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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 103 (estimated) |
| Sponsor | Genmab Industry-sponsored |
| Drugs / interventions | enfortumab, chemotherapy |
| Locations | 10 sites (New Haven, Connecticut and 9 other locations) |
| Status | Recruiting |
| Started | April 14, 2026 |
| Main results expected | April 5, 2029 |
| Study ends | June 25, 2029 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07416123 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
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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
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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
- Study coordinator: Genmab Trial Information
- Email: clinicaltrials@genmab.com
- Phone: +4570202728
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.