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New hope for Hard-to-Treat lung cancer: targeted drug combo enters human trials

NCT ID NCT05482568

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests two new drug combinations for people with advanced non-small cell lung cancer that has a HER2 mutation. The drugs are SHR-A1811 (given by IV) combined with either pyrotinib (a pill) or SHR-1316 (another IV drug). The trial has two parts: first, finding the safest dose, and second, seeing how well the combination works. About 324 participants are being recruited at multiple centers.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
SHR-A1811 (a targeted drug) combined with either pyrotinib (oral) or SHR-1316 (intravenous)
What this could lead to
If successful, this could provide a new treatment option for people with advanced HER2-positive lung cancer, potentially shrinking tumors and extending life.
What could go wrong
This is an early-phase trial (Phase 1/2) with a small number of participants, so the benefits and risks are not yet proven. Side effects from the drug combinations are possible and will be closely monitored.

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

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

About 324 people

The number the study aims to enrol. It can still change while the study runs.

Started

Sep 2022

Expected to finish

Dec 2026

An estimate. End dates often move.

Lead sponsor

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

18 to 75 years

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Ability to give informed consent, signed and dated IRB/EC approved informed consent, willing and able to comply with treatment planning visits, tests and other procedural requirements 2. When signing the informed consent, the age is 18-75 years old (including both ends), and there is no gender limitation 3. The ECOG score is 0 or 1 4. The expected survival is ≥12 weeks 5. Subjects with advanced or metastatic non-small cell lung cancer 6. Formalin fixed, paraffin-embedded tumor tissue blocks or sections of unstained tumor specimens are provided 7. Subjects who have failed prior standard care or are intolerant to standard care 8. There is at least one measurable lesion 9. Vital organs are functioning well 10. Heart function is good 11. Agree to birth control Exclusion Criteria: 1. There are untreated or active central nervous system (CNS) tumor metastases 2. Pleural, ascites, or pericardial effusion requiring intervention occurred within 7 days prior to initial administration 3. Systemic antitumor therapy was performed 4 weeks prior to study initiation 4. Prior treatment with antibody-conjugated drugs 5. Received \>30 Gy chest radiation within 6 months prior to initial administration 6. Palliative radiotherapy was completed within 7 days prior to initial administration 7. Failure to recover from toxicity and/or complications of previous interventions to nCI-CTCAE ≤1 8. The half-life of CYP3A4 suppressor, moderate inhibitor or strong inducer or moderate inducer is less than 3 or less than 14 days from the date of first drug use, and the shorter is selected 9. Received systemic immunosuppressant therapy within 14 days prior to the first study 10. Subjects with known or suspected interstitial pneumonia 11. In the first study, failure to swallow, chronic diarrhea, gastroenteritis, intestinal obstruction, gastrointestinal perforation, postgastrectomy, or colitis, or other medical conditions or special conditions affecting drug administration and absorption occurred within 28 days prior to administration 12. Presence of any active, known or suspected autoimmune disease 13. Have poorly controlled or severe cardiovascular disease 14. Previous or concurrent malignancy 15. Subjects who developed a severe infection within 28 days prior to the first dose 16. Active hepatitis B 17. There were active tuberculosis patients within 1 year before enrollment 18. There is a history of immunodeficiency 19. Live attenuated vaccine was administered within 28 days prior to initial study administration or is expected to be administered during study treatment 20. Subjects who are participating in another clinical study or who have had their first dose less than 4 weeks since the end of the previous clinical study (last dose) or 5 half-lives of the study drug, whichever is shorter 21. Major surgery other than diagnosis or biopsy was performed within 28 days prior to initial administration 22. People who are known to be allergic to sir-A1811, pyrrolitinib, or any of the components of SIR-1316 23. History of severe allergic reactions to other monoclonal antibody/fusion protein drugs 24. Female subjects who are pregnant, breast-feeding, or planning to become pregnant during the study 25. Uncontrolled mental illness and other conditions known to affect the completion of the study process, such as alcohol, drug or substance abuse and detention 26. Any other conditions that, in the investigator's judgment, may increase the risk of study participation, interfere with study results, or make study participation unsuitable

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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.

  1. The places running it

    2 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • Shanghai Chest hospital

    RECRUITING

    Shanghai, Shanghai Municipality, 200030, China

  • Zhejiang Cancer Hospital

    RECRUITING

    Hangzhou, Zhejiang, 310022, China

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