New hope for advanced cancer patients with CLDN18.2 marker
NCT ID NCT06350006
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new drug called SHR-A1904, given together with chemotherapy and immunotherapy, for people with advanced solid tumors that have a specific protein called CLDN18.2. The goal is to see if the combination is safe and works better than standard treatment. About 924 adults aged 18 to 75 with tumors that cannot be removed by surgery or have spread will take part.
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 924 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- 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 75 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: 1. Age 18 to 75 years old (including boundary values); 2. Volunteer to participate in this clinical study and sign informed consent; 3. ECOG score 0-1; 4. Expected survival ≥3 months; 5. Pathologically confirmed locally advanced unresectable or metastatic solid tumors; 6. positive CLDN18.2 expression in tumor tissue; 7. There is at least one measurable lesion that meets the RECIST 1.1 criteria; 8. Adequate bone marrow and organ function. Exclusion Criteria: 1. Plan to receive any other antitumor therapy during this trial; Received other investigational drugs or treatments that are not on the market within 4 weeks prior to the first administration; Anti-tumor therapy, such as chemotherapy, radiotherapy, biotherapy, targeted therapy or immunotherapy, was received within 4 weeks before the first administration of the study drug. Palliative radiotherapy or local therapy within 2 weeks before the first administration of the study drug; Had major surgery other than diagnosis or biopsy within the 4 weeks prior to the first administration or randomization and required elective surgery during the trial. 2. HER2 expression in tumor tissue is positive. 3. The adverse reactions of previous anti-tumor therapy has not recovered to NCI-CTCAE v5.0 grade≤ 1. 4. Has ≥ grade 2 peripheral sensory neuropathy. 5. Has an allergic reaction to any of the components treated in this study, or are allergic to humanized monoclonal antibody products. 6. Has a history or current history of meningeal metastasis; or active brain metastases. 7. Presence of dysphagia or other factors affecting the use of oral medications. 8. Additional malignancy within the five years prior to the first administration or randomization. 9. Has an active autoimmune disease or a history of autoimmune disease. 10. Received systemic use of corticosteroids or other immunosuppressants for immunosuppressive effects within 14 days prior to the first administration or randomization. 11. Has a history of clinically significant lung disease. 12. Has serosal effusion ≥ grade 3 (based on NCI CTCAE5.0 criteria). 13. There was an active infection requiring systemic treatment within 2 weeks prior to the first administration or randomization. 14. A history of immunodeficiency, including a positive HIV test; Presence of active hepatitis B or hepatitis C. 15. People who have previously received allogeneic hematopoietic stem cell transplantation or organ transplantation. 16. Has severe cardiovascular and cerebrovascular diseases. 17. Gastrointestinal perforation and/or gastrointestinal fistula within the last 6 months prior to the first administration or randomization; Active gastrointestinal bleeding occurred 3 months before the first administration or randomization. 18. In the investigator's judgment, the subject has other factors that could have affected the study results or led to the forced termination of the study.
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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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Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510060, China