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INBRX-106- Hexavalent OX40 agonist antibody

Phase 1

Solid Tumor | Small molecule | Oncology |Inhibrx Biosciences, Inc.|Last Updated: Jul 29, 2026

Target and mechanism

ModalitySmall molecule

Also known as INBRX-106 - Hexavalent OX40 agonist antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment340

FDA Designations

No designations recorded

Clinical trial landscape

INBRX-106- Hexavalent OX40 agonist antibody · 1 trial · 8 indications

Phase 1 1
NCT04198766Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)Solid Tumor
RECRUITING340 Analytics
PHASE1RECRUITING
Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
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Study Endpoints

Primary Endpoints

Frequency of adverse events of INBRX-106 as single agent and in combination with pembrolizumab
~2 years

Adverse events will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0

Severity of adverse events of INBRX-106 as single agent and in combination with pembrolizumab
~2 years

Adverse events will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0

MTD and/or RP2D of INBRX-106 as single agent and in combination with pembrolizumab
~2 years

Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of INBRX-106 and INBRX-106 in combination with pembrolizumab

Antitumor activity of INBRX-106 in combination with pembrolizumab in expansion cohorts
~2 years

The evaluation of efficacy will be based on the subject's measurable disease using RECIST v1.1

Frequency and severity of adverse events of INBRX-106 in combination with pembrolizumab and chemotherapy in adults with locally advanced or metastatic NSCLC or resectable Stage II, IIIA or IIIB (T3-4N2) NSCLC
~2 years

Adverse events will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0

To assess the antitumor activity of INBRX-106 in combination with pembrolizumab and platinum doublet chemotherapy as neoadjuvant/adjuvant therapy in adult subjects with NSCLC. (Cohort F8)
~2 years

Major pathological response (mPR) and pathological complete response (cPR) criteria.

