New lung cancer pill targets resistant mutations in early trial
NCT ID NCT06461156
First seen Jun 26, 2026 · Last updated Sep 01, 2026 · Updated 2 times
Summary
This Phase 1 study tests a new daily pill called HS-10504 in 230 people with advanced non-small cell lung cancer that has a specific genetic change (EGFR C797S mutation) and has stopped responding to earlier treatments. The main goal is to find the safest dose and check for side effects, while also seeing if the drug can shrink tumors. Participants must have a life expectancy over 12 weeks and be in fairly good health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HS-10504 (a fourth-generation EGFR inhibitor pill taken once daily)
- What this could lead to
- If it works, this could provide a new treatment option for people with advanced lung cancer that has stopped responding to earlier EGFR-targeted therapies.
- What could go wrong
- This is an early Phase 1 trial, so the main goals are safety and dosing—not yet proving effectiveness. The drug may not work or could have side effects, and it is only being tested in Chinese patients, so results may not apply to everyone.
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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 230 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2024
- Expected to finish
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Mar 2027
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 years and older
- 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: * Males or females, aged ≥ 18 years. * Subjects with histologically or cytologically confirmed locally advanced or metastatic NSCLC * Progressive disease on or after prior treatment with EGFR-TKIs. * Enrollment will be restricted to participants with evidence of EGFR-positive in tumor as determined by local or central testing. * At least 1 target lesion according to RECIST 1.1. * ECOG PS score: 0-1. * Estimated life expectancy\> 12 weeks. * Men or women should be using adequate contraceptive measures throughout the study. * Women must have the evidence of non-childbearing potential. * Signed and dated Informed Consent Form. Exclusion Criteria: * Subjects with known oncogenic driver genes other than EGFR. * Subjects with mixed cell histologic or with phenotypic transformation. * Treatment with any of the following: 1. Prior or concurrent treatment with fourth-generation EGFR tyrosine kinase inhibitors. 2. Cytotoxic chemotherapy, any other investigational drugs, traditional Chinese medicine with anti-tumor indications, or other anti-tumor drugs within 14 days prior to the first dose of HS-10504 or require continued treatment with these drugs during the study. 3. Any local radiotherapy 2 weeks prior to the first dose of study treatment; have received irradiation of more than 30% of bone marrow prior to the first dose 4. Uncontrolled pleural effusion or ascites or pericardial effusion. 5. Major surgery within 4 weeks before the first dose. 6. CNS metastases with symptomatic or active progression. * Subjects who have any grade ≥2 residual toxicities from prior therapies. * Subjects who have history of other primary malignancies. * Inadequate bone marrow reserve or hepatic and renal functions. * Subjects with severe or poorly controlled diabetes, cardiovascular diseases or hypertension; subjects with severe arteriovenous thrombotic events, severe infection, clinically significant bleeding symptoms or clinically significant gastrointestinal dysfunction. * Hypersensitivity to any ingredient of HS-10504. * Moderate to severe pulmonary diseases. * Prior history of significant neurological or mental disorders. * Women who are breastfeeding or pregnant or planned to be pregnant during the study period. * Unlikely to comply with study procedures, restrictions, and requirements in the opinion of the investigator. * Any disease or condition that, in the opinion of the investigator, would compromise subject safety or interfere with study assessments.
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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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The First Affiliated Hospital of Guangzhou Medical University
RECRUITINGGuangzhou, China
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