ClinicalTrials.gg
RecruitingNCT06726161GPC3Updated Sep 28, 2026

Study of the Theranostic Pair RYZ811 (Diagnostic) and RYZ801 (Therapeutic) to Identify and Treat Subjects With GPC3+ (Glypican-3) Unresectable HCC

A Phase 1/2 interventional study of RYZ811 and RYZ801 in Hepatocellular Carcinoma (HCC), sponsored by RayzeBio, Inc.. Recruiting at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by RayzeBio, Inc. (part of Bristol-Myers Squibb) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Updated Sep 28, 20261 site added1 site removedGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
590
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 21 studies in Carcinoma, Hepatocellular by Bristol-Myers Squibb — 3 open to participants now, 4 under way, 1 of them phase 3. Carcinoma, Hepatocellular · Bristol-Myers Squibb.

Planned enrollment
5th of 19
590 · median 198
Started
2025
the only one that year
Phase 1/2
7 of 21
2 open now
Registered
19th of 21
by date

Among the 21 studies in Carcinoma, Hepatocellular by Bristol-Myers Squibb, this one is the 5th largest by planned enrollment of the 19 interventional ones that give a count, is the only one that started in 2025, is one of 7 in phase 1/2, and was the 19th registered.

Carcinoma, Hepatocellular

3,650 studies on the registry are indexed under Carcinoma, Hepatocellular; 1,062 are open to participants now.

Browse Carcinoma, Hepatocellular studies →

Open to participants now

3 of the 21 studies in Carcinoma, Hepatocellular by Bristol-Myers Squibb are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 737 Carcinoma, Hepatocellular studies recruiting now, 382 (52%) set no upper age limit and 249 (34%) stop at 75 or younger; 31 take children under 18; 31 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies in Carcinoma, Hepatocellular by Bristol-Myers Squibb, or all of them as a file.
02

Study summary

Phase 1/2 randomized, controlled, open-label trial of theranostic pair RYZ811 (diagnostic) and RYZ801 (therapeutic) to identify and treat subjects with GPC3+ unresectable hepatocellular carcinoma (HCC)

03

Conditions studied

  • Hepatocellular Carcinoma (HCC)

Keywords

  • actinium
  • theranostic
  • alpha-emitter
  • RYZ811
  • RYZ801
  • 225Ac
  • HCC
  • targeted radiotherapy
  • radiopharmaceutical
  • unresectable HCC
  • Rayze
  • RayzeBio
  • BMS
  • Bristol Myers Squibb
  • RPT
  • Imaging Agent
  • Hepatocellular Carcinoma
  • Diagnostic
  • GPC3
04

Who can participate

Ages eligible
18 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

  • Age of at least 18 years at the time of signing the form (ICF)
  • Histologically/ confirmed diagnosis of HCC.
  • Barcelona Clinic Liver Cancer (BCLC) Stage C or BCLC Stage B not amenable to locoregional therapy
  • A
  • (ECOG) performance status (PS 0-1)
  • Disease progression after 1 prior systemic therapy for unresectable HCC
  • per v1.1
  • Sufficient renal function
  • Adequate hematologic function
  • Adequate hepatic function
  • The subject must have recovered from toxicities related to prior treatments to ≤Grade 1, unless clinically nonsignificant and/or stable on supportive therapy
  • If or infection: Disease managed per local practice; antiviral treatment is allowed.
  • Gastric or esophageal varices previously treated with endoscopic therapy according to institutional standards are permitted if no bleeding
  • For women of (WOCBP):

    • Negative serum pregnancy test within 48 hours prior to the first dose of RYZ811
    • Agreement to use barrier and a second form of highly effective contraception
  • For sexually active males:

    • Must use a condom during intercourse
    • Male subjects whose sexual partners are WOCBP must also agree to use a second form of highly effective contraception
    • A condom is required to be used also by vasectomized men

Exclusion criteria

Exclusion Criteria:

  • Subjects with fibrolamellar carcinoma, sarcomatoid HCC or combined hepatocellular cholangiocarcinoma
  • Prior liver transplantation
  • Known to 68Ga, 225Ac or any of the of RYZ811 or RYZ801
  • Portal vein tumor thrombosis classified as Vp4
  • Documented hepatic encephalopathy within 6 months of enrollment
  • ascites within 6 months of enrollment
  • Prior EBRT to the liver within 12 weeks prior to receiving RYZ811
  • Prior liver radioembolization
  • Previously treated central nervous system (CNS) without recovery from acute side effects
  • Documented history of idiopathic pulmonary fibrosis (IPF), interstitial lung disease (ILD) or pneumonitis
  • Uncontrolled significant intercurrent illness including, but not limited to:

    • corrected for heart rate using Fridericia's formula (QTcF) >470 ms
    • ( A1c) ≥8%
    • Uncontrolled hypertension
    • Dose Expansion only: Prior treatment with lenvatinib is exclusionary
    • Significant cardiovascular disease or heart failure
  • History of clinically significant bleeding
  • Prior participation in any interventional clinical study
  • Current somatic or psychiatric disease/condition that may interfere with the objectives and assessments of the study
  • Have a history of primary within the past 3 years other than (1) HCC, (2) adequately treated carcinoma in situ or non-melanoma carcinoma of the skin, (3) any other curatively treated malignancy that is not expected to require treatment for recurrence during participation in the study, or (4) an untreated cancer on active surveillance that may not affect the subject's survival status for >3 years
  • Subject requires other treatment that in the opinion of the Investigator would be more appropriate than what is offered in the study
  • Pregnancy or breastfeeding

