Rina-S treatment for advanced non-small cell lung cancer
Official title: A Phase 2, Open-label, Multicohort Study of Rinatabart Sesutecan (Rina-S) in Participants With Non-Small Cell Lung Cancer
Run by Genmab · NCT07288177 · Data updated 2026-11-12
This Phase 2 trial will test whether Rina-S by itself can shrink or control advanced non-small cell lung cancer in people whose cancer has progressed after prior treatment.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 240 (estimated) |
| Sponsor | Genmab Industry-sponsored |
| Locations | 102 sites (Fountain Valley, California and 101 other locations) |
| Status | Recruiting |
| Started | January 30, 2026 |
| Main results expected | November 22, 2027 |
| Study ends | November 22, 2028 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07288177 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with histologically or cytologically confirmed metastatic or locally advanced NSCLC of adenocarcinoma histology, measurable disease by RECIST v1.1, disease progression after the most recent regimen, and an ECOG performance status of 0 or 1.
✕Probably not a fit
Patients with non-adenocarcinoma NSCLC histology, poor performance status (ECOG >1), active uncontrolled second malignancies, or who cannot attend study site visits are unlikely to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an open-label, multicenter Phase 2 trial giving Rina-S as a single agent to about 240 participants with locally advanced or metastatic NSCLC of adenocarcinoma histology. Participants will receive repeated 3-week treatment cycles, with an average treatment duration of about 12 months and 1–5 clinic visits per cycle for safety monitoring, imaging, and blood tests. The trial includes multiple cohorts for participants with or without select genomic alterations and will collect safety, efficacy, pharmacokinetics, and pharmacodynamics data. All enrolled participants receive active drug and must have measurable disease and ECOG performance status 0–1 at enrollment.
Why it matters
Potential benefit: If successful, Rina-S could provide a new treatment option that shrinks tumors or slows disease progression in some patients with advanced NSCLC.
How similar studies have gone: Targeted single-agent therapies have succeeded in subsets of NSCLC defined by specific genomic alterations, but Rina-S itself is a novel agent and its clinical benefit has not yet been established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Participant has histologically or cytologically confirmed metastatic or locally advanced NSCLC of adenocarcinoma histology, not amenable to curative surgery or radiotherapy. * Participant must have radiological disease progression while on or after receiving the most recent regimen. * Participants either may have actionable genetic alterations (AGAs) or no AGAs. * Participant has measurable disease according to RECIST v1.1. * Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0 or 1 within 7 days of Cycle 1 Day 1. Key Exclusion Criteria (all study cohorts): * Participant has NSCLC with histology other than adenocarcinoma * Participant has a past or current malignancy other than the inclusion diagnosis before the planned first dose of trial treatment, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death (eg, 5-year OS ≥ 90%), including, but not limited to, adequately treated cervical carcinoma of stage 1B or less, in situ basal cell or squamous cell skin carcinoma, in situ bladder cancer, ductal carcinoma in situ, or any past malignancy considered cured for ≥ 3 years. * Participants with newly identified or known unstable (eg, progressing brain metastases) or symptomatic central nervous system (CNS) metastases or history of carcinomatous meningitis (also known as leptomeningeal disease). Participants with history of spinal cord compression (from disease). Participants with previous CNS-directed therapy (eg, radiotherapy and/or surgery) for brain metastases may participate provided lesion(s) are radiologically stable (ie, without evidence of progression) for at least 28 days by repeat imaging. Note: Other protocol-defined Inclusion and Exclusion criteria may apply.
