Clinical trial Recruiting at 9 sites Phase 1 Interventional Ages 18 and up

GEN1106 for solid tumors, including metastatic urothelial (bladder) cancer.

Official title: First-In-Human, Open-Label, Dose Escalation and Expansion Trial to Evaluate the Safety, Pharmacokinetics and Efficacy of GEN1106 in Participants With Solid Tumors

Run by Genmab · NCT07416123 · Data updated 2026-11-12

This trial tests a new drug called GEN1106 in people with metastatic solid tumors, especially urothelial (bladder) cancer, who have progressed after standard treatments.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment103 (estimated)
SponsorGenmab
Industry-sponsored
Drugs / interventionsenfortumab, chemotherapy
Locations10 sites (New Haven, Connecticut and 9 other locations)
StatusRecruiting
StartedApril 14, 2026
Main results expectedApril 5, 2029
Study endsJune 25, 2029
Registry record updatedNovember 3, 2026
Trial IDNCT07416123 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with measurable metastatic solid tumors—particularly metastatic urothelial carcinoma—who have ECOG performance status 0–1 and have progressed on or after standard therapies including chemotherapy and PD-1/PD-L1 therapies are the intended candidates.

Probably not a fit

Patients who previously received topoisomerase-1 inhibitor–based ADCs, those with ECOG >1, or those without measurable disease per RECIST v1.1 may not qualify or are less likely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This first-in-human, open-label, multicenter Phase 1 trial uses a dose-escalation and expansion design to find safe doses and to study safety, pharmacokinetics, pharmacodynamics, and anti-tumor activity of GEN1106. Part 1 will identify tolerated dose levels and recommended doses; Parts 2 and 3 expand enrollment at selected doses to further study activity in metastatic urothelial carcinoma. Eligible participants generally have measurable disease, ECOG performance status 0–1, and have progressed on or after standard therapies including chemotherapy and PD-1/PD-L1 inhibitors (and enfortumab vedotin if applicable). Each participant’s involvement is approximately 17 months including screening (up to 21 days), about 5 months of treatment (variable), and around 11 months of follow-up.

Why it matters

Potential benefit: If successful, GEN1106 could provide a new treatment option for patients with metastatic urothelial carcinoma and other solid tumors who have exhausted standard therapies.

How similar studies have gone: Other antibody-drug conjugates and targeted agents have shown responses in urothelial cancer, but GEN1106 is a first-in-human agent and its safety and effectiveness in people remain unproven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Have received and progressed on, been intolerant to, or be ineligible for all available standard of care (SoC) therapies known to provide a survival and/or quality of life benefit for their tumor type. These therapies should include chemotherapy, anti-programmed cell death protein 1 (PD-1)/programmed cell death ligand 1 (PD-L1) therapies, enfortumab vedotin (EV), and other therapies, where applicable.
* Have measurable disease according to RECIST v1.1.
* Have Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 to 1 at screening.
* Part 1: Have histologically or cytologically confirmed diagnosis of cancer as specified per protocol.
* Parts 2 and 3: Have histologically or cytologically confirmed diagnosis of metastatic urothelial carcinoma (mUC).

Key Exclusion Criteria:

* Prior treatment with topoisomerase 1 inhibitor-based antibody-drug conjugate (ADC) therapy.
* Treatment with an anticancer agent within 4 weeks or for systemic therapies within 5 half-lives of the drug, whichever is shorter, prior to trial treatment administration.
* Has clinically significant toxicities from previous anticancer therapies that have not resolved to baseline levels or to grade 1 or lower, except for alopecia, anorexia, vitiligo, fatigue, hyperthyroidism, hypothyroidism, and peripheral neuropathy. Anorexia, hyperthyroidism, hypothyroidism, and peripheral neuropathy must have recovered to grade 2.

Note: Other protocol-defined Inclusion and Exclusion criteria may apply.

Where it's running

  • Yale Cancer Center
    New Haven, Connecticut, United States
    Recruiting
  • START New York Long Island LLC
    Lake Success, New York, United States
    Recruiting
  • Carolina Urologic Research Center
    Myrtle Beach, South Carolina, United States
    Recruiting
  • South Texas Accelerated Research Therapeutics
    San Antonio, Texas, United States
    Recruiting
  • National Cancer Center Hospital
    Chuo Ku, Tokyo, Japan
    Recruiting
  • Hospital HM Nou Delfos
    Barcelona, Spain
    Recruiting
Show 4 more locations
  • START Madrid - Hospital Universitario Fundacion Jimenez Diaz
    Madrid, Spain
    Recruiting
  • START Madrid - Centro Integral Oncologico Clara Campal
    Madrid, Spain
    Recruiting
  • Hospital Universitario Quironsalud Madrid
    Madrid, Spain
    Recruiting
  • West Cancer Center and Research Institute
    Germantown, Tennessee, United States
    Not yet recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.