Last updated: 10/27/2025 09:50:56

Study of TSR-042, an Anti-programmed Cell Death-1 Receptor (PD-1) Monoclonal Antibody, in Participants With Advanced Solid TumorsGARNET

GSK study ID
213346
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Recruitment complete
Recruitment complete
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Phase 1 Dose Escalation and Cohort Expansion Study of TSR-042, an anti-PD-1 Monoclonal Antibody, in Patients with Advanced Solid Tumors
Trial description: This is a multi-center, open-label, first-in-human Phase 1 study evaluating the anti-programmed death receptor 1 (anti-PD-1) antibody dostarlimab (also known as TSR-042) n participants with advanced solid tumors who have limited available treatment options. The study will be conducted in 2 parts with Part 1 consisting of safety evaluation, pharmacokinetics (PK), and pharmacodynamics (PDy) of escalating doses of dostarlimab. Dose escalation will be based on ascending weight-based dose levels (DLs) of dostarlimab and will continue until the maximum tolerated dose (MTD) is reached or may be stopped at any dose level up to the highest dose of 20 milligrams per kilograms (mg/kg) based on emerging safety and PK/PDy data. Part 2 will be conducted in two subparts, Part 2A (fixed-dose safety evaluation cohorts) and Part 2B (expansion cohorts). Part 2A of the study will evaluate the safety and tolerability of dostarlimab at fixed doses of 500 mg administered every 3 weeks (Q3W) and 1000 mg administered every 6 weeks (Q6W). Part 2B of the study will examine the safety and clinical activity of dostarlimab in cohorts of participants with specific types of advanced solid tumors.
Primary purpose:
Treatment
Trial design:
Sequential
Masking:
None (Open Label)
Allocation:
Non-randomized
Primary outcomes:

Part 1: Number of participants with treatment emergent AEs (TEAEs)

Timeframe: Up to 2 years

Part 1: Number of participants with immune mediated AEs of interest

Timeframe: Up to 2 years

Part 1: Number of participants with abnormal hematology parameters

Timeframe: Up to 2 years

Part 1: Number of participants with abnormal clinical chemistry parameters

Timeframe: Up to 2 years

Part 1, Part 2A, and Part 2B: Number of participants with a change from baseline in urinalysis parameters

Timeframe: Up to 2 years

Part 1, Part 2A, and Part 2B: Number of participants with a change from baseline in vital signs

Timeframe: Up to 2 years

Part 1: Number of participants with abnormal electrocardiogram (ECG) parameters

Timeframe: Up to 2 years

Part 1: Number of participants receiving concomitant medications

Timeframe: Up to 2 years

Part 2A: Number of participants with TEAEs

Timeframe: Up to 2 years

Part 2A: Number of participants with immune mediated AEs of interest

Timeframe: Up to 2 years

Part 2A: Number of participants with abnormal hematology parameters

Timeframe: Up to 2 years

Part 2A: Number of participants with abnormal clinical chemistry parameters

Timeframe: Up to 2 years

Part 2A: Number of participants with abnormal ECG

Timeframe: Up to 2 years

Part 2A: Number of participants receiving concomitant medications

Timeframe: Up to 2 years

Part 2B: Number of participants with TEAEs

Timeframe: Up to 2 years

Part 2B: Number of participants with immune related AEs of interest

Timeframe: Up to 2 years

Part 2B: Number of participants with abnormal hematology parameters

Timeframe: Up to 2 years

Part 2B: Number of participants with abnormal clinical chemistry parameters

Timeframe: Up to 2 years

Part 2B: Number of participants with abnormal ECG parameters

Timeframe: Up to 2 years

Part 2B: Number of participants receiving concomitant medications

Timeframe: Up to 2 years

Part 2B: Cohort A1 Overall Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort F ORR by RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort A2 ORR by RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort G ORR by RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort E ORR by immune related Response Evaluation Criteria in Solid Tumors per irRECIST

Timeframe: Up to 2 years

Part 2B: Cohort A1 Duration of response (DOR)

Timeframe: Up to 2 years

Part 2B: Cohort F Duration of response (DOR)

Timeframe: Up to 2 years

Part 2B: Cohort A2 Duration of response (DOR)

