sinus TachycardiaCardiac disorders
Abdominal PainGastrointestinal disorders
EnteritisGastrointestinal disorders
Gastrointestinal InflammationGastrointestinal disorders
Large Intestinal ObstructionGastrointestinal disorders
NauseaGastrointestinal disorders
Small Intestinal ObstructionGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
HerniaGeneral disorders
Drug-Induced Liver InjuryHepatobiliary disorders
HepatitisHepatobiliary disorders
HyperbilirubinaemiaHepatobiliary disorders
Jaundice CholestaticHepatobiliary disorders
Anal AbscessInfections and infestations
BronchitisInfections and infestations
CystitisInfections and infestations
Escherichia Urinary Tract InfectionInfections and infestations
Lower Respiratory Tract InfectionInfections and infestations
PeritonitisInfections and infestations
Other adverse events (131 terms — click to expand)

ReactionSystemBiweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Biweekly Regimen (GEN1029 …Priming Regimen (GEN1029 0…Intensified Regimen (GEN10…
Aspartate aminotransferase increasedInvestigations
Alanine aminotransferase increasedInvestigations
FatigueGeneral disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Mucosal inflammationGeneral disorders
Blood alkaline phosphatase increasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
AstheniaGeneral disorders
Chest discomfortGeneral disorders
OedemaGeneral disorders
Oedema peripheralGeneral disorders
Urinary tract infectionInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
Gamma-glutamyltransferase increasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Night sweatsSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
LeukocytosisBlood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
TachycardiaCardiac disorders
Ear painEar and labyrinth disorders

Most-reported serious reactions: Diarrhoea, Alanine Aminotransferase Increased, Malignant Neoplasm Progression, Pyrexia, Aspartate Aminotransferase Increased, Sinus Tachycardia, Abdominal Pain, Enteritis.

Data from ClinicalTrials.gov NCT03576131 adverse events section.

Sponsor's own description

The purpose of the trial is to evaluate the safety of GEN1029 (HexaBody®-DR5/DR5) in a mixed population of patients with specified solid tumors

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting apoptosis in cancer therapy.
    Carneiro BA, El-Deiry WS. · · 2020 · cited 1823× · PMID 32203277 · DOI 10.1038/s41571-020-0341-y
  2. Comprehensive review of targeted therapy for colorectal cancer.
    Xie YH, Chen YX, Fang JY. · · 2020 · cited 1162× · PMID 32296018 · DOI 10.1038/s41392-020-0116-z
  3. Clinical promise of next-generation complement therapeutics.
    Mastellos DC, Ricklin D, Lambris JD. · · 2019 · cited 255× · PMID 31324874 · DOI 10.1038/s41573-019-0031-6
  4. Avidity in antibody effector functions and biotherapeutic drug design.
    Oostindie SC, Lazar GA, Schuurman J, Parren PWHI. · · 2022 · cited 170× · PMID 35790857 · DOI 10.1038/s41573-022-00501-8
  5. The TRAIL in the Treatment of Human Cancer: An Update on Clinical Trials.
    Snajdauf M, Havlova K, Vachtenheim J, Ozaniak A, et al · · 2021 · cited 126× · PMID 33791337 · DOI 10.3389/fmolb.2021.628332
  6. Antibody-mediated complement activation in pathology and protection.
    Goldberg BS, Ackerman ME. · · 2020 · cited 86× · PMID 32142167 · DOI 10.1111/imcb.12324
  7. Harnessing TRAIL-induced cell death for cancer therapy: a long walk with thrilling discoveries.
    Montinaro A, Walczak H. · · 2023 · cited 83× · PMID 36195672 · DOI 10.1038/s41418-022-01059-z
  8. The Role of TRAIL in Apoptosis and Immunosurveillance in Cancer.
    Pimentel JM, Zhou JY, Wu GS. · · 2023 · cited 73× · PMID 37345089 · DOI 10.3390/cancers15102752

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03576131.

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