A Study of GSK5733584 in Combination With Anti-cancer Therapies for Advanced Solid Tumors
BEHOLD-2
A Phase I/II Randomized Multi-Cohort Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Clinical Activity of GSK5733584 in Combination With Anti-Cancer Agents in Participants With Advanced Solid Tumors
2 other identifiers
interventional
392
20 countries
56
Brief Summary
Advanced solid tumors are cancers that have spread to other parts of the body. While many treatments exist, most people become resistant to them, and the cancer returns. Researchers are developing new treatments that combine different medicines for those who do not respond to single medicine. This study is looking at how safe and tolerable GSK5733584 is, how the body handles it, and how well it works when used with other cancer medicines. The study will include participants with advanced solid tumors who have either not responded to standard treatments or cannot tolerate them or have no available effective treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Mar 2025
Typical duration for phase_1
56 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2025
CompletedFirst Posted
Study publicly available on registry
January 28, 2025
CompletedStudy Start
First participant enrolled
March 4, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 17, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 5, 2028
October 14, 2025
October 1, 2025
2.8 years
January 22, 2025
October 9, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Part A: Percentage of participants with dose limiting toxicities (DLTs)
Approximately 7 months
Part A: Number of participants with adverse events (AEs), immune-mediated adverse events (imAEs), adverse events of special interest (AESI), serious adverse events (SAEs) by Severity
Up to approximately 22 months
Part A: Number of participants with adverse events (AEs), immune-mediated adverse events (imAEs), adverse events of special interest (AESI), serious adverse events (SAEs) by Frequency
Up to approximately 22 months
Part B: Confirmed Objective Response Rate (ORR)
ORR is defined as the percentage of participants with a best overall confirmed (BOR) of Partial Response (PR) or better per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Up to approximately 37 months
Secondary Outcomes (15)
Part A: Confirmed Objective Response Rate (ORR)
Up to approximately 22 months
Parts A and B: Duration of response (DoR)
Up to approximately 37 months
Parts A and B: Progression-free survival (PFS)
Up to approximately 37 months
Part B: Overall Survival (OS)
Up to approximately 37 months
Parts A and B: Maximum observed concentration (Cmax) of GSK5733584
Up to approximately 37 months
- +10 more secondary outcomes
Study Arms (4)
Module 1 (GSK5733584 +/- Dostarlimab) Endometrial Cancer
EXPERIMENTALModule 2 (GSK5733584 +/- Bevacizumab) Ovarian Cancer
EXPERIMENTALModule 3 (GSK5733584 + Anticancer therapy 3 +/- Dostarlimab or Bevacizumab)
EXPERIMENTALModule 4 (GSK5733584 + Anticancer therapy 4 +/- Dostarlimab or Bevacizumab)
EXPERIMENTALInterventions
GSK5733584 will be administered intravenously (IV).
Dostarlimab will be administered IV.
Bevacizumab will be administered IV.
Anticancer therapy 3 will be administered IV.
Anticancer therapy 4 will be administered IV.
Eligibility Criteria
You may qualify if:
- Participants must be 18 years of age inclusive or older, at the time of signing the informed consent, or the legal age of consent in the jurisdiction in which the study is taking place.
- Participant capable of giving signed informed consent including compliance with the requirements and restrictions listed in the Informed consent form (ICF) and in this protocol.
- Participants with pathologically confirmed advanced solid tumor specific for study arms (key local diagnostic molecular and/or immunophenotyping testing results/tumor cell phenotype results for confirmed diagnosis should be provided) with no more than 4 lines of prior systemic therapies. Please note:
- Adjuvant +/- neoadjuvant considered one line of therapy
- Maintenance therapy will be considered as part of the preceding line of therapy (i.e., not counted independently)
- Unplanned addition or switching to a new drug in a different class is considered a separate line of therapy. If an agent in a regimen is switched to another agent in the same class due to toxicity or intolerance (e.g. hypersensitivity reaction) this is considered part of the same line (i.e. not counted independently).
- Requirements for tumor tissue samples: Archival or fresh tumor tissue is required for retrospective central assessment of B7H4 expression by immunohistochemistry (IHC) and other biomarker analysis. The archival tumor tissue should be from the most recent procedure (ideally obtained after the last anti-cancer treatment). If an archival tissue is not available a new biopsy should be performed, and the newly obtained tissue provided.