Timeframe: Up to 2 years

Secondary outcomes:

Part 1: Immune-related objective response rate (irORR) by irRECIST

Timeframe: Up to 2 years

Part 2B: Cohort A1 ORR by independent blinded central review using RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort F ORR by independent blinded central review using RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort A1 Immune-related objective response rate (irORR) by irRECIST

Timeframe: Up to 2 years

Part 2B: Cohort A2 irORR by irRECIST

Timeframe: Up to 2 years

Part 2B: Cohort F irORR by irRECIST

Timeframe: Up to 2 years

Part 2B: Cohort G irORR by irRECIST

Timeframe: Up to 2 years

Part 2B: Cohort A1 Duration of response (DOR) based on independent blinded central review using RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort F DOR based on independent blinded central review using RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort G DOR based on independent blinded central review using RECIST version 1.1

Timeframe: Up to 2 years

Part 2B: Cohort A1 Disease control rate

Timeframe: Up to 2 years

Part 2B: Cohort A2 Disease control rate

Timeframe: Up to 2 years

Part 2B: Cohort F Disease control rate

Timeframe: Up to 2 years

Part 2B: Cohort G Disease control rate

Timeframe: Up to 2 years

Part 2B: Immune related disease control rate

Timeframe: Up to 2 years

Part 2B: Immune related duration of response

Timeframe: Up to 2 years

Part 2B: Progression free survival

Timeframe: Up to 2 years

Part 2B: Overall survival

Timeframe: Up to 2 years

Part 1: Area under the concentration-time curve from time 0 to last (AUC,0-last) assessment of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504 and 672 hours post dose

Part 1: Area under the concentration-time curve from time 0 to infinity (AUC, 0-infinity) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 1: Minimum concentration (Cmin) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 1: Maximum concentration (Cmax) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 1: Clearance (CL) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 1: Volume of distribution (Vz) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 1: Area under the concentration-time curve at steady state (AUC,ss) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 1: Minimum concentration at steady state (Cmin,ss) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504,672 hours post dose.

Part 1: Maximum concentration at steady state (Cmax,ss) of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose

Part 2A: AUC,0-last assessment of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years

Part 2A: AUC, 0-infinity of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years

Part 2A: Cmin of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years

Part 2A: Cmax of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years

Part 2A: CL of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years

Part 2A: Vz of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years.

Part 2A: AUC,ss of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years

Part 2A: Cmin,ss of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years

Part 2A: Cmax,ss of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years

Part 2A : AUC,0-last assessment of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: AUC, 0-infinity of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: Cmin of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: Cmax of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: CL of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: Vz of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: AUC,ss of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: Cmin,ss of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years

Part 2A: Cmax,ss of dostarlimab

Timeframe: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840 and 1008 hours post dose Q6W upto 2 years

Part 2B: Cmax of dostarlimab

Timeframe: Predose, 0.5 and 1.5 hours post dose

Part 2B: AUC,ss of dostarlimab

Timeframe: Predose, 0.5 and 1.5 hours post dose

Part 2B: Cmax,ss of dostarlimab

Timeframe: Predose, 0.5 and 1.5 hours post dose

Part 1, Part 2A, and Part 2B: Number of participants with antidrug antibodies (ADA) against dostarlimab

