Clinical trial Recruiting at 102 sites Phase 2 Interventional Ages 18 and up

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

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment240 (estimated)
SponsorGenmab
Industry-sponsored
Locations102 sites (Fountain Valley, California and 101 other locations)
StatusRecruiting
StartedJanuary 30, 2026
Main results expectedNovember 22, 2027
Study endsNovember 22, 2028
Registry record updatedNovember 3, 2026
Trial IDNCT07288177 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.