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quaratusugene ozeplasmid

Phase 1

Carcinoma, Non-Small Cell Lung | Monoclonal antibody | Oncology |Genprex, Inc.|Last Updated: Jun 3, 2026

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment158

FDA Designations

No designations recorded

Clinical trial landscape

quaratusugene ozeplasmid · 2 trials · 2 indications

Phase 1 2
NCT05703971Quaratusugene Ozeplasmid (Reqorsa) and Atezolizumab Maintenance Therapy in ES-SCLC PatientsSmall Cell Lung Cancer Extensive Stage
RECRUITING62 Analytics
NCT04486833Quaratusugene Ozeplasmid (Reqorsa) and Osimertinib in Patients With Advanced Lung Cancer Who Progressed on OsimertinibCarcinoma, Non-Small Cell Lung
RECRUITING158 Analytics
PHASE1RECRUITING
Quaratusugene Ozeplasmid (Reqorsa) and Atezolizumab Maintenance Therapy in ES-SCLC Patients
Small Cell Lung Cancer Extensive StageUnlock trial analytics
PHASE1RECRUITING
Quaratusugene Ozeplasmid (Reqorsa) and Osimertinib in Patients With Advanced Lung Cancer Who Progressed on Osimertinib
Carcinoma, Non-Small Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) - Phase 1
First 21-days at each dose level

The MTD and/or RP2D of the combination of quaratusugene ozeplasmid and atezolizumab. Note: if a MTD is not determined, the RP2D will be selected based on all available data (safety, PK, PD, and preliminary efficacy).

Progression-Free Survival Rate (PFSR) - Phase 2
18-weeks from Day 1 of maintenance therapy

PFSR at 18 weeks according to Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1).

Recommended Phase 2 Dose (RP2D) - Phase 1
First 21-day treatment cycle for each dose level cohort

RP2D, which will be the maximum tolerated dose (MTD) or, if the MTD is not defined by the safety data, RP2D will be determined based on an integrated assessment of all available clinical safety and preliminary efficacy data.

Overall Response Rate (ORR) - Phase 2a
Approximately 3 months

ORR (complete response \[CR\]+ partial response \[PR\]) according to RECIST using best overall response.

Progression-free Survival (PFS) - Phase 2b
Approximately 11 months

PFS from randomization to disease progression or death. Response according to RECIST.

Secondary Endpoints

Safety Profile - Phase 1
Approximately 6 months
Progression-free Survival (PFS) - Phase 1 & Phase 2
Approximately 5 months
Pharmacokinetics (PK) of Quaratusugene Ozeplasmid - Phase 1 & Phase 2
First 21-day treatment cycle
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1EXPERIMENTALUp to 2 sequential dose selection cohorts will be treated with quaratusugene ozeplasmid (intravenous (IV) administration once every 21 days) plus atezolizumab (1200 mg IV administration once every 21 days) until disease progression or unacceptable toxicity. Quaratusugene ozeplasmid doses will be evaluated (0.09 \[starting dose\], and 0.12 mg/kg) until the RP2D is identified.
Phase 2EXPERIMENTALPatients will be treated with the RP2D of quaratusugene ozeplasmid (IV administration once every 21 days) plus atezolizumab (1200 mg IV administration once every 21 days) or atezolizumab and hyaluronidase-tqjs (15 mL subcutaneous \[SQ\] administration once every 21 days) until disease progression or unacceptable toxicity
InvestigationalEXPERIMENTALIn Phase 1, Phase 2a and the investigational arm of Phase 2b, patients will receive their assigned dose of quaratusugene ozeplasmid (intravenous administration once every 21 days) plus osimertinib (80 mg fixed dose oral tablet taken daily starting on Day 1 through Day 21 of every 21-day treatment cycle) until disease progression or unacceptable toxicity.
ControlACTIVE_COMPARATORIn the control arm of Phase 2b, patients will receive platinum-based chemotherapy until disease progression or unacceptable toxicity.

