GEN1042 Safety Trial and Anti-tumor Activity in Participants With Malignant Solid Tumors

Last updated: April 7, 2026
Sponsor: Genmab
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Neoplasms

Melanoma

Head And Neck Cancer

Treatment

Gemcitabine

Cisplatin

Pemetrexed

Clinical Study ID

NCT04083599
GCT1042-01
2023-508526-10
Rg13-835_03.08.2023
MOH_2023-07-31_012855
1129008831
RECF-005255
2018-003716-47
2023-508526-10-00
IRAS ID: 263292
  • Ages > 18
  • All Genders

Study Summary

The goal of this trial is to learn about the antibody GEN1042 when it is used alone and when it is used together with another antibody cancer drug, pembrolizumab (with or without chemotherapy), for treatment of participants with certain types of cancer.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

Monotherapy - Dose Escalation and Dose Expansion Parts

  • Participants with non-CNS solid tumors that is metastatic or unresectable and forwhom there is no available standard therapy.

  • Participants with a confirmed diagnosis of relapsed or refractory, advanced and/ormetastatic melanoma, NSCLC, or CRC and for whom there is no available standardtherapy

Combination Therapy - Dose Expansion Part

  • Participants with unresectable Stage III or Stage IV melanoma with no prior systemicanticancer therapy for unresectable or metastatic disease. Primary ocular or mucosalmelanoma is excluded.

  • Participants with Stage IV metastatic or recurrent NSCLC with no prior systemicanticancer therapy, no actionable mutation.

  • Participants with recurrent or metastatic HNSCC with no prior systemic therapyadministered in the recurrent or metastatic setting.

  • Participants with confirmed metastatic PDAC with no previous radiotherapy, surgery,chemotherapy, or investigational therapy for the treatment of metastatic disease.

General (all phases):

  • Must be age ≥ 18 years of age on the day of signing informed consent, or the legalage of consent in the jurisdiction in which the trial is taking place.

  • Measurable disease according to RECIST 1.1

  • Eastern Cooperative Oncology Group (ECOG) 0-1

  • Normal or adequate liver, renal, cardiac and bone marrow function

Exclusion

Key Exclusion Criteria:

Monotherapy - Dose Escalation and Dose Expansion Parts

  • Treatment with an anti-cancer agent (within 21 days or after at least 5 half-livesof the drug, whichever is shorter), prior to GEN1042 administration

  • Radiotherapy within 14 days prior to first GEN1042 administration

  • Toxicities from previous anti-cancer therapies that have not resolved

Combination Therapy - Dose Expansion Part

  • Has received prior systemic cytotoxic chemotherapy, biological therapy, OR majorsurgery within 3 weeks or at least 5 half-lives of the drug (whichever is shorter)of the first dose of trial treatment.

  • Radiotherapy within 14 days of start of trial treatment or received lung radiationtherapy of > 30 Gy within 6 months of the first dose of trial treatment.

General (all phases)

  • Participants has an active, known, or suspected autoimmune disease.

  • History of non-infectious pneumonitis that required steroids or currently haspneumonitis.

  • History of ≥ grade 3 allergic reactions to monoclonal antibody (mAb) therapy

  • Participants with a condition requiring systemic treatment with eithercorticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressivemedications within 14 days of first treatment.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 350
Treatment Group(s): 9
Primary Treatment: Gemcitabine
Phase: 1/2
Study Start date:
September 17, 2019
Estimated Completion Date:
November 30, 2026

Study Description

This is an open-label, multicenter phase 1/2 study designed to assess the safety, pharmacokinetics, pharmacodynamics and anti-tumor activity of GEN1042 administered as a monotherapy or in combination in participants with metastatic or locally advanced solid tumors.

Participants will receive either GEN1042 alone, GEN1042 with pembrolizumab, or GEN1042 with pembrolizumab and chemotherapy. All participants will receive active drug; no one will receive placebo.

This trial has 2 parts. The purpose of the first part is to find out if GEN1042 is safe and to find out the best doses of GEN1042 to use. The purpose of the second part is to give GEN1042 to more participants to see how well the dose(s) of GEN1042 selected in the first part work against cancer with GEN1042 when given alone or in combination with pembrolizumab or in combination with pembrolizumab and chemotherapy.

Trial details include:

  • The average trial duration will be about 2 years and 4 months.

