Recruiting
Phase 2

Rina-S

Sponsor:

Genmab

Code:

NCT07539311

Conditions

Gastrointestinal Cancers

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Rina-S

Study Details

Brief summary:

This Phase 2 study will be conducted in different countries around the world with up to about 160 participants.

The purpose of this study is to evaluate how well Rina-S works against GI cancers.

The medication in this study is Rina-S monotherapy (by itself; no other cancer treatments). All participants will receive active drug; no one will be given placebo.

Participation in the study will require visits to the study site(s). During site visits, there will be various tests (such as blood draws) and procedures (such as recording of heart activity, imaging/X-rays) to monitor whether the study treatment is safe and effective.

The duration of the study will be different for every participant, but an average study duration of 22 months is expected for participants. This will include a treatment period (expected to last an average of 12 months), plus data collection periods before and after treatment. Participants will be asked to attend 1 to 5 visits at the study clinic for each cycle (duration of an individual cycle is 21 days). If a participant's cancer stays the same or gets better, and there are not any serious problems, participants can keep getting study treatment for as long as the study is open.

Conditions

Gastrointestinal Cancers

Study ID

NCT07539311

Start date

May 11, 2026

Status verified date

Oct, 2026

Completion date

Nov, 2028

Anticipated

Primary completion date

Sep, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

• All study cohorts

  • Participant has histologically or cytologically confirmed GI cancer.
  • Participant has documented metastatic or unresectable disease, not amenable to treatment with curative intent.
  • Participant has measurable disease per the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 at baseline.
  • Participant must have radiological disease progression while on or after receiving the most recent regimen.
  • Participant has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Participant has life expectancy ≥3 months.
  • Participant must be able to provide a newly obtained or archival tissue sample.
  • Participant must have adequate organ and bone marrow function, per laboratory test results prior to Rina-S administration.

Key Exclusion Criteria (all study cohorts):

  • Participant has clinically significant non-malignant gastrointestinal disorders, including but not limited to, diarrhea > grade 1, ulcerative colitis, inflammatory bowel disease.
  • Participants with recent (up to 4 weeks) history of significant gastrointestinal bleeding, current cancer related ulcerations, fistula, abscess or recent perforation (within 4 to 6 weeks).
  • 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.
  • 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).
  • Prior treatment with topoisomerase-1 inhibitor containing antibody-drug conjugate (ADC).
  • Treatment with an anticancer agent within 28 days prior to the first dose of trial treatment.

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

Study Design

Enrollment

160 participants

Anticipated

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Rina-S

Participants with GI cancer in cohorts A-E will receive Rina-S at the specified dose.

Interventions

Rina-S

Intravenous (IV) administration.

Primary outcome measure

  • Confirmed Objective Response Rate (ORR) [ Time Frame: Up to approximately 22 months ]

Central Contacts and Locations

Central contacts

Genmab Trial Information

+4570202728clinicaltrials@genmab.com

Locations

USC Norris Comprehensive Cancer Center

Recruiting

Los Angeles, California, United States, 90033

UCLA Hematology/Oncology, Santa Monica

Recruiting

Santa Monica, California, United States, 90404

University of Colorado Hospitak Anschutz

Recruiting

Aurora, Colorado, United States, 80045

Moffitt Cancer Center

Recruiting

Tampa, Florida, United States, 33612

START Midwest

Recruiting

Grand Rapids, Michigan, United States, 49546

Greco-Hainsworth Center for Research

Recruiting

Nashville, Tennessee, United States, 37203

START San Antonio

Recruiting

San Antonio, Texas, United States, 78229

More Information

Sponsor

Genmab

Last update posted

Oct 6, 2026

Last verified

Oct, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-23. This information was provided to ClinicalTrials.gov by Genmab on 2026-10-06. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.