Note: Additional criteria may apply and will be assessed by the study site

Terms in these criteria, in plain language(18)

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

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.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
590 participants (estimated)

Study arms

  • Experimental
    Dose Escalation, Dose Expansion (Dose Optimization/Randomized Phase 2)

    Diagnostic Test: RYZ811 · Drug: RYZ801

  • Active comparator
    Standard of Care (SoC) (Randomized Phase 2)

    Diagnostic Test: RYZ811

Interventions

  • Diagnostic testRYZ811

    Ga-68

  • DrugRYZ801

    Ac-225

06

What researchers measure

Primary outcomes

  1. Therapeutic - RYZ801

    To determine the RTA of RYZ801 in subjects with GPC3+ unresectable HCC (Dose Escalation only)

    Time frame: Rate of DLTs during the first 42 days of study treatment

  2. Therapeutic - RYZ801

    To determine if treatment with RYZ801, compared to SoC therapy, improves ORR in subjects with GPC3+ unresectable HCC (Dose Expansion Stage 2 only) using ORR (rate of CR or PR), as determined by BICR according to RECIST v1.1

    Time frame: From enrollment for up to three months or study discontinuation, whichever occurs first.

  3. Therapeutic - RYZ801

    To evaluate ORR of RYZ801 different dosing regimens (Dose Expansion Stage 1 only) and determine dosage optimized RP2D using ORR (rate of confirmed CR or PR) by RECIST v1.1 per investigator assessment

    Time frame: From enrollment to 3months after randomization or study discontinuation, whichever occurs first.

  4. Diagnostic - RYZ811

    To assess the safety and tolerability of RYZ811 in subjects with unresectable HCC. Safety and tolerability of RYZ811 as measured by incidence and severity of AEs, including SAEs, laboratory changes, and other safety findings.

    Time frame: Baseline, pre-injection and post-injection up to 6 days post injection.

  5. Diagnostic - RYZ811

    To evaluate the biodistribution of RYZ811 in subjects with unresectable HCC. SUV (mean, maximum and peak) of organs and tumors; volume of RYZ811 avid uptake in tumor lesions; and tumor-to-normal organ tracer uptake ratios.

    Time frame: RYZ811 biodistribution to be assessed on the day of injection.

07

Study locations

13 of 13 sites recruiting
  • Research Facility
    Birmingham, Alabama 35294, United States
    Recruiting
  • Research Facility
    Phoenix, Arizona 85054, United States
    Recruiting
  • Research Facility
    Orange, California 92868, United States
    Recruiting
  • Research Facility
    Jacksonville, Florida 32224, United States
    Recruiting
  • Research Facility
    Lexington, Kentucky 40536, United States
    Recruiting
  • Research Facility
    Baltimore, Maryland 21287, United States
    Recruiting
  • Research Facility
    Rochester, Minnesota 55905, United States
    Recruiting
  • Research Facility
    St Louis, Missouri 63104, United States
    Recruiting
  • Research Facility
    Omaha, Nebraska 68130, United States
    Recruiting
  • Research Facility
    New York, New York 10065, United States
    Recruiting
  • Research Facility
    Houston, Texas 77030, United States
    Recruiting
  • Research Facility
    Charlottesville, Virginia 22908, United States
    Recruiting
  • Research Facility
    Seattle, Washington 98109, United States
    Recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2025 (actual). Primary completion is estimated for Jun 2030, 57 months after the start.

Of 72 industry-sponsored phase 1/2 interventional studies under Carcinoma, Hepatocellular, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 74. This study's planned 57 months is above that.

Counting every sponsor, half of 136 studies reached it within 53 months; a quarter within 38 and three quarters within 76.

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

Registered
Nov 5, 2024
First posted
Dec 10, 2024
StartActual
Sep 5, 2025
Primary completionEst.
Jun 2030
CompletionEst.
Jun 2031
Last update
Sep 28, 2026
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.
Sites
1 site added, 1 site removed
Show site
  • Research Facility · St Louis, United States
Show 1 removed
  • Research Facility · Tucson, United States
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    1 site added, 1 site removed
    Show site
    • Research Facility · St Louis, United States
    Show 1 removed
    • Research Facility · Tucson, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06726161
Lead sponsor
RayzeBio, Inc.
Responsible party
Sponsor
First posted
Dec 10, 2024
Start date
Sep 5, 2025
Primary completion
Jun 2030 (estimated)
Completion
Jun 2031 (estimated)
Last update
Sep 28, 2026

Study contacts

RayzeBio Clinical Trials
Contact
clinicaltrials@rayzebio.com
1-619-657-0057
Freddy Escorcia, MD, PhD
study director · RayzeBio, Inc.

Oversight

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

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