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      "canonicalId": "NCT07384715",
      "title": "First-in-human (FIH) Trial of GEN3018 in Relapsed or Refractory (R/R) Acute Myeloid Leukemia (AML) or Higher-risk Myelodysplastic Syndrome (HR-MDS)",
      "scientificTitle": "An Open-Label, Multicenter, First-in-Human Trial of GEN3018 in Participants With Relapsed or Refractory Acute Myeloid Leukemia or Higher-Risk Myelodysplastic Syndrome",
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      "studyType": "interventional",
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          "type": "BIOLOGICAL",
          "description": "Intravenous (IV) infusion."
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      "sponsor": {
        "name": "Genmab",
        "type": "INDUSTRY"
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      "locations": [
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          "city": "Aarhus",
          "country": "Denmark",
          "facility": "Aarhus Universitetshospital - Skejby"
        },
        {
          "city": "Copenhagen",
          "country": "Denmark",
          "facility": "Copenhagen Rigshospitalet"
        },
        {
          "city": "Bergamo",
          "country": "Italy",
          "facility": "ASST Papa Giovanni XXIII"
        },
        {
          "city": "Milan",
          "country": "Italy",
          "facility": "Istituto Clinico Humanitas"
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        {
          "city": "Pisa",
          "country": "Italy",
          "facility": "Azienda Ospedaliero Universitaria Pisana"
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        {
          "city": "Barcelona",
          "country": "Spain",
          "facility": "Hospital Universitari Vall d'Hebron"
        },
        {
          "city": "Barcelona",
          "country": "Spain",
          "facility": "Hospital Clínic de Barcelona"
        },
        {
          "city": "Madrid",
          "country": "Spain",
          "facility": "Hospital Universitario 12 de Octubre"
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        {
          "city": "Valencia",
          "country": "Spain",
          "facility": "Hospital Universitari i Politècnic La Fe"
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        "primary": [
          "Part 1: Number of Participants with Dose-limiting Toxicities (DLTs)",
          "Parts 1 and 2: Number of Participants with Adverse Events (AEs)"
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        "secondary": [
          "Parts 1 and 2: Maximum Concentration (Cmax) of GEN3018",
          "Parts 1 and 2: Time to Cmax (tmax) of GEN3018",
          "Parts 1 and 2: Predose Trough Concentration (Ctrough) of GEN3018",
          "Parts 1 and 2: Area Under the Concentration-time Curve from Time 0 to Last Quantifiable Sample (AUClast) of GEN3018",
          "Parts 1 and 2: Elimination Half-life (t1/2) of GEN3018",
          "Parts 1 and 2: Clearance (CL) of GEN3018",
          "Parts 1 and 2: Number of Participants with Anti-drug Antibodies (ADAs) Against GEN3018",
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          "Parts 1 and 2: Duration of Response (DOR)",
          "Parts 1 and 2: Time to Response (TTR)"
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        "criteria": "Key Inclusion Criteria:\n\nAll Participants:\n\n* Be at least 18 years of age at the time of signing informed consent form (ICF).\n* Participant's life expectancy at screening is judged to be at least 3 months.\n* Must have fresh bone marrow samples collected at screening.\n* Bone marrow (BM) blasts ≥ 5% at screening.\n* Eastern Cooperative Oncology Group (ECOG) performance status (PS) score of ≤ 2.\n* Has acceptable laboratory test results during the screening period\n\nParticipants with R/R AML:\n\n* Relapsed or refractory AML, either de novo or secondary, and must have failed all conventional therapies.\n* Relapsed or refractory to at least one prior line of therapy.\n\nParticipants with R/R HR-MDS:\n\n* Diagnosed with high- or very-high risk MDS according to International Prognostic Scoring System (IPSS-R) (score of \\> 4.5 ie, high or very high) or World Health Organization (WHO) 2022 classification (ie, MDS-IB1 or MDS-IB2).\n* Refractory or relapsed after hypomethylating agents (HMAs) (such as azacitidine or decitabine).\n\nKey Exclusion Criteria:\n\nAll Participants:\n\n* Diagnosis of acute promyelocytic leukemia (APL).\n* Presence of extramedullary AML at screening.\n* Prior autologous or allogenic hematopoietic stem cell transplant (HSCT) within 3 months prior to initiation of trial treatment.\n* Active graft-versus-host disease.\n* History of severe immune-related adverse events.\n* Treatment with anti-cancer agent (eg, small molecule, antibody, chemotherapy, radiation therapy), or major surgery within 2 weeks prior to the first dose of GEN3018.\n\nOther protocol-defined Inclusion and Exclusion criteria may apply.",
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      "enrollment": {
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        "count": 78
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      "startDate": "2026-02-16",
      "completionDate": "2030-04-20",
      "lastUpdated": "2026-10-27T00:00:00.000Z",
      "firstPosted": "2026-02-03T00:00:00.000Z",
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