  • The treatment duration will be up to 2 years (when GEN1042 is combined with pembrolizumab).

  • The visit frequency will be weekly at first and lessening over time until visits are only once every 3 weeks.

A long-term extension phase (LTEP) has been added to allow continued access to trial treatment for up to 2 years from the individual participant's Cycle 1 Day 1 visit.

Connect with a study center

  • Rigshospitalet (Copenhagen University Hospital)

    Copenhagen,
    Denmark

    Site Not Available

  • Rigshospitalet (Copenhagen University Hospital)

    Copenhagen 2618425,
    Denmark

    Site Not Available

  • Herlev University Hospital

    Herlev,
    Denmark

    Site Not Available

  • Herlev University Hospital

    Herlev 2620431,
    Denmark

    Site Not Available

  • University Hospital of Southern Denmark, Vejle Hospital

    Vejle,
    Denmark

    Site Not Available

  • University Hospital of Southern Denmark, Vejle Hospital

    Vejle 2610613,
    Denmark

    Site Not Available

  • Centre hospitalier Universitaire de Bordeaux

    Bordeaux,
    France

    Site Not Available

  • Centre hospitalier Universitaire de Bordeaux

    Bordeaux 3031582,
    France

    Site Not Available

  • Centre Antoine Lacassagne

    Nice,
    France

    Site Not Available

  • Centre Antoine Lacassagne

    Nice 2990440,
    France

    Site Not Available

  • Gustave Roussy

    Villejuif,
    France

    Site Not Available

  • Gustave Roussy

    Villejuif 2968705,
    France

    Site Not Available

  • ARENSIA Research Clinic at the Research Institute of Clinical Medicine

    Tbilisi,
    Georgia

    Site Not Available

  • ARENSIA Research Clinic at the Research Institute of Clinical Medicine

    Tbilisi 611717,
    Georgia

    Site Not Available

  • Nationales Centrum fr Tumorerkrankungen NCT

    Hamburg,
    Germany

    Site Not Available

  • Nationales Centrum fr Tumorerkrankungen NCT

    Heidelberg,
    Germany

    Site Not Available

  • Nationales Centrum fr Tumorerkrankungen NCT

    Heidelberg 2907911,
    Germany

    Site Not Available

  • Klinikum der Stadt Ludwigshafen am Rhein gGmbH

    Ludwigshafen,
    Germany

    Site Not Available

  • Klinikum der Stadt Ludwigshafen am Rhein gGmbH

    Ludwigshafen 2875377,
    Germany

    Site Not Available

  • Department of Dermatology, University of Mainz

    Mainz,
    Germany

    Site Not Available

  • Department of Dermatology, University of Mainz

    Mainz 2874225,
    Germany

    Site Not Available

  • Universitätsmedizin Mannheim Dermatologie

    Mannheim,
    Germany

    Site Not Available

  • Universitätsmedizin Mannheim Dermatologie

    Mannheim 2873891,
    Germany

    Site Not Available

  • Universitaetsklinikum Wuerzburg

    Wuerzburg,
    Germany

    Site Not Available

  • Universitaetsklinikum Wuerzburg

    Würzburg,
    Germany

    Site Not Available

  • Universitaetsklinikum Wuerzburg

    Würzburg 2805615,
    Germany

    Site Not Available

  • Rabin Medical Center

    Petah Tikva,
    Israel

    Site Not Available

  • Rabin Medical Center

    Petah Tikva 293918,
    Israel

    Site Not Available

  • Rabin Medical Center

    Petah tikva,
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center

    Tel Aviv,
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center

    Tel Aviv 293397,
    Israel

    Site Not Available

  • Azienda Ospedaliera Spedali Civili di Brescia

    Brescia,
    Italy

    Site Not Available

  • Azienda Ospedaliera Spedali Civili di Brescia

    Brescia 3181554,
    Italy

    Site Not Available

  • Azienda Ospedaliera S.Croce e Carle Cuneo

    Cuneo,
    Italy

    Site Not Available

  • Azienda Ospedaliera S.Croce e Carle Cuneo

    Cuneo 3177700,
    Italy

    Site Not Available

  • Istituto Nazionale dei Tumori

    Milan,
    Italy

    Site Not Available

  • Istituto Nazionale dei Tumori

    Milan 3173435,
    Italy

    Site Not Available

  • Istituto Clinico Humanitas

    Rozzano,
    Italy

    Site Not Available

  • Istituto Clinico Humanitas

    Rozzano 3168837,
