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6-Thio-2'-Deoxyguanosine

Phase 3

Carcinoma, Non-Small -Cell Lung | Small molecule | Oncology |MAIA Biotechnology, Inc.|Last Updated: May 13, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment300

FDA Designations

ORPHAN_DRUGRARE_PEDIATRIC_DISEASE

Clinical trial landscape

6-Thio-2'-Deoxyguanosine · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT06908304A Phase III Study With THIO + Cemiplimab vs Chemotherapy as 3rd Line Treatment in Advanced/Metastatic NSCLCCarcinoma, Non-Small -Cell Lung
RECRUITING300 Analytics
PHASE3RECRUITING
A Phase III Study With THIO + Cemiplimab vs Chemotherapy as 3rd Line Treatment in Advanced/Metastatic NSCLC
Carcinoma, Non-Small -Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival
Within 2 Years

Overall survival as defined as the time from randomization to death from any cause.

To determine the safety and tolerability of THIO administered in sequence with cemiplimab in subjects with advanced NSCLC
Up to 2 years

Part A: Incidence of DLTs

To assess the efficacy of THIO administered in sequence with cemiplimab in subjects with advanced NSCLC
Up to 2 years

ORR, defined as the proportion of subjects with either a CR or PR, as assessed by the investigator based on RECIST v1.1

Secondary Endpoints

Objective Radiographic Response
Within 2 Years
Disease Control Rate
Within 2 Years
Duration of Response
Within 2 Years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
THIO + Cemiplimab ArmEXPERIMENTALTHIO 60mg, 30-min IV infusions, Days 1-3 (180 mg/Cycle) Cemplimab 350 mg, 30-min IV infusion, Day 5 3-Week Cycle
Investigator's choice of single-agent chemotherapy (vinorelbine, gemcitabine, or docetaxel)ACTIVE_COMPARATORChemotherapy Agent \[1\] Dosing Regimen No. of Subjects (Planned) Option 1: Vinorelbine 30 mg/m2 IV on D1, D8, and D15 Q3W \~150 \[3\] Option 2: Gemcitabine 1250 mg/m2 IV on D1 and D8 Q3W Option 3: Docetaxel 75 mg/m2 IV on D1 Q3W \[2\] Abbreviations: D = day (within a 21-day cycle); IV= intravenous; Q3W=every 3 weeks (21-day cycles) 1. Standard of Care (for example vinorelbine, gemcitabine, or docetaxel chemotherapy, if not previously exposed, per Investigator's Choice) 2. Docetaxel 60-65 mg/m2 permitted based on country-specific approvals. 3. Within the control arm, there are no limits on the number of subjects who can be treated with any of the chemotherapy agents.
Part AEXPERIMENTALSafety lead-in, modified 3+3 design. Part A: Cohort 1: THIO total 360 mg per cycle (120 mg on Days 1-3 Q3W) plus 350 mg cemiplimab on Day 5; Cohort 2 (pending emerging data from Cohort 1): THIO total 180 mg per cycle (60 mg on Days 1-3 Q3W) plus 350 mg cemiplimab on Day 5
Part BEXPERIMENTALCohort 1: THIO total 60 mg per cycle (20 mg on D1-3 Q3W) plus 350 mg cemiplimab on Day 5; Cohort 2: THIO total 180 mg per cycle (60 mg on D1-3 Q3W) plus 350 mg cemiplimab on Day 5; Cohort 3 (pending emerging data from Part A): THIO total 360 mg per cycle (120 mg on Days 1-3 Q3W) plus 350 mg cemiplimab on Day 5
Part CEXPERIMENTALTo obtain clinical evidence of the efficacy and safety of the sequential combination of THIO 180 mg per cycle plus cemiplimab compared to single-agent THIO 180 mg per cycle as third-line treatment in subjects with advanced/metastatic NSCLC.
Part DEXPERIMENTALTo determine the efficacy of THIO 180 mg per cycle (60 mg on Days 1-3, sequenced with cemiplimab) when administered as third-line treatment in subjects with advanced/metastatic NSCLC.

Interventions

NameTypeDescription
6-Thio-2'-DeoxyguanosineDRUGsmall molecule telomere targeting agent
CemiplimabDRUGprogrammed cell death protein 1 (PD-1) inhibitor
DocetaxelDRUGChemotherapy drug; inhibits cell division by stabilizing microtubules. Used for breast, lung, and prostate cancers.
VinorelbineDRUGChemotherapy drug; disrupts microtubule formation, inhibiting cell division. Used for non-small cell lung cancer and breast cancer.
Gemcitabine aloneDRUGChemotherapy drug; inhibits DNA synthesis. Used for pancreatic, lung, breast, and ovarian cancers.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: 1. At least 18 years of age at the time of signing the Informed Consent Form (ICF) prior to initiation of any study specific activities/procedures. Disease Characteristics 2. Stage 3b or 4 histologically or cytologically confirmed NSCLC. Note: Stage is determined at the time...

Countries:PolandRomaniaTaiwanTurkey (Türkiye)United StatesAustraliaBulgariaHungary
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Frequently asked questions about 6-Thio-2'-Deoxyguanosine

What is 6-Thio-2'-Deoxyguanosine used for?

6-Thio-2'-Deoxyguanosine, also known as THIO, is an investigational small molecule being developed for the treatment of non-small-cell lung carcinoma (NSCLC). It is currently in Phase 3 clinical development for advanced or metastatic NSCLC as a third-line treatment, administered in combination with cemiplimab.

Who makes 6-Thio-2'-Deoxyguanosine?

6-Thio-2'-Deoxyguanosine is being developed by MAIA Biotechnology, Inc., a biopharmaceutical company traded on the stock exchange under the ticker symbol MAIA. The company is conducting clinical trials to evaluate the drug's efficacy and safety in patients with non-small-cell lung carcinoma.

What phase is 6-Thio-2'-Deoxyguanosine in?

6-Thio-2'-Deoxyguanosine is currently in Phase 3 clinical development. A Phase 3 study (NCT06908304) is recruiting patients to evaluate the drug in combination with cemiplimab versus chemotherapy as a third-line treatment for advanced or metastatic non-small-cell lung carcinoma. The drug is investigational and not yet approved.

What clinical trials is 6-Thio-2'-Deoxyguanosine in?

6-Thio-2'-Deoxyguanosine is being studied in two clinical trials. NCT05208944 is a Phase 2 study of THIO sequenced with cemiplimab in advanced non-small-cell lung carcinoma, which is active but not recruiting. NCT06908304 is a Phase 3 study of THIO plus cemiplimab versus chemotherapy as third-line treatment in advanced or metastatic NSCLC, which is currently recruiting.

Is 6-Thio-2'-Deoxyguanosine the same as THIO?

Yes, 6-Thio-2'-Deoxyguanosine is also known as THIO. In clinical trials, the drug is referred to as THIO, and it is being investigated in combination with cemiplimab for the treatment of non-small-cell lung carcinoma. The drug has received orphan drug designation and rare pediatric disease designation from the FDA.