Secondary Endpoints

Area under the serum concentration time curve (AUC) of INBRX-106
~2 years
Maximum observed serum concentration (Cmax) of INBRX-106
~2 years
Trough observed serum concentration (Ctrough) of INBRX-106
~2 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1 INBRX-106 Escalation (Not Recruiting)EXPERIMENTALINBRX-106 will be escalated in subjects with locally advanced or metastatic solid tumors.
Part 3 INBRX-106 Escalation in Combination with pembrolizumab (Not Recruiting)EXPERIMENTALINBRX-106 will be escalated, in combination with pembrolizumab, in subjects with locally advanced or metastatic solid tumors.
Part 2 (Cohorts C1/C2) INBRX-106 Escalation in Various Solid Tumor Types (Not Recruiting)EXPERIMENTALSubjects with melanoma (any type), head and neck squamous cell carcinoma, renal cell carcinoma, urothelial carcinoma or MSI/TMB-high tumors that are relapsed or refractory to prior checkpoint inhibitor (CPI) therapy will be treated with INBRX-106
Part 2 (Cohort C3) INBRX-106 Escalation in NSCLC (Not Recruiting)EXPERIMENTALSubjects with non-small cell carcinoma relapsed or refractory to prior checkpoint inhibitor (CPI) therapy will be treated with INBRX-106
Part 4 (Cohort F3a) INBRX-106 Expansion in Combination with pembrolizumab in NSCLC (Not Recruiting)EXPERIMENTALSubjects with non-small cell lung cancer will be treated with alternating dosing of INBRX-106 0.3 mg/kg Q6W and 400 mg pembrolizumab IV Q6W. This is one of the randomized cohorts.
Part 4 (Cohort F3b) INBRX-106 Expansion in Combination with pembrolizumab in NSCLC (Not Recruiting)EXPERIMENTALSubjects with non-small cell lung cancer will be given a 0.3 mg/kg priming dose of INBRX-106 in cycle 1, followed by 0.1 mg/kg INBRX-106 and 200 mg pembrolizumab IV every 3 weeks in subsequent cycles. This is one of the randomized cohorts.
Part 4 (Cohort F3c) Pembrolizumab Expansion Arm (Not Recruiting)ACTIVE_COMPARATORSubjects with non-small cell lung cancer will be treated with 200 mg pembrolizumab IV every 3 weeks. This is one of the randomized cohorts.
Part 4 (Cohort F3d) INBRX-106 Expansion in Combination with pembrolizumab in NSCLC (Not-Recruiting)EXPERIMENTALSubjects with non-small cell lung cancer will be treated concurrently every 6 weeks with INBRX-106 0.1 mg/kg and 200 mg pembrolizumab IV every 3 weeks. This is one of the randomized cohorts.
Part 4 (Cohort F4) INBRX-106 Expansion in Combination with pembrolizumab (Not Recruiting)EXPERIMENTALSubjects with melanoma (any type), head and neck squamous cell carcinoma (non-nasopharyngeal) OR nasopharyngeal carcinoma, MSI-high, TMB-high or MMR-deficient tumors, will be treated with INBRX-106 in combination with 200mg pembrolizumab IV every 3 weeks.
Part 4 (Cohort F5)INBRX-106 Expansion with pembrolizumab in MSI/TMB-high/MMRd tumors Not RecuritingEXPERIMENTALSubjects with solid tumors that have confirmed MSI-high, TMB-high or MMR-deficient states who are relapsed or refractory to checkpoint inhibitor (CPI) therapy will be treated with INBRX-106 and 200 mg pembrolizumab IV every 3 weeks
Part 4 (Cohort F6) INBRX-106 Expansion with pembrolizumab in Uveal Melanoma (Not Recruiting)EXPERIMENTALSubjects with ocular (uveal) melanoma who are relapsed or refractory to checkpoint inhibitor (CPI) therapy will be treated with INBRX-106 and 200 mg pembrolizumab IV every 3 weeks
Part 4 (Cohort F7a) INBRX-106 Expansion with pembrolizumab, pemetrexed and carboplatin in NSCLCEXPERIMENTALThis Arm is no longer recruiting. Subjects with advanced/metastatic NSCLC, any PD-L1 TPS will be treated with INBRX-106 0.1mg/kg, 200mg pembrolizumab, 500mg/m2 pemetrexed and carboplatin AUC-5 IV every 3 weeks
Part 4 (Cohort F7b) INBRX-106 Expansion with pembrolizumab, pemetrexed and cisplatin in NSCLCEXPERIMENTALThis Arm is no longer recruiting. Subjects with advanced/metastatic NSCLC, any PD-L1 TPS will be treated with INBRX-106 0.1mg/kg, 200mg pembrolizumab, 500mg/m2 pemetrexed and 75mg/m2 cisplatin IV every 3 weeks
Part 4(Cohort F7c)INBRX-106 Expansion with pembrolizumab, (Nab)-paclitaxel and carboplatin in NSCLCEXPERIMENTALThis Arm is no longer recruiting. Subjects with advanced/metastatic NSCLC, any PD-L1 TPS will be treated with INBRX-106 0.1mg/kg, 200mg pembrolizumab, 200mg/m2 paclitaxel and carboplatin AUC-6 IV every 3 weeks OR INBRX-106, 200mg pembrolizumab, 100mg/m2 nab-paclitaxel (dosed Days 1,8 and 15 every cycle) and carboplatin AUC-6 IV every 3 weeks. Treating physician to determine if paclitaxel or nab-paclitaxel will be given
Part 4(Cohort F8)INBRX-106 with pembrolizumab, cisplatin and gemcitabine or pemetrexed in NSCLCEXPERIMENTALSubjects with resectable Stage II, IIIA or IIIB (T3-4N2) NSCLC , any PD-L1 TPS will receive neoadjuvant treatment with INBRX-106 0.1 mg/kg, 200 mg pembrolizumab, cisplatin 75 mg/m2 (dosed Day 1 only) with gemcitabine 1000 mg/m2 (dosed on Days 1 and 8) for patients with squamous cell NSCLC given every 3 weeks OR neoadjuvant treatment with INBRX-106 0.1 mg/kg, 200 mg pembrolizumab, cisplatin 75 mg/m2 with pemetrexed 500 mg/m2 for patients with non-squamous cell NSCLC given every 3 weeks. Carboplatin AUC5 (dosed on Day 1 only) can be substituted for Cisplatin following Cycle 1 at the Investigator's discretion and per protocol and due to cisplatin-related toxicity. Neoadjuvant treatment will be given for up to 4 cycles followed by surgery (lobectomy, bilobectomy or pneumonectomy). After surgery, all patients will receive adjuvant treatment consisting of INBRX-106 0.1 mg/kg, 200 mg pembrolizumab given every 3 weeks for up to 13 cycles.