    Italy

    Site Not Available

  • Chungbuk National University Hospital

    Cheongju-si,
    Korea, Republic of

    Site Not Available

  • Jeonbuk National University Hospital

    Jeonju,
    Korea, Republic of

    Site Not Available

  • Gachon University Gil Medical Center

    Namdong,
    Korea, Republic of

    Site Not Available

  • Korea University Guro Hospital

    Seoul,
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center

    Seoul,
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul,
    Korea, Republic of

    Site Not Available

  • Pusan National University Yangsan Hospital

    Yangsan,
    Korea, Republic of

    Site Not Available

  • ARENSIA Research Clinic at the Oncology Institute

    Chisinau,
    Moldova

    Site Not Available

  • ARENSIA Research Clinic at the Oncology Institute

    Chisinau 618426,
    Moldova

    Site Not Available

  • ARENSIA Research Clinic at the Oncology Institute

    Chisinau,
    Moldova, Republic of

    Site Not Available

  • Chungbuk National University Hospital

    Cheongju-si,
    South Korea

    Site Not Available

  • Chungbuk National University Hospital

    Cheongju-si 1845604,
    South Korea

    Site Not Available

  • Jeonbuk National University Hospital

    Jeonju,
    South Korea

    Site Not Available

  • Jeonbuk National University Hospital

    Jeonju 1845457,
    South Korea

    Site Not Available

  • Gachon University Gil Medical Center

    Namdong,
    South Korea

    Site Not Available

  • Gachon University Gil Medical Center

    Namdong 11169442,
    South Korea

    Site Not Available

  • Korea University Guro Hospital

    Seoul,
    South Korea

    Site Not Available

  • Samsung Medical Center

    Seoul,
    South Korea

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul,
    South Korea

    Site Not Available

  • Korea University Guro Hospital

    Seoul 1835848,
    South Korea

    Site Not Available

  • Samsung Medical Center

    Seoul 1835848,
    South Korea

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul 1835848,
    South Korea

    Site Not Available

  • Pusan National University Yangsan Hospital

    Yangsan,
    South Korea

    Site Not Available

  • Pusan National University Yangsan Hospital

    Yangsan 1832828,
    South Korea

    Site Not Available

  • H. Vall d'Hebron

    Barcelona,
    Spain

    Site Not Available

  • START Barcelona HM Nou Delfos

    Barcelona,
    Spain

    Site Not Available

  • H. Vall d'Hebron

    Barcelona 3128760,
    Spain

    Site Not Available

  • START Barcelona HM Nou Delfos

    Barcelona 3128760,
    Spain

    Site Not Available

  • Hospital Duran i Reynals - ICO L Hospitalet

    L'Hospitalet De Llobregat,
    Spain

    Site Not Available

  • Hospital Duran i Reynals - ICO L Hospitalet

    L'Hospitalet de Llobregat,
    Spain

    Site Not Available

  • Hospital Duran i Reynals - ICO L Hospitalet

    L'Hospitalet de Llobregat 3120619,
    Spain

    Site Not Available

  • Hospital Universitario Insular de Gran Canaria

    Las Palmas de Gran Canaria, 35016
    Spain

    Site Not Available

  • Hospital Universitario Insular de Gran Canaria

    Las Palmas de Gran Canaria 2515270, 35016
    Spain

    Site Not Available

  • Hospital Universitario Lucus Augusti

    Lugo,
    Spain

    Site Not Available

  • Hospital Universitario Lucus Augusti

    Lugo 3117814,
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Madrid,
    Spain

    Site Not Available

  • HM CIOCC Hospital Universitario HM Sanchinarro

    Madrid,
    Spain

    Site Not Available

  • Hospital Clinico San Carlos

    Madrid,
    Spain

    Site Not Available

  • Hospital General Universitario Gregorio Maran

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario Ramon y Cajal

    Madrid,
    Spain

    Site Not Available

  • MD Anderson Cancer Center Madrid

    Madrid,
    Spain

    Site Not Available

  • START Madrid - Hospital Universitario Fundacion Jimenez Diaz

    Madrid,
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Madrid 3117735,
    Spain