Where it's running
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Compassionate Cancer Care Center
Fountain Valley, California, United States Recruiting -
City of Hope Orange County Lennar Foundation Cancer Center
Irvine, California, United States Recruiting -
Kaiser Permanente San Diego Mission Road
San Diego, California, United States Recruiting -
Providence Medical Foundation (St. Joseph Heritage Healthcare)
Santa Rosa, California, United States Recruiting -
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, United States Recruiting -
University of Miami Hospital
Miami, Florida, United States Recruiting
Show 44 more locations
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Moffitt Cancer Center and Research Institute
Tampa, Florida, United States Recruiting -
Emory Winship Cancer Institute
Atlanta, Georgia, United States Recruiting -
St. Vincent Frontier Cancer Center
Billings, Montana, United States Recruiting -
Nebraska Hematology-Oncology
Lincoln, Nebraska, United States Recruiting -
Astera Cancer Care
East Brunswick, New Jersey, United States Recruiting -
ONE Onc: New York Oncology Hematology
Albany, New York, United States Recruiting -
Montefiore Medical Park
The Bronx, New York, United States Recruiting -
UNC Health - University of North Carolina
Chapel Hill, North Carolina, United States Recruiting -
Williamette Valley Cancer Institute and Research Center
Eugene, Oregon, United States Recruiting -
Providence Portland Medical Center
Portland, Oregon, United States Recruiting -
Providence Oncology & Hematology Care Clinic - Westside
West Haven-Sylvan, Oregon, United States Recruiting -
Tennessee Oncology - Nashville St. Thomas Midtown Clinic
Nashville, Tennessee, United States Recruiting -
Tennessee Oncology Nashville - SCRI Oncology Partners
Nashville, Tennessee, United States Recruiting -
Baylor Charles A. Sammons Cancer Center
Dallas, Texas, United States Recruiting -
Virginia Cancer Specialists
Fairfax, Virginia, United States Recruiting -
St Andrews Medical Centre
Adelaide, Australia Recruiting -
Blacktown Hospital
Blacktown, Australia Recruiting -
Chris O'Brien Lifehouse
Camperdown, Australia Recruiting -
St Vincent's Hospital - Melbourne
Fitzroy, Australia Recruiting -
Icon Cancer Centre Hobart
Hobart, Australia Recruiting -
Icon Cancer Care - Townsville
Hyde Park, Australia Recruiting -
Icon Cancer Centre Townsville ICON Cancer Care - Townsville
Hyde Park, Australia Recruiting -
St George Hospital
Kogarah, Australia Recruiting -
St John of God Murdoch Hospital
Murdoch, Australia Recruiting -
Sir Charles Gairdner Hospital
Nedlands, Australia Recruiting -
GenesisCare North Shore
Saint Leonards, Australia Recruiting -
Universitair Ziekenhuis Antwerpen
Edegem, Belgium Recruiting -
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, Belgium Recruiting -
Chu Helora Hospital La Louvière Site Jolimont
La Louvière, Belgium Recruiting -
UZ Leuven - Gasthuisberg Campus
Leuven, Belgium Recruiting -
AZ Delta (Campus Wilgenstraat)
Roeselare, Belgium Recruiting -
Shanghai East Hospital
Shanghai, Pudong, China Recruiting -
Beijing Cancer Hospital
Beijing, China Recruiting -
Beijing Chest Tumor Hospital
Beijing, China Recruiting -
Jilin Provincial Cancer Hospital
Changchun, China Recruiting -
Nanjing Medical University (NMU) - Jiangsu Province Hospital (First Affiliated Hospital)
Nanjing, China Recruiting -
Tianjin Medical University Cancer Institute and Hospital
Tianjin, China Recruiting -
The First Affiliated Hospital of Hebei North University
Zhangjiakou, China Recruiting -
Henan Cancer Hospital
Zhengzhou, China Recruiting -
Assistance Publique Hôpitaux de Marseille - Hôpital Nord
Marseille, France Recruiting -
Cochin Hospital
Paris, France Recruiting -
Groupe Hospitalier Paris Saint-Joseph
Paris, France Recruiting -
Institut Curie - Centre de Recherche
Paris, France Recruiting -
Lyon Sud Hospital Center
Pierre-Bénite, France Recruiting
+52 more sites. See ClinicalTrials.gov for the full list.
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.