Timeframe: Up to 2 years

Interventions:
  • Biological/vaccine: Dostarlimab
  • Enrollment:
    738
    Primary completion date:
    2026-18-05
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Patnaik A, Weiss GJ, Rasco DW, Blaydorn L, Mirabella A, Beeram M, Guo W, Lu S, Danaee H, McEachern K, Im E, Sachdev JC.Safety, Antitumor Activity, and Pharmacokinetics of Dostarlimab, an Anti-PD-1, in Patients With Advanced Solid Tumors: A Dose Escalation Phase 1 Trial.Cancer Chemother Pharmacol.2021;
    Zhang XT, Chen H, Shao W, Zhongping JL, Melham M, Lu S.A Competitive Ligand Binding Assay to Measure Antidrug Antibodies Against Dostarlimab (TSR-042).2021; DOI: 10.1186/s41120-021-00039-w
    Patterson M, Beausang LA, Rup B, Bowsher R, Krug K, Gunn G, Melham M, Lu S.A Bridging Assay for Detection and Characterization of Anti-Drug Antibodies to Dostarlimab, a New Anti-PD-1 Therapeutic Monoclonal Antibody .2021;7(11) DOI: DOI 10.1186/s41120-021-00045-y
    Kumar S, Ghosh S, Sharma G, Wang S, Kehry MR, Marino MH, Neben TY, Lu S, Luo S, Roberts S, Ramaswamy S, Danaee H, Jenkins D.Preclinical characterization of dostarlimab, a therapeutic anti–PD-1 antibody with potent activity to enhance immune function in in vitro cellular assays and in vivo animal models .MAbs.2021;13(1):1954136 DOI: 10.1080/19420862.2021.1954136 PMID: 34313545
    Oaknin A, Gilbert L, Tinker A, Brown J, Mathews C, Press J, Sabatier R, O'Malley D, Samouelian V, Boni V, Duska L, Ghamande S, Ghatage P, Kristeleit R, Leath C, Guo W, Im E, Zildjian S, Han X, Duan T, Veneris, J, Pothuri B.Safety and antitumor activity of dostarlimab in patients with advanced or recurrent DNA mismatch repair deficient/microsatellite instability high (dMMR/MSI-H) or proficient/stable (MMRp/MSS) endometrial cancer: Interim results from GARNET–a phase 1, single-arm study.J ImmunoTher Cancer.2022; DOI: 10.1136/jitc-2021-003777 DOI: 10.1136/jitc-2021-003777
    Kristeleit R, Mathews C, Redondo R, Boklage S, Hanlon J, Im E, Brown J .Patient-reported outcomes in the GARNET trial in patients with advanced or recurrent mismatch repair–deficient/microsatellite instability–high endometrial cancer treated with dostarlimab.Int J Gynecol Cancer. DOI: http://dx.doi.org/10.1136/ijgc-2022-003492 DOI: http://dx.doi.org/10.1136/ijgc-2022-003492 PMID: NULL
    Kuchimanchi M, Dabrowski C, Lu S, Melhem M.Dostarlimab, an anti–programmed death-1 monoclonal antibody, does not cause QT prolongation in patients with solid tumors: a concentration-QT analysis.Br J Clin Pharmacol.2023; DOI: 10.1111/bcp.15700 PMID: 36823349
    Medical condition
    Neoplasms
    Product
    Dostarlimab
    Collaborators
    Not applicable
    Study date(s)
    March 2016 to January 2027
    Type
    Interventional
    Phase
    1

    Participation criteria

    Sex
    Female & Male
    Age
    18+ years
    Accepts healthy volunteers
    No
    • Participant is at least 18 years of age.
    • Participant has proven recurrent or advanced solid tumor and has disease progression after treatment with available anticancer therapies, or is intolerant to treatment that meets the following requirements for the part of the study they will participate in:
    • Participant has received prior therapy with an anti- programmed death receptor 1 (anti-PD-1), anti-PD-1- ligand-1 (anti-PD-L1), or anti-PD-1 ligand-2 (anti-PD- L2) agent.
    • Participant has a known uncontrolled CNS metastasis and/or carcinomatous meningitis.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Aberdeen, United Kingdom, AB25 2ZN
    Status
    Recruitment Complete
    Location
    GSK Investigational Site
    Albany, NY, United States, 12208
    Status
    Study Complete
    Location
    GSK Investigational Site
    Augusta, GA, United States, 30912
    Status
    Recruitment Complete
    Location
    GSK Investigational Site
    Baltimore, MD, United States, 21231
    Status
    Study Complete
    Location
    GSK Investigational Site
    Barcelona, Spain, 08907
    Status
    Recruitment Complete
    Location
    GSK Investigational Site
    Barcelona, Spain, 08036
    Status
    Recruitment Complete
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    Study documents

    No study documents available.

    Results overview

    Study Results yet to be posted

    Recruitment status
    Recruitment complete
    Actual primary completion date
    Not applicable
    Actual study completion date
    Not applicable

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

    Additional information
    Not applicable
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