Interventions

NameTypeDescription
quaratusugene ozeplasmidBIOLOGICALQuaratusugene ozeplasmid is an experimental nonviral immunogene therapy utilizing the TUSC2 gene, designed to target cancer cells by interrupting cell signaling pathways that allow cancer cells to grow, reestablishing pathways that promote cancer cell death and modulating the immune response against cancer cells.
atezolizumabBIOLOGICALAtezolizumab is a monoclonal antibody that belongs to a class of drugs that binds to the programmed death-receptor 1 ligand 1 (PD-L1), blocking the PD-1/PD-L1 pathway, thereby removing inhibition of the immune response, potentially breaking peripheral tolerance and inducing immune-mediated adverse reactions.
osimertinibDRUGOsimertinib is a 3rd generation EGFR tyrosine kinase inhibitor (TKI) oral tablet administered daily, as indicated for treatment of patients with metastatic NSCLC whose tumors have EGFR genetic deletions or mutations.
Platinum-Based ChemotherapyDRUGCisplatin and carboplatin are intravenously administered platinum agents that are combined with other cytotoxic chemotherapy agents such as pemetrexed.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Male or female aged ≥18 years. * Documented history of histologically or cytologically confirmed ES-SCLC, prior to starting treatment with the combination of atezolizumab, carboplatin, and etoposide * Complete Response (CR), Partial Response (PR), or Stable Disease (SD) after ...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMJun 4, 2026NCT05703971primaryCompletionDate: changed
MEDIUMJun 4, 2026NCT05703971primaryCompletionDate: changed
MEDIUMJun 4, 2026NCT05703971primaryCompletionDate: changed
MEDIUMJun 4, 2026NCT05703971primaryCompletionDate: changed
MEDIUMJun 4, 2026NCT05703971primaryCompletionDate: changed
LOWMay 26, 2026NCT04486833primaryCompletionDate: changed
LOWMay 26, 2026NCT05703971primaryCompletionDate: changed
LOWMay 24, 2026NCT04486833studyFirstPostDate: changed
LOWMay 24, 2026NCT05703971studyFirstPostDate: changed

Frequently asked questions about quaratusugene ozeplasmid

What is quaratusugene ozeplasmid used for?

Quaratusugene ozeplasmid is an investigational gene therapy being studied for the treatment of non-small cell lung cancer and extensive-stage small cell lung cancer. It is currently in Phase 1 clinical trials in patients with advanced lung cancer who have progressed on prior therapy.

What does quaratusugene ozeplasmid target?

Quaratusugene ozeplasmid is a gene therapy that delivers a tumor suppressor gene to cancer cells. It is designed to restore the function of a gene that is often lost or inactivated in lung cancer, thereby inhibiting tumor growth and potentially enhancing the effects of other cancer treatments.

Who makes quaratusugene ozeplasmid?

Quaratusugene ozeplasmid is being developed by Genprex, Inc., a biopharmaceutical company focused on gene therapies for cancer. Genprex is publicly traded on the Nasdaq under the ticker symbol GNPX.

What phase is quaratusugene ozeplasmid in?

Quaratusugene ozeplasmid is currently in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. Two Phase 1 trials are actively recruiting patients in the United States.

What clinical trials is quaratusugene ozeplasmid in?

Quaratusugene ozeplasmid is being evaluated in two Phase 1 trials. NCT04486833 studies it in combination with osimertinib in advanced non-small cell lung cancer patients who progressed on osimertinib. NCT05703971 studies it with atezolizumab maintenance therapy in extensive-stage small cell lung cancer patients.

Is quaratusugene ozeplasmid the same as Reqorsa?

Yes, quaratusugene ozeplasmid is also known as Reqorsa. The clinical trials refer to the drug as 'Quaratusugene Ozeplasmid (Reqorsa)', indicating that Reqorsa is an alternative name for the same investigational gene therapy.