- Participants have at least one target lesion as assessed per RECIST 1.1. A target lesion is defined as a measurable lesion that has not undergone locoregional treatment such as irradiation or that has unequivocal progression following locoregional treatment, with the longest diameter of ≥ 10 millimeter (mm) at Baseline (for lymph node lesions, the short axis should be ≥ 15 mm).
- Participants have a life expectancy of at least 12 weeks per investigator assessment based on disease burden and extent of supportive care needed.
- a. Participants with histologically documented, advanced (metastatic and/or unresectable) or recurrent endometrial cancer who have failed in adequate standard treatments, do not have effective standard treatment or are intolerant to standard of care, and who are not candidates for further curative external radiotherapy or brachytherapy.
- Diagnosis of endometrial cancer with confirmed mismatch repair proficient (MMRp) or microsatellites stable (MSS) tumor status by local test.
- Participants who have progressed on or are intolerant to at least 1 line of standard prior systemic therapy (including neoadjuvant or adjuvant as prior line), and who are not candidates for curative external radiotherapy or brachytherapy. Maintenance therapy will be considered part of the preceding line of therapy (i.e, not counted independently).
- Participants naïve to anti-programmed death protein 1 and/or programmed death ligand 1 (PD\[L\]-1) anti-cancer therapy.
- a. Participants with histologically or cytologically confirmed advanced epithelial ovarian cancer/fallopian tube/peritoneal cancer (any epithelial histology - mucinous, clear cell, carcinosarcoma, high/low grade serous, endometrioid) who have failed in adequate standard treatments, do not have effective standard treatment or are intolerant to standard of care.
- Participants whose advanced ovarian cancer/fallopian tube/peritoneal cancer has relapsed more than 6 months from the last dose of platinum before enrollment, i.e., platinum sensitive.
- +12 more criteria
You may not qualify if:
- Has a second malignancy (except disease under study) that has progressed or required active treatment within the past 24 months except for basal cell or squamous cell carcinomas of the skin or in-situ carcinomas \[e.g., breast, cervix, bladder\] that have been resected with no evidence of metastatic disease.
- Has any history of prior allogenic or autologous bone marrow transplant or other solid organ transplant.
- Has known sensitivity to study intervention components, GSK5733584 (antibody-drug conjugate, antibody, free cytotoxin GSK5757810A) and combination partner, or its excipients or other allergy that, in the opinion of the investigator, contraindicates participation in the study.
- Has any following cardiological examination abnormality:
- history in prior year of clinically significant or uncontrolled cardiac disease, acute myocardial infarction, or clinically significant arrhythmia not controlled by standard of care therapy.
- Corrected QT Interval (QTcF) \>450 millisecond (msec) or QTcF \>480 msec for participants with bundle branch block
- Any evidence of current interstitial lung disease (ILD) or pneumonitis or a prior history of ILD or non-infectious pneumonitis.
- Clinically significant bleeding symptoms, significant bleeding tendency, or bleeding tumors within 1 month prior to the first dose of study treatment.
- Serious or poorly controlled hypertension, including history of hypertensive crisis, hypertensive encephalopathy; adjustment of antihypertensive medications due to poor blood pressure control within 2 weeks prior to the first dose of study treatment; systolic blood pressure ≥ 160 millimeter of mercury (mmHg) or diastolic blood pressure ≥ 100 mmHg during screening period.
- Has any active renal condition (e.g., infection, requirement for dialysis, or any other active significant renal condition or dehydrated condition that could affect the participant's safety).
- Participants with known history of Human immunodeficiency virus (HIV).
- Has an Alanine transaminase (ALT) value \>2.5x Upper Limit of Normal (ULN) and for participants with documented liver metastases/tumor infiltration has an ALT value \>5x ULN.
- Has a total bilirubin value \>1.5x ULN.
- Has received treatment with any cytotoxic chemotherapy drugs or other anti-tumor drugs (including endocrine therapy, molecular targeted therapy, immunotherapy, biotherapy, and investigational drug) within 30 days or 5 half-lives, whichever is shorter of a medicinal product prior to the first dose of study drug; or need to continue these drugs during the study.