Interventions

NameTypeDescription
INBRX-106 - Hexavalent OX40 agonist antibodyDRUGThe active ingredient of INBRX-106 is a recombinant, humanized, hexavalent IgG antibody that targets the human OX40 receptor (TNFRSF4).
pembrolizumab 200 mgDRUGpembrolizumab 200 mg by intravenous (IV) infusion, given on Day 1 of each 21-day cycle.
pembrolizumab 400 mgDRUGpembrolizumab 400 mg by IV infusion given on Day 1 of alternating 21-day cycles (every 6 weeks)
Carboplatin AUC-5DRUGcarboplatin AUC-5 by intravenous (IV) infusion, given on Day 1 of each 21-day cycle of cycles 1-4. Cohort F8, carboplatin AUC-5 by intravenous (IV) infusion, given on Day 1 of each 21-day cycle of cycle 2-4.
Carboplatin AUC-6DRUGcarboplatin AUC-6 by intravenous (IV) infusion, given on Day 1 of each 21-day cycle of cycles 1-4
Pemetrexed 500 mg/m2DRUGpemetrexed 500 mg/m2 by IV infusion given on Day 1 of each 21-Day cycle for up to 35 cycles. In Cohort F8, pemetrexed 500 mg/m2 by IV infusion given on Day 1 of each 21-Day cycle of cycles 1-4.
Cisplatin 75mg/m2DRUGcisplatin 75mg/m2 by intravenous (IV) infusion, given on Day 1 of each 21-day cycle of cycles 1-4
Paclitaxel 200mg/m2DRUGpaclitaxel 200mg/m2 by intravenous (IV) infusion, given on Day 1 of each 21-day cycle of cycles 1-4
Nab paclitaxel 100mg/m2DRUGNab paclitaxel 100mg/m2 by intravenous (IV) infusion, given on Days 1, 8 and 15 of each 21-day cycle of cycles 1-4
Gemcitabine (1000 mg/m2)DRUGGemcitabine 1000 mg/m2 given by intravenous (IV) infusion on Days 1 and 8 of each 21-day cycle of cycles 1-4
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites42

Select Inclusion Criteria: * Males or females aged ≥18 years. * Parts 1 and 3 (escalation cohorts): Subjects with locally advanced or metastatic non resectable solid tumors, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy ...

Countries:United StatesSingaporeSouth KoreaTaiwan
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Competitive Landscape -Other Solid Tumors 9 trials (matched to "Solid Tumor")

Recent Changes (Last 90 Days)

MEDIUMJul 29, 2026NCT04198766Status: ACTIVE_NOT_RECRUITING → RECRUITING
MEDIUMJul 29, 2026NCT04198766Status: ACTIVE_NOT_RECRUITING → RECRUITING

Frequently asked questions about INBRX-106- Hexavalent OX40 agonist antibody

What is INBRX-106 used for in solid tumors?

INBRX-106 is an investigational hexavalent OX40 agonist antibody being studied for the treatment of locally advanced or metastatic solid tumors, including non-small cell lung cancer, head and neck cancer, melanoma, gastric cancer, renal cell carcinoma, and urothelial carcinoma. It is currently in Phase 1 clinical development.

What does INBRX-106 target?

INBRX-106 targets OX40, a costimulatory receptor on T cells. As a hexavalent OX40 agonist antibody, it is designed to activate OX40 signaling, which may enhance the immune system's anti-tumor response. This mechanism is being evaluated in the context of solid tumor immunotherapy.

Who is developing INBRX-106?

INBRX-106 is being developed by Inhibrx Biosciences, Inc., a biopharmaceutical company traded under the ticker symbol INBX. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational OX40 agonist antibody in patients with solid tumors.

What phase is INBRX-106 in?

INBRX-106 is currently in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The ongoing Phase 1 trial is recruiting patients to assess the drug's safety, tolerability, and preliminary efficacy in solid tumor indications.

What clinical trials is INBRX-106 in?

INBRX-106 is being studied in a Phase 1 clinical trial with the identifier NCT04198766. This trial evaluates INBRX-106 alone and in combination with pembrolizumab (Keytruda) in subjects with locally advanced or metastatic solid tumors. The trial is recruiting participants in the United States, Singapore, South Korea, and Taiwan.

Is INBRX-106 the same as INBRX-106 - Hexavalent OX40 agonist antibody?

Yes, INBRX-106 and INBRX-106 - Hexavalent OX40 agonist antibody refer to the same investigational drug. The full name describes its structure as a hexavalent antibody targeting OX40. In clinical trial registries and scientific literature, it may be listed under either name.