New drug combo shows promise for Drug-Resistant lung cancer
NCT ID NCT03758287
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new drug (ningetinib) combined with an existing targeted therapy (gefitinib) in 108 people with advanced lung cancer whose cancer had stopped responding to previous treatments. The goal was to find the safest dose and see if the combination could shrink tumors or slow cancer growth. While not a cure, this approach aims to give patients more time with better disease control.
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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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108 people
The number who actually took part.
- Started
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Nov 2016
- Finished
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Sep 2021
- 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: * Histologically or cytologically confirmed Stage IIIB or IV NSCLC * Resistance to EGFR TKI (1st, 2nd or 3rd generation) * Histological or cytological evidence of EGFR mutation and T790M negative after progression on last EGFR TKI therapy * c-Met GCN ≥ 6 or cluster amplification is required if participant is resistant to1st or 2nd generation EGFR-TKI ;c-MET GCN statue is not required, If participant is resistant to3rd generation EGFR-TKI (osimertinib); * Measurable disease according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) * Toxicity recovered to NCI CTCAE v.4.03 Grade ≤1 from previous treatments (except alopecia) * ECOG performance status (PS) 0 or 1 * Life expectancy of ≥ 12 weeks * Adequate organ function Exclusion Criteria: * Prior treatments * Chemotherapy, targeted therapy (except EGFR TKI), immunotherapy, radiotherapy, or major surgery within 4 weeks prior to study treatment * Nitrosourea and mitomycin chemotherapy within 6 weeks prior to study treatment * EGFR TKI treatment within 2 weeks prior to study treatment * Had received live vaccine within 4 weeks prior to study treatment * Had received any investigational agent from other clinical study within 4 weeks prior to study treatment or are currently participating in other clinical trials * Previous treatment with any other c-MET inhibitor or Axl inhibitor (eg, crizotinib, cabozantinib, volitinib, INC280) * Symptomatic, untreated or unstable central nervous system metastases * Spinal cord compression, carcinomatous meningitis or leptomeningeal diseaseonly (patient are only permitted if treated, asymptomatic and stable for at least 4 weeks prior to start of study treatment) * Interstitial pneumonia or radiation pneumonitis * Uncontrolled hypertension that require more than two anti-hypertensive agents to control, or systolic blood pressure (BP) \>140mmHg or diastolic BP \>90 mmHg before the first administration (BP is the mean blood pressure of two measures that 1 hours interval or above) * Doppler ultrasound evaluation:Left ventricular ejection fraction \< 50% * Grade ≥ 2 of arrhythmia (assessed by NCI CTCAE 4.03), or symptomatic bradycardia, or male with QTCF \> 450 ms or female with QTCF \> 470 ms, or patients with a history of torsion or congenital QT prolonged syndrome long QT syndrome * Certain factors that would preclude adequate absorption of CT053PTSA and gefitinib (eg. unable to swallow, chronic diarrhea, intestinal obstruction) * Significant hemoptysis within 2 months prior to enrollment, or a daily hemoptysis volume is 2.5 ml or above * Patients with evidence of bleeding tendency, including the following cases: gastrointestinal bleeding, hemorrhagic gastric ulcer, fecal occult blood ++ and above; or melena or hematemesis within 2 months; or visceral bleeding that may occur considered by investigator * History of immunodeficiency, or other acquired or congenital immunodeficiency, or history of organ transplantation * Any disease of the following bellowed within 12 months prior to administration: Myocardial infarction, severe angina, or unstable angina, coronary or peripheral artery bypass graft, congestive heart failure, or cerebrovascular events (including transient ischemic attack) * Pulmonary embolism within 6 months prior to administration * Active infection of hepatitis B, or infection of HIV * Other malignancies within 5 years prior to enrollment, with the exception of carcinoma in situ of the cervix, basal or squamous cell skin cancer * History of thyroid dysfunction, and the thyroid function cannot be maintained at the normal range with drugs. * Serious electrolyte imbalance in the investigator's judgment * Pregnant or lactating woman * Any other reason the investigator considers the patient is not suitable to participate in the study
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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.
Contacts and locations
Locations
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Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060, China
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Other studies related to the condition(s) this trial covers.
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