- Use of strong or moderate inhibitors or inducers of CYP3A4, CYP2D6 and inhibitors or inducers of P-gp, and breast cancer resistance protein (BCRP) within 14 days prior to the first dose of study drug; or in need of continuing treatment with these drugs during the study.
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- GlaxoSmithKlinelead
Study Sites (56)
GSK Investigational Site
Buenos Aires, C1280AEB, Argentina
GSK Investigational Site
CABA, C1187, Argentina
GSK Investigational Site
Viedma, R8500ACE, Argentina
GSK Investigational Site
Liverpool, New South Wales, 2170, Australia
GSK Investigational Site
Wollongong, New South Wales, 2500, Australia
GSK Investigational Site
Brussels, 1200, Belgium
GSK Investigational Site
Ghent, 9000, Belgium
GSK Investigational Site
Leuven, 3000, Belgium
GSK Investigational Site
Liège, 4000, Belgium
GSK Investigational Site
Natal, 59075-740, Brazil
GSK Investigational Site
Porto Alegre, 90020-090, Brazil
GSK Investigational Site
São Paulo, 01246-000, Brazil
GSK Investigational Site
Vitória, 29043-260, Brazil
GSK Investigational Site
Toronto, Ontario, M5G 2M9, Canada
GSK Investigational Site
Montreal, Quebec, H2X 0A9, Canada
GSK Investigational Site
Montreal, Quebec, H4A 3J1, Canada
GSK Investigational Site
Copenhagen, 2100, Denmark
GSK Investigational Site
Helsinki, 00029, Finland
GSK Investigational Site
Tampere, 33520, Finland
GSK Investigational Site
Montpellier, 34298, France
GSK Investigational Site
Pierre-Bénite, 69495, France
GSK Investigational Site
Villejuif, 94805, France
GSK Investigational Site
München, 81377, Germany
GSK Investigational Site
Athens, 11528, Greece
GSK Investigational Site
Athens, 12462, Greece
GSK Investigational Site
Pylaia Thessaloniki, 570 01, Greece
GSK Investigational Site
Thessaloniki, 55236, Greece
GSK Investigational Site
Chiba, 277-8577, Japan
GSK Investigational Site
Fukuoka, 811-1395, Japan
GSK Investigational Site
Tokyo, 104-0045, Japan
GSK Investigational Site
Tokyo, 135-8550, Japan
GSK Investigational Site
Amsterdam, 1066 CX, Netherlands
GSK Investigational Site
Rotterdam, 3015 GD, Netherlands
GSK Investigational Site
Oslo, 0379, Norway
GSK Investigational Site
Panama City, Panama
GSK Investigational Site
Panama City, Panama
GSK Investigational Site
Punta Pacifica Panama City Panama, Panama
GSK Investigational Site
Józefów, 05-410, Poland
GSK Investigational Site
Warsaw, 01-748, Poland
GSK Investigational Site
Seoul, 05505, South Korea
GSK Investigational Site
Seoul, 120-752, South Korea
GSK Investigational Site
Barcelona, 08023, Spain
GSK Investigational Site
Barcelona, 08035, Spain
GSK Investigational Site
Barcelona, 08036, Spain
GSK Investigational Site
Madrid, 28033, Spain
GSK Investigational Site
Madrid, 28041, Spain
GSK Investigational Site
Madrid, 28050, Spain
GSK Investigational Site
Málaga, 29010, Spain
GSK Investigational Site
Valencia, 46009, Spain
GSK Investigational Site
Zaragoza, 50009, Spain
GSK Investigational Site
Stockholm, 17164, Sweden
GSK Investigational Site
Ankara, 06590, Turkey (Türkiye)
GSK Investigational Site
Ankara, 6170, Turkey (Türkiye)
GSK Investigational Site
Istanbul, 34010, Turkey (Türkiye)
GSK Investigational Site
Glasgow, G12 0YN, United Kingdom
GSK Investigational Site
London, NW1 2BU, United Kingdom
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 22, 2025
First Posted
January 28, 2025
Study Start
March 4, 2025
Primary Completion (Estimated)
December 17, 2027
Study Completion (Estimated)
April 5, 2028
Last Updated
October 14, 2025
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Time Frame
- Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications.
- Access Criteria
- Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months, but an extension may be granted, when justified, for up to 6 months.
Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About\_GSK\_Patient\_Level\_Data\_Sharing\_Final\_13July2023.pdf