ClinicalTrials.gg
Not yet recruitingNCT05813665Updated Apr 19, 2023

A Study to Evaluate the Efficacy and Safety of Narlumosbart (JMT103) in Patients With Giant Cell Tumor of Bone

A Phase 3 interventional study of Narlumosbart and Denosumab in Giant Cell Tumor of Bone, sponsored by Shanghai JMT-Bio Inc.. Not yet recruiting at 1 site in China. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2023-04-19.

Sponsored by Shanghai JMT-Bio Inc. (part of CSPC Pharmaceutical Group Limited) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
146
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

This is a phase Ⅲ, multi-center, randomized, double-blind, active-controlled study to evaluate the efficacy and safety of narlumosbart (JMT103) in patients with unresectable or surgically difficult giant cell tumor of bone (GCTB). This clinical trial study hypothesizes narlumosbart administration groups are not inferior to active control administration groups.

02

Conditions studied

  • Giant Cell Tumor of Bone

Keywords

  • Giant Cell Tumor of Bone
03

In context

Giant Cell Tumor of Bone

23 studies on the registry are indexed under Giant Cell Tumor of Bone; 7 are open to participants now.

This study's planned enrollment of 146 is above the median of 43 across 16 interventional studies indexed under Giant Cell Tumor of Bone.

Browse Giant Cell Tumor of Bone studies →

Lead sponsor

Shanghai JMT-Bio Inc. is the lead sponsor of 42 studies on the registry; 29 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Fully informed and signed ;
  2. Male or female adults aged ≥ 18 years or skeletally mature adolescents must weigh at least 45 kg and ≥ 12 years of age;
  3. confirmed giant cell tumor of bone that is surgically unresectable or for which the planned surgery is associated with functional compromise or morbidity;
  4. (ECOG) performance status of 0, 1 or 2.

Exclusion criteria

Exclusion Criteria:

  1. Previous or ongoing osteomyelitis or osteonecrosis of the jaw, non-healed dental/oral surgery, active dental or jaw condition requiring oral surgery, planned invasive dental procedure during the study;
  2. Known or suspected diagnosis of other giant cell-rich tumors, brown cell tumor of bone, or Paget's disease;
  3. Known diagnosis of within the past 5 years, except for definitively treated superficial basal cell carcinoma or cervical carcinoma in situ;
  4. Bone metabolic disease including hypo-/hyperparathyroidism, hypo-/hyperthyroidism (except for no need treatment subclinical hypothyroidism), hypopituitarism, hyperprolactinemia, Cushing's syndrome, acromegaly, etc.;
  5. Active infections requiring systematic treatment within 7 days prior to randomization;
  6. Known (HIV), syphilis infections or viral hepatitis;
  7. Current receiving other anti-tumor therapy (such as radiation, chemotherapy, or embolization, etc.);
  8. Concurrent bisphosphonate treatment;
  9. Use of anti-receptor activator of nuclear factor-κB ligand (RANKL) antibody within six months prior to screening, or no response to previous RANKL antibody treatment;
  10. Known allergic/hypersensitive reaction to JMT103, positive control drug, calcium and vitamin D;
  11. Pregnant or lactating females; For those of child bearing potential, refusal to use effective methods from signing to 6 months after last administration.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
146 participants (estimated)

Study arms

  • Experimental
    Narlumosbart

    Patients will receive narlumosbart 120 mg subcutaneously (SC) once every 4 weeks (Q4W) with a loading dose of 120 mg SC on day 8 and day 15 of the first cycle until one of the following occurred: complete tumor resection, disease progression, intolerable toxicity, decision by the patient to discontinue, or decision by the investigator that the patient could no longer benefit from the treatment.

    Drug: Narlumosbart

  • Active comparator
    Denosumab

    Patients will receive denosumab 120 mg subcutaneously (SC) once every 4 weeks (Q4W) with a loading dose of 120 mg SC on day 8 and day 15 of the first cycle until one of the following occurred: complete tumor resection, disease progression without clinical benefit, decision by the patient to discontinue, or decision by the investigator that the patient could no longer benefit from the treatment.

    Drug: Denosumab

Interventions

  • Administered by subcutaneous injection. Dietary Supplement: Calcium/Vitamin D. All patients should be adequately supplemented with calcium and vitamin D (at least 500 mg of calcium and 400 IU of vitamin D), except in the case of pre-existing hypercalcemia.

    Also known as: JMT103

  • Administered by subcutaneous injection. Dietary Supplement: Calcium/Vitamin D. All patients should be adequately supplemented with calcium and vitamin D (at least 500 mg of calcium and 400 IU of vitamin D), except in the case of pre-existing hypercalcemia.

    Also known as: XGEVA

06

What researchers measure

Primary outcomes

  1. Percentage of Patients With Giant Cell Objective Tumor Response

    Time frame: From enrollment until 12 weeks

Secondary outcomes

  1. Percentage of Patients With Giant Cell Objective Tumor Response

    Time frame: Throughout the study period, up to approximately 4 years

  2. Disease Control Rate (DCR)

    Time frame: Up to approximately 4 years

  3. Time to Response (TTR)

    Time frame: Up to approximately 4 years

  4. Duration of Response (DOR)

    Time frame: Up to approximately 4 years

  5. Time to Progression (TTP)

    Time frame: Up to approximately 4 years

  6. Percentage of Patients Downstaging the Planned Surgical Procedure

    Time frame: From enrollment until surgery, up to approximately 4 years

  7. Time to First Tumor Surgery

    Time frame: From enrollment until the first tumor surgery, up to approximately 4 years

  8. Changes in Brief Pain Inventory Short Form (BPI-SF) score

    Time frame: From enrollment until the last dose, up to approximately 4 years

  9. Types and Proportion of Key Adverse Reactions

    Time frame: From the first dose of study drug until 90 days after the last dose, up to approximately 4 years

  10. Serum JMT103 Concentrations

    Time frame: Days 8 of Cycle 1, Day 1 of Cycle 2, 3, 4, 5, 6, and 90 days after the last dose (each cycle is 28 days)

  11. Number of Patients with Anti-JMT103 Antibodies

    Time frame: Day 1 of Cycle 1, 2, 4, 6, and 90 days after the last dose (each cycle is 28 days)

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Apr 2023; primary completion for Jun 2028, 62 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 3, 2023
First posted
Apr 14, 2023
StartEst.
Apr 2023
Primary completionEst.
Jun 2028
CompletionEst.
Sep 2028
Last update
Apr 19, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05813665
Responsible party
Sponsor
First posted
Apr 14, 2023
Start date
Apr 2023 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Apr 19, 2023

Study contacts

Clinical Trials Information Group Officer
Contact
ctr-contact@mail.ecspc.com
+86-0311-69085587
Xiaohui Niu, B.M.
principal investigator · Beijing Ji Shui Tan Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Narlumosbart

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