Double attack on HER2: two drugs combined against Hard-to-Treat lung cancer
NCT ID NCT05745740
First seen Sep 22, 2026 · Last updated Sep 22, 2026
Summary
Researchers are testing a combination of two HER2-targeting drugs, RC48-ADC and pyrotinib, in people with locally advanced or metastatic non-small cell lung cancer that has a HER2 mutation. Participants have already received platinum-based chemotherapy and immunotherapy, and their cancer has worsened. The trial aims to find the highest safe dose of RC48-ADC given with pyrotinib and to see how well the combination shrinks tumors. About 26 people will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RC48-ADC, an antibody-drug conjugate that targets HER2, combined with pyrotinib, an oral HER2-blocking drug
- What this could lead to
- If it works, this combination could offer a new option for people with advanced HER2-mutant lung cancer whose disease has worsened after standard chemotherapy and immunotherapy.
- What could go wrong
- This is a small, early-stage trial with 26 participants, so it may not show clear benefit or may produce side effects that limit dosing. Results might not apply to a wider group.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 26 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Voluntary agreement to provide written informed consent. * Predicted survival ≥ 12 weeks. * According to UICC/AJCC 8th Edition, histologically and/or cytologically-confirmed, cannot be surgically removed, locally advanced or metastatic NSCLC. * Is willing and able to provide an adequate archival tumor tissue sample * Has relapsed from or is refractory to standard treatment and had received both platinum-based therapy and immunotherapy. * Measurable lesion according to RECIST 1.1. * Documented HER2 exon 20 insertion mutation. * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. * Adequate organ function. * For female subjects: should be surgically sterilized, postmenopausal, or agree to use a medically approved contraceptive (such as an intrauterine device, contraceptives, or condoms) during study treatment and within 6 months after the end of study, the blood pregnancy test within 7 days of study enrollment must be negative and must be non-lactating. Male subjects: Patients who should be surgically sterilized or agree to use a medically approved contraceptive during the study treatment period and within 6 months after the end of the study. * Willing and able to follow trial and follow-up procedures. Exclusion Criteria: * No known EGFR, ALK, ROS1, RET, NTRK, MET 14 or BRAF V600E mutation. * Patient has had previous treatment with HER2-targeted therapy prior to study participation. * History of major surgery within 4 weeks of planned start of trial treatment. * Diagnosed with HBsAg, HBcAb positive and HBV DNA copy positive, or HCVAb positive, or HIVAb positive. * Has received a live virus vaccine within 4 weeks of planned start of trial treatment. * NYHA Class III heart failure. * Suffering from active infection requiring systemic treatment. * Uncontrolled hypertension, diabetes, Interstitial lung Disease, or COPD. * Treated with systemic treatment (e.g. immunomodulators, corticosteroids or immunosuppressants) for the autoimmune disease within 2 years prior to the study treatment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200433, China
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