GT103 for Non-Small Cell Lung Cancer

No longer recruiting at 2 trial locations
TS
CA
DM
Overseen ByDCI Multi-Site Studies
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Edward Patz
Must be taking: Immunotherapy, Platinum chemotherapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, GT103, to determine the safest dose and assess its effectiveness for people with advanced non-small cell lung cancer (NSCLC) that has worsened despite previous treatments. Participants will receive GT103 every three weeks, with gradually increasing dosages to identify the most effective tolerable amount. Individuals with advanced NSCLC who have tried treatments like immunotherapy and chemotherapy, yet their cancer continues to grow, might be suitable for this trial. As a Phase 1 trial, participants will be among the first to receive this new treatment, aiding researchers in understanding how GT103 works in people.

Do I have to stop taking my current medications for the trial?

The trial requires that you stop taking any anticancer therapies at least 2 weeks before starting the study drug. If you are on chronic systemic corticosteroids or other immunosuppressive agents, you may need to adjust your treatment, but some exceptions apply, such as low-dose intermittent steroids or physiologic replacement doses.

Is there any evidence suggesting that GT103 is likely to be safe for humans?

Research has shown that GT103 has been safe in earlier studies with patients who have non-small cell lung cancer. In one study, most participants handled the treatment well, experiencing only mild side effects that were usually easy to manage. Another study found that GT103 remained safe when combined with another cancer drug, suggesting new treatment options. Although this trial is just starting, past research provides hope regarding the safety of GT103.12345

Why do researchers think this study treatment might be promising?

GT103 is unique because it targets non-small cell lung cancer in a novel way. Unlike traditional treatments like chemotherapy and targeted therapies that often attack cancer cells directly or inhibit specific growth factors, GT103 works by escalating its dose to find the maximum tolerated dose. This escalation approach might help in fine-tuning the treatment to maximize effectiveness while minimizing side effects. Researchers are excited about GT103 as it may offer a new pathway for treating lung cancer, potentially improving outcomes for patients who haven't responded to existing therapies.

What evidence suggests that GT103 might be an effective treatment for non-small cell lung cancer?

Research has shown that GT103 may help treat non-small cell lung cancer (NSCLC). GT103 is a special type of medicine that aids the immune system in attacking cancer cells by targeting a protein called complement factor H. In earlier studies, GT103 was combined with pembrolizumab, and some patients experienced lasting health improvements. The treatment proved safe and did not cause any unexpected issues. These findings suggest GT103 could be a useful option for people with NSCLC. Participants in this trial will receive GT103 every three weeks, with doses increased until the maximum tolerated dose is determined.12367

Who Is on the Research Team?

JC

Jeffrey Clarke, MD

Principal Investigator

Duke University

Are You a Good Fit for This Trial?

Adults over 18 with advanced stage III, IV or recurrent NSCLC that's worsened after prior therapy can join. They must have measurable disease, acceptable organ function, and no severe allergies to PD-1/PD-L1 drugs. Participants need a stable ECOG status (0 or 1), adequate bone marrow function, and must use effective contraception.

Inclusion Criteria

My advanced lung cancer has worsened after previous treatment.
Signed informed consent
My liver is functioning within the required limits.
See 9 more

Exclusion Criteria

I haven't had major surgery or significant injury in the last 4 weeks and don't expect to need major surgery during the study.
I need medication for brain-related cancer symptoms.
I am not pregnant, breastfeeding, and if capable of having children, I am using effective birth control.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation Treatment

Participants receive GT103 every 3 weeks with dose escalation from 0.3 mg/kg to 10 mg/kg or until the maximum tolerated dose (MTD) is found

2 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

2 years

What Are the Treatments Tested in This Trial?

Interventions

  • GT103
Trial Overview The trial is testing GT103's highest dose patients can tolerate while checking its safety and effectiveness against advanced non-small cell lung cancer. It involves people whose cancer has progressed despite previous treatments.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: GT103Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Edward Patz

Lead Sponsor

Trials
1
Recruited
30+

Citations

1487 Results from a phase II study of GT103 in ...Four patients remained on treatment beyond 7 months. Conclusions The combination of GT103 and pembrolizumab was safe and well-tolerated. The ...
Safety and efficacy of complement factor H (CFH) inhibitor ...Results from a first-in-human phase 1B study of a complement factor H inhibitor (GT103) in patients with non-small cell lung cancer (NSCLC).
Complement factor H targeting antibody GT103 in ...GT103 is a first-in-class, fully human, IgG3 monoclonal antibody targeting complement factor H that kills tumor cells and promotes anti-cancer immunity in ...
A Phase II study of GT103 in combination with pembrolizumab ...A Phase II study of GT103 in combination with pembrolizumab in refractory, metastatic non–small cell lung cancer. Hirva Mamdani MD,.
5.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/41129008/
A Phase II study of GT103 in combination with ...Combination of GT103 with pembrolizumab was well tolerated with no new safety signals. A subset of patients experienced durable responses and disease ...
Study Details | NCT07017829 | GT103 in Combination With ...Giving GT103 in combination with pembrolizumab may kill more cancer cells and improve outcomes in patients with advanced or metastatic STK11 mutant non-small ...
NCT05617313 | Study of GT103 in Combination With ...A total of 50 patients will be treated with the combination at the safest dose of GT103 as determined in the safety lead-in. If 10 additional patients are ...
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