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A Study of SHR-A2009 Versus Platinum-based Chemotherapy in EGFR-mutated, Advanced or Metastatic NSCLC

A Randomized, Open-label, Multicenter, Phase III Study of SHR-A2009 Versus Platinum-based Chemotherapy in EGFR-mutated, Advanced or Metastatic Non-small Cell Lung Cancer After Failure of Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor (TKI) Therapy

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06671379
Enrollment
498
Registered
2024-11-04
Start date
2024-11-29
Completion date
2027-06-01
Last updated
2026-03-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-small Cell Lung Cancer

Brief summary

This study was a randomized, controlled, open-label, multicenter phase III clinical study to compare the efficacy and safety of SHR-A2009 with platinum-based dual-agent chemotherapy in patients with EGFR-mutated advanced or metastatic non-small cell lung cancer who failed EGFR TKI treatment.

Interventions

DRUGSHR-A2009 monotherapy

SHR-A2009 monotherapy ,SHR-A2009 will be administered intravenously

DRUGplatinum-based dual-agent chemotherapy

Pemetrexed combined with carboplatin or cisplatin, after four cycles of combination, pemetrexed was continued as a single agent,all drugs will be administered intravenously

Sponsors

Suzhou Suncadia Biopharmaceuticals Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. Age 18 to 75 years old (inclusive), Female or male 2. Subjects with unresectable locally advanced or metastatic non-squamous non-small cell lung cancer confirmed by histology or cytology 3. Previously treated by EGFR-TKI; 4. At least one measurable tumor lesion according to RECIST v1.1 5. ECOG performance score of 0-1; 6. Expected survival time ≥ 12 weeks; 7. Adequate bone marrow and organ function 8. Subjects are required to give informed consent for this study prior to the trial and voluntarily sign a written informed consent form.

Exclusion criteria

1. Subjects with active central nervous system (CNS) metastases. 2. Received antitumor therapy such as chemotherapy within 4 weeks prior to the first dose of study drug; 3. Received \>30 Gy of non-thoracic radical radiation therapy within 4 weeks prior to the first administration of study drug; 4. Major organ surgery or significant trauma within 4 weeks prior to first use of study drug; 5. Concomitant other malignancies ≤ 5 years prior to first dose of study drug; 6. Subjects with a history of interstitial pneumonitis or imaging at screening suggestive of suspected interstitial pneumonitis; or other moderate-to-severe lung disease that severely affects lung function 7. Serious cardiovascular disease 8. Presence of severe infection within 4 weeks prior to first dose of study drug 9. Arterial/venous thrombotic events within 3 months prior to the first study dose 10. History of immunodeficiency, including a positive HIV test 11. Presence of active hepatitis B or C; 12. History of allergic reactions to any component of study treatment or severe allergic reactions to other monoclonal antibodies.

Design outcomes

Primary

MeasureTime frame
Progression-free survival (PFS) assessed by BICR according to RECIST v1.1Up to approximately 32 months

Secondary

MeasureTime frame
overall survival (OS)Up to approximately 32 months
Progression Free Survival(PFS by investigator)Up to approximately 32 months
Duration of response(DoR,by BICR and investigator )Up to approximately 32 months
Disease control rate(DCR,by BICR and investigator)Up to approximately 32 months
Incidence of AEsfrom Day1 to 40 days after last dose

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026