    Site Not Available

  • HM CIOCC Hospital Universitario HM Sanchinarro

    Madrid 3117735,
    Spain

    Site Not Available

  • Hospital Clinico San Carlos

    Madrid 3117735,
    Spain

    Site Not Available

  • Hospital General Universitario Gregorio Maran

    Madrid 3117735,
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid 3117735,
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid 3117735,
    Spain

    Site Not Available

  • Hospital Universitario Ramon y Cajal

    Madrid 3117735,
    Spain

    Site Not Available

  • MD Anderson Cancer Center Madrid

    Madrid 3117735,
    Spain

    Site Not Available

  • START Madrid - Hospital Universitario Fundacion Jimenez Diaz

    Madrid 3117735,
    Spain

    Site Not Available

  • Hospital Universitario Virgen de la Victoria

    Málaga,
    Spain

    Site Not Available

  • Hospital Universitario Virgen de la Victoria

    Málaga 2514256,
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Pamplona,
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Pamplona 3114472,
    Spain

    Site Not Available

  • Complejo Hospitalario Universitario de Santiago (CHUS)

    Santiago De Compostela,
    Spain

    Site Not Available

  • Complejo Hospitalario Universitario de Santiago (CHUS)

    Santiago de Compostela,
    Spain

    Site Not Available

  • Complejo Hospitalario Universitario de Santiago (CHUS)

    Santiago de Compostela 3109642,
    Spain

    Site Not Available

  • Hospital Virgen del Rocio

    Sevilla,
    Spain

    Site Not Available

  • Hospital Virgen del Rocio

    Seville,
    Spain

    Site Not Available

  • Hospital Virgen del Rocio

    Seville 2510911,
    Spain

    Site Not Available

  • Hospital Clinico Universitario de Valencia

    Valencia,
    Spain

    Site Not Available

  • Hospital Clinico Universitario de Valencia

    Valencia 2509954,
    Spain

    Site Not Available

  • Chang Gung Memorial Hospital (CGMH) - Kaohsiung Branch

    Kaohsiung City,
    Taiwan

    Site Not Available

  • Kaohsiung Medical University Memorial Hospital

    Kaohsiung City,
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital (CGMH) - Kaohsiung Branch

    Kaohsiung City 1673820,
    Taiwan

    Site Not Available

  • Kaohsiung Medical University Memorial Hospital

    Kaohsiung City 1673820,
    Taiwan

    Site Not Available

  • China Medical University Hospital

    Taichung,
    Taiwan

    Site Not Available

  • China Medical University Hospital

    Taichung 1668399,
    Taiwan

    Site Not Available

  • National Cheng Kung University Hospital

    Tainan,
    Taiwan

    Site Not Available

  • National Cheng Kung University Hospital

    Tainan 1668355,
    Taiwan

    Site Not Available

  • National Cheng Kung University Hospital

    Tainan City 1668355,
    Taiwan

    Site Not Available

  • Taipei Medical University Hospital

    Taipei,
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital, VGHTPE

    Taipei,
    Taiwan

    Site Not Available

  • Taipei Medical University Hospital

    Taipei 1668341,
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital, VGHTPE

    Taipei 1668341,
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital Linkou Branch

    Taoyuan,
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital Linkou Branch

    Taoyuan District,
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital Linkou Branch

