New hope for Hard-to-Treat lung cancer: targeted drug combo enters human trials
NCT ID NCT05482568
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 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: 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
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced non-small cell lung cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
2 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
RECRUITINGShanghai, Shanghai Municipality, 200030, China
-
Zhejiang Cancer Hospital
RECRUITINGHangzhou, Zhejiang, 310022, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new tracer make tumors light up on scans?
- Can teaching patients about immunotherapy cut severe side effects?
- Can a new antibody boost lung cancer treatment?
- Can Long-Term tucatinib use remain safe for HER2-Positive cancers?
- Can a pill outperform chemo for a Hard-to-Treat lung cancer mutation?
- Can a Triple-Drug combo outsmart Immunotherapy-Resistant lung cancer?