An Open-Label Phase 1/2A Study of GV20-0251 Monotherapy and GV20-0251 in Combination With Pembrolizumab in Participants With Advanced and/or Refractory Solid Tumor Malignancies

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Trial Details

Sponsor: GV20 Therapeutics (industry)

Phase: 1/2

Start date: March 23, 2023

Planned enrollment: 365

Trial ID: NCT05669430
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More trial details at ClinicalTrials.gov More info

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chevron Show for: GV20-0251 (XBH25)

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Goal: Evaluate the safety, tolerability, and preliminary antitumor activity of GV20-0251 as monotherapy and in combination with pembrolizumab, define the maximum tolerated dose and recommended Phase 2 dose, and characterize pharmacokinetics, pharmacodynamics, and clinical efficacy signals across selected solid tumor indications.

Patients: Adults (≥18 years) with histologically confirmed advanced and/or refractory solid tumors with measurable disease by RECIST v1.1, ECOG 0–1, and adequate organ function. All must be refractory, intolerant, ineligible for, or have declined standard therapy. Prior checkpoint inhibitor exposure requires documented progression. Fresh tumor biopsies are required pre-treatment (all parts) and on-treatment where feasible (Parts A and B). Expansion cohorts include endometrial carcinoma, squamous head and neck carcinoma, cutaneous melanoma, non-small cell lung cancer, and, for combination parts, pMMR/MSS colorectal adenocarcinoma. Key exclusions include active autoimmune disease requiring immunosuppression, uncontrolled infections, significant cardiac disease, symptomatic CNS disease, recent investigational therapy or major surgery, severe prior immune-related AEs, and pembrolizumab-specific risks in combination parts (e.g., pneumonitis).

Design: Multicenter, open-label, non-randomized Phase 1/2A study conducted in four parts. Part A: 3+3 dose escalation of GV20-0251 to determine MTD/RP2D. Part B: BOP2-driven monotherapy dose-expansion across tumor-specific cohorts. Part C: BOIN dose escalation of GV20-0251 plus pembrolizumab to determine combination MTD/RP2D. Part D: BOP2-guided combination dose-expansion across multiple cohorts. Planned enrollment is 365 participants.

Treatments: GV20-0251 monotherapy and GV20-0251 combined with pembrolizumab. GV20-0251 (also known as XBH25) is a first-in-class, fully human, Fc-attenuated IgG1 monoclonal antibody targeting IGSF8, a novel immune checkpoint. By blocking IGSF8 interactions, it enhances NK cell cytotoxicity, augments dendritic cell antigen presentation, and increases T-cell signaling, potentially benefiting tumors with impaired antigen presentation that are resistant to current checkpoint inhibitors. Early Phase 1 monotherapy data in heavily pretreated solid tumors demonstrated a generally favorable safety profile with predominantly grade 1–2 AEs and limited grade ≥3 events, dose-proportional PK with an approximate 26-day half-life, full target occupancy on circulating T cells at ≥3 mg/kg, and preliminary antitumor activity including confirmed partial responses in metastatic melanoma and disease stabilization in multiple patients. Pembrolizumab is an approved anti–PD-1 antibody used as standard immunotherapy across several solid tumors; here it is evaluated in combination to assess synergistic activity.

Outcomes: Primary endpoints: safety and tolerability in dose-escalation parts (A and C; incidence of adverse events) and objective response rate per RECIST v1.1 in expansion parts (B and D). Key secondary endpoints include additional safety (TEAEs per CTCAE v5.0), pharmacokinetics of GV20-0251 (Cmax, Tmax, half-life, AUC), immunogenicity (anti-drug and neutralizing antibodies), disease control rate, duration of response, progression-free survival, and overall survival.

Burden on patient: High. As a Phase 1/2A trial with both monotherapy and combination dose-escalation and expansion, participants should expect frequent on-site visits, intensive safety monitoring, serial pharmacokinetic and immunogenicity blood draws, and mandatory fresh tumor biopsies pre-treatment with additional on-treatment biopsies in certain parts. Imaging for response assessments will occur at regular intervals consistent with RECIST-based evaluations. Combination cohorts may entail added immune-related toxicity monitoring. Travel demands and visit frequency, particularly early in treatment and around PK/biopsy time points, will exceed standard-of-care follow-up for refractory solid tumors.

Last updated: Oct 2025

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Sites (13)

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The Angeles Clinic and Research Institute

Los Angeles, California, 90025, United States

[email protected] / No phone

Status: Recruiting

HealthONE Clinic Services Oncology - Hematology, LLC d/b/a Sarah Cannon Research Institute at HealthONE

Denver, Colorado, 80218, United States

[email protected] / No phone

Status: Not yet recruiting

Yale University

New Haven, Connecticut, 06511, United States

[email protected] / No phone

Status: Recruiting

Florida Cancer Specialists & Research Institute, LLC

Fort Myers, Florida, 33916, United States

[email protected] / No phone

Status: Not yet recruiting

Community Health Network, Inc.

Indianapolis, Indiana, 46256, United States

[email protected] / No phone

Status: Recruiting

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

[email protected] / No phone

Status: Recruiting

Barbara Ann Karmanos Cancer Hospital dba Karmanos Cancer Center

Detroit, Michigan, 48201, United States

[email protected] / No phone

Status: Recruiting

NYU Langone Health

New York, New York, 10016, United States

[email protected] / No phone

Status: Recruiting

Oregon Health & Science University

Portland, Oregon, 97239, United States

[email protected] / No phone

Status: Recruiting

Verdi Oncology Tennessee, Scri Oncology Partners

Nashville, Tennessee, 37203, United States

[email protected] / No phone

Status: Not yet recruiting

Oncology Consultants, P.A.

Houston, Texas, 77030, United States

[email protected] / No phone

Status: Recruiting

The University of Texas M. D. Anderson Cancer Center

Houston, Texas, 77030, United States

[email protected] / No phone

Status: Recruiting

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

[email protected] / No phone

Status: Recruiting

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