    Taoyuan District 1667905,
    Taiwan

    Site Not Available

  • Royal Marsden NHS Foundation Trust

    Sutton,
    United Kingdom

    Site Not Available

  • Royal Marsden NHS Foundation Trust

    Sutton 2636503,
    United Kingdom

    Site Not Available

  • Alaska Oncology and Hematology LLC

    Anchorage, Alaska 99508
    United States

    Site Not Available

  • Alaska Oncology and Hematology LLC

    Anchorage 5879400, Alaska 5879092 99508
    United States

    Site Not Available

  • City of Hope

    Duarte, California 91010
    United States

    Site Not Available

  • Cancer & Blood Specialty Clinic

    Los Alamitos, California 90720
    United States

    Site Not Available

  • Moores Cancer Center at the UC San Diego Health

    San Diego, California 92037
    United States

    Site Not Available

  • Cancer & Blood Specialty Clinic

    Los Alamitos 5368304, California 5332921 90720
    United States

    Site Not Available

  • Moores Cancer Center at the UC San Diego Health

    San Diego 5391811, California 5332921 92037
    United States

    Site Not Available

  • Yale University Cancer Center

    New Haven, Connecticut 06520
    United States

    Site Not Available

  • Yale University Cancer Center

    New Haven 4839366, Connecticut 4831725 06520
    United States

    Site Not Available

  • ChristianaCare

    Newark, Delaware 19713
    United States

    Site Not Available

  • ChristianaCare

    Newark 4143861, Delaware 4142224 19713
    United States

    Site Not Available

  • Mount Sinai Comprehensive Cancer Center

    Miami Beach, Florida 33140
    United States

    Site Not Available

  • Florida Cancer Affiliates

    Ocala, Florida 34474
    United States

    Site Not Available

  • Mount Sinai Comprehensive Cancer Center

    Miami Beach 4164143, Florida 4155751 33140
    United States

    Site Not Available

  • Florida Cancer Affiliates

    Ocala 4166673, Florida 4155751 34474
    United States

    Site Not Available

  • Hope and Healing Cancer Services

    Hinsdale, Illinois 60521
    United States

    Site Not Available

  • Hope and Healing Cancer Services

    Hinsdale 4896012, Illinois 4896861 60521
    United States

    Site Not Available

  • Sarah Cannon Research Institute

    Indianapolis, Indiana 37203
    United States

    Site Not Available

  • University of Kentucky

    Lexington, Kentucky 40536
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville, Kentucky 40202
    United States

    Site Not Available

  • University of Kentucky

    Lexington 4297983, Kentucky 6254925 40536
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville 4299276, Kentucky 6254925 40202
    United States

    Site Not Available

  • University of Maryland Greenebaum Comprehensive Cancer Center

    Baltimore, Maryland 21201
    United States

    Site Not Available

  • Maryland Oncology Hematology PA

    Columbia, Maryland 21044
    United States

    Site Not Available

  • Maryland Oncology Hematology PA

    Columbia 4352053, Maryland 4361885 21044
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine

    St Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine

    St Louis 4407066, Missouri 4398678 63110
    United States

    Site Not Available

  • Levine Cancer Center

    Charlotte, North Carolina 28204
    United States

    Site Not Available

  • Novant Health Cancer Institute - Forsyth (Medical Oncology)

    Winston-Salem, North Carolina 27103
    United States

    Site Not Available

  • Levine Cancer Center

    Charlotte 4460243, North Carolina 4482348 28204
    United States

    Site Not Available

  • Novant Health Cancer Institute - Forsyth (Medical Oncology)

    Winston-Salem 4499612, North Carolina 4482348 27103
    United States

    Site Not Available

  • Kaiser Permanente (KP) Oncology/Hematology

    Portland, Oregon 97227
    United States

    Site Not Available

  • Kaiser Permanente (KP) Oncology/Hematology

    Portland 5746545, Oregon 5744337 97227
    United States

    Site Not Available

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania 19111
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Fox Chase Cancer Center

    Philadelphia 4560349, Pennsylvania 6254927 19111
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Site Not Available

  • Sarah Cannon Research Institute

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Sarah Cannon Research Institute

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • Lumi Research

    Kingwood, Texas 77339
    United States

    Site Not Available

  • Lumi Research

    Kingwood 7534469, Texas 4736286 77339
    United States

    Site Not Available

  • Utah Cancer Specialists

    Salt Lake City, Utah 84124
    United States

    Site Not Available

  • Utah Cancer Specialists

    Salt Lake City 5780993, Utah 5549030 84124
    United States

    Site Not Available

  • Virgina Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Virgina Cancer Specialists

    Fairfax 4758023, Virginia 6254928 22031
    United States

    Site Not Available

  • Adventist Health System/Sunbelt,Inc

    Seattle, Washington 98109
    United States

    Site Not Available

  • Medical Oncology Associates, PS

    Spokane, Washington 99204
    United States

    Site Not Available

  • Central Washington Health Services Association

    Wenatchee, Washington 98801
    United States

    Site Not Available

  • Adventist Health System/Sunbelt,Inc

    Seattle 5809844, Washington 5815135 98109
    United States

    Site Not Available

  • Medical Oncology Associates, PS

    Spokane 5811696, Washington 5815135 99204
    United States

